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Remote Rn Utilization Review Nurse Jobs in Decatur, GA

APRN Recruiter

Atlanta, GA ยท Remote

$70 - $85K/hr

Fully remote within the U.S. Your Impact * Lead full-cycle recruitment for APRN and clinical roles, including sourcing, screening, interviewing, and closing candidates. * Develop and execute ...

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 ...

NCLEX-RN Tutor

Roswell, GA ยท Remote

$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 ...

NCLEX-RN Tutor

Johns Creek, GA ยท Remote

$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 ...

NCLEX-RN Tutor

Alpharetta, GA ยท Remote

$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 ...

NCLEX-RN Tutor

Atlanta, GA ยท Remote

$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 ...

NCLEX-RN Tutor

Marietta, GA ยท Remote

$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 ...

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Remote Rn Utilization Review Nurse information

See Decatur, GA salary details

$20

$41

$67

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

As of Jun 2, 2026, the average hourly pay for remote rn utilization review nurse in Decatur, GA is $41.28, according to ZipRecruiter salary data. Most workers in this role earn between $32.64 and $47.40 per hour, depending on experience, location, and employer.

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

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 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 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 popular job titles related to Remote Rn Utilization Review Nurse jobs in Decatur, GA? For Remote Rn Utilization Review Nurse jobs in Decatur, GA, the most frequently searched job titles are:
What cities near Decatur, GA are hiring for Remote Rn Utilization Review Nurse jobs? Cities near Decatur, GA with the most Remote Rn Utilization Review Nurse job openings:
Registered Nurse (RN) Supervisor

Registered Nurse (RN) Supervisor

Executive Care

Peachtree Corners, GA โ€ข On-site, Remote

$500/wk

Full-time

Posted 2 days ago


Job description

Executive Home Care, Gwinnett Northwest a new non-skilled home health agency looking to hire an awesome, highly motivated, and passionate Registered Nurse (RN) who help us to build our operations from the ground up and to provide exceptional care to our clients in the comfort of their own homes
The RN Supervisor will be responsible for overseeing client cases and for leading a future staff of caregivers, as required by state regulations and other state and federal laws. This role starts with very few hours, remotely, allowing you to gradually ramp up your involvement as we grow. We're looking for an RN who can help our agency obtain licensure and successfully open our doors!
WE OFFER:
  • Sign-up bonus of $500
  • W-2 Employee
  • Competitive Compensation: Earn competitive hourly wages based on experience.
  • Flexible Work Scheduling, starting with very few hours and the potential to grow into a full-time role.
  • Continuous Development: Engage in ongoing training and professional growth.
  • Employee Recognition: Acknowledgment through recognition programs.
  • Supportive Work Environment: Thrive in a collaborative workplace.
  • Referral Incentives: Benefit from referral bonuses.
  • Opportunities for professional growth and development.
  • Meaningful Impact: Make a significant difference in the lives of individuals coping with medical conditions and age-related challenges.

QUALIFICATIONS:
  • Must be a Registered Nurse in the State of Georgia for at least two years and hold an unencumbered license
  • Minimum two years of progressive community health, public health, or home care experience, two to four years preferred
  • Minimum one year experience supervising homemaker-home health aides
  • One-year experience in geriatric care, preferred
  • Ability to supervise, guide, and develop skills and performance of service personnel
  • Ability to work independently and remotely.
  • Excellent interpersonal communication and presentation skills
  • Excellent organization and problem-solving skills
  • Must be a Georgia resident

RESPONSIBILITIES AND DUTIES:
  • Open new cases by assessing client needs and writing Care Plans
  • Case monitoring, conduct 60-day client visits and 30-day client check-in phone calls
  • Provides supervision, oversight, and coordination of the care providing staff (as applicable)
  • Performs staff training and retraining as needed
  • Ensures that all safety and infection control practices are followed
  • Responds to emergency situations
  • Communicate with other members of the home health team
  • Ensures that required documentation is complete and in compliance with state and accrediting standards
  • Communicates with patients and families regarding treatment and care

This position is temporarily remote.
Since 2004, Executive Home Care has been a critical resource for families looking for in-home care for their loved ones.
Executive Home Care provides outstanding training and benefits for the caregivers we place. The professional development of our staff is important to our clients; they want to know that their caregiver is skilled, knowledgeable, and experienced in the field.
Additionally, our caregivers enjoy attractive benefits in addition to the features of the job that make it inherently rewarding. When you put the two together, you get a winning combination that makes for a great job with incredible long-term potential.
Executive Home Care is currently hiring dedicated, compassionate people who enjoy helping others. As a professional caregiver, you will provide direct care to seniors who need a little help with everyday living.Experience in healthcare is not necessary, and all training is provided.
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