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Remote Utilization Review Rn Jobs in Mississippi

Varsity Tutors

NCLEX-PN Tutor

Starkville, MS · Remote

$18 - $40/hr

... RN scope questions, pharmacology calculations, and managing anxiety with the adaptive testing format. Adapts instruction using NCLEX-PN specific practice question banks, content review focused on ...

micro1 AI

Pharmacovigilance Expert

Jackson, MS · Remote

$70 - $80/hr

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...

micro1 AI

Clinical Pharmacy Technicians

Jackson, MS · Remote

$70 - $80/hr

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...

Varsity Tutors

NCLEX Tutor

Starkville, MS · Remote

$25 - $40/hr

Adapts instruction using NCLEX review resources, practice question banks, and clinical scenario analysis to support nursing graduates preparing for first-time licensure as registered nurses or ...

ACA Group

Senior Principal Consultant

Oxford, MS · On-site +1

Location: Flexible, can be US remote The individual in this position is responsible for ... Perform a broad scope of work during reviews of ACA's largest and most complicated clients, and to ...

Visana Health

1099 Telehealth Gynecologist

Jackson, MS · On-site +1

$120 - $150/hr

Fully remote within the United States About Visana Health Visana Health is an innovative virtual ... Reviewing test results and ensuring proper patient notification in compliance with practice ...

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Showing results 21-40

All JobsUtilization Review Rn JobsRemote Utilization Review Rn JobsRemote Utilization Review Rn Jobs in Mississippi

Remote Utilization Review Rn information

See Mississippi salary details

$20

$40

$65

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

As of Aug 20, 2026, the average hourly pay for remote utilization review rn in Mississippi is $40.04, according to ZipRecruiter salary data. Most workers in this role earn between $31.63 and $46.01 per hour, depending on experience, location, and employer.

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 are the key skills and qualifications needed to thrive as a remote utilization review RN?

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 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 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 popular job titles related to Remote Utilization Review Rn jobs in Mississippi?

For Remote Utilization Review Rn jobs in Mississippi, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Review Rn jobs in Mississippi look for?

The top searched job categories for Remote Utilization Review Rn jobs in Mississippi are:

What cities in Mississippi are hiring for Remote Utilization Review Rn jobs?

Cities in Mississippi with the most Remote Utilization Review Rn job openings:

Remote Utilization Review Rn jobs near you
Infographic showing various Remote Utilization Review Rn job openings in Mississippi as of August 2026, with employment types broken down into 6% As Needed, 66% Full Time, 22% Part Time, and 6% Contract. Highlights an 100% Remote job distribution, with an average salary of $83,291 per year, or $40 per hour.

Collaborative Physician - Mississippi

Advantmed

Jackson, MS • On-site, Remote

$1.50/hr

Contractor

Re-posted 4 days ago

Job description

About Advantmed
Advantmed is a leading provider of risk adjustment, quality improvement, and value-based solutions to health plans and providers. We drive market leading performance with integrated technology, service, and program solutions that optimize the risk and quality performance of our partners. Our solutions focus on identifying, managing, and documenting risk and quality performance, and the proactive clinical engagement of high acuity populations.
The building B.L.O.C.K.S. of our team's success!
Bring the fun
Leverage together for better
Outperform yourself
Care at every touchpoint
Keep your word. Keep it real
Stay curious & listen well
Collaborative Physician - Remote
Advantmed is a strategic partner committed to engaging and connecting with members in order to improve Quality Measures and Risk Adjustment Scores by performing In Home Assessments utilizing Nurse Practitioners.
Advantmed is looking for a part time Collaborative/Supervising Physician. Minimal time commitment is required and this role offers a flexible, remote work schedule. This is a great opportunity for additional income! This role ensures Nurse Practitioners (NP) have a collaborative physician (CP) with whom they can seek consultation and engage in a professional dialogue about patient care activities. Requirements for physician collaboration vary from state to state.
Responsibilities
  • Serve as a Collaborative Physician in accordance with applicable law and terms and conditions of the NP Collaborative Practice Protocol Agreement. Fulfilling any state-specific requirement as a collaborator.
  • Collaborative physicians will conduct quality reviews of the NP's patient charts on a periodic basis - varies by state. These audits are established online at an established minimum chart review sample of 5%, which will be randomly selected, and an email notification will be sent to the CP.
  • CPs are available via phone or other electronic means of communication during our hours of operation (Monday through Friday) to consult with NPs on escalations with patient care activities.
  • The average time requirement is approximately 4 and 6 hours per month.

Qualifications
  • Successful completion of the Advantmed Credentialing process
  • Current board certification
  • Valid state medical, federal DEA, and Controlled and Dangerous Substances (CDS) licenses without sanctions in the state of California

Advantmed Offers
$200 dollar flat rate per pay period for review of 5% of up to 134 completed health assessments conducted by one or more NP's with whom this contractor has entered into a written agreement to serve as collaborative/supervising physician.
An additional $1.50 is paid for the review of 5% of the total volume of each completed health assessment in excess of 134 in any pay period.
Example: If the Collaborative Physician oversaw Nurse Practitioners who completed 1,000 health assessments the Collaborative Physician would review 5% (50), while still being compensated $1.50 X (1,000-134), in addition to the $200.00 flat rate.
Job Types
Part-time, Contract, Temporary
Schedule
Available for provider escalation Monday through Friday
Work Location
Remote
Patient and Employee confidentiality are of our utmost importance here at Advantmed. You must be comfortable with having our security app on your mobile device if you are utilizing any of our programs or using your phone/computer for work. This is a NON NEGOTIABLE.
Requirements
Qualifications
  • Successful completion of the Advantmed Credentialing process
  • Current board certification
  • Valid state medical, federal DEA, and Controlled and Dangerous Substances (CDS) licenses without sanctions in the state of California.

Apply