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

Remote Utilization Review Rn information

See Athens, TN salary details

$17

$35

$57

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

As of Sep 14, 2026, the average hourly pay for remote utilization review rn in Athens, TN is $35.42, according to ZipRecruiter salary data. Most workers in this role earn between $27.98 and $40.67 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 Athens, TN?

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

What cities near Athens, TN are hiring for Remote Utilization Review Rn jobs?

Cities near Athens, TN with the most Remote Utilization Review Rn job openings:

Infographic showing various Remote Utilization Review Rn job openings in Athens, TN as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 16% Part Time, 3% Contract, and 1% Nights. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $73,674 per year, or $35.4 per hour.

Licensed Clinical Social Worker for Remote Hospice Care in Cleveland, TN

Cleveland, TN โ€ข Remote

Full-time

Medical, Dental, Vision, Life

Posted 26 days ago


Job description

Position Overview

Gotham Enterprises Ltd is seeking a dedicated and compassionate Licensed Clinical Social Worker (LCSW) to join our dynamic team in providing vital support within a remote hospice care setting. This full-time position allows LCSWs to deliver therapy and guidance to patients and families, significantly contributing to the emotional and psychological well-being of those experiencing terminal illnesses. Candidates must possess a Master's degree in Social Work and a valid LCSW license, along with a passion for improving the quality of life for patients during their most challenging times.

About the Organization

At Gotham Enterprises Ltd, our mission is to provide exceptional hospice care that respects the dignity and wishes of our patients while supporting their families throughout the journey. Our organization is deeply committed to creating a compassionate environment focused on patient-centered care. We pride ourselves on our collaborative approach, integrating a multidisciplinary team of healthcare professionals dedicated to delivering tailored support to those we serve.

Work Environment

This role is set within our innovative remote service model that allows us to reach patients in Cleveland, Tennessee, and the surrounding areas. As a Social Worker in a hospice setting, you will engage with clients through a virtual platform, which enables you to balance professional responsibilities with your personal commitments effectively. You will have the flexibility to design your schedule to enhance your work-life balance while remaining actively involved in the treatment process.

Key Responsibilities
  • Conduct comprehensive clinical assessments through virtual meetings to properly evaluate patients' needs and develop individualized treatment plans incorporating best practices and solution-based interventions.
  • Implement evidence-based therapeutic techniques that are specifically tailored to the unique circumstances of terminally ill patients and their families.
  • Maintain meticulous clinical records in accordance with regulatory standards, ensuring accuracy and confidentiality to promote seamless communication within the care team.
  • Collaborate closely with other healthcare professionals, including physicians, nurses, and psychologists, to coordinate a holistic approach to patient care.
  • Participate in regular case consultations and peer review sessions to foster professional development and optimize patient care quality.
  • Educate patients and their families about mental health aspects related to hospice care, empowering them to navigate the emotional landscape of terminal illness.
  • Stay abreast of the latest research and advancements in the fields of social work and palliative care to enhance therapeutic techniques and outcomes.
Patient Population / Client Focus

The primary focus of this position is to support patients facing terminal diagnoses and their families, addressing complex emotional and psychological issues related to end-of-life care. Your role will be crucial in ensuring that patients feel validated, heard, and supported through their journey. You'll provide guidance on coping mechanisms and advocate for their needs within the healthcare system while reinforcing family roles and support strategies.

Qualifications
  • A Master's degree in Social Work from an accredited institution.
  • Current LCSW license in the state of Tennessee.
  • Minimum of three years of relevant clinical experience specializing in psychotherapy, particularly with end-of-life care.
  • Strong proficiency in evidence-based and solution-focused psychotherapeutic interventions.
  • Excellent interpersonal and communication skills, with an aptitude for working collaboratively in diverse teams.
Preferred Experience
  • Experience working in a hospice, palliative care, or similar healthcare environments.
  • Familiarity with telehealth platforms and best practices for remote service delivery.
  • A proven track record of effective patient engagement and therapeutic relationship-building.
Compensation and Benefits
  • Competitive salary range of USD 80,000 to 100,000 annually.
  • Comprehensive medical, dental, and vision insurance to support your health and well-being.
  • Life and disability insurance for added financial protection.
  • Professional liability insurance to safeguard your practice.
  • Employee assistance program offering mental health resources.
  • Sign-on bonus and unlimited patient referrals, ensuring a fulfilling caseload.
  • Streamlined administrative processes to minimize paperwork and maximize patient interaction.
Career Growth Opportunities

At Gotham Enterprises Ltd, we are committed to the professional development of our team members. As a Licensed Clinical Social Worker, you will have access to ongoing training and educational resources to broaden your expertise in hospice and palliative care. Opportunities for advancement within our organization may lead to leadership roles or specialized clinical tracks based on your interests and career aspirations.

Why Join Our Team

Joining Gotham Enterprises Ltd means becoming part of a compassionate and committed team dedicated not only to providing exceptional hospice care but also to fostering a nurturing work environment. You will play a pivotal role in creating meaningful change within the community, enhancing the quality of life for patients and their families. If you are passionate about making a difference and prefer a flexible work setting that prioritizes both client care and professional well-being, we encourage you to apply.

Application Information

If you are ready to take the next step in your mental health career with Gotham Enterprises Ltd, we invite you to submit your application today. Please include a current resume and a cover letter detailing your qualifications, relevant experience, and reasons for your interest in this role. We look forward to welcoming a dedicated LCSW to our team!