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Remote Rn Utilization Review Nurse Jobs in Georgia

Elevance Health

Med Mgmt Clinician Sr (contract)

Atlanta, GA · Remote

$27 - $34.50/hr

Requires a minimum of 6 years of clinical experience and/or utilization review experience. * Current active, valid and unrestricted LPN/LVN or RN license and/or certification to practice as a health ...

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Remote Rn Utilization Review Nurse information

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

AspectRemote Rn Utilization Review NurseRemote Rn Case Manager
CertificationsRN license, possibly UR or CCM certificationRN license, CCM or other case management certification
Work EnvironmentReviewing medical records, insurance guidelines, and authorizationsCoordinating patient care, discharge planning, and resource management
Employer & Industry UsageHealth insurance companies, third-party administratorsHospitals, health plans, healthcare providers

Remote Rn Utilization Review Nurses primarily evaluate medical necessity for insurance approvals, focusing on documentation and guidelines. In contrast, Remote Rn Case Managers coordinate patient care, discharge planning, and resource allocation. Both roles require RN licensure and related certifications but differ in daily tasks and work focus.

What is a Remote RN Utilization Review Nurse?

A Remote RN Utilization Review Nurse is a registered nurse who evaluates medical records and healthcare services from a remote location to ensure that patients receive appropriate, necessary, and cost-effective care. They review treatment plans, check for compliance with insurance and healthcare guidelines, and often work with healthcare providers, insurance companies, and patients to coordinate care. This role typically involves assessing the medical necessity of procedures, authorizing services, and helping prevent unnecessary treatments or hospitalizations.

What are the key skills and qualifications needed to thrive as a Remote RN Utilization Review Nurse?

To thrive as a Remote RN Utilization Review Nurse, you need an active RN license, strong clinical knowledge, and experience in case management or utilization review. Proficiency with healthcare review software, electronic health records (EHRs), and familiarity with insurance guidelines or regulatory requirements is vital. Excellent communication, critical thinking, and time management skills distinguish top performers in remote settings. These skills enable nurses to make accurate, timely decisions about patient care while ensuring compliance and efficient resource utilization.

What are some common challenges faced by Remote RN Utilization Review Nurses, and how can they be addressed?

Remote RN Utilization Review Nurses often encounter challenges such as managing large caseloads, maintaining effective communication with interdisciplinary teams, and staying updated with ever-changing insurance guidelines. Balancing productivity expectations while ensuring thorough case reviews can be demanding. To address these challenges, nurses can utilize robust organizational tools, participate in ongoing training sessions, and leverage regular virtual meetings to stay connected with colleagues and supervisors, ensuring both efficiency and high-quality patient care.
What are the most commonly searched types of Rn Utilization Review Nurse jobs in Georgia? The most popular types of Rn Utilization Review Nurse jobs in Georgia are:
What are popular job titles related to Remote Rn Utilization Review Nurse jobs in Georgia? For Remote Rn Utilization Review Nurse jobs in Georgia, the most frequently searched job titles are:
What job categories do people searching Remote Rn Utilization Review Nurse jobs in Georgia look for? The top searched job categories for Remote Rn Utilization Review Nurse jobs in Georgia are:
Remote Rn Utilization Review Nurse jobs near you
Infographic showing various Remote Rn Utilization Review Nurse job openings in Georgia as of August 2026, with employment types broken down into 84% Full Time, 5% Part Time, and 11% Contract. Highlights an 100% Remote job distribution.

Remote Hospice Triage RN PT 3:30p-11p + rotating Sat & Sun 3:30p-11p CST

IntellaTriage

Savannah, GA • On-site, Remote

$28/hr

Part-time

Dental, Vision, Retirement, PTO

Posted 11 days ago

Job description

We are seeking a compassionate registered nurse (RN) to join our growing team! In this role, you will provide critical after-hours support, triaging hospice patients and family needs over the phone wit professionalism and empathy. You will help ensure timely interventions and coordination of care for patients receiving hospice services.
Built around a mission to improve the lives of nurses and patients, IntellaTriage has been providing after-hours nurse triage for hospice and home health providers since 2008. Utilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care. We are growing rapidly and excited to support our clients' nursing staff in the field by leveraging our remote team of nurses to manage after-hours care delivery. Our triage nurses become an extension of our clients' care team, and they trust us to support them and their patients during their non-core hours. Learn more at www.intellatriage.com.
Why Join Us
    • Base pay at $25 an hour with multiple opportunities to increase the hourly rate with a potential to earn up to $28 an hour within your first 6 months of hire
    • 3 weeks of paid remote training
    • Supportive clinical team
    • Work from home allows you to create a comfortable and personalized workspace
    • Shorter shifts that provide a better work-life balance and reduce potential for burnout
      • 1-2 Weekday Shifts 3:30p-11p CST
      • Every other weekend, both Saturday & Sunday 3:30p-11p CST
    • Working remotely gives you more time to spend with those you love!

What do our nurses say?
When asked what inspires her, 2024 IntellaTriage Nurse of the Year shared:
"Helping people. That's it. And knowing this team has your back-that makes all the difference. People say it takes a special kind of person to do hospice, and I think that's true. You're walking with people and their families through one of the most sacred times in life. It's an honor to support them and guide them through that journey. I'm so grateful to have been chosen for this award."
At IntellaTriage we recognize nurses who go above and beyond to make a meaningful impact on patients' lives. This years' honoree exemplifies what it means to lead with compassion, skill, and dedication. Read more about being a nurse at IntellaTriage, and the reward: https://intellatriage.com/telehealth-solutions-media/2024-nurse-of-the-year/
Requirements
  • Active multistate Registered Nurse (RN) license
  • Hospice, palliative, or end-of-life care is strongly preferred
  • Must be comfortable with technology and electronic medical records (EMR) utilized for documentation of calls
  • Ability and comfort with typing documentation and notes in a fast-paced environment
  • Must be able to handle stress and multitask when receiving calls (minimum of 5 calls per hour on weekdays, and up to 8 per hour on weekends)
  • Strong communication and critical thinking skills
  • Ability to work independently in a remote environment
  • This is a remote position that requires consistent attendance, active communication, and reliable internet connectivity during all scheduled shifts to support timely patient care coordination

Key responsibilities
  • Provide telephone triage for hospice patients and families
  • Assess patient conditions and determine appropriate next steps
  • Collaborate with on-call teams to coordinate care and resources
  • Accurately document all communications and interventions
  • Maintain a calm and professional demeanor while handling urgent calls.

Benefits
All Remote Hospice Triage RNs, once trained to their originally assigned team are paid $25 per hour. There are multiple opportunities to increase the hourly rate with the potential to earn up to $28 an hour within your fist 6 months of hire. All nurses are eligible for a $2 shift differential for overnights and a $2 shift differential for weekends (Friday evening, Saturday & Sunday). All part-time and full-time nurses accumulate PTO, based on the number of hours worked (per year). All part-time and full-time nurses are eligible to participate in our 401(k) plan. Full-time nurses may also participate in medical, dental, vision, and/or supplemental insurances.

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