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Remote Utilization Review Rn Jobs in Camden, SC (NOW HIRING)

Varsity Tutors

NCLEX-RN Tutor

Columbia, SC · 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 ...

SalvoHealth

Registered Dietitian, Remote

Columbia, SC · Remote

$32 - $43/hr

Work closely with a multidisciplinary team, including fellow registered dietitians, licensed nurses ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...

SalvoHealth

Registered Dietitian, Remote

Columbia, SC · Remote

$29 - $38.75/hr

Work closely with a multidisciplinary team, including fellow registered dietitians, licensed nurses ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...

Bcbsa

Director, Trade Client Relations

Columbia, SC · Remote

$155K - $175K/yr

Analytics Team - Collaborate on drug trends and utilization data to inform clinical policy ... Clinical Team - Liaise with Clinical team to review clinical data and policy requirements as needed

AO ASPIRE

Be Seen First

Remote Benefits Rep-SALES/NO COLD CALLING

Columbia, SC · Remote

$50K - $120K/yr

... Firefighters, Nurses, and now, Veterans. For over 60 years, we have been the #1 provider of ... Review agreements regularly to develop cost-effective plans. What We're Looking For:

New

Varsity Tutors

NCLEX-PN Tutor

Columbia, SC · 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 ...

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Remote Utilization Review Rn information

See Camden, SC salary details

$17

$34

$56

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

As of Aug 26, 2026, the average hourly pay for remote utilization review rn in Camden, SC is $34.57, according to ZipRecruiter salary data. Most workers in this role earn between $27.31 and $39.71 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 Camden, SC?

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

What job categories do people searching Remote Utilization Review Rn jobs in Camden, SC look for?

The top searched job categories for Remote Utilization Review Rn jobs in Camden, SC are:

What cities near Camden, SC are hiring for Remote Utilization Review Rn jobs?

Cities near Camden, SC with the most Remote Utilization Review Rn job openings:

Remote Utilization Review Rn jobs near you

Advice RN, MIST - Work From Home

Columbia, SC • Remote

Sutter Health
Hospitals • 10K+ employees

8.2

Company rating: 8.2 out of 10

Based on 328 frontline employees who took The Breakroom Quiz

53rd of 893 rated healthcare providers

People enjoy working here

Good employer

Recommended by students

Learn more about Sutter Healthexternal

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

We are so glad you are interested in joining Sutter Health!

Organization:

SHSO-Population Health Services-Utah

Position Overview:

MIST Registered Nurse (RN) - Position Summary
The Multidisciplinary Inbasket Support Team (MIST) Registered Nurse is a highly skilled ambulatory care nurse who provides comprehensive, remote clinical support to primary care patients and providers across Sutter Health. Working entirely in a virtual environment, MIST RNs deliver telephonic and electronic care using Epic and My Health Online (MHO), serving as an extension of primary care practices while ensuring patients receive timely, safe, and evidence-based care.
MIST RNs assess patient symptoms and concerns through telephone encounters and secure electronic messaging, utilizing the nursing process, clinical judgment, physician collaboration, and Sutter Health-approved telephone triage guidelines and protocols to determine the appropriate level of care, provider, and timing for each patient's needs. They play a critical role in improving patient access by directing patients to the right care, with the right provider, at the right time.
In addition to telephone triage, MIST RNs manage electronic in-basket messages, coordinate care across ambulatory and acute care settings, facilitate prescription renewal workflows in collaboration with licensed providers, identify appropriate hospital and community resources, coordinate referrals and consultations, and perform nursing follow-up to support continuity of care and positive patient outcomes.
As integral members of the primary care team, MIST RNs partner closely with physicians, advanced practice providers, clinic staff, and interdisciplinary teams to manage patient communications within the electronic medical record, optimize workflow efficiency, and ensure high-quality, patient-centered care. Success in this role requires strong clinical assessment skills, exceptional communication, independent decision-making, proficiency in Epic, and the ability to thrive in a collaborative, fully remote work environment while managing multiple priorities in a fast-paced setting.

Job Description:

DISCLAIMER

  • This position is only available to residents of Utah, Idaho, Arizona, Arkansas, Tennessee, Missouri, Montana, South Carolina, or Louisiana. You must be living in one of those states to be eligible for consideration.

SHIFT AVAILABLE

  • 40hrs/week
  • No weekends or Holidays required

EDUCATION

  • Graduate of an accredited school of nursing


CERTIFICATION & LICENSURE REQUIREMENTS

  • RN-Registered Nurse of California
  • RN-Registered Nurse in State of Residence
  • BLS-Basic Life Support Healthcare Provider


PREFERRED EXPERIENCE AS TYPICALLY ACQUIRED IN:

  • 2 years recent relevant experience
  • 3 years experience of practical nursing in hospital, clinic, urgent care, or emergency room/department preferred.
  • 3 years experience with several specialties and subspecialties preferred.


SKILLS AND KNOWLEDGE

  • Advanced knowledge of professional nursing practice, evidence-based clinical guidelines, and telephone triage principles, including the application of Schmidt-Thompson Telephone Triage Protocols to support safe, timely, and appropriate patient care.
  • Comprehensive clinical knowledge of disease processes, medical emergencies, pharmacology, diagnostics, treatments, and preventive care, with the ability to assess patients and make sound clinical decisions in a virtual care environment.
  • Strong understanding of state and federal regulations, nursing standards of practice, risk management principles, and patient confidentiality requirements, including HIPAA compliance.
  • Exceptional critical thinking, clinical assessment, and decision-making skills with the ability to prioritize patient needs, recognize urgent or emergent situations, and determine the appropriate level of care.
  • Excellent verbal and written communication skills with the ability to establish rapport, gather comprehensive clinical information, provide patient education, explain complex medical information, and communicate professionally with patients, families, providers, and interdisciplinary care teams.
  • Demonstrated proficiency in Epic electronic health record (EHR) workflows, including in-basket message management, documentation, secure patient messaging through My Health Online, and other virtual care technologies. Proficiency with Microsoft Office Suite and other computer applications.
  • Ability to work independently in a fully remote environment while maintaining productivity, accountability, and high-quality patient care, as well as collaborating effectively with multidisciplinary teams across multiple clinical settings.
  • Strong organizational and time management skills with the ability to manage multiple priorities, adapt to changing clinical demands, and maintain accuracy in a fast-paced, technology-driven environment.
  • Ability to analyze clinical information, apply established protocols, organizational policies, and professional judgment to resolve routine and complex patient care situations.
  • Demonstrated commitment to delivering exceptional patient-centered care by fostering collaborative relationships with patients, providers, and care teams to ensure safe, coordinated, and efficient care across the continuum.

Job Shift:

Varied

Schedule:

Varied

Shift Hours:

9

Days of the Week:

Variable

Weekend Requirements:

None

Benefits:

Yes

Unions:

No

Position Status:

Non-Exempt

Weekly Hours:

40

Employee Status:

Regular

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

Pay Range is $38.87 to $54.42 / hour

The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.

What Sutter Health employees say

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