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Remote Prn Rn Jobs in North Carolina (NOW HIRING)

Sagility

RN Utilization Management Reviewer

Concord, NC · Remote

$35 - $40/hr

Job title: RN Utilization Management Reviewer We are currently hiring a talented RN, Utilization ... May require weekends This is a fully remote work at home role. You must have a secure, private wok ...

Oshi Health

GI- Nurse Practitioner

Charlotte, NC · Remote

Preferred RN compact License Required Location: We are only hiring from the following states ... Remote-first -- work from home anywhere in the US within our approved states * Growth: Advanced ...

SalvoHealth

Registered Dietitian, Remote

Charlotte, NC · On-site +1

$30.50 - $41/hr

... Remote Patient Monitoring ("RPM") to bill under the patient's insurance. This is a major step ... Work closely with a multidisciplinary team, including fellow registered dietitians, licensed nurses ...

SalvoHealth

Registered Dietitian, Remote

Charlotte, NC · Remote

$30.50 - $41/hr

... Remote Patient Monitoring ("RPM") to bill under the patient's insurance. This is a major step ... Work closely with a multidisciplinary team, including fellow registered dietitians, licensed nurses ...

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Remote Prn Rn information

What is a remote PRN RN?

A Remote PRN RN job is a flexible, as-needed nursing position that allows registered nurses to work from home, typically providing telehealth services, case management, or remote patient monitoring. These roles require active RN licensure and experience in areas like triage, chronic disease management, or insurance assessments. Since the position is PRN (pro re nata), hours are not guaranteed and vary based on employer needs.

What are the main challenges of working as a remote PRN RN and how can I prepare for them?

One of the main challenges of working as a Remote PRN RN is adapting to changing schedules and clinical needs, since PRN positions require flexibility based on staffing demands. You may also need to manage patient care independently and troubleshoot technical issues related to remote work platforms. Staying organized, being proactive in communication, and regularly updating your knowledge of telehealth best practices will help you excel. Building a strong rapport with remote teams and utilizing available training resources can enhance both your confidence and effectiveness in this role.

What are the key skills and qualifications needed to thrive as a remote PRN RN?

To thrive as a Remote PRN RN, you need a valid RN license, strong clinical assessment abilities, and experience in diverse healthcare environments. Familiarity with telehealth platforms, electronic health records (EHRs), and secure communication tools is typically required. Excellent time management, self-motivation, and strong verbal and written communication are valuable soft skills. These are crucial for providing effective patient care remotely, ensuring compliance with regulations, and adapting quickly to varying work demands.

What are popular job titles related to Remote Prn Rn jobs in North Carolina? For Remote Prn Rn jobs in North Carolina, the most frequently searched job titles are:
What job categories do people searching Remote Prn Rn jobs in North Carolina look for? The top searched job categories for Remote Prn Rn jobs in North Carolina are:
What cities in North Carolina are hiring for Remote Prn Rn jobs? Cities in North Carolina with the most Remote Prn Rn job openings:
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Infographic showing various Remote Prn Rn job openings in North Carolina as of August 2026, with employment types broken down into 75% Full Time, and 25% Part Time. Highlights an 100% Remote job distribution.

RN Utilization Management Reviewer

Sagility

Concord, NC • Remote

$35 - $40/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 4 days ago

Sagility rating

4.6

Company rating: 4.6 out of 10

Based on 29 frontline employees who took The Breakroom Quiz

62nd of 71 rated call and contact centers

Job description

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.

Job title:

RN Utilization Management Reviewer

Job Description:

We are currently hiring a talented RN, Utilization Management Reviewer. This role will be responsible in day-to-day timely clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring the client meets CMS compliance standards in the area of service decisions and organizational determinations. Successful candidates must hold a valid, current license issued by the Massachusetts Board of Registration in Nursing.

Key responsibilities:

  • Conducts timely clinical decision review for services requiring prior authorization in a variety of clinical areas, including but not limited to surgical procedures, Medicare Part B medications, Long Term Services and Supports (LTSS), and Home Health (HH)
  • Applies established criteria (e.g., InterQual and other available guidelines) and employs clinical expertise to interpret clinical criteria to determine medical necessity of services
  • Communicates results of reviews verbally, in the medical record, and through official written notification to the primary care team, specialty providers, vendors and members in adherence with regulatory and contractual requirements
  • Provides decision-making guidance to clinical teams on service planning as needed
  • Works closely with Clinicians, Medical Staff and Peer Reviewers to facilitate escalated reviews in accordance with Standard Operating Procedures
  • Ensures accurate documentation of clinical decisions and works with UM Manager to ensure consistency in applying policy
  • Works with UM Manager and other clinical leadership to ensure that departmental and organizational policies and procedures as well as regulatory and contractual requirements are met
  • Additional duties as requested by supervisor
  • Maintains knowledge of CMS, State and NCQA regulatory requirements

Education Requirements:

  • RN - Associate's Degree required, Bachelor's Degree preferred
  • RN, current license issued by the Massachusetts Board of Registration in Nursing
  • CCM (Certified Case Manager) a plus

Required Experience (must have):

  • 1 to 2 years Utilization Management experience.
  • 2 or more years working in a clinical setting

Desired Experience (nice to have):

  • 2 or more years of Home Health Care experience
  • 2 or more years working in a Medicare Advantage health Plan

Required Knowledge, Skills & Abilities (must have):

  • Ability to complete assigned work in a timely and accurate manner
  • Knowledge of the Utilization management process
  • Ability to work independently

Desired Knowledge, Skills, Abilities & Language (nice to have):

  • Ability to apply predetermined criteria (e.g., Medical Necessity Guidelines, InterQual) to service decision requests to assess medical necessity
  • Flexibility and understanding of individualized care plans
  • Ability to influence decision making
  • Strong collaboration and negotiation skills
  • Strong interpersonal, verbal, and written communication skills
  • Comfort working in a team-based environment
  • Knowledge of Medicare and Mass health services and benefits

Salary: $35.00 - $40.00 Hourly pending experience

Hours: Monday through Friday 9AM to 5:30PM Eastern Time. May require weekends

This is a fully remote work at home role. You must have a secure, private wok at home area with a hardwired internet connection with speeds greater than 5MB upload and 10MB download.

Sagility Offers Competitive Benefits Including:

  • Medical
  • Dental
  • Vision
  • Life Insurance
  • Short-Term and Long-Term Disability
  • Flexible Spending Account
  • Life Assistance Program
  • 401K with employer contribution
  • PTO and Sick Time
  • Tuition Reimbursement

Join our team, we look forward to talking with you!

An Equal Opportunity Employer/Vet/Disability

Location:

Work@Home USAUnited States of America

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