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Remote Rn Jobs in Brunswick County, NC (NOW HIRING)

Sagility

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 ...

Oshi Health

GI- Nurse Practitioner

Charlotte, NC · Remote

Preferred RN compact License Required Location: We are only hiring from the following states ... Remote-first -- work from home anywhere in the US within our approved states * Growth: Advanced ...

SalvoHealth

Registered Dietitian, Remote

Charlotte, NC · On-site +1

$30.50 - $41/hr

... Remote Patient Monitoring ("RPM") to bill under the patient's insurance. This is a major step ... Work closely with a multidisciplinary team, including fellow registered dietitians, licensed nurses ...

SalvoHealth

Registered Dietitian, Remote

Charlotte, NC · Remote

$30.50 - $41/hr

... Remote Patient Monitoring ("RPM") to bill under the patient's insurance. This is a major step ... Work closely with a multidisciplinary team, including fellow registered dietitians, licensed nurses ...

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Remote Rn information

What is a remote RN?

Remote RNs, or Remote Registered Nurses, are licensed nurses who provide patient care, support, and education from a distance using telehealth technology. They may work for hospitals, clinics, insurance companies, or telemedicine providers and can perform tasks like triage, patient assessments, care coordination, and health coaching via phone or video calls. Remote RNs help expand access to healthcare, especially for patients in rural or underserved areas, while maintaining the high standards of nursing practice.

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?

To thrive as a Remote RN, you need a valid RN license, strong clinical judgment, and experience in patient assessment and care coordination. Familiarity with telehealth platforms, electronic health records (EHRs), and secure communication tools is essential. Outstanding communication, self-motivation, and adaptability are crucial soft skills for effective remote patient interaction and teamwork. These capabilities ensure high-quality, patient-centered care while maintaining compliance and efficiency in a virtual healthcare environment.

What are some common challenges remote RNs face and how can they overcome them?

Remote RNs often encounter challenges such as limited direct patient interaction, reliance on digital communication, and the need to manage their time independently. To overcome these, it's important to develop strong telehealth communication skills, stay organized with digital tools, and maintain regular check-ins with both patients and colleagues. Building a supportive network within the healthcare team and seeking ongoing training in remote care best practices can also help remote RNs stay connected and effective in their roles.

What is the difference between Remote Rn vs Remote Lpn?

AspectRemote RnRemote Lpn
Required CredentialsRegistered Nurse (RN) license, BSN often preferredLicensed Practical Nurse (LPN) license
Work EnvironmentHospitals, clinics, telehealth platformsLong-term care, home health, telehealth
Employer & Industry UsageHospitals, healthcare providers, telehealth companiesLong-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?

Remote registered nurse positions include telehealth nursing, case management, and health coaching, which involve providing patient care and support via phone or video. These roles typically require active RN licensure, strong communication skills, and familiarity with electronic health records (EHR) systems. They offer flexible schedules and the ability to work from home while delivering clinical care.
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Remote Rn jobs near you

RN Utilization Management Reviewer

Sagility

Concord, NC • Remote

$35 - $40/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 12 days ago

Sagility rating

4.6

Company rating: 4.6 out of 10

Based on 29 frontline employees who took The Breakroom Quiz

62nd of 71 rated call and contact centers

Job description

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.

Job title:

RN Utilization Management Reviewer

Job Description:

We are currently hiring a talented RN, Utilization Management Reviewer. This role will be responsible in day-to-day timely clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring the client meets CMS compliance standards in the area of service decisions and organizational determinations. Successful candidates must hold a valid, current license issued by the Massachusetts Board of Registration in Nursing.

Key responsibilities:

  • Conducts timely clinical decision review for services requiring prior authorization in a variety of clinical areas, including but not limited to surgical procedures, Medicare Part B medications, Long Term Services and Supports (LTSS), and Home Health (HH)
  • Applies established criteria (e.g., InterQual and other available guidelines) and employs clinical expertise to interpret clinical criteria to determine medical necessity of services
  • Communicates results of reviews verbally, in the medical record, and through official written notification to the primary care team, specialty providers, vendors and members in adherence with regulatory and contractual requirements
  • Provides decision-making guidance to clinical teams on service planning as needed
  • Works closely with Clinicians, Medical Staff and Peer Reviewers to facilitate escalated reviews in accordance with Standard Operating Procedures
  • Ensures accurate documentation of clinical decisions and works with UM Manager to ensure consistency in applying policy
  • Works with UM Manager and other clinical leadership to ensure that departmental and organizational policies and procedures as well as regulatory and contractual requirements are met
  • Additional duties as requested by supervisor
  • Maintains knowledge of CMS, State and NCQA regulatory requirements

Education Requirements:

  • RN - Associate's Degree required, Bachelor's Degree preferred
  • RN, current license issued by the Massachusetts Board of Registration in Nursing
  • CCM (Certified Case Manager) a plus

Required Experience (must have):

  • 1 to 2 years Utilization Management experience.
  • 2 or more years working in a clinical setting

Desired Experience (nice to have):

  • 2 or more years of Home Health Care experience
  • 2 or more years working in a Medicare Advantage health Plan

Required Knowledge, Skills & Abilities (must have):

  • Ability to complete assigned work in a timely and accurate manner
  • Knowledge of the Utilization management process
  • Ability to work independently

Desired Knowledge, Skills, Abilities & Language (nice to have):

  • Ability to apply predetermined criteria (e.g., Medical Necessity Guidelines, InterQual) to service decision requests to assess medical necessity
  • Flexibility and understanding of individualized care plans
  • Ability to influence decision making
  • Strong collaboration and negotiation skills
  • Strong interpersonal, verbal, and written communication skills
  • Comfort working in a team-based environment
  • Knowledge of Medicare and Mass health services and benefits

Salary: $35.00 - $40.00 Hourly pending experience

Hours: Monday through Friday 9AM to 5:30PM Eastern Time. May require weekends

This is a fully remote work at home role. You must have a secure, private wok at home area with a hardwired internet connection with speeds greater than 5MB upload and 10MB download.

Sagility Offers Competitive Benefits Including:

  • Medical
  • Dental
  • Vision
  • Life Insurance
  • Short-Term and Long-Term Disability
  • Flexible Spending Account
  • Life Assistance Program
  • 401K with employer contribution
  • PTO and Sick Time
  • Tuition Reimbursement

Join our team, we look forward to talking with you!

An Equal Opportunity Employer/Vet/Disability

Location:

Work@Home USAUnited States of America

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