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Remote Rn Utilization Review Nurse Jobs in Georgia

Varsity Tutors

NCLEX-RN Tutor

Athens, GA · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

Sandy Springs, GA · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

Alpharetta, GA · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

Atlanta, GA · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

Duluth, GA · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

Marietta, GA · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

Augusta, GA · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

Woodstock, GA · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

Johns Creek, GA · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

Carrollton, GA · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

Lawrenceville, GA · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

Roswell, GA · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Oscar Health

Case Management RN

Atlanta, GA · Remote

$32.60 - $42.79/hr

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

Turnitin, LLC

Nurse Educator (USA Remote)

Atlanta, GA · Remote

Experience a remote-first culture that empowers you to work with purpose and accountability in a ... Active, unrestricted RN license. * Bachelor's degree in Nursing (BSN). * 5+ years of clinical ...

Turnitin, LLC

Nurse Educator (USA Remote)

Atlanta, GA · On-site +1

$75K - $126K/yr

Experience a remote-first culture that empowers you to work with purpose and accountability in a ... Active, unrestricted RN license. * Bachelor's degree in Nursing (BSN). * 5+ years of clinical ...

Jobs for Humanity

Chronic Registered Nurses

Atlanta, GA · Remote

... like remote patient monitoring and chronic care management in their pulmonary practices. With a ... Joining our team as a Registered Nurse, you will have the opportunity to connect with patients ...

SalvoHealth

Registered Nurse, Care Manager

Atlanta, GA · On-site +1

... Remote Patient Monitoring ("RPM") to bill under the patient's insurance. This is a major step ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...

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Showing results 41-60

All JobsRn Utilization Review Nurse JobsRemote Rn Utilization Review Nurse JobsRemote Rn Utilization Review Nurse Jobs in Georgia

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.

RN - Virtual Nursing Operations, On-Site, FT or PT Days

Piedmont Healthcare Inc.

Atlanta, GA • On-site, Remote

Full-time

Re-posted 28 days ago

Piedmont Healthcare rating

7.1

Company rating: 7.1 out of 10

Based on 466 frontline employees who took The Breakroom Quiz

378th of 887 rated healthcare providers

Job description

Overview
Experience the advantages of real career change
Join Piedmont to move your career in the right direction. Stay for the diverse teams you'll love, a shared purpose, and schedule flexibility that frees you to live for what matters both in and outside of work. You'll feel valued, motivated to be your best, and recognized for your contributions to exceptional patient outcomes. Piedmont leaders are in your corner, invested in your success. Our wellness programs and comprehensive total benefits and rewards meet your needs today and help you plan for the future.
This is an on-site position based out of Atlantic Station in Atlanta. While the primary location is Atlantic Station, the role may be seated at one of our satellite locations: Piedmont Athens, Piedmont Henry or Piedmont Mountainside. Training will be conducted at the Atlantic Station office.
Day Shift Work Schedule:
Full-time: 8-hour & 10-hour shifts starting between 8:00 AM and 10:00 AM. Team members are also required to work 6 weekend shifts within a 6-week period as part of the regular schedule.
Part-time: 8-hour & 10-hour shifts starting between 8:00 AM and 10:00 AM. Team members are also required to work 3 weekend shifts within a 6-week period as part of the regular schedule.
Responsibilities
The virtual nursing staff nurse uses nursing processes and telemedicine technology to remotely assess, plan, implement, and evaluate care for patients. The virtual nursing staff nurse functions within the framework of the policies and procedures of the organization and demonstrates professional growth and accountability. The virtual nursing staff nurse is responsible for maintaining standards of practice, coordinating patient care activities of all assigned staff in the provision of quality nursing care.
What you will do
  • Performs remote patient assessments to include collection of data regarding the patient's physical, psychosocial and health history
  • Collaborates with and supports the needs of the bedside nurse, other care team members, patient, and patient's family
  • Anticipates and alters the plan of care as needed, mobilizes appropriate resources, and collaborates with other healthcare team members to coordinate patient-centered care
  • Includes the patient and family in planning and implementing care and develops and maintains a therapeutic relationship throughout the healthcare continuum
  • Assesses patient and family readiness to learn and individualizes the approach as necessary
  • Works collaboratively to develop strategies to meet the learning needs of the patient and family
  • Actively coordinates the discharge plan utilizing an interdisciplinary approach
  • Promotes a culture of safety by identifying threats to patient safety and intervening to prevent patient harm
  • Promotes collaboration among healthcare team members and demonstrates effective communication, feedback, and conflict-resolution skills
  • Attends required meetings/educational programs and completes annual competencies promptly

Qualifications
Education
  • Graduate from a nursing program Required
  • Bachelor's Degree Preferred
Work Experience
  • 2 years direct patient care experience as a registered nurse in a hospital setting Required
  • Telemedicine and/or virtual care experience Preferred
  • EPIC EMR experience Preferred
Licenses and Certifications
  • RN - Registered Nurse - Georgia State Licensure and/or NLC/eNCL Multistate Licensure Required
  • BCLS - Basic Life Support Required

Business Unit : Company Name
Piedmont Healthcare Corporate

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