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Remote Utilization Review Rn Jobs in Charleston, SC

Varsity Tutors

NCLEX Tutor

Mount Pleasant, SC · 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 ...

Varsity Tutors

NCLEX Tutor

Charleston, SC · 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 ...

Skin Clique

Supervising Physician

Charleston, SC · Remote

Additionally, you'll supervise Nurse Practitioners (NPs) and Physician Assistants (PAs) in your ... reviewing complete, timely, and legible medical records. Your dedication to upholding these ...

Naval Medical Command

INDUSTRIAL HYGIENIST

Charleston, SC · On-site +1

$40K - $116K/yr

Males born after 12-31-59 must be registered for Selective Service. * This position may require ... Experience reviewing IH survey findings with occupational health command medical surveillance ...

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All JobsUtilization Review Rn JobsRemote Utilization Review Rn JobsRemote Utilization Review Rn Jobs in Charleston, SC

Remote Utilization Review Rn information

See Charleston, SC salary details

$20

$40

$65

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

As of Aug 6, 2026, the average hourly pay for remote utilization review rn in Charleston, SC is $40.14, according to ZipRecruiter salary data. Most workers in this role earn between $31.73 and $46.11 per hour, depending on experience, location, and employer.

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 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 Charleston, SC? For Remote Utilization Review Rn jobs in Charleston, SC, the most frequently searched job titles are:
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What cities near Charleston, SC are hiring for Remote Utilization Review Rn jobs? Cities near Charleston, SC 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 Charleston, SC as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 15% Part Time, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $83,498 per year, or $40.1 per hour.

Collaborating Medical Director/Physician

Serotonin Centers Charleston

Charleston, SC • Remote

$1.5K - $2.0K/mo

Part-time

Re-posted 19 days ago

Job description

Benefits:
  • Employee discounts
  • Flexible schedule
  • Wellness resources

The Medical Director at SEROTONIN Anti-Aging Centers, is responsible for overseeing medical operations of the Center. The duties include: review healthcare laws and regulations to be complied with in center practices, implement and oversee medical protocols, monitor facility or department budgets and develop strategies to improve communication between medical professionals and clients. 
*Candidate must live in and be licensed to practice in the state of South Carolina and be willing to obtain DEA license with center's address. Ideal candidate is experienced in hormone therapy, medical weight loss and esthetics. 
 
Responsibilities 
Medical Directors oversee the operation and success of medical, clinical training and prescriptive/lab service. 
 
Some of their typical daily duties include:
·         Collaborate with medical team members
·         Assist in the training and promotion of medical team members
·         Ensure that the medical team members and Center comply with the federal rules, regulations and codes
·         Enhance cooperation between physicians, nurse practitioners, medical assistants and relevant medical departments/services
·         Foster healthy relationships with medical suppliers as a way of keeping the Center stocked and fully operational
·         Evaluate the coordination of the medical team to ensure the success of the Center
·         Ensure the licenses/certifications are up to date, thus preventing the prosecution or termination of the Center’s services to the public
·         Delegation of prescriptive authority
·         Regular chart review
·         Available in person or telecommunication for consultation for medical problems, complications, emergencies, or client/member/guest referral
·         Will have the skills and training to supervise Center’s medical practitioners
·         Delegation of medical activities or task to medical team members or other personal as allowed.

This is a remote position.