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Part Time Remote Utilization Review Nurse information

What are the key skills and qualifications needed to thrive as a Part Time Remote Utilization Review Nurse, and why are they important?

To thrive as a Part Time Remote Utilization Review Nurse, you need an active RN license, strong clinical judgment, and experience in case management or utilization review. Familiarity with medical coding systems (like ICD-10 and CPT), healthcare management software, and payer guidelines is often required. Excellent written communication, attention to detail, and the ability to work independently are essential soft skills for remote success. These competencies ensure accurate review of medical records, compliance with regulations, and effective coordination with healthcare teams while working remotely.

How do part-time remote Utilization Review Nurses typically collaborate with physicians and other healthcare professionals?

Part-time remote Utilization Review Nurses often communicate with physicians, case managers, and insurance representatives through secure digital platforms, emails, and scheduled virtual meetings. They review patient records and coordinate care authorizations, frequently clarifying clinical information or policy requirements with providers. Balancing asynchronous communication and timely responses is essential, as collaboration impacts both patient outcomes and reimbursement processes. Building strong professional relationships and maintaining clear documentation are key to effective teamwork in this remote setting.

What does a Part Time Remote Utilization Review Nurse do?

A Part Time Remote Utilization Review Nurse evaluates medical records and treatment plans to ensure that healthcare services are medically necessary and comply with insurance guidelines. Working remotely, they review patient cases, communicate with healthcare providers, and make recommendations on the appropriateness of care. Their role helps manage healthcare costs and ensures patients receive appropriate care while adhering to regulatory and insurance standards.

What is the difference between Part Time Remote Utilization Review Nurse vs Part Time Remote Case Manager?

AspectPart Time Remote Utilization Review NursePart Time Remote Case Manager
CredentialsRN license, certifications in utilization review (e.g., CUC, URAC)RN or social work license, case management certification (e.g., CCM)
Work EnvironmentRemote, reviewing medical records and authorizationsRemote, coordinating care and discharge planning
Employer & IndustryInsurance companies, healthcare providers, third-party administratorsInsurance companies, healthcare organizations, managed care firms

The Part Time Remote Utilization Review Nurse primarily evaluates medical necessity for insurance approvals, focusing on documentation review. In contrast, the Part Time Remote Case Manager manages patient care plans, coordinating services and discharge planning. Both roles are remote, require healthcare credentials, and are common in the insurance and healthcare industries, but they differ in daily responsibilities and focus areas.

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Part Time Remote Utilization Review Nurse jobs near you
Nurse Practitioner - Hormone Replacement Therapy (Telehealth) 1099

Nurse Practitioner - Hormone Replacement Therapy (Telehealth) 1099

AlediumHR

Las Vegas, NV • Remote

Full-time, Part-time

Posted 26 days ago

Job description

AlediumHR is partnering with a forward-thinking telehealth organization that is redefining how men and women manage their health. Through expert clinical care and modern technology, this group is transforming hormone optimization, preventative medicine, and performance-based wellness nationwide.

This is not a generalist telehealth role. This is for experienced nurse practitioners who understand hormone therapy and want to practice at a high level.

The Opportunity

We are seeking experienced, licensed Nurse Practitioners with at least 1 year of Hormone Replacement Therapy (HRT) experience for both men and women.

These are both part-time and full-time availability. Providers work remotely and deliver high-impact care through a structured, technology-enabled telehealth model.

Licensing Requirements (Non-Negotiable)

  • Active NP license in a minimum of 8-10 U.S. states

  • California, Texas, New York, and Colorado licenses are needed

  • Active, unrestricted DEA license

  • Ability to prescribe and manage controlled substances in compliance with federal and state regulations
Required Clinical Experience

  • Minimum 1 year of hands-on Hormone Replacement Therapy experience

  • Experience treating both male and female patients

  • Comfort managing testosterone therapy, estrogen/progesterone therapy, adjunct wellness medications, and ongoing lab monitoring
  • Strong understanding of endocrine health, preventative care, and optimization protocols
What You'll Do
  • Conduct structured virtual consultations for men and women seeking hormone optimization and wellness care
  • Review labs, diagnose hormone imbalances, and develop evidence-based treatment plans
  • Initiate and manage HRT protocols, including appropriate prescribing and follow-up
  • Provide patient education on risks, benefits, and long-term care strategies

  • Maintain thorough, compliant documentation within telehealth platforms

  • Collaborate with a clinical and administrative support team to ensure a seamless patient experience
Work Environment

Remote Flexibility
Work from home with scheduling options that fit your availability.

Focused Practice Model
This is a specialized hormone and wellness platform. You will not be handling random urgent care visits or unrelated cases.

Operational Support
Administrative, tech, and compliance infrastructure are in place so you can focus on patient care.

Growth Environment
Join a high-growth telehealth organization expanding nationwide.

Apply now to join a team committed to elevating hormone health across the country.
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About AlediumHR

Sourced by ZipRecruiter

AlediumHR is a boutique recruiting firm that specializes in direct-hire placements. Our focus is healthcare recruitment for clinical and non-clinical roles across the United States and Canada, with extensive experience in the thriving telehealth sector.With over a decade of experience and a proven track record, we possess a deep understanding of the unique challenges that healthcare recruiting presents in the post-Covid era.

Industry

Recruiting and staffing services

Company size

11 - 50 Employees

Headquarters location

Tampa, FL, US

Year founded

2013

Social media

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