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Remote Utilization Review Rn Jobs in Albany, NY (NOW HIRING)

... reviews, and strategic engagements. * Collaborate with Sales, Professional Services, Managed ... Monitor business performance, pipeline health, utilization, and operational metrics, providing ...

Practice Director, AI

Albany, NY ยท Remote

$200K - $270K/yr

... reviews, and strategic engagements. * Collaborate with Sales, Professional Services, Managed ... Monitor business performance, pipeline health, utilization, and operational metrics, providing ...

Showing results 21-32

Remote Utilization Review Rn information

See Albany, NY salary details

$21

$41

$68

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

As of Aug 22, 2026, the average hourly pay for remote utilization review rn in Albany, NY is $41.98, according to ZipRecruiter salary data. Most workers in this role earn between $33.17 and $48.22 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 Albany, NY?

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

What cities near Albany, NY are hiring for Remote Utilization Review Rn jobs?

Cities near Albany, NY with the most Remote Utilization Review Rn job openings:

Infographic showing various Remote Utilization Review Rn job openings in Albany, NY as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 15% Part Time, 3% Contract, and 1% Nights. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $87,319 per year, or $42 per hour.

Licensed Clinical Social Worker (LCSW) - Remote Opportunity at Gotham Enterprises Ltd

Company Confidential

Troy, NY โ€ข On-site, Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 4 days ago


Job description

Position Overview

Gotham Enterprises Ltd is actively seeking a passionate and dedicated Licensed Clinical Social Worker (LCSW) to join our team. This full-time position offers a unique opportunity to provide mental health support within a remote work environment, allowing you to serve a diverse population from the comfort of your home. As a vital team member at our community health clinic, you will engage in a wide range of therapeutic activities aimed at promoting mental wellness and recovery.

About the Organization

At Gotham Enterprises Ltd, we are committed to enhancing the quality of life for individuals and families through accessible and comprehensive mental health services. Our community health clinic, located in Troy, New York, is dedicated to breaking down barriers to mental health care. We focus on person-centered care that tailors services to the unique needs of each individual, irrespective of their socioeconomic background. Our staff collaborates extensively with local partners to promote mental health awareness and advocate for the resources our community needs.

Work Environment

The role offers the flexibility of remote work while being part of an innovative health clinic dedicated to mental health. We foster a collaborative and supportive team environment where mental health professionals engage with one another through regular virtual meetings, case reviews, and training sessions. This setting not only allows ease of access to necessary resources but also encourages ongoing learning and development.

Key Responsibilities
  • Conduct thorough psychosocial assessments to evaluate clients' mental health concerns, identifying their strengths and challenges in a supportive manner.
  • Provide individual, family, and group therapy tailored to clients' unique needs using evidence-based methodologies such as cognitive-behavioral therapy and motivational interviewing.
  • Develop comprehensive treatment plans that outline achievable goals, precise interventions, and methods for monitoring client progress.
  • Collaborate with a multidisciplinary team of mental health professionalsโ€”including psychiatrists and nursesโ€”ensuring a holistic approach to client care.
  • Conduct crisis intervention services, including risk assessments and the development of safety plans to ensure immediate support for clients in distress.
  • Advocate for clients' rights within the healthcare system, linking them with community resources, and providing thorough case management support.
  • Participate in outreach and community engagement activities designed to reduce stigma associated with mental health care and promote awareness of available resources.
Patient Population / Client Focus

You will have the profound opportunity to work with a broad spectrum of clients, including children, adolescents, and adults facing various mental health challenges. Our clinic emphasizes serving individuals from diverse backgrounds, ensuring culturally competent care that recognizes and addresses the unique circumstances impacting our clients.

Qualifications
  • Master's degree in Social Work from an accredited institution.
  • Current and active licensure as a Licensed Clinical Social Worker (LCSW) in New York.
  • Strong communicator with exceptional empathy and problem-solving skills to navigate complex emotional and psychological issues.
Preferred Experience
  • Previous experience working in a community mental health setting is strongly preferred.
  • Demonstrated ability to work with diverse populations, showcasing cultural competence in therapeutic interactions.
Compensation and Benefits

The salary range for this position is competitive, ranging from USD 70,000 to 100,000 annually, commensurate with qualifications and experience. Additionally, we offer a variety of benefits, including:

  • Comprehensive health insurance options, which include medical, dental, and vision coverage.
  • Retirement plans with employer contributions to help secure long-term financial well-being.
  • Generous paid time off, including vacation, sick leave, and personal days for work-life balance.
  • Professional development programs designed to enhance skills and knowledge in current best practices.
  • Possible sign-on bonus available for qualified candidates.
Career Growth Opportunities

At Gotham Enterprises Ltd, we believe in nurturing our talent. You will have access to professional development and training opportunities that align with your career goals. Our organization fosters an environment where driven individuals can pursue leadership roles, specialized certifications, and innovative projects that align with mental health advancements.

Why Join Our Team

Joining Gotham Enterprises Ltd means becoming a vital part of a community-focused organization committed to making a real difference in the lives of those we serve. Our team is dedicated to reducing stigma, enhancing mental health services, and advocating for those in need. We value collaboration, respect, and the importance of mental wellness, making this a fulfilling place to work.

Application Information

If you are passionate about making a positive impact in the mental health field and meet the qualifications outlined above, we encourage you to apply today. Please submit your resume to join our dedicated team at Gotham Enterprises Ltd and contribute to our mission of improving community mental health.