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Remote Utilization Review Rn Jobs in Decatur, GA

Jobs for Humanity

Chronic Registered Nurses

Atlanta, GA · Remote

... like remote patient monitoring and chronic care management in their pulmonary practices. With a ... Joining our team as a Registered Nurse, you will have the opportunity to connect with patients ...

Varsity Tutors

NCLEX-RN Tutor

Sandy Springs, GA · Remote

$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 ...

Varsity Tutors

NCLEX-RN Tutor

Johns Creek, GA · Remote

$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 ...

Varsity Tutors

NCLEX-RN Tutor

Marietta, GA · Remote

$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 ...

Varsity Tutors

NCLEX-RN Tutor

Roswell, GA · Remote

$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 ...

Varsity Tutors

NCLEX-RN Tutor

Alpharetta, GA · Remote

$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 ...

Varsity Tutors

NCLEX-RN Tutor

Atlanta, GA · Remote

$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 ...

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Remote Utilization Review Rn information

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$41

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

As of Jun 21, 2026, the average hourly pay for remote utilization review rn in Decatur, GA is $41.28, according to ZipRecruiter salary data. Most workers in this role earn between $32.64 and $47.40 per hour, depending on experience, location, and employer.

What is the meaning of the word remote?

In the context of a Remote Utilization Review RN job, 'remote' refers to working outside of a traditional office setting, often from home or another location of the employee's choice. This setup typically involves using digital tools and communication platforms to perform job duties without being physically present in an office environment.

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 meaning of remote in one word?

In the context of a Remote Utilization Review RN role, 'remote' means working from a location outside of a traditional office, typically from home, using digital communication tools. It emphasizes flexibility and virtual access to work systems without physical presence at a healthcare facility.

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.

How to make 2000 a week working from home?

A Remote Utilization Review RN can potentially earn $2,000 weekly by working full-time hours, often 40 hours per week, and gaining experience or certifications that allow for higher billing rates. Increasing income may involve taking on additional cases, specializing in high-demand areas, or working for agencies that offer competitive pay for remote utilization review roles.

What is remote job?

A remote Utilization Review RN job is a healthcare position where the nurse reviews patient cases and insurance claims from a location outside of a traditional office, often working from home. It requires strong communication skills, knowledge of medical documentation, and familiarity with electronic health record systems, with flexible schedules common in remote roles.

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 Decatur, GA? For Remote Utilization Review Rn jobs in Decatur, GA, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in Decatur, GA look for? The top searched job categories for Remote Utilization Review Rn jobs in Decatur, GA are:
What cities near Decatur, GA are hiring for Remote Utilization Review Rn jobs? Cities near Decatur, GA with the most Remote Utilization Review Rn job openings:
Remote Utilization Review Rn jobs near you

Chronic Registered Nurses

Jobs for Humanity

Atlanta, GA • Remote

Full-time

Medical, Dental, Vision, Life, PTO

Posted 3 days ago

Job description

Company Description
Jobs for Humanity is collaborating with Upwardly Global and with Unclassified to build an inclusive and just employment ecosystem. We support individuals coming from all walks of life.
Company Name: Unclassified
Job Description

Job Description:
ResPro Health is dedicated to providing our partners in the respiratory space with the tools and resources needed to implement meaningful programs like remote patient monitoring and chronic care management in their pulmonary practices. With a focus on quality patient care and innovative solutions, ResPro Health equips specialists with dedicated staff to improve patient outcomes, promote patient engagement, and support therapy compliance. Joining our team as a Registered Nurse, you will have the opportunity to connect with patients daily and support their respiratory needs from the comfort of your home. As a valued team member, you will collaborate with other experts in the respiratory space to improve patient outcomes and positively impact the future of specialty medicine.
Responsibilities:
- Welcome patients into continuous care program(s) and review benefits and services included
- Coordinate with the patient's Respiratory Therapist and pulmonary providers to ensure a collaborative approach to care
- Educate patients on the frequency and use of their assigned in-home monitoring devices, if applicable
- Create a personalized, comprehensive care plan with the patient via phone or video visits
- Identify and address any barriers to patient success
- Provide specific education and coaching on patients' chronic pulmonary conditions
- Connect with the patient frequently to review readings and update their plan of care monthly
- Serve as the patient's first contact for all non-emergent needs (example - medication refills, scheduling, appointment reminders, etc.)
- Assist patients in the navigation of their healthcare (example - assisting patients with scheduling appointments, coordinating with specialists, and ensuring preventative screenings are completed, etc.)
- Review and evaluate in-home device readings in real-time during normal business hours
- Follow established protocols for identifying, communicating, and documenting device trends and any associated symptoms in the patient's medical record
- Escalate concerning readings and/or symptoms to the provider following a communication protocol established by the provider
- Establish a meaningful rapport that builds trust, open communication, and motivation to make a positive change in the patient's health
Requirements:
- Active and Unrestricted Georgia RN License (Compact License preferred)
- At least three (3) years of experience in adult health preferred
- Background in adult chronic health conditions (Pulmonology, Cardiology, Care Management) preferred
- Variety of Electronic Medical Record (EMR) experience
- Proficient knowledge, skill, and interest in basic computer skills
- Proficient in problem-solving and ability to multi-task
- Excellent communication skills (oral and written)
- Excellent teamwork skills
- Clean background check and drug screening
- Comfortable working remotely but collaboratively
Benefits:
- Comprehensive Health Care Plan (Medical, Dental, Vision)
- Life Insurance options
- Unlimited Paid Time Off
- Training and Development opportunities
- Full-Time position with a salary range of 55-65K

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