UTILIZATION MANAGEMENT RN JOB SUMMARY: * Day-to-day management of Utilization Management queues ... Clearly communicates instructions to remote users. Visit www.libertycareers.com for more ...
UTILIZATION MANAGEMENT RN JOB SUMMARY: * Day-to-day management of Utilization Management queues ... Clearly communicates instructions to remote users. Visit www.libertycareers.com for more ...
Multiple Specialties | On-Site, Hybrid & Remote Opportunities | U.S. & Canada Maybe you're actively ... S. and Canada that are hiring LPNs, RNs, and Nurse Practitioners across a wide range of specialties ...
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Multiple Specialties | On-Site, Hybrid & Remote Opportunities | U.S. & Canada Maybe you're actively ... S. and Canada that are hiring LPNs, RNs, and Nurse Practitioners across a wide range of specialties ...
Senior Care Specialist (Registered Nurse) - Work From Home Seasonal Opportunity | Tentative ... Telephonic nursing, health coaching, or remote care management. * Working as part of a ...
Senior Care Specialist (Registered Nurse) - Work From Home Seasonal Opportunity | Tentative ... Telephonic nursing, health coaching, or remote care management. * Working as part of a ...
Senior Care Specialist (Registered Nurse) - Work From Home Seasonal Opportunity | Tentative ... Telephonic nursing, health coaching, or remote care management. * Working as part of a ...
Senior Care Specialist (Registered Nurse) - Work From Home Seasonal Opportunity | Tentative ... Telephonic nursing, health coaching, or remote care management. * Working as part of a ...
Senior Care Specialist (Registered Nurse) - Work From Home Seasonal Opportunity | Tentative ... Telephonic nursing, health coaching, or remote care management. * Working as part of a ...
Senior Care Specialist (Registered Nurse) - Work From Home Seasonal Opportunity | Tentative ... Telephonic nursing, health coaching, or remote care management. * Working as part of a ...
Senior Care Specialist (Registered Nurse) - Work From Home Seasonal Opportunity | Tentative ... Telephonic nursing, health coaching, or remote care management. * Working as part of a ...
Senior Care Specialist (Registered Nurse) - Work From Home Seasonal Opportunity | Tentative ... Telephonic nursing, health coaching, or remote care management. * Working as part of a ...
Senior Care Specialist (Registered Nurse) - Work From Home Seasonal Opportunity | Tentative ... Telephonic nursing, health coaching, or remote care management. * Working as part of a ...
Senior Care Specialist (Registered Nurse) - Work From Home Seasonal Opportunity | Tentative ... Telephonic nursing, health coaching, or remote care management. * Working as part of a ...
Senior Care Specialist (Registered Nurse) - Work From Home Seasonal Opportunity | Tentative ... Telephonic nursing, health coaching, or remote care management. * Working as part of a ...
Senior Care Specialist (Registered Nurse) - Work From Home Seasonal Opportunity | Tentative ... Telephonic nursing, health coaching, or remote care management. * Working as part of a ...
Senior Care Specialist (Registered Nurse) - Work From Home Seasonal Opportunity | Tentative ... Telephonic nursing, health coaching, or remote care management. * Working as part of a ...
Senior Care Specialist (Registered Nurse) - Work From Home Seasonal Opportunity | Tentative ... Telephonic nursing, health coaching, or remote care management. * Working as part of a ...
Senior Care Specialist (Registered Nurse) - Work From Home Seasonal Opportunity | Tentative ... Telephonic nursing, health coaching, or remote care management. * Working as part of a ...
Senior Care Specialist (Registered Nurse) - Work From Home Seasonal Opportunity | Tentative ... Telephonic nursing, health coaching, or remote care management. * Working as part of a ...
RN Utilization Management Reviewer
Concord, NC · Remote
$35 - $40/hr
Job title: RN Utilization Management Reviewer We are currently hiring a talented RN, Utilization ... May require weekends This is a fully remote work at home role. You must have a secure, private wok ...
RN Utilization Management Reviewer
Concord, NC · Remote
$35 - $40/hr
Job title: RN Utilization Management Reviewer We are currently hiring a talented RN, Utilization ... May require weekends This is a fully remote work at home role. You must have a secure, private wok ...
RN Utilization Management Reviewer
Concord, NC · Remote
$35 - $40/hr
Job title: RN Utilization Management Reviewer We are currently hiring a talented RN, Utilization ... May require weekends This is a fully remote work at home role. You must have a secure, private wok ...
RN Utilization Management Reviewer
Concord, NC · Remote
$35 - $40/hr
Job title: RN Utilization Management Reviewer We are currently hiring a talented RN, Utilization ... May require weekends This is a fully remote work at home role. You must have a secure, private wok ...
RN Utilization Management Reviewer
Concord, NC · Remote
$35 - $40/hr
Job title: RN Utilization Management Reviewer We are currently hiring a talented RN, Utilization ... May require weekends This is a fully remote work at home role. You must have a secure, private wok ...
RN Utilization Management Reviewer
Concord, NC · Remote
$35 - $40/hr
Job title: RN Utilization Management Reviewer We are currently hiring a talented RN, Utilization ... May require weekends This is a fully remote work at home role. You must have a secure, private wok ...
RN Utilization Management Reviewer
Concord, NC · Remote
$35 - $40/hr
Job title: RN Utilization Management Reviewer We are currently hiring a talented RN, Utilization ... May require weekends This is a fully remote work at home role. You must have a secure, private wok ...
RN Utilization Management Reviewer
Concord, NC · Remote
$35 - $40/hr
Job title: RN Utilization Management Reviewer We are currently hiring a talented RN, Utilization ... May require weekends This is a fully remote work at home role. You must have a secure, private wok ...
Pediatric Registered Nurse (RN) Virtual Nurse Observation Unit (VNO) (On-Site)
Charlotte, NC · On-site +1
$38.20 - $57.30/hr
Appropriate delegation to other Registered Nurses, Licensed Practical Nurses, and unlicensed assistive personnel (i.e., nurse aides, credentialed medical assistants, etc.). * Maintains accurate ...
Pediatric Registered Nurse (RN) Virtual Nurse Observation Unit (VNO) (On-Site)
Charlotte, NC · On-site +1
$38.20 - $57.30/hr
Appropriate delegation to other Registered Nurses, Licensed Practical Nurses, and unlicensed assistive personnel (i.e., nurse aides, credentialed medical assistants, etc.). * Maintains accurate ...
Behavioral Health Remote Full-Time NP/PA
Charlotte, NC · On-site +1
$59 - $88.50/hr
Primarily remote with occasional onsite coverage on Fridays as needed. Pay Range $59.00 - $88.50 If ... Current North Carolina NP/APRN and RN licensure required * DEA license and prescriptive authority ...
Behavioral Health Remote Full-Time NP/PA
Charlotte, NC · On-site +1
$59 - $88.50/hr
Primarily remote with occasional onsite coverage on Fridays as needed. Pay Range $59.00 - $88.50 If ... Current North Carolina NP/APRN and RN licensure required * DEA license and prescriptive authority ...
RN Field Case Manager
Raleigh, NC · On-site +1
$75K - $96K/yr
... remote work environment that allows face to face interaction with injured workers and medical ... RN licensure required. Valid driver's license required. High speed internet required. Employment ...
RN Field Case Manager
Raleigh, NC · On-site +1
$75K - $96K/yr
... remote work environment that allows face to face interaction with injured workers and medical ... RN licensure required. Valid driver's license required. High speed internet required. Employment ...
RN Field Case Manager
Raleigh, NC · On-site +1
$75K - $96K/yr
... remote work environment that allows face to face interaction with injured workers and medical ... RN licensure required. Valid driver's license required. High speed internet required. Employment ...
RN Field Case Manager
Raleigh, NC · On-site +1
$75K - $96K/yr
... remote work environment that allows face to face interaction with injured workers and medical ... RN licensure required. Valid driver's license required. High speed internet required. Employment ...
Virtual Primary Care- Full-Time- NP/PA
Charlotte, NC · On-site +1
$51.05 - $76.60/hr
Leverages digital diagnostics and remote physiologic monitoring when indicated. * Provides health ... Active RN, and applicable APRN/NP/APRN-FPA/APNP license(s) in state(s) of practice, AND * Active ...
Virtual Primary Care- Full-Time- NP/PA
Charlotte, NC · On-site +1
$51.05 - $76.60/hr
Leverages digital diagnostics and remote physiologic monitoring when indicated. * Provides health ... Active RN, and applicable APRN/NP/APRN-FPA/APNP license(s) in state(s) of practice, AND * Active ...
General Nurse Practitioner job in Rocky Mount NC
Rocky Mount, NC · Remote
$135K - $165K/yr
Clinical hours (rotating remote days) * Friday: Administrative day * No weekends, nights, or ... Licensed PMHNP (or APRN/PA with psychiatric training) in NC * DEA registration * 2+ years ...
General Nurse Practitioner job in Rocky Mount NC
Rocky Mount, NC · Remote
$135K - $165K/yr
Clinical hours (rotating remote days) * Friday: Administrative day * No weekends, nights, or ... Licensed PMHNP (or APRN/PA with psychiatric training) in NC * DEA registration * 2+ years ...
Remote Rn information
What is a remote RN?
How to become a remote RN?
To become a remote nurse, you need the same training, education, and qualifications that non-remote nurses possess, namely nursing licensure in your state. Some virtual RN roles may also require some period of on-site training to learn procedures. Since your duties include performing patient triage via telephone, webcam, or chat apps, you also need strong technical skills and a high-speed internet connection. Fluency in more than one language is a big plus, as is a strong track record of success in self-directed roles. Additionally, a variety of telehealth certifications are available, and these increase your appeal with potential employers.
What are the key skills and qualifications needed to thrive as a remote RN, and why are they important?
What are some common challenges remote RNs face and how can they overcome them?
What is the difference between Remote Rn vs Remote Lpn?
| Aspect | Remote Rn | Remote Lpn |
|---|---|---|
| Required Credentials | Registered Nurse (RN) license, BSN often preferred | Licensed Practical Nurse (LPN) license |
| Work Environment | Hospitals, clinics, telehealth platforms | Long-term care, home health, telehealth |
| Employer & Industry Usage | Hospitals, healthcare providers, telehealth companies | Long-term care facilities, home health agencies |
Remote Rns typically hold a registered nurse license and work in hospitals or telehealth settings, providing comprehensive patient care. Remote Lpns, with a practical nurse license, often work in long-term care or home health. While both roles involve remote patient interaction, Rns usually handle more complex cases, whereas Lpns focus on basic patient care tasks.
What is the best remote job for registered nurses?
What are the most commonly searched types of Rn jobs in Brunswick County, NC?
The most popular types of Rn jobs in Brunswick County, NC are:
What are popular job titles related to Remote Rn jobs in Brunswick County, NC?
For Remote Rn jobs in Brunswick County, NC, the most frequently searched job titles are:
What job categories do people searching Remote Rn jobs in Brunswick County, NC look for?
The top searched job categories for Remote Rn jobs in Brunswick County, NC are:
What cities near Brunswick County, NC are hiring for Remote Rn jobs?
Cities near Brunswick County, NC with the most Remote Rn job openings:
UTILIZATION MANAGEMENT RN
Wilmington, NC • Remote
Full-time
Posted 12 days ago
Job description
There’s no place like Liberty Health
Come explore career opportunities with Liberty Health, a dynamic leader in the healthcare industry. Join us!
We are currently seeking an experienced:
UTILIZATION MANAGEMENT RN
JOB SUMMARY:
- Day-to-day management of Utilization Management queues, dashboards, members, ensuring all Utilization Management activities, which include authorization timeliness, discharge planning, adherence to policies and procedures to ensure high quality and cost-effective utilization management services.
- Ability to work decision letters timely and accurately
- Quality monitoring focusing on medical necessity guidelines and discharge planning opportunities to lower levels of care
- Assist the Director of Utilization Management with the Utilization Management Reports to be reviewed by Executive Leadership.
- Ability to contribute to the UM team to ensure compliant execution of UM program
- Review admissions and service requests for the following:
- Authorization requests to ensure appropriate care for members and within clinical guidelines
- Monitor members both inpatient/outpatient – provide updates to Director of Utilization Management and the clinical care teams
- Recommend more appropriate care if required
- Assess and coordinate discharge planning with Care Team.
- Assist co-workers with issues related to coding, medical records/documentation, pre-certification reimbursement and claim denials/appeals.
- Use critical thinking and problem-solving to navigate through the complexities of a member’s health conditions while maintaining coverage within the program guidelines.
- Ability to focus on interventions for improvement
- Provides appropriate responses to providers regarding UM questions or direct these questions to the Director of Utilization Management
- Monitors utilization management queues and dashboards, assuring compliance with reporting and turnaround times.
- Participates in the interdisciplinary approach to support continuity of care
- Participates in the Case Management processes and assists with the development of case management programs
- Ability to participate and contribute with the written policies and procedures and workflows
- Ability to participate in the On-Call rotation to ensure timeliness is maintained
- Ability to work occasional after hours to ensure timeliness is maintained.
- Contribute to and attend UM meetings and UM huddles.
- Other duties as assigned
- Less than 10% travel to the corporate office for Department meetings
JOB REQUIREMENTS:
- Licensed Registered Nurse credentialed from an accredited school/college with 3–5 years of clinical experience
- Maintain Active Registered Nurse License, (Compact, RN preferred)
- 1–5 years managed care Utilization Management experience (preferably with a Health Plan)
- Demonstrated experience in health plan utilization management, initial reviews, facility concurrent review discharge planning, and case management required.
- Medicare Advantage experience required
- Experience with InterQual or MCG authorization criteria preferred.
- Excellent computer skills and the ability to learn new systems are required.
- Strong attention to detail, organizational skills, and interpersonal skills are required.
- Demonstrated ability to problem-solve and manage professional relationships.
- Healthcare industry knowledge
- Excellent listening, verbal, written and interpersonal communication skills.
- High level of professionalism and confidentiality, with a strong customer focus.
- Can adapt well to operational needs with excellent follow-up skills.
- Must be self-motivated, with a work ethic of dedication and the discipline to work independently.
- Must have a valid driver’s license.
- Proven ability to communicate concisely and confidently with all staff levels. Clearly communicates instructions to remote users.
Visit www.libertycareers.com for more information.
Background checks/drug-free workplace.
EOE.
About Liberty Health
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Wilmington, NC, US