2

Remote Rn Utilization Review Nurse Jobs in Louisiana

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 ...

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 ...

Deliver remote patient education, including medication administration training and adherence ... Active RN license in good standing (compact multi-state preferred); may be required to obtain ...

RN Case Manager - Remote

Slidell, LA · Remote

$80K - $83K/yr

Active Compact RN License * Strong background in care management as well as complex and chronic ... Ability to work independently in a remote environment while staying connected to the team * Comfort ...

RN Case Manager - Remote

Slidell, LA · On-site +1

$80K - $83K/yr

Active Compact RN License * Strong background in care management as well as complex and chronic ... Ability to work independently in a remote environment while staying connected to the team * Comfort ...

Active Compact RN License * Strong background in care management as well as complex and chronic ... Ability to work independently in a remote environment while staying connected to the team * Comfort ...

Conducts remote chart and wound image reviews for high-risk patients with wounds and provides ... Current, unencumbered state license to practice as a registered nurse. * Board certified with the ...

next page

Showing results 1-20

Remote Rn Utilization Review Nurse information

See Louisiana salary details

$18

$36

$58

How much do remote rn utilization review nurse jobs pay per hour?

As of Sep 12, 2026, the average hourly pay for remote rn utilization review nurse in Louisiana is $36.16, according to ZipRecruiter salary data. Most workers in this role earn between $28.56 and $41.54 per hour, depending on experience, location, and employer.

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 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 are the most commonly searched types of Rn Utilization Review Nurse jobs in Louisiana?

The most popular types of Rn Utilization Review Nurse jobs in Louisiana are:

What cities in Louisiana are hiring for Remote Rn Utilization Review Nurse jobs?

Cities in Louisiana with the most Remote Rn Utilization Review Nurse job openings:

Infographic showing various Remote Rn Utilization Review Nurse job openings in Louisiana 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, with an average salary of $75,205 per year, or $36.2 per hour.

Clinical Access Nurse - RN PRN Remote

Baton Rouge, LA • On-site, Remote

Franciscan Missionaries of Our Lady Health System
Hospitals • 5 - 10K employees

Other

This job post has expired today. Applications are no longer accepted.


Franciscan Missionaries of Our Lady Health System rating

7.2

Company rating: 7.2 out of 10

Based on 38 frontline employees who took The Breakroom Quiz


Job description


The Clinical Access Nurse assists with the preliminary step of the utilization management process and serves as the access point for admissions. Is responsible for obtaining orders on all patients for appropriate status and level of care using InterQual criteria. Obtains precertification and insurance verification on transfers from other facilities and works in conjunction with patient care services for proper bed utilization and assignment.
Responsibilities
  1. Quality and Compliance
    1. Determines medical necessity and level of care guidelines using InterQual criteria for admissions. Has an understanding of specific criteria required for admission, concurrent stay and an understanding of level of care and criteria subsets within each level of care. Ensures the compliance of EMTALA/COBRA regulations as it applies to transfers from outside facilities.
    2. Promotes the quality and efficiency of his/her own performance through participation in staff educational programs, approved continuing education courses, and specialized skill training programs.
  2. Collaboration and Partnership
    1. Works closely with the acute Clinical Resource Coordinators utilizing information provided by the admitting physician to notify of any potentially difficult cases to ensure coordination of discharge planning upon admission.
    2. Queries the admitting physician for more information to determine medical necessity of the admission or appropriate level of care. The Access nurse will have the knowledge to direct the physician to an alternative level of care including skilled care, nursing home or outpatient services.
    3. Coordinates appropriate bed placement in conjunction with Patient Care Services and the Bed Coordinator.
  3. Other Duties as Assigned
    1. Performs other duties as assigned or requested.

Qualifications
  • 3 years in general or specialty nursing practice
  • Diploma, Associate's Degree or Bachelor's Degree from accredited RN program
  • Current and unrestricted Louisiana RN license

What Franciscan Missionaries of Our Lady Health System employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom


Franciscan Missionaries of Our Lady Health System logo

About Franciscan Missionaries of Our Lady Health System

Sourced by ZipRecruiter

The Franciscan Missionaries of Our Lady Health System is the leading health care innovator in Louisiana. We bring together outstanding clinicians, the most advanced technology and leading research to ensure that our patients receive the highest quality and safest care possible.

Industry

Hospitals

Company size

5,001 - 10,000 Employees

Headquarters location

Baton Rouge, LA, US

Year founded

1911

Social media