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Remote Utilization Management Nurse Jobs in Decatur, GA

Aprio

Senior Director, Resource Management

Alpharetta, GA · On-site +1

$225K - $300K/yr

Analyze trends in utilization, availability, backlog, pipeline, and seasonal demand to drive timely ... remote and hybrid options What's in it for you: - Working with an industry leader : Be part of a ...

Aprio

Senior Director, Resource Management

Alpharetta, GA · On-site +1

$225K - $300K/yr

Analyze trends in utilization, availability, backlog, pipeline, and seasonal demand to drive timely ... remote and hybrid options What's in it for you: - Working with an industry leader : Be part of a ...

Aprio

Senior Director, Resource Management

Atlanta, GA · On-site +1

$225K - $300K/yr

Analyze trends in utilization, availability, backlog, pipeline, and seasonal demand to drive timely ... remote and hybrid options What's in it for you: - Working with an industry leader : Be part of a ...

Oscar Health

Manager, Optimization

Atlanta, GA · Remote

$105K - $138K/yr

... utilization. You will report into the Associate Director, MPSO - Optimization. Work Location ... This is a remote position, open to candidates who reside in: Atlanta, Georgia. You will be fully ...

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All JobsUtilization Management Nurse JobsRemote Utilization Management Nurse JobsRemote Utilization Management Nurse Jobs in Decatur, GA

Remote Utilization Management Nurse information

See Decatur, GA salary details

$20

$41

$67

How much do remote utilization management nurse jobs pay per hour?

As of Jul 11, 2026, the average hourly pay for remote utilization management 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 is the difference between Remote Utilization Management Nurse vs Remote Case Manager?

AspectRemote Utilization Management NurseRemote Case Manager
CredentialsRN license, certifications like CCM or ANCCRN license, certifications like CCM or similar
Work EnvironmentHealthcare organizations, insurance companies, telehealthInsurance companies, healthcare providers, telehealth
Job FocusReviewing medical necessity, authorizations, and utilizationCoordinating patient care, discharge planning, resource management

Both roles require RN licensure and similar certifications, often working remotely within healthcare or insurance settings. The main difference lies in focus: Utilization Management Nurses primarily review medical necessity and authorization requests, while Case Managers coordinate patient care and discharge planning. Understanding these distinctions helps job seekers identify the role that best matches their skills and career goals.

What is a Remote Utilization Management Nurse?

A Remote Utilization Management Nurse is a registered nurse who works from a remote location, such as their home, to review patient medical records and determine the necessity, appropriateness, and efficiency of healthcare services. They collaborate with healthcare providers and insurance companies to ensure that patients receive appropriate care while managing costs. Their main responsibilities include reviewing clinical documentation, conducting pre-authorization reviews, and ensuring compliance with healthcare regulations and insurance guidelines.

What Does a Remote Utilization Management Nurse Do?

As a remote utilization management nurse, you work from home to perform a variety of duties and responsibilities, such as corresponding with and interviewing physicians, modifying patient treatment plans, analyzing investigation information, and auditing patient records. As a UM nurse, you may also deal with other clinical tasks, referrals, authorizations, and reviews. You usually work for insurance companies and healthcare providers to help to determine if patients should receive authorization for needed treatments or for those that they already receive. In some cases, you may monitor processes to ensure that hospital patients are getting what they need during their stay.

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

To thrive as a Remote Utilization Management Nurse, you need a valid RN license, clinical experience (often in acute care), and a solid understanding of utilization review and healthcare regulations. Familiarity with case management software, electronic medical records (EMRs), and tools like InterQual or Milliman Care Guidelines is typically required. Strong analytical skills, attention to detail, and effective written and verbal communication are essential soft skills for successful remote collaboration and decision-making. These skills ensure accurate assessments, compliance with standards, and the delivery of cost-effective, quality patient care from a remote setting.

What are some common challenges faced by Remote Utilization Management Nurses, and how can they be addressed?

Remote Utilization Management Nurses often face challenges such as maintaining effective communication with interdisciplinary teams, staying updated on changing insurance guidelines, and managing a high volume of case reviews. To address these issues, it's helpful to establish regular virtual check-ins with team members, utilize digital tools for efficient documentation, and participate in ongoing training on payer requirements. Developing strong organizational skills and proactively seeking clarification on complex cases can also contribute to success in this role.
More about Remote Utilization Management Nurse jobs
What are the most commonly searched types of Utilization Management Nurse jobs in Decatur, GA? The most popular types of Utilization Management Nurse jobs in Decatur, GA are:
What are popular job titles related to Remote Utilization Management Nurse jobs in Decatur, GA? For Remote Utilization Management Nurse jobs in Decatur, GA, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Management Nurse jobs in Decatur, GA look for? The top searched job categories for Remote Utilization Management Nurse jobs in Decatur, GA are:
What cities near Decatur, GA are hiring for Remote Utilization Management Nurse jobs? Cities near Decatur, GA with the most Remote Utilization Management Nurse job openings:
Remote Utilization Management Nurse jobs near you
Infographic showing various Remote Utilization Management Nurse job openings in Decatur, GA as of July 2026, with employment types broken down into 1% As Needed, 78% Full Time, 16% Part Time, 2% Temporary, and 3% Contract. Highlights an 87% Physical, 2% Hybrid, and 11% Remote job distribution, with an average salary of $85,865 per year, or $41.3 per hour.
Remote Psychiatric Mental Health Nurse Practitioner - PMHNP (1099)

Remote Psychiatric Mental Health Nurse Practitioner - PMHNP (1099)

Seasoned Recruitment

Atlanta, GA • Remote

Contractor

Re-posted 9 days ago

Job description

Elite Remote PMHNP (1099) - Unmatched Autonomy and Guaranteed Pay

Seasoned Recruitment invites you to redefine your career as an Independent Contractor Psychiatric Mental Health Nurse Practitioner (PMHNP). This is a premier opportunity for passionate, licensed professionals to deliver high-quality psychiatric care nationwide through a secure telehealth platform. Escape administrative fatigue and embrace full clinical autonomy.

Why This Role is Different

We believe in empowering our clinicians. This 1099 opportunity is built around your life, offering unparalleled flexibility and a supportive structure that ensures your time is dedicated purely to patient wellness.

Key Benefits & Perks
  • Total Work-Life Integration: Set your own hours and manage your caseload. Work as much or as little as you desire.
  • Guaranteed Income Stability: Receive full compensation for all last-minute cancellations and no-shows.
  • Zero Administrative Burden: We provide full back-office support, handling all credentialing, billing, and marketing so you can focus exclusively on clinical work.
  • Competitive Compensation: Earn an expert-level, competitive rate with reliable bi-weekly pay.
  • Robust Support System: Access assistance in obtaining a collaborating physician, if required.
  • Remote Flexibility: Work from anywhere with a private, secure location.
Your Impact & Responsibilities
  • Conduct comprehensive psychiatric evaluations and assessments.
  • Design and execute personalized, evidence-based treatment plans.
  • Provide expert medication management and therapeutic interventions via telehealth.
  • Maintain precise and timely clinical documentation (EHRs).
  • Collaborate effectively with interdisciplinary healthcare teams.
  • Adhere to all HIPAA regulations and professional standards.
Ready to Apply?

Take the next step in your career today! We'd love to connect with you.

  • Schedule your interview directly: https://calendly.com/seasoned-recruitment/telephone-screening
  • Email us with questions: gethired@seasonedrecruitment.com
  • Apply directly through this job posting.

Requirements

What You Will Bring (Required Qualifications)
  • Active, unrestricted Psychiatric Mental Health Nurse Practitioner (PMHNP) license in at least one U.S. state.
  • Willingness to join as a 1099 Independent Contractor.
  • Current or obtainable DEA registration.
  • Required: Medical Malpractice Insurance, NPI Number, and CAQH registration.
  • Proficiency with telehealth technology and electronic health records.
  • Ability to work independently, as no direct supervision will be provided.
Seasoned Recruitment logo

About Seasoned Recruitment

Sourced by ZipRecruiter

Seasoned Recruitment is a premier recruitment agency based in Las Vegas, NV, US, specializing in the food and beverage industry. Founding its roots back in the mid-2010s, the company has a solid track record in connecting talented individuals with companies looking for specific expertise for roles ranging from mid-level management to high-profile executive positions. Recognized for its activeness and professional expertise, Seasoned Recruitment's business has been built on the core values of integrity, discretion, and personalized client and candidate service. The company’s mission is to connect job seekers and employers in the food and beverage sector, with an emphasis on finding the most favorable matches that benefit both parties.

Industry

Recruiting and staffing services

Company size

11 - 50 Employees

Headquarters location

Las Vegas, NV, US

Social media

Facebook

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