Registered Nurse, UR specific certification preferred (CCM, ACM, CPUR) * Educational Requirements: Bachelors Degree * Minimum Experience: Minimum of 7 years UR with progressive Revenue Cycle ...
Registered Nurse, UR specific certification preferred (CCM, ACM, CPUR) * Educational Requirements: Bachelors Degree * Minimum Experience: Minimum of 7 years UR with progressive Revenue Cycle ...
ONLINE ACADEMIC COACH (Higher Education, Graduate-Level Programs & Courses, Remote/Virtual ... A current and valid RN license and a conferred Masters of Science in Nursing (MSN) or greater is ...
ONLINE ACADEMIC COACH (Higher Education, Graduate-Level Programs & Courses, Remote/Virtual ... A current and valid RN license and a conferred Masters of Science in Nursing (MSN) or greater is ...
Compliance Specialist 2 - Zone 7
Jefferson, GA · On-site +1
$61K/yr
... Remote Employment: Flexible/Hybrid Job Number: 2022-01746 Division: Healthcare Facility Regulation ... Experience as a Registered Nurse/LPN in the field of mental health/retardation or Drug Treatment
Compliance Specialist 2 - Zone 7
Jefferson, GA · On-site +1
$61K/yr
... Remote Employment: Flexible/Hybrid Job Number: 2022-01746 Division: Healthcare Facility Regulation ... Experience as a Registered Nurse/LPN in the field of mental health/retardation or Drug Treatment
Remote Correctional Rn information
See Statham, GA salary details
$14.52 - $20.17
0% of jobs
$20.17 - $25.82
0% of jobs
$25.82 - $31.47
8% of jobs
$31.47 - $37.12
4% of jobs
$41.45 is the 25th percentile. Wages below this are outliers.
$37.12 - $42.77
17% of jobs
$42.77 - $48.42
17% of jobs
The median wage is $49.84 / hr.
$48.42 - $54.07
15% of jobs
$59.62 is the 75th percentile. Wages above this are outliers.
$54.07 - $59.73
14% of jobs
$59.73 - $65.38
8% of jobs
$65.38 - $71.03
11% of jobs
$71.03 - $76.68
6% of jobs
$14
$53
$76
How much do remote correctional rn jobs pay per hour?
What is a Remote Correctional RN job?
A Remote Correctional RN is a registered nurse who provides healthcare services to incarcerated individuals through telehealth or off-site case management. They assess patient needs, coordinate care, manage chronic conditions, and provide medical guidance remotely. This role involves working with correctional staff, physicians, and other healthcare providers to ensure proper treatment. It requires strong communication skills, clinical expertise, and familiarity with correctional healthcare protocols.
What are the typical responsibilities of a Remote Correctional RN, and how does the remote aspect affect daily work?
A Remote Correctional RN is responsible for assessing patient needs, triaging acute and chronic health conditions, providing remote education and support, and guiding on-site staff with clinical decisions via secure electronic systems. The remote nature of this job means you will conduct virtual consultations and use telehealth tools to review medical records, coordinate care plans, and communicate directives. While you are not physically present, you'll work closely with facility-based medical staff and other remote professionals to ensure continuity of care. This role requires strong autonomy and attention to detail, as well as the ability to adapt to unique challenges of correctional healthcare delivered remotely.
What are the key skills and qualifications needed to thrive in the Remote Correctional Rn position, and why are they important?
To thrive as a Remote Correctional RN, you need a current RN license, solid clinical assessment skills, and experience in correctional or telehealth nursing. Familiarity with electronic health records (EHR), secure telemedicine platforms, and documentation best practices is essential. Strong communication, problem-solving, and independent decision-making are key soft skills for success in this remote setting. These abilities ensure accurate remote care, maintain safety standards, and promote effective collaboration with correctional facility staff.
Utilization Management Director - RN Required - Remote
Gainesville, GA • On-site, Remote
Full-time
Re-posted 10 days ago
Northeast Georgia Health System rating
7.3
Based on 152 frontline employees who took The Breakroom Quiz
302nd of 886 rated healthcare providers
Job description
Executive Leadership, Revenue Cycle
Work Shift/Schedule:
8 Hr Morning - Afternoon
Northeast Georgia Health System is rooted in a foundation of improving the health of our communities.
About the Role:
Job Summary
The Director of Utilization Management (UM) is responsible for leading and managing the Utilization Management (UM) functions at Northeast Georgia Medical Center. This position plays a critical role in ensuring correct status assignment, optimizing reimbursement, minimizing denials, improving case mix index (CMI), and ensuring appropriate utilization of hospital resources. The Director works collaboratively with hospital leadership, physicians, case management, finance, and compliance teams to enhance quality reporting, patient outcomes, and financial integrity. This role serves as a key liaison between clinical and financial operations, ensuring a seamless integration of documentation integrity with utilization management to drive efficiency, compliance, and revenue cycle optimization.
Minimum Job Qualifications
- Licensure or other certifications: Registered Nurse, UR specific certification preferred (CCM, ACM, CPUR)
- Educational Requirements: Bachelors Degree
- Minimum Experience: Minimum of 7 years UR with progressive Revenue Cycle leadership experience of 2 or more years.
- Other:
Preferred Job Qualifications
- Preferred Licensure or other certifications:
- Preferred Educational Requirements: Master's Degree in Nursing or other health related field preferred
- Preferred Experience:
- Other:
Job Specific and Unique Knowledge, Skills and Abilities
- Proven ability to lead teams, manage budgets, and implement strategic initiatives.
- Strong ability to educate and influence physicians, staff, and leadership on UM best practices.
- Experience in data analysis, KPI tracking, and performance improvement strategies.
- Expertise in medical necessity criteria, payer regulations, and revenue cycle principles.
- Oversee day-to-day operations of the Utilization Management Department, ensuring compliance with payer requirements and regulatory standards.
- Work closely with case management, managed care, and patient financial services to streamline utilization review and enhance hospital financial performance.
- Monitor and analyze key performance indicators (KPIs), financial goals, and length of stay (LOS) metrics to drive performance improvements.
- Recruit, train, and manage a high-performing UM team, ensuring operational alignment with hospital objectives.
- Manage departmental budgets, ensuring financial responsibility and resource allocation
- Develop and implement performance metrics to evaluate team effectiveness and drive continuous improvement.
- Foster strong relationships with internal and external stakeholders, including hospital executives, physicians, and payers.
- Provide data-driven insights and strategic recommendations to hospital leadership regarding UM performance.
- Act as the operational leader for process improvement initiatives related to utilization management, and revenue cycle optimization.
- Work closely with Physician Advisors to develop and revise policies and procedures related to clinical status determination, medical necessity, denials and appeals, and physician education.
- Review daily, weekly and monthly reports to monitor and analyze performance of UM departments, assess data against KPI standards and goals, and identifies trends to make adjustments as indicated. Keeps leadership, staff, and clinical staff (where appropriate) informed.
- Oversees UM working closely with Case Management and other members of the interdisciplinary team to ensure effective collaboration for length of stay and throughput.
- Communicate with and educate physicians and other key stake holders regarding Utilization Review policies, practices, and procedures to ensure safe, effective services, along with appropriate transitions of care.
- Assesses departmental workload to determine appropriate staff allocations to ensure productivity standards are being met consistently.
- Works closely with physicians and staff to provide and monitor clinical/financial data for the purpose of improving hospital/physician performance and anticipating payer and managed care demands.
- Actively participates as the operational leader for UM in committees including but not limited to MRUR; Compliance; Policy and Procedures; and Quality
- Identifies and maintains good relationships with other departments such as Managed Care, Patient Financial Services, Patient Access, and others so to facilitate the utilization review processes and to provide continuity of care.
- Weight Lifted: Up to 20 lbs, Frequently 31-65% of time
- Weight Carried: Up to 20 lbs, Frequently 31-65% of time
- Vision: Moderate, Frequently 31-65% of time
- Kneeling/Stooping/Bending: Occasionally 0-30%
- Standing/Walking: Constantly 66-100%
- Pushing/Pulling: Constantly 66-100%
- Intensity of Work: Occasionally 0-30%
- Job Requires: Reading, Writing, Reasoning, Talking, Keyboarding, Driving
Working at NGHS means being part of something special: a team invested in you as a person, an employee, and in helping you reach your goals.
NGHS: Opportunities start here.
Northeast Georgia Health System is an Equal Opportunity Employer and will not tolerate discrimination in employment on the basis of race, color, age, sex, sexual orientation, gender identity or expression, religion, disability, ethnicity, national origin, marital status, protected veteran status, genetic information, or any other legally protected classification or status.
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About Northeast Georgia Health System
Sourced by ZipRecruiter
Northeast Georgia Health System (NGHS) is a not-for-profit community health system dedicated to improving the health and quality of life of the people of Northeast Georgia. Through the services of a medical staff of more than 800 physicians, the residents of Northeast Georgia enjoy access to the state’s finest and most comprehensive medical services. It is our mission to improve the health of our community in all we do.
Industry
Health care and social assistance
Company size
5,001 - 10,000 Employees
Headquarters location
Gainesville, GA, US
Year founded
1951