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Remote Utilization Review Rn Jobs in Columbia, SC

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Remote Utilization Review Rn information

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$19

$39

$63

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

As of Jul 16, 2026, the average hourly pay for remote utilization review rn in Columbia, SC is $39.12, according to ZipRecruiter salary data. Most workers in this role earn between $30.91 and $44.90 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 Columbia, SC? For Remote Utilization Review Rn jobs in Columbia, SC, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in Columbia, SC look for? The top searched job categories for Remote Utilization Review Rn jobs in Columbia, SC are:
What cities near Columbia, SC are hiring for Remote Utilization Review Rn jobs? Cities near Columbia, 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 Columbia, SC as of July 2026, with employment types broken down into 5% As Needed, 54% Full Time, 18% Part Time, and 23% Contract. Highlights an 100% Remote job distribution, with an average salary of $81,362 per year, or $39.1 per hour.
Social Worker Case Manager - (13250)

Social Worker Case Manager - (13250)

InGenesis

Columbia, SC • Remote

Full-time

Re-posted 11 days ago

Job description

InGenesis is currently seeking a Social Worker Case Manager to review and evaluate medical or behavioral eligibility regarding benefits. In this role, you will assess and monitor medical necessity, options and services required to support members in managing their health.

This is a REMOTE opportunity for candidates living in SC. Apply today and we’ll reach out to answer any questions you may have.


Job Duties

• Provide telephonic support for members with chronic conditions.

• Provide active case management (assess needs, develop action plans, monitor services).

• Ensure coverage for appropriate services.

• Make referrals to appropriate staff

• Participate in data collection and entry.

• Ensure accurate documentation of clinical information.

• Perform other duties as assigned.


Minimum Qualifications

• Current Clinical Social Worker license in the State of South Carolina.

• Associates degree in nursing or graduate from accredited nursing school or Master's Degree in Social Work

• 4+ years of clinical experience.



Equal Employment Opportunity Statement:

InGenesis is an equal opportunity employer committed to fostering a diverse, inclusive, and equitable workplace. We comply with all applicable federal, state, and local employment laws, including recent executive orders, and strictly prohibit discrimination, harassment, or retaliation based on race, color, religion, sex, sexual orientation, gender identity, national origin, disability, genetic information, age, veteran status, or any other characteristic protected by law.

InGenesis is dedicated to making reasonable accommodations for qualified individuals with disabilities and ensuring that all employment decisions are based on qualifications, merit, and business needs. Please visit our website at https://www.ingenesis.com/careers/site-accommodations for more information.

To learn more about your rights, please refer to the Know Your Rights: Workplace Discrimination is Illegal poster issued by the U.S. Equal Employment Opportunity Commission (EEOC).

Company Statement:

With decades of experience, InGenesis has grown into one of North America’s most trusted Healthcare Services Firms, which includes comprehensive health and workforce solutions. As the industry landscape shifts with new challenges in patient care, quality and compliance requirements, workforce retention, and operational efficiencies, we deliver strategic, data-driven solutions that include redefining workforce management and clinical service delivery. Explore InGenesis to discover how our expertise, innovative strategies, and commitment to excellence are shaping the future of healthcare workforce solutions. Join us in celebrating the professionals who define the next era of healthcare.


Apply