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Remote Rn Utilization Review Nurse Jobs in Decatur, GA

... 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 ...

Assessment, RN Care Manager (Remote GA)

Atlanta, GA ยท On-site +1

$68.73K - $84.17K/yr

The Assessment RN Care Manager guides families through the assessment process, ensuring quick ... With flexible schedules, a remote-first culture, and a nationally recognized wellness program, our ...

Responsible forassistingwith review of member assessments, implementations, and management of ... Maintain regular communication with Administrator, other RN and LPN staff and lend assistance ...

Licensed Vocational Nurse

Atlanta, GA ยท Remote

$25 - $27/hr

$25-$27 per hour remote, GA Contract This is a remote position and requires the ability to ... Review criteria-based prior authorizations following policy and procedure. * Provide on-call after ...

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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 3, 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:

Telephonic Nurse Care Associate

Advanced Monitored Caregiving Inc.

Atlanta, GA โ€ข Remote

Full-time

Posted 28 days ago


Job description

At AMC Health, we are transforming healthcare through advanced remote patient monitoring and virtual care solutions that help patients manage chronic conditions safely at home. Our care teams play a critical role in improving outcomes, enhancing patient engagement, and reducing avoidable hospitalizations.

We are seeking a Telephonic Nurse Care Associate (LPN/LVN) who is passionate about patient engagement, chronic care support, and using technology to improve healthcare delivery.


What Youโ€™ll Do

  • Conduct telephonic clinical outreach to patients enrolled in Remote Patient Monitoring (RPM) and chronic care programs.
  • Review biometric alerts and identify out-of-range readings; escalate clinical concerns according to protocols.
  • Provide patient education and coaching to support adherence to care plans and lifestyle recommendations.
  • Accurately document patient encounters in EMR/RPM systems in compliance with clinical and regulatory standards.
  • Collaborate with clinical management, RN Care Managers, providers, and interdisciplinary care teams to coordinate patient care.
  • Support patient engagement initiatives designed to improve monitoring compliance and clinical outcomes.

What You Bring

  • Active LPN/LVN license in good standing.
  • 5+ years of clinical experience, including 3+ years in care coordination, telehealth, home care, or chronic disease management.
  • Experience supporting patients with conditions such as CHF, COPD, diabetes, or hypertension preferred.
  • Strong telephonic communication, patient education, and motivational interviewing skills.
  • Experience using EMR/EHR systems and comfort working in a technology-enabled care environment.
  • Ability to work independently in a structured remote clinical workflow.

Why AMC Health

  • Fully remote clinical role supporting patients nationwide
  • Opportunity to work at the forefront of virtual care innovation
  • Collaborative interdisciplinary care teams
  • Meaningful work improving patient outcomes every day
  • Growth opportunities within expanding virtual care programs

Work Environment Requirements

  • Private, secure, distraction-free home workspace
  • Reliable high-speed internet connectivity
  • Ability to work schedules aligned with assigned patient populations or client time zones