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Remote Utilization Review Rn Jobs in Franklin, IN

Humana

Care Coordinator, RN Field Based

Speedway, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

Franklin, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

Danville, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

Franklin, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

Avon, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

Greenwood, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

Avon, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

Columbus, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

Danville, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

Speedway, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

Franklin, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

Greenwood, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

Columbus, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

Avon, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

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Remote Utilization Review Rn information

See Franklin, IN salary details

$20

$39

$64

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

As of Jul 15, 2026, the average hourly pay for remote utilization review rn in Franklin, IN is $39.60, according to ZipRecruiter salary data. Most workers in this role earn between $31.30 and $45.48 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 Franklin, IN? For Remote Utilization Review Rn jobs in Franklin, IN, the most frequently searched job titles are:
What cities near Franklin, IN are hiring for Remote Utilization Review Rn jobs? Cities near Franklin, IN with the most Remote Utilization Review Rn job openings:
Remote Utilization Review Rn jobs near you
Nurse Practitioner Remote

Nurse Practitioner Remote

Ascension Recovery Services

Columbus, IN • On-site, Remote

Full-time

Medical

Posted 15 days ago

Job description

Nurse Practitioner (NP)
Location: Remote
Indiana
Schedule: Full-Time, PRN, & On-Call Rotations
Join Our Journey - Shape the Future of Recovery!
We are seeking a compassionate and skilled Nurse Practitioner to join our founding team and provide high-quality, recovery-focused care to individuals overcoming substance use and co-occurring mental health challenges.
What You'll Do
  • Conduct comprehensive evaluations, diagnoses, and treatment planning.
  • Prescribe and manage medications, including detox, withdrawal, and MAT protocols.
  • Supervise nursing staff in safe medication administration as needed.
  • Document care accurately in the electronic health record (EHR).
  • Collaborate with primary care providers, therapists, case managers, and directors.
  • Educate patients and families on treatment options and recovery pathways.
  • Respond to medical and psychiatric emergencies with appropriate interventions.
  • Participate in interdisciplinary team meetings, compliance reviews, and quality improvement initiatives.

Qualifications
Required:
  • Master's degree in Nursing (MSN); DNP preferred.
  • Current, unrestricted Indiana Nurse Practitioner license.
  • Eligible for DEA license with Schedule III authority.
  • Current CPR certification (or ability to obtain within 30 days).

Preferred:
  • Certified Nurse Practitioner (CNP, PMHNP, or FNP).
  • 2+ years of experience in behavioral health, addiction medicine, or primary care.
  • Knowledge of psychotropic medications, detox/withdrawal management, and MAT protocols.

Why Join Us
  • Competitive compensation with performance-based incentives.
  • Comprehensive health and welfare benefits.
  • Ground-level opportunity to shape a new facility.
  • Career growth potential as our network expands.
  • Collaborative, mission-driven environment.

Equal Opportunity Employer
Indiana Treatment Centers, in partnership with Ascension Recovery Services, is an Equal Opportunity Employer committed to creating a diverse and inclusive workplace.

Apply