Collaborate with healthcare providers to review, analyze, and interpret medical data, including ... remote work environment Required Qualifications * Bachelor of Science in Nursing (BSN) * Current ...
Collaborate with healthcare providers to review, analyze, and interpret medical data, including ... remote work environment Required Qualifications * Bachelor of Science in Nursing (BSN) * Current ...
Registered Nurse / RN Virtual Care
Tyler, TX · On-site +1
Responsible and accountable for the practice of Nursing for assigned patients or tasks via a remote ... Current RN license or current license deemed acceptable by the applicable State Board of Nursing ...
New
Registered Nurse / RN Virtual Care
Tyler, TX · On-site +1
Responsible and accountable for the practice of Nursing for assigned patients or tasks via a remote ... Current RN license or current license deemed acceptable by the applicable State Board of Nursing ...
New
Registered Nurse (Part-Time)
Austin, TX · Remote
Collaborate with healthcare providers to review, analyze, and interpret medical data, including ... remote work environment Required Qualifications * Bachelor of Science in Nursing (BSN) * Current ...
Registered Nurse (Part-Time)
Austin, TX · Remote
Collaborate with healthcare providers to review, analyze, and interpret medical data, including ... remote work environment Required Qualifications * Bachelor of Science in Nursing (BSN) * Current ...
Registered Nurse (Part-Time)
Austin, TX · Remote
Collaborate with healthcare providers to review, analyze, and interpret medical data, including ... remote work environment Required Qualifications * Bachelor of Science in Nursing (BSN) * Current ...
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Registered Nurse (Part-Time)
Austin, TX · Remote
Collaborate with healthcare providers to review, analyze, and interpret medical data, including ... remote work environment Required Qualifications * Bachelor of Science in Nursing (BSN) * Current ...
... Nurse (RN) to serve our patient population in the navigation, prevention and management of their ... Welcome patients into continuous care program(s) and review benefits and services included
... Nurse (RN) to serve our patient population in the navigation, prevention and management of their ... Welcome patients into continuous care program(s) and review benefits and services included
Telephonic Case Manager (RN) - Compact License - REMOTE
Dallas, TX · On-site +1
$72K - $87K/yr
Monday - Friday, 8:30am -5:30pm local time, Full-time Remote. NOTE: Requires a Compact RN license ... Review and evaluate all medical correspondence, provider reports, & treatment plan history
Telephonic Case Manager (RN) - Compact License - REMOTE
Dallas, TX · On-site +1
$72K - $87K/yr
Monday - Friday, 8:30am -5:30pm local time, Full-time Remote. NOTE: Requires a Compact RN license ... Review and evaluate all medical correspondence, provider reports, & treatment plan history
Coding Educator/Auditor
San Antonio, TX · Remote
$23.50 - $26.75/hr
Provides onsite and remote quality assurance reviews/audits with appropriate compliance with ... Nurse(s) (RN) are highly preferred. Why Should You Apply? * We offer exceptional pay and ...
Coding Educator/Auditor
San Antonio, TX · Remote
$23.50 - $26.75/hr
Provides onsite and remote quality assurance reviews/audits with appropriate compliance with ... Nurse(s) (RN) are highly preferred. Why Should You Apply? * We offer exceptional pay and ...
Director of Revenue Operations
Austin, TX · Remote
Austin, TX; Remote This is a rare opportunity to step into a high-impact leadership role at the ... Utilization Review & Authorizations * Oversee authorization strategy and utilization review ...
Director of Revenue Operations
Austin, TX · Remote
Austin, TX; Remote This is a rare opportunity to step into a high-impact leadership role at the ... Utilization Review & Authorizations * Oversee authorization strategy and utilization review ...
Director of Revenue Operations
Austin, TX · Remote
Austin, TX; Remote This is a rare opportunity to step into a high-impact leadership role at the ... Utilization Review & Authorizations * Oversee authorization strategy and utilization review ...
Director of Revenue Operations
Austin, TX · Remote
Austin, TX; Remote This is a rare opportunity to step into a high-impact leadership role at the ... Utilization Review & Authorizations * Oversee authorization strategy and utilization review ...
HSS Care Coordinator, RN - Healthy First Steps, Remote in TX
Houston, TX · Remote
$28.94 - $51.83/hr
Current RN unrestricted license in the State of TX * 4 years of experience working within the ... Experience in utilization review, concurrent review or risk management * Experience with arranging ...
HSS Care Coordinator, RN - Healthy First Steps, Remote in TX
Houston, TX · Remote
$28.94 - $51.83/hr
Current RN unrestricted license in the State of TX * 4 years of experience working within the ... Experience in utilization review, concurrent review or risk management * Experience with arranging ...
HSS Care Coordinator, RN - Healthy First Steps, Remote in TX
Houston, TX · On-site +1
$28.94 - $51.83/hr
Current RN unrestricted license in the State of TX * 4+ years of experience working within the ... Experience in utilization review, concurrent review or risk management * Experience with arranging ...
HSS Care Coordinator, RN - Healthy First Steps, Remote in TX
Houston, TX · On-site +1
$28.94 - $51.83/hr
Current RN unrestricted license in the State of TX * 4+ years of experience working within the ... Experience in utilization review, concurrent review or risk management * Experience with arranging ...
Benefits All Remote Hospice Triage RNs, once trained to their originally assigned team are paid $25 per hour. There are multiple opportunities to increase the hourly rate with the potential to earn ...
Benefits All Remote Hospice Triage RNs, once trained to their originally assigned team are paid $25 per hour. There are multiple opportunities to increase the hourly rate with the potential to earn ...
Remote Hospice Triage RN PT 3:30p-11p + rotating Sat & Sun 3:30p-11p CST
Dallas, TX · On-site +1
$28/hr
Benefits All Remote Hospice Triage RNs, once trained to their originally assigned team are paid $25 per hour. There are multiple opportunities to increase the hourly rate with the potential to earn ...
Remote Hospice Triage RN PT 3:30p-11p + rotating Sat & Sun 3:30p-11p CST
Dallas, TX · On-site +1
$28/hr
Benefits All Remote Hospice Triage RNs, once trained to their originally assigned team are paid $25 per hour. There are multiple opportunities to increase the hourly rate with the potential to earn ...
RN Telephone Triage (Work from Home)
El Paso, TX · On-site +1
Current multi-state RN license with no restrictions; nurses currently holding a single-state RN ... HIPAA compliance is mandatory Remote Training Schedule Format: Virtual (Zoom) Duration: 4 weeks ...
RN Telephone Triage (Work from Home)
El Paso, TX · On-site +1
Current multi-state RN license with no restrictions; nurses currently holding a single-state RN ... HIPAA compliance is mandatory Remote Training Schedule Format: Virtual (Zoom) Duration: 4 weeks ...
Remote Registered Nurse (RN) Case Manager
Austin, TX · On-site +1
$50K/yr
Nurseline triage, Call Center Utilization Management, Call Center Case Management, a plus. * Case ... Remote work eligibility is subject to all work from home criteria met and based on business need.
Remote Registered Nurse (RN) Case Manager
Austin, TX · On-site +1
$50K/yr
Nurseline triage, Call Center Utilization Management, Call Center Case Management, a plus. * Case ... Remote work eligibility is subject to all work from home criteria met and based on business need.
We are seeking an experienced and compassionate IVIG Infusion RN to provide high-quality, in-home ... Contract, Per diem This is a remote position.
We are seeking an experienced and compassionate IVIG Infusion RN to provide high-quality, in-home ... Contract, Per diem This is a remote position.
Remote Registered Nurse (RN) Case Manager
Austin, TX · Remote
$50K/yr
Nurseline triage, Call Center Utilization Management, Call Center Case Management, a plus. * Case ... Remote work eligibility is subject to all work from home criteria met and based on business need.
Remote Registered Nurse (RN) Case Manager
Austin, TX · Remote
$50K/yr
Nurseline triage, Call Center Utilization Management, Call Center Case Management, a plus. * Case ... Remote work eligibility is subject to all work from home criteria met and based on business need.
LTSS Service Coordinator - RN Clinician
Wichita Falls, TX · On-site +1
... utilization of health benefits. * Obtains a thorough and accurate member history to develop an ... reviewing and providing input on the non-RN clinicians' performance on a regular basis. Minimum ...
LTSS Service Coordinator - RN Clinician
Wichita Falls, TX · On-site +1
... utilization of health benefits. * Obtains a thorough and accurate member history to develop an ... reviewing and providing input on the non-RN clinicians' performance on a regular basis. Minimum ...
LTSS Service Coordinator - RN Clinician
Grand Prairie, TX · On-site +1
... utilization of health benefits. * Obtains a thorough and accurate member history to develop an ... reviewing and providing input on the non-RN clinicians' performance on a regular basis. Minimum ...
New
LTSS Service Coordinator - RN Clinician
Grand Prairie, TX · On-site +1
... utilization of health benefits. * Obtains a thorough and accurate member history to develop an ... reviewing and providing input on the non-RN clinicians' performance on a regular basis. Minimum ...
New
LTSS Service Coordinator - RN Clinician
Lubbock, TX · On-site +1
... utilization of health benefits. * Obtains a thorough and accurate member history to develop an ... reviewing and providing input on the non-RN clinicians' performance on a regular basis. Minimum ...
LTSS Service Coordinator - RN Clinician
Lubbock, TX · On-site +1
... utilization of health benefits. * Obtains a thorough and accurate member history to develop an ... reviewing and providing input on the non-RN clinicians' performance on a regular basis. Minimum ...
Remote Utilization Review Rn information
See Texas salary details
$19.93 - $23.96
2% of jobs
$23.96 - $27.99
9% of jobs
$30.75 is the 25th percentile. Wages below this are outliers.
$27.99 - $32.03
21% of jobs
The median wage is $35.29 / hr.
$32.03 - $36.06
23% of jobs
$36.06 - $40.09
13% of jobs
$43.22 is the 75th percentile. Wages above this are outliers.
$40.09 - $44.12
10% of jobs
$44.12 - $48.15
8% of jobs
$48.15 - $52.18
5% of jobs
$52.18 - $56.21
5% of jobs
$56.21 - $60.24
2% of jobs
$60.24 - $64.28
2% of jobs
$19
$39
$64
How much do remote utilization review rn jobs pay per hour?
What are the key skills and qualifications needed to thrive as a Remote Utilization Review RN, and why are they important?
What is a Remote Utilization Review RN?
What is the difference between Remote Utilization Review Rn vs Remote Case Manager Rn?
| Aspect | Remote Utilization Review Rn | Remote Case Manager Rn |
|---|---|---|
| Certifications | RN license, Utilization Review certification (e.g., URAC) | RN license, Case Management certification (e.g., CCM) |
| Work Environment | Reviewing medical records, insurance policies, telehealth platforms | Coordinating patient care, discharge planning, telehealth |
| Employer & Industry | Insurance companies, healthcare organizations | Hospitals, 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 Chart Review Nurse
- Full Time Appeals Nurse Remote
- Utilization Management Nurse Consultant
- Weekday Cvs Utilization Management Nurse
- No Experience Utilization Review Nurse
- Remote Cvs Utilization Management Nurse
- Utilization Review Rn
- Tuesday Through Saturday Evening Utilization Review Nurse
- Remote Utilization Management
- Per Diem Chart Review Nurse
- Free Utilization Review Training
- Per Diem Optum Utilization Review
- Volunteer Navihealth Utilization Review
- Contract Utilization Review
- Nurse Practitioner Utilization Review
- Anthem Utilization Review Nurse
- Temporary Aetna Utilization Review Nurse
- Cigna Utilization Review Nurse
- Remote Cigna Utilization Review Nurse
- Flexible Cigna Utilization Review Nurse
Other
Posted 8 days ago
Job description
Ways2Well is redefining the future of healthcare. As a leader in regenerative and preventive medicine, we empower patients to take control of their health through data-driven, personalized care. We're breaking away from outdated models—leveraging cutting-edge technology, digital care platforms, and bold thinking to deliver high-impact healthcare at scale.
Position SummaryThe Registered Nurse serves as a vital member of a dynamic healthcare team, providing clinical support to healthcare professionals through expert patient care management, medical data interpretation, and effective communication facilitation between patients and medical staff. This position requires a self-directed clinical professional with a strong foundation in nursing practice, a demonstrated commitment to health and wellness, and the ability to deliver high-quality patient-centered care.
Key Responsibilities- Collaborate with healthcare providers to review, analyze, and interpret medical data, including bloodwork and laboratory results, to support informed clinical decision-making
- Initiate and coordinate laboratory work and diagnostic testing as directed by healthcare providers, ensuring accurate and complete information is communicated to appropriate laboratory personnel
- Conduct patient interviews to obtain comprehensive medical histories, clearly communicate diagnostic results, and facilitate discussions surrounding potential treatment plans and next steps
- Schedule, coordinate, and manage appointments, ensuring a seamless and efficient experience for both patients and providers
- Maintain thorough, accurate, and current patient records and clinical documentation within the organization's Electronic Health Record (EHR) system in accordance with regulatory and compliance standards
- Develop and deliver patient education resources related to new, emerging, and ongoing treatments and therapies, empowering patients to make informed healthcare decisions
- Respond to patient inquiries received via phone, email, and chat platforms in a timely, professional, and compassionate manner, ensuring a high standard of patient satisfaction
- Partner with the interdisciplinary healthcare team to ensure the delivery of comprehensive, coordinated, and patient-centered care across all touchpoints
- Maintain current knowledge of advancements in medical testing, treatment protocols, and clinical best practices to support continuous quality improvement
- Leverage Microsoft Teams and other digital collaboration tools to facilitate effective communication, care coordination, and team engagement within a remote work environment
- Bachelor of Science in Nursing (BSN)
- Current, unrestricted Registered Nurse (RN) licensure
- 3+ years of progressive clinical nursing experience
- Comprehensive knowledge of medical terminology, diagnostic testing procedures, and evidence-based treatment therapies, with the ability to apply clinical expertise in a remote care setting
- Exceptional verbal and written communication skills, with the ability to convey complex clinical information clearly and effectively to patients, families, and interdisciplinary team members
- Demonstrated ability to work autonomously, prioritize competing demands, and manage multiple tasks with a high degree of accuracy and efficiency in a fast-paced environment
- Proven adaptability and agility in learning and integrating new processes, workflows, and emerging technologies into daily practice
- Proficiency in Electronic Health Record (EHR) systems and telehealth platforms, with the ability to accurately maintain clinical documentation in accordance with organizational and regulatory standards
- Proficiency in Microsoft Teams and other digital collaboration tools, with experience supporting remote team communication and care coordination
- Demonstrated commitment to delivering compassionate, patient-centered care with a strong focus on patient engagement, education, and satisfaction
- Onsite in a professional clinical healthcare setting
- Fast-paced, patient-facing environment that requires close collaboration with an interdisciplinary healthcare team including physicians, medical staff, and administrative personnel
- Exposure to patients with a variety of health conditions, as well as exposure to medical equipment, laboratory specimens, and clinical supplies Strict adherence to infection control protocols, HIPAA regulations, and all applicable clinical safety standards is required at all times
- Flexibility in scheduling, including occasional extended hours, to meet patient care and operational needs
- Ability to stand, walk, and move throughout the clinical facility for extended periods during patient care activities
- Frequent use of hands and fingers to operate computers, keyboards, medical equipment, and other clinical tools
- Ability to bend, stoop, reach, and assist with patient positioning or mobility as needed
- Ability to lift, carry, or move items weighing up to 25 to 50 pounds occasionally
- Visual acuity sufficient to read and interpret medical records, laboratory results, EHR documentation, and clinical data accurately
- Ability to hear and communicate clearly with patients, families, and team members in a clinical environment
- Ability to wear required personal protective equipment (PPE) including gloves, masks, and gowns as required by clinical and safety protocols
- Ability to remain focused, composed, and detail-oriented in a high-volume, fast-paced clinical environment
$40 - $45 an hour
Why Join Ways2Well? The best work happens when purpose meets potential. At Ways2Well, you'll work with a passionate, driven team that's redefining what personalized health and wellness can be — with the resources, leadership, and culture to back it up. We offer competitive compensation, strong benefits, and real room to grow, lead, and make your mark.
Equal Employment Opportunity (EEO) and Affirmative Action Commitment Ways2Well is committed to providing equal employment opportunities and render affirmative action to all employees and applicants for employment, including individuals who are members of underrepresented groups, without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, or any other status protected by applicable federal, state, or local laws.
Reasonable Accommodations Statement To accomplish this job successfully, an individual must be able to perform, with or without reasonable accommodation, each essential function satisfactorily. Reasonable accommodation may be made to help enable qualified individuals with disabilities to perform the essential functions.