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Remote Utilization Review Nurse Practitioner Jobs in Rome, GA

Medical screen (self-report reviewed day of admission) * Pain screen * Nutritional screen * Psych evaluation (within 1-2 treatment days facilitated by ARNP signed by Medical Director within 24-48 ...

Utility Sales Support

GA · Remote

$17.75 - $23.25/hr

While this is a remote position, candidates must be located in the United States. You will be ... Must have knowledge and skill in utilization of computer databases; empower experience preferred

Remote Utilization Review Nurse Practitioner information

See Rome, GA salary details

$71K

$134.4K

$210.6K

How much do remote utilization review nurse practitioner jobs pay per year?

As of Aug 19, 2026, the average yearly pay for remote utilization review nurse practitioner in Rome, GA is $134,430.00, according to ZipRecruiter salary data. Most workers in this role earn between $111,000.00 and $152,600.00 per year, depending on experience, location, and employer.

What is a remote utilization review nurse practitioner?

A Remote Utilization Review Nurse Practitioner is a licensed advanced practice nurse who evaluates the necessity, efficiency, and appropriateness of healthcare services, treatments, and hospital admissions, typically from a remote or home-based setting. They review patient medical records to ensure care meets established guidelines and insurance requirements, helping to control costs and ensure quality care. Their role often involves collaborating with physicians, insurance companies, and healthcare facilities to determine coverage and recommend alternative treatments when necessary. Working remotely, they rely heavily on electronic health records and telecommunication tools to perform their duties.

How does a remote utilization review nurse practitioner typically collaborate with healthcare teams while working offsite?

Remote Utilization Review Nurse Practitioners frequently collaborate with interdisciplinary teams through virtual meetings, secure messaging platforms, and electronic health record (EHR) systems. They work closely with physicians, case managers, and insurance representatives to review patient care plans, ensure medical necessity, and support appropriate resource utilization. Despite working remotely, maintaining clear communication and timely documentation is essential for seamless coordination and decision-making. Many organizations provide robust digital tools and regular team check-ins to facilitate collaboration and support remote staff.

What are the key skills and qualifications needed to thrive as a remote utilization review nurse practitioner, and why are they important?

To thrive as a Remote Utilization Review Nurse Practitioner, you need an advanced nursing degree (NP), active state licensure, and strong knowledge of clinical guidelines and insurance criteria. Familiarity with utilization management software, electronic health records (EHRs), and relevant certifications such as CCM (Certified Case Manager) are often required. Critical thinking, strong communication, and a detail-oriented approach set top performers apart in this remote role. These skills ensure accurate, compliant, and efficient review of patient care while supporting healthcare cost management and patient advocacy.

What is the difference between Remote Utilization Review Nurse Practitioner vs Telehealth Nurse Practitioner?

AspectRemote Utilization Review Nurse PractitionerTelehealth Nurse Practitioner
CertificationsNP license, possibly certification in utilization reviewNP license, general telehealth certifications
Work EnvironmentReviewing medical records, insurance data remotelyProviding patient care via telehealth platforms
Employer & IndustryInsurance companies, healthcare organizationsHospitals, clinics, telehealth companies

The main difference is that Remote Utilization Review Nurse Practitioners focus on reviewing medical necessity and insurance claims remotely, while Telehealth Nurse Practitioners provide direct patient care via telehealth platforms. Both roles require NP licensure, but their daily tasks and work environments differ significantly.

What are popular job titles related to Remote Utilization Review Nurse Practitioner jobs in Rome, GA?

For Remote Utilization Review Nurse Practitioner jobs in Rome, GA, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Review Nurse Practitioner jobs in Rome, GA look for?

The top searched job categories for Remote Utilization Review Nurse Practitioner jobs in Rome, GA are:

What cities near Rome, GA are hiring for Remote Utilization Review Nurse Practitioner jobs?

Cities near Rome, GA with the most Remote Utilization Review Nurse Practitioner job openings:

Compassionate Licensed Clinical Social Worker (LCSW) for Remote Detox Center in Rome, GA

Company Confidential

Rome, GA • Remote

Full-time

Medical, PTO

Posted 20 hours ago

Posted today


Job description

Position Overview

We are seeking a dedicated and empathetic Licensed Clinical Social Worker (LCSW) to join our team at Gotham Enterprises Ltd, a leading rehabilitation center located in Rome, Georgia. This full-time, remote position is a unique opportunity for a skilled professional to make a significant impact on the lives of individuals in recovery from substance use disorders and mental health challenges. Our work centers on empowering clients to overcome obstacles and achieve lasting wellness through trauma-informed care and personalized treatment programs.

About the Organization

Gotham Enterprises Ltd is committed to delivering high-quality rehabilitative services that prioritize the mental health and well-being of our clients. Situated in the heart of Rome, GA, we are proud to serve a diverse community, offering support to individuals grappling with trauma, anxiety, depression, and addiction. Our ideology is rooted in evidence-based practices, and we believe in fostering a nurturing environment that promotes holistic recovery. Our team of dedicated professionals collaborates to ensure that each client receives comprehensive care crafted to meet their individual needs.

Work Environment

As part of our modernization efforts, Gotham Enterprises operates primarily in a remote setting, allowing for flexibility and work-life balance. We understand the importance of self-care for our team members and therefore offer a flexible schedule that empowers you to manage your own hours. This environment encourages teamwork and open communication amongst staff, creating a supportive community focused on shared goals. With regular team meetings and professional development opportunities, you will never feel isolated in your work.

Key Responsibilities
  • Conduct thorough clinical assessments and develop personalized treatment plans that utilize evidence-based therapies and solution-focused interventions. You will play a pivotal role in guiding clients through their recovery journeys.
  • Facilitate therapeutic interventions, including cognitive-behavioral therapy (CBT) and dialectical behavior therapy (DBT), adapting approaches to meet the unique needs of each client and helping them build resilience.
  • Maintain meticulous and confidential clinical records in compliance with HIPAA and organizational standards, demonstrating our commitment to ethical practice and professionalism.
  • Collaborate with a multidisciplinary treatment team, including psychiatrists, psychologists, and nurse practitioners, to provide comprehensive care that addresses the multifaceted needs of clients.
  • Engage in regularly scheduled case consultations and peer review meetings, promoting continuous learning and the integration of best practices within the team.
  • Educate clients and their families on mental health matters, treatment processes, and community resources, empowering them to better understand and navigate their mental health challenges.
  • Stay informed on advancements in the mental health field to continuously enhance the quality of care you provide to clients.
Patient Population / Client Focus

You will be primarily working with individuals in a detox setting, each navigating their own path through addiction and associated mental health challenges. Your sweet spot will encompass working with clients experiencing trauma, anxiety, and depression, requiring nuanced and sensitive approaches to treatment. As you form strong therapeutic relationships, you will embed yourself in their healing process, understanding that trust and empathy are fundamental to successful treatment outcomes.

Qualifications
  • Master's degree in Social Work (MSW) from an accredited university, showcasing your academic commitment to the social work profession.
  • Active license to practice in the state of Georgia as a Licensed Clinical Social Worker (LCSW), which demonstrates your professional qualifications.
  • Skillful application of solution-focused psychotherapy interventions tailored to meet the diverse needs of clients.
  • Excellent communication and interpersonal abilities to connect with clients on a meaningful level and build strong therapeutic alliances.
  • Demonstrated critical thinking and problem-solving skills, allowing for effective navigation of complex situations.
  • A collaborative spirit, valuing the contributions of your colleagues and actively engaging in a supportive team environment.
Preferred Experience
  • Prior experience working in a detox or rehabilitation center is highly desirable, giving you a strong understanding of the nuances in addressing addiction and co-occurring mental health disorders.
  • Experience with specific therapeutic modalities like CBT and DBT is preferred, enabling you to provide the highest standard of care.
  • Familiarity with electronic health record (EHR) systems and documentation processes in a healthcare setting.
Compensation and Benefits

We offer a competitive salary range of USD 80,000 to 100,000 annually, commensurate with experience and qualifications. In addition, our organization values the well-being of our employees, providing comprehensive benefits, which include health insurance, paid time off, and opportunities for professional development.

Career Growth Opportunities

At Gotham Enterprises, we believe in investing in our team members’ growth. As an LCSW, you will have access to ongoing training and professional development programs that will enhance your skills and support your career progression within the organization. With a focus on mentorship and team collaboration, you can explore leadership roles or specialized areas within the field of social work as you grow with us.

Why Join Our Team

Choosing to become part of our rehabilitation center means becoming part of a mission dedicated to making a lasting impact in the lives of individuals and families. We emphasize a culture of support and empowerment, striving to create a positive work environment that fosters personal and professional growth. By joining our team, you’ll be contributing to a compassionate community where your skills can genuinely make a difference.

Application Information

If you are ready to make a transformative difference in the lives of others and believe that you embody the values of compassion and professionalism, we would love to hear from you. Please submit your resume and a cover letter detailing your qualifications and passion for social work. Join us in our commitment to enriching the lives of those we serve!