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Remote Utilization Review Rn Jobs in Augusta, GA

Varsity Tutors

NCLEX-RN Tutor

Augusta, GA · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Scribe-X

Remote Medical Scribe

Augusta, GA · Remote

$14 - $17/hr

Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a ... Review completed charts with the provider between patients or at the completion of shift * Update ...

Varsity Tutors

NCLEX-PN Tutor

Augusta, GA · 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 ...

LifeSource, Inc.

Be Seen First

Primary Care MD/DO - Medical Director & Geriatric Assessments

Augusta, GA · Remote

Collaboration of Primary Care NP/PA's * * This can be 100% remote * Control your Schedule ... Case Review and support from a group of clinical peers * Excellent compensation packages * Health ...

Varsity Tutors

NCLEX Tutor

Augusta, GA · 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 ...

All JobsUtilization Review Rn JobsRemote Utilization Review Rn JobsRemote Utilization Review Rn Jobs in Augusta, GA

Remote Utilization Review Rn information

See Augusta, GA salary details

$20

$39

$64

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

As of Jul 27, 2026, the average hourly pay for remote utilization review rn in Augusta, GA is $39.75, according to ZipRecruiter salary data. Most workers in this role earn between $31.39 and $45.62 per hour, depending on experience, location, and employer.

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 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 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 Augusta, GA? For Remote Utilization Review Rn jobs in Augusta, GA, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in Augusta, GA look for? The top searched job categories for Remote Utilization Review Rn jobs in Augusta, GA are:
What cities near Augusta, GA are hiring for Remote Utilization Review Rn jobs? Cities near Augusta, GA 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 Augusta, GA as of July 2026, with employment types broken down into 62% Full Time, 25% Part Time, and 13% Contract. Highlights an 100% Remote job distribution, with an average salary of $82,670 per year, or $39.7 per hour.
Clinical Manager - Remote

Clinical Manager - Remote

United Energy Workers Healthcare

Aiken, SC • Remote

$80K - $90K/yr

Full-time

Posted 27 days ago

Job description

Overview

We are a compassionate company driven by a personal commitment to exceptional care. Founded by the grandchildren of a former Department of Energy worker, we elevate the lives of energy workers with unwavering compassion and whole-person care.

Our mission is guided by our founders' deep commitment to high-quality care under the Energy Employees Occupational Illness Compensation Program Act (EEOICPA). With over 14 years of experience and operations across 24 states, we strive to make a meaningful difference in the lives of energy workers and their families.

The Clinical Manager oversees the clinical aspects of patient care, ensuring compliance with regulations and leading a team of healthcare professionals. Strong leadership, organizational skills, and expertise in home health care are essential.

Responsibilities
  • Axxess Management: Ensure accurate documentation and compliance with QA reviews.
  • Case Management: Lead patient recertification, hospitalization, and discharge processes.
  • Patient Care & DME: Oversee disease progression, manage DME, and conduct retention visits.
  • Staff Oversight: Supervise Case Managers, RN/LPN contractors, and intake nurses. Assist with hiring, onboarding, and evaluations.
  • Caseload & Utilization: Manage caseload distribution, ensure productivity, and monitor patient census.
  • Compliance: Maintain QA compliance, lead QAPI meetings, and ensure readiness for surveys.
  • Regulatory Adherence: Ensure HIPAA compliance and adherence to all relevant regulations and standards.
  • Professional Development: Stay current with advancements in home health care practices and technologies.
Qualifications
  • Current RN license and CPR certification.
  • Experience in home health care or healthcare management.
  • Knowledge of regulations, accreditation standards, and EMR systems.
  • Strong assessment, communication, and interpersonal skills.
  • Proficiency in Microsoft Office Suite and analytical problem-solving.
  • Flexibility for occasional night and weekend hours.
  • Must pass a criminal background check and drug screen.
Pay RangeUSD $80,000.00 - USD $90,000.00 /Yr.Employment Type: FULL_TIME

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