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Remote Utilization Review Rn Jobs in Kentucky (NOW HIRING)

King's Daughters

Video Monitor Technician I

Ashland, KY · On-site +1

... remote patient safety monitoring program. Essential Functions • Recognizes and practices within scope of certification and competency, seeking assistance from supervising RN or LPN as needed. • ...

PharMerica

Claims Specialist / Remote

Louisville, KY · Remote

Reviews and works to convert billing exception reports to ensure claims are billed to accurate ... as skilled nursing facilities, senior living communities, and hospitals. We also cater to ...

Abilis Health Plan

Chief Medical Officer

Louisville, KY · On-site +1

Review and interpret clinical, utilization, and quality data to identify trends, risk areas, and ... Prior leadership experience working with long term care, nursing facilities, assisted living, or ...

Option Care

Chronic Practice Liaison

Frankfort, KY · Remote

$48K - $80K/yr

Participate in provider business reviews and performance discussions * Recommend process ... Clinical experience or exposure (RN, LPN, Pharmacy Technician, etc.) * Experience managing complex ...

UK St Claire

Surgical Technologist I

Morehead, KY · On-site +1

... Reviews and obtains necessary supplies, sets up and restocks operating rooms, and assists with ... Certifications & Licensures Current and active Registered Nurse (RN) license, Certified Surgical ...

UK St Claire

Surgical Technologist I

Morehead, KY · On-site +1

... Reviews and obtains necessary supplies, sets up and restocks operating rooms, and assists with ... Certifications & Licensures Current and active Registered Nurse (RN) license, Certified Surgical ...

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Remote Utilization Review Rn information

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How much do remote utilization review rn jobs pay per hour?

As of Jul 14, 2026, the average hourly pay for remote utilization review rn in Kentucky is $36.72, according to ZipRecruiter salary data. Most workers in this role earn between $29.04 and $42.16 per hour, depending on experience, location, and employer.

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

To excel as a Remote Utilization Review RN, you need a valid RN license, strong clinical judgment, and knowledge of utilization management principles. Familiarity with electronic medical records (EMR), utilization management software, and guidelines such as InterQual or MCG is typically required. Outstanding attention to detail, critical thinking, and effective communication skills help you collaborate with healthcare teams and advocate for appropriate patient care. These competencies are crucial for ensuring medical necessity, regulatory compliance, and optimal resource use in a remote setting.

What is a Remote Utilization Review RN?

A Remote Utilization Review RN is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services provided to patients, typically working from a remote location. They review medical records, apply clinical guidelines, and collaborate with healthcare providers to ensure patients receive the right care at the right time. Their work helps manage healthcare costs and improves patient outcomes by preventing unnecessary treatments or hospital stays. Remote Utilization Review RNs often work for insurance companies, hospitals, or healthcare organizations, and use secure digital platforms to conduct their reviews.

What is the difference between Remote Utilization Review Rn vs Remote Case Manager Rn?

AspectRemote Utilization Review RnRemote Case Manager Rn
CertificationsRN license, Utilization Review certification (e.g., URAC)RN license, Case Management certification (e.g., CCM)
Work EnvironmentReviewing medical records, insurance policies, telehealth platformsCoordinating patient care, discharge planning, telehealth
Employer & IndustryInsurance companies, healthcare organizationsHospitals, insurance providers, healthcare agencies

Remote Utilization Review Rns primarily focus on evaluating medical necessity for insurance coverage, while Remote Case Manager Rns coordinate patient care and discharge planning. Both roles require RN licensure and involve telehealth work, but they serve different functions within healthcare and insurance industries.

What are some common challenges Remote Utilization Review RNs face when working from home, and how can they be addressed?

Remote Utilization Review RNs often encounter challenges such as maintaining clear communication with interdisciplinary teams, managing time efficiently, and staying updated on changing payer guidelines. To address these challenges, it's important to establish consistent check-ins with team members via video or chat platforms, use digital tools to organize and prioritize caseloads, and participate in ongoing training sessions provided by employers. Adhering to a structured daily routine and leveraging available technology can help ensure productivity and high-quality reviews while working remotely.
What are the most commonly searched types of Utilization Review Rn jobs in Kentucky? The most popular types of Utilization Review Rn jobs in Kentucky are:
What are popular job titles related to Remote Utilization Review Rn jobs in Kentucky? For Remote Utilization Review Rn jobs in Kentucky, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in Kentucky look for? The top searched job categories for Remote Utilization Review Rn jobs in Kentucky are:
What cities in Kentucky are hiring for Remote Utilization Review Rn jobs? Cities in Kentucky with the most Remote Utilization Review Rn job openings:
Remote Utilization Review Rn jobs near you
Video Monitor Technician I

Video Monitor Technician I

King's Daughters

Ashland, KY • On-site, Remote

Full-time

Re-posted 16 days ago

King's Daughters Health System rating

6.3

Company rating: 6.3 out of 10

Based on 82 frontline employees who took The Breakroom Quiz

667th of 884 rated healthcare providers

Job description

At UK King's Daughters, we're not just a healthcare facility - we're a family of dedicated professionals who share a passion for making a meaningful difference in the lives of our patients. We're more than just a place to work; we're a place to grow, thrive, and contribute to our community.
Job Description:
Job Summary
Responsible for utilizing remote patient safety audio and video monitoring technology to observe multiple patients simultaneously. Monitors patient behaviors and communicates observations to the care team. Documents behaviors that could disrupt the patient plan of care. Enhances patient safety through vigilant observation and timely intervention. Supports the overall effectiveness of the remote patient safety monitoring program.
Essential Functions
• Recognizes and practices within scope of certification and competency, seeking assistance from supervising RN or LPN as needed.
• Communicates pertinent information during shift reports and documents in EPIC as required.
• Provides one-on-one supervision of patients through video monitoring.
• Proactively redirects patients using audio and video technology.
• Performs other duties as assigned.
Education Requirement
High school diploma or equivalent and vocational/technical training in relevant area
Experience Requirement
0-1 years of experience in a healthcare, clinical setting, or a relevant area
An equivalent combination of education and experience may be considered.
All experience must be paid and in the same related field.
Part-time and PRN experience will be prorated based on hours worked per week.
Volunteer work and internships for academic credit are not counted.
Certifications & Licensures
State Registered Nurses Aid (SRNA) certification in applicable state, Basic Life Support (BLS),
Working Conditions
A. Lifting, pushing, and/or pulling objects up to 50lbs: 2. Occasional (< 10% of the time)
B. Lifting, pushing, and/or pulling objects over 50lbs: 1. Never
C. Standing or walking with objects up to 10lbs: 3. Intermittent (10% - 50% of the time)
D. Standing or walking with objects up to 25lbs: 2. Occasional (< 10% of the time)
E. Sitting at computer workstation for extended periods: 4. Regular (> 50% of the time)
F. Risk of back injury from moving, lifting or positioning patients, equipment, or materials: 2. Occasional (< 10% of the time)
G. Repetitive motion: 4. Regular (> 50% of the time)
H. Working at heights above 4 feet: 1. Never
I. Working in confined spaces: 1. Never
J. Risk of injuries from use of equipment on the job: 2. Occasional (< 10% of the time)
K. Job-related travel: 2. Occasional (< 10% of the time)
L. Loud noises: 1. Never
M. Temperature extremes: 1. Never
N. Hazardous chemicals and fumes including waste: 1. Never
O. Radiation: 1. Never
P. Burns: 1. Never
Q. Cuts/Punctures: 1. Never
R. Bloodborne/airborne pathogens: 1. Never
S. Recombinant DNA or viral vectors: 1. Never
T. Combative/violent people: 1. Never
U. Animal handling (including carcasses): 1. Never
V. Please specify other(s) and amount of exposure (i.e. Occasional, Intermittent or Regular): N/A
Physical Demands
This position requires regular sitting at a computer workstation for extended periods of time; performing tasks with regular repetitive motions (such as typing or monitoring); intermittent standing or walking with objects weighing up to 10 pounds; and occasional standing or walking with objects weighing up to 25 pounds, as well as occasional lifting, pushing, and/or pulling objects weighing up to 50 pounds. Also involves some exposure to risk of back injury from moving or lifting equipment or materials, and occasional risk of injuries from use of equipment on the job.
Additional Job Descriptions
N/A
Department:
Patient Services Admin.
Shift:
Nights (United States of America)
Time Type:
Full time
Address:
2201 Lexington Avenue
City, State:
Ashland, Kentucky

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