2

Remote Inova Rn Jobs in Atlanta, GA (NOW HIRING)

Utilization Review Nurse

Atlanta, GA · Remote

$35 - $45.94/hr

This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois ... Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate ...

This position is primarily remote with limited in home visits. KEY RESPONSIBILITIES: Duties may ... Licensed Registered Nurse with current, unrestricted license in state of practice (Georgia ...

New

This position is primarily remote with limited in home visits. KEY RESPONSIBILITIES: Duties may ... company's standards and RN scope of practice. • Comply with PruittHealth Premier ...

New

Clinical background (e.g. physician assistant, nurse practitioner, registered nurse); MD's are ... Work Location Remote (onboarding will occur at the CDC in Atlanta, GA) About Lukos Lukos delivers ...

Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...

Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...

Showing results 41-60

Remote Inova Rn information

Does Inova offer remote positions?

Inova offers some remote nursing positions, including roles for registered nurses (RNs), depending on the department and specific job requirements. These remote roles typically involve telehealth or case management and may require relevant certifications and experience. Availability of remote positions can vary based on organizational needs and current openings.

What is the best remote job for registered nurses?

A remote registered nurse (RN) can work in roles such as telehealth nurse, case manager, or health coach, which involve providing patient care, education, and support via phone or video consultations. These positions typically require active RN licensure, strong communication skills, and familiarity with electronic health records (EHR) systems. They offer flexible schedules and the ability to work from home while delivering clinical services.

What are the most commonly searched types of Inova Rn jobs in Atlanta, GA?

The most popular types of Inova Rn jobs in Atlanta, GA are:

What are popular job titles related to Remote Inova Rn jobs in Atlanta, GA?

For Remote Inova Rn jobs in Atlanta, GA, the most frequently searched job titles are:

What job categories do people searching Remote Inova Rn jobs in Atlanta, GA look for?

The top searched job categories for Remote Inova Rn jobs in Atlanta, GA are:

What cities near Atlanta, GA are hiring for Remote Inova Rn jobs?

Cities near Atlanta, GA with the most Remote Inova Rn job openings:

Utilization Review Nurse

Oscar Health

Atlanta, GA • Remote

$35 - $45.94/hr

Full-time

Posted 29 days ago


Oscar Health rating

6.9

Company rating: 6.9 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

260th of 311 rated insurance


Job description

Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review team.

About the role:

You will perform frequent case reviews, check medical records and speak with care providers regarding treatment as needed. You will make recommendations regarding the appropriateness of care for identified diagnoses based on the research results for those conditions.

You will report into the Supervisor, Utilization Review.

Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois; Iowa; Kansas; Michigan; Missouri; Nebraska; New Jersey; North Carolina; Ohio; Pennsylvania; South Carolina; Tennessee; Texas; or Virginia. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events.

Pay Transparency: The base pay for this role is: $35.00 - $45.94 per hour. You are also eligible for employee benefits and monthly vacation accrual at a rate of 15 days per year.

Responsibilities:

  • Complete medical necessity reviews and level of care reviews for requested services using clinical judgment and Oscar Clinical Guidelines, Milliman Care Guidelines
  • Obtain the information necessary (via telephone and fax) to assess a member's clinical condition, and apply the appropriate evidence-based guidelines
  • Meet required decision-making SLAs
  • Refer members for further care engagement when needed
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Requirements:

  • Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC)
  • Associate Degree - Nursing or Graduate of Accredited School of Nursing Or Successful completion of Nursing Diploma Program in Accredited School of Nursing
  • Ability to obtain additional state licenses to meet business needs
  • 1+ year of utilization review experience in a managed care setting
  • Strong experience utilizating MCG (Milliman Care Gudielines) or InterQual
  • 1+ years of clinical experience (including at least 1+ year clinical practice in an acute care setting, i.e., ER or hospital)
  • Weekend availability is required; all applicants must be able to work at least one weekend day (Saturday or Sunday) each week.

Bonus points:

  • BSN
  • Previous experience conducting concurrent or inpatient reviews for a managed care plan

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.

California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.


What Oscar Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom