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Remote Utilization Review Rn Jobs in Athens, AL (NOW HIRING)

Reviews and analyzes FMLA and STD documents received and determines if all necessary information ... Assists Case Managers and Nurse Consultants as needed * Will follow all processes as laid out in ...

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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 Jun 19, 2026, the average hourly pay for remote utilization review rn in Athens, AL is $40.81, according to ZipRecruiter salary data. Most workers in this role earn between $32.26 and $46.88 per hour, depending on experience, location, and employer.

What is the meaning of the word remote?

In the context of a Remote Utilization Review RN job, 'remote' refers to working outside of a traditional office setting, often from home or another location of the employee's choice. This setup typically involves using digital tools and communication platforms to perform job duties without being physically present in an office environment.

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 meaning of remote in one word?

In the context of a Remote Utilization Review RN role, 'remote' means working from a location outside of a traditional office, typically from home, using digital communication tools. It emphasizes flexibility and virtual access to work systems without physical presence at a healthcare facility.

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.

How to make 2000 a week working from home?

A Remote Utilization Review RN can potentially earn $2,000 weekly by working full-time hours, often 40 hours per week, and gaining experience or certifications that allow for higher billing rates. Increasing income may involve taking on additional cases, specializing in high-demand areas, or working for agencies that offer competitive pay for remote utilization review roles.

What is remote job?

A remote Utilization Review RN job is a healthcare position where the nurse reviews patient cases and insurance claims from a location outside of a traditional office, often working from home. It requires strong communication skills, knowledge of medical documentation, and familiarity with electronic health record systems, with flexible schedules common in remote roles.

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 popular job titles related to Remote Utilization Review Rn jobs in Athens, AL? For Remote Utilization Review Rn jobs in Athens, AL, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in Athens, AL look for? The top searched job categories for Remote Utilization Review Rn jobs in Athens, AL are:
What cities near Athens, AL are hiring for Remote Utilization Review Rn jobs? Cities near Athens, AL with the most Remote Utilization Review Rn job openings:
Business Development Manager Sensors and Effectors with Security Clearance

Business Development Manager Sensors and Effectors with Security Clearance

Valkyrie Enterprises

Huntsville, AL • On-site, Remote

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 8 days ago


Job description

Position:  Business Development Manager Sensors and Effectors (Job ID: 4355)
Location:  Huntsville, AL Remote Status: On-Site
Job Id:  4355
# of Openings:  1 Business Development Manager Sensors and Effectors Purpose: * Valkyrie Enterprises has an immediate need for a full-time Business Development Manager to oversee the acquisition process for business opportunities of strategic importance to meet our Mission Solutions, Sensors and Effectors growth objectives in Huntsville, AL. Job Description: * Lead a business development portfolio to execute corporate growth and strategic goals and milestones. * Manage full life-cycle business development and capture management, from opportunity identification, competitive analysis, and capture strategy development to team building, proposal support, pricing strategy, and preparation for contract award. * Manage, enhance, maintain, and execute a competitive and sustainable new business pipeline. * Qualify new business opportunities and spearhead business development and capture management activities throughout the opportunity life cycle. * Analyze draft RFPs/SOWs, manage/lead the development of responses to RFIs, develop and implement winning capture and proposal strategies. * Work closely with the VP of Business Development and the AVP of proposal management in preparing and presenting proposal plans. * Oversee and direct the negotiation of teaming agreements and workshare. * Engage in developing the price-to-win based on an analysis of the incumbent’s winning price and contract performance history, the customer’s buying practices and recent awards of similar contracts. * Ensure the Proposal Manager integrates the capture solution components into, and across, the correct proposal volumes/sections to ensure a consistent, cohesive story while addressing RFP requirements. * Participate in color team reviews and support necessary adjustments to the capture plan, offer design, and/or the proposal. * Support client and industry engagement and conference attendance. Qualifications: * Must have a BA/BS Degree (Graduate Degree preferred) in Engineering or Business or equivalent and at least 5 years of technical or business-related experience. * Must have 10 years of experience/expertise in U.S. Federal Government business development, capture and proposal management (experience may be concurrent). * Note: In some cases, educational requirements may be adjusted or waived for comparable work experience. Work experience may be adjusted for highly specialized knowledge or uniquely applicable experience. * Must have the ability to demonstrate a successful track record of capture and proposal management for federal business efforts. * Must have analytical skills relating to business development and capture management and demonstrated expertise of US government procurement practices. * Must have excellent oral and written communication skills to support working relationships, customer interaction, and to make formal presentations to senior decision makers. Desired Qualifications: * Specific experience managing Mission Solutions technical support business development within the Department of Defense marketspace, preferred. * Specific experience managing and executing OTA’s, preferred. Security Requirements: * Must be eligible to obtain and maintain a Secret Clearance. * Prefer an Active Secret security clearance. Travel Requirements: * Occasional travel up to 25%. * If position requires travel by domestic flight or access to secure federal facilities/military bases, candidate must be able to obtain (by start of position) and maintain appropriate identification credentials, such as REAL ID. (More information regarding REAL ID can be found:  https://www.dhs.gov/real-id ). Physical Requirements: * Remaining in a stationary position, often standing, or sitting for prolonged periods. * Moving about to accomplish tasks or moving from one worksite to another. * Communicating with others to exchange information. * Repeating motions that may include the wrists, hands and/or fingers. * Light work that includes moving objects up to 20 pounds. Valkyrie strictly adheres to a policy of equal employment opportunity. This policy is based on Valkyrie’s commitment to hire and retain qualified employees consistent with position requirements; and to seek, employ, promote and treat all employees and applicants for employment without regard to race, color, religious creed, national origin, ancestry, citizenship status, pregnancy, childbirth, physical disability, mental disability, age, military status or protected veteran status, marital status, registered domestic partner or civil union status, gender (including sex stereotyping and gender identity or expression), medical condition, genetic information or sexual orientation or other protected characteristics. Additionally, Valkyrie Enterprises provides a variety of benefits to support your best health, wellness, and future, to include medical/dental/vision options, company paid life and disability insurances, 401k with match, education reimbursement, as well as company paid holidays and paid time off (PTO). Apply for this Position