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Remote Utilization Review Rn Jobs in Frederick, MD

Cardiologist - PRN

Rockville, MD ยท Remote

$360K - $407K/yr

The position is open to candidates nationwide and is fully remote. Job Specific Duties and ... nurses and physicians as well as Reviewing Medical Officers (RMOs) in accordance with the FOH ECG ...

Credit Card Associate

Westminster, MD ยท On-site +1

$38K - $40K/yr

Review and process credit-held orders throughout the day. * Process manual credit card payments ... Remote position with potential hybrid work opportunities. * Collaborative and supportive team ...

Credit Card Associate

Westminster, MD ยท On-site +1

$38K - $40K/yr

Review and process credit-held orders throughout the day. * Process manual credit card payments ... Remote position with potential hybrid work opportunities. * Collaborative and supportive team ...

Study Start-Up Associate II

Rockville, MD ยท On-site +1

$34.25 - $46.75/hr

Overview Study Start-Up Associate II US Remote Emmes Group: Building a better future for us all ... Assists in review of the regulatory documents for completeness. * Assists with translations ...

Showing results 41-55

Remote Utilization Review Rn information

See Frederick, MD salary details

$21

$42

$68

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

As of Sep 7, 2026, the average hourly pay for remote utilization review rn in Frederick, MD is $42.04, according to ZipRecruiter salary data. Most workers in this role earn between $33.22 and $48.27 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 Frederick, MD?

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

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

The top searched job categories for Remote Utilization Review Rn jobs in Frederick, MD are:

What cities near Frederick, MD are hiring for Remote Utilization Review Rn jobs?

Cities near Frederick, MD with the most Remote Utilization Review Rn job openings:

Infographic showing various Remote Utilization Review Rn job openings in Frederick, MD as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 19% Part Time, 2% Contract, and 1% Nights. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $87,442 per year, or $42 per hour.

Licensed Clinical Social Worker (LCSW-C) - Remote Opportunity at Hospice Center

Company Confidential

Hagerstown, MD โ€ข Remote

Full-time

Medical, Dental, Vision, Life

Posted 19 days ago


Job description

Position Overview

Gotham Enterprises Ltd is seeking a dedicated Licensed Clinical Social Worker (LCSW-C) to join our compassionate team on a full-time basis. This remote position focuses on providing high-quality emotional and psychological support to patients within our Hospice Center, emphasizing the importance of dignity, comfort, and emotional well-being for patients in their end-of-life journey.

About the Organization

Gotham Enterprises Ltd is a leading provider of hospice care, committed to serving the Hagerstown, Maryland community with exceptional support and services. Our organization is built on a foundation of empathy and care, fostering an environment that prioritizes the well-being of both our patients and our employees. We leverage advanced operational practices to deliver holistic care and make a real impact in the lives of our patients and their families.

Work Environment

This position offers a remote work environment, providing you with flexibility and the opportunity to balance your personal and professional life effectively. You will enjoy the autonomy of creating your own weekly schedule tailored to your needs while being part of a multidisciplinary team dedicated to coordinated patient care. Our team members have access to state-of-the-art technology to facilitate seamless communication and documentation.

Key Responsibilities
  • Conduct comprehensive clinical assessments to evaluate patients' mental health needs and develop tailored treatment plans that integrate solution-based practices.
  • Utilize evidence-based therapeutic interventions, such as cognitive-behavioral therapy, to support patients facing complex emotional challenges.
  • Maintain precise and timely clinical documentation, ensuring compliance with all relevant regulations and organizational policies.
  • Collaborate closely with nurses, doctors, and other healthcare professionals to deliver coordinated and holistic care for patients receiving hospice services.
  • Participate in regular case consultations and peer review meetings with the interdisciplinary team to enhance service delivery and clinical outcomes.
  • Educate patients and their families on mental health issues, ensuring they are empowered with knowledge and coping strategies during difficult times.
  • Stay informed on the latest research and developments within social work and mental health to continually improve therapeutic approaches and patient care.
Patient Population / Client Focus

As an LCSW-C at our Hospice Center, you will work with a diverse group of patients experiencing serious, chronic, or terminal illnesses. Your role is critical in providing compassionate support to enhance the quality of life during their final stages of care, focusing on mental health wellness, grief counseling, and family support.

Qualifications
  • A Masterโ€™s degree in Social Work from an accredited university.
  • A valid LCSW-C license in the state of Maryland.
  • A minimum of 2 years of clinical experience in social work or a related field.
  • Demonstrated expertise in psychotherapy techniques, particularly solution-focused approaches.
  • Strong communication skills that facilitate productive interactions with patients, families, and healthcare teams.
  • A collaborative mindset, thriving in a team-oriented healthcare environment.
Preferred Experience
  • Experience in palliative care or hospice settings, offering insights into the unique needs and challenges faced by patients and families.
  • Familiarity with electronic health record (EHR) systems for documentation and care coordination.
  • Innovation in therapeutic methods to enhance client engagement and therapeutic effectiveness.
Compensation and Benefits

The position offers a competitive salary ranging from USD 80,000 to 100,000 per year. Beyond monetary compensation, Gotham Enterprises Ltd provides a robust benefits package that includes comprehensive medical, dental, and vision insurance coverage, life and disability insurance, and professional liability coverage. Employees also have access to an Employee Assistance Program, ensuring support for mental health and well-being. Additionally, you will experience unlimited referral opportunities for a fulfilling caseload and streamlined administrative processes to maximize your focus on client interactions.

Career Growth Opportunities

At Gotham Enterprises Ltd, we believe in investing in our employees' professional development. As an LCSW-C, you will have opportunities to participate in training, workshops, and continuing education programs to enhance your skills. There is potential for advancement into leadership roles, clinical program development, or specialized areas of practice in the future.

Why Join Our Team

By joining Gotham Enterprises Ltd, you are becoming part of a mission-driven organization that values compassion, quality care, and collaboration. We pride ourselves on creating a supportive environment where social workers can thrive both personally and professionally. If you are ready to make a significant impact on the lives of patients and their families while working within a dedicated team, we invite you to apply and become part of our community-focused mission.

Application Information

If you are interested in this rewarding opportunity, please submit your resume and cover letter detailing your relevant experience and motivation for applying to Gotham Enterprises Ltd. We look forward to welcoming dedicated professionals who are passionate about making a difference in the mental health field.