Must have a coding credential (RHIA, RHIT, CPC, CCS, RN). * Minimum of 3 years of specialty and or surgical coding experience * Familiarity with data processing applications in a Windows environment ...
Must have a coding credential (RHIA, RHIT, CPC, CCS, RN). * Minimum of 3 years of specialty and or surgical coding experience * Familiarity with data processing applications in a Windows environment ...
Must have a coding credential (RHIA, RHIT, CPC, CCS, RN). * Minimum of 3 years of specialty and or surgical coding experience * Familiarity with data processing applications in a Windows environment ...
Must have a coding credential (RHIA, RHIT, CPC, CCS, RN). * Minimum of 3 years of specialty and or surgical coding experience * Familiarity with data processing applications in a Windows environment ...
Case Manager, Disability Services
Athens, GA · On-site +1
Ensures that all hospital discharges are reviewed by Inspiritus' Registered Nurse (RN) * Complies ... Must be skilled at working independently in a remote setting. * Must have the ability to ...
Case Manager, Disability Services
Athens, GA · On-site +1
Ensures that all hospital discharges are reviewed by Inspiritus' Registered Nurse (RN) * Complies ... Must be skilled at working independently in a remote setting. * Must have the ability to ...
Plan Case Manager
Athens, GA · Remote
... company's standards and RN scope of practice. • Comply with PruittHealth Premier ... utilization review/case management and at least two years case management, home care or hospice ...
Plan Case Manager
Athens, GA · Remote
... company's standards and RN scope of practice. • Comply with PruittHealth Premier ... utilization review/case management and at least two years case management, home care or hospice ...
Plan Case Manager
Athens, GA · Remote
... utilization review/case management and at least two years case management, home care or hospice ... Licensed Registered Nurse with current, unrestricted license in state of practice (Georgia ...
Plan Case Manager
Athens, GA · Remote
... utilization review/case management and at least two years case management, home care or hospice ... Licensed Registered Nurse with current, unrestricted license in state of practice (Georgia ...
NCLEX-PN Tutor
Johns Creek, GA · Remote
$18 - $40/hr
... RN scope questions, pharmacology calculations, and managing anxiety with the adaptive testing format. Adapts instruction using NCLEX-PN specific practice question banks, content review focused on ...
NCLEX-PN Tutor
Johns Creek, GA · Remote
$18 - $40/hr
... RN scope questions, pharmacology calculations, and managing anxiety with the adaptive testing format. Adapts instruction using NCLEX-PN specific practice question banks, content review focused on ...
NCLEX-PN Tutor
Alpharetta, GA · Remote
$18 - $40/hr
... RN scope questions, pharmacology calculations, and managing anxiety with the adaptive testing format. Adapts instruction using NCLEX-PN specific practice question banks, content review focused on ...
NCLEX-PN Tutor
Alpharetta, GA · Remote
$18 - $40/hr
... RN scope questions, pharmacology calculations, and managing anxiety with the adaptive testing format. Adapts instruction using NCLEX-PN specific practice question banks, content review focused on ...
NCLEX-PN Tutor
Lawrenceville, GA · Remote
$18 - $40/hr
... RN scope questions, pharmacology calculations, and managing anxiety with the adaptive testing format. Adapts instruction using NCLEX-PN specific practice question banks, content review focused on ...
NCLEX-PN Tutor
Lawrenceville, GA · Remote
$18 - $40/hr
... RN scope questions, pharmacology calculations, and managing anxiety with the adaptive testing format. Adapts instruction using NCLEX-PN specific practice question banks, content review focused on ...
NCLEX-PN Tutor
Athens, GA · Remote
$18 - $40/hr
... RN scope questions, pharmacology calculations, and managing anxiety with the adaptive testing format. Adapts instruction using NCLEX-PN specific practice question banks, content review focused on ...
NCLEX-PN Tutor
Athens, GA · Remote
$18 - $40/hr
... RN scope questions, pharmacology calculations, and managing anxiety with the adaptive testing format. Adapts instruction using NCLEX-PN specific practice question banks, content review focused on ...
NCLEX-PN Tutor
Duluth, GA · Remote
$18 - $40/hr
... RN scope questions, pharmacology calculations, and managing anxiety with the adaptive testing format. Adapts instruction using NCLEX-PN specific practice question banks, content review focused on ...
NCLEX-PN Tutor
Duluth, GA · Remote
$18 - $40/hr
... RN scope questions, pharmacology calculations, and managing anxiety with the adaptive testing format. Adapts instruction using NCLEX-PN specific practice question banks, content review focused on ...
Collaborating Psychiatrist / Supervising Physician (MD or DO) -- Remote | Telehealth | Part-Time | Ge
Athens, GA · Remote
$50K - $150K/yr
... nurse practitioners through secure telehealth workflows. Our innovative model combines the ... Conduct chart reviews and provide timely guidance on diagnoses, treatment plans, medication ...
Quick apply
Collaborating Psychiatrist / Supervising Physician (MD or DO) -- Remote | Telehealth | Part-Time | Ge
Athens, GA · Remote
$50K - $150K/yr
... nurse practitioners through secure telehealth workflows. Our innovative model combines the ... Conduct chart reviews and provide timely guidance on diagnoses, treatment plans, medication ...
Director of Digital Solutions
Lawrenceville, GA · On-site +1
Remote or any Colony Bank location with available space Position Overview: The Director of Digital ... Negotiate contracts, manage Service Level Agreements (SLAs), and conduct quarterly business reviews.
Director of Digital Solutions
Lawrenceville, GA · On-site +1
Remote or any Colony Bank location with available space Position Overview: The Director of Digital ... Negotiate contracts, manage Service Level Agreements (SLAs), and conduct quarterly business reviews.
Compassionate Licensed Clinical Social Worker for Hospice Care - Remote
Cumming, GA · Remote
$80K - $100K/yr
Collaborating closely with a multidisciplinary team, including physicians, nurses, and other mental ... Participating in ongoing training and case review meetings to enhance your therapeutic skills and ...
Compassionate Licensed Clinical Social Worker for Hospice Care - Remote
Cumming, GA · Remote
$80K - $100K/yr
Collaborating closely with a multidisciplinary team, including physicians, nurses, and other mental ... Participating in ongoing training and case review meetings to enhance your therapeutic skills and ...
Compassionate Licensed Clinical Social Worker for Hospice Care - Remote
Cumming, GA · Remote
$80K - $100K/yr
Collaborating closely with a multidisciplinary team, including physicians, nurses, and other mental ... Participating in ongoing training and case review meetings to enhance your therapeutic skills and ...
Compassionate Licensed Clinical Social Worker for Hospice Care - Remote
Cumming, GA · Remote
$80K - $100K/yr
Collaborating closely with a multidisciplinary team, including physicians, nurses, and other mental ... Participating in ongoing training and case review meetings to enhance your therapeutic skills and ...
Licensed Mental Health Therapist - Remote Opportunity with Innovative Medical Solutions
Athens, GA · On-site +1
This full-time remote role is an exciting opportunity for a licensed professional to support our ... registered nurses, and addiction specialists, to provide integrated and holistic treatment plans.
Licensed Mental Health Therapist - Remote Opportunity with Innovative Medical Solutions
Athens, GA · On-site +1
This full-time remote role is an exciting opportunity for a licensed professional to support our ... registered nurses, and addiction specialists, to provide integrated and holistic treatment plans.
Licensed Mental Health Therapist - Remote Opportunity with Innovative Medical Solutions
Athens, GA · On-site +1
This full-time remote role is an exciting opportunity for a licensed professional to support our ... registered nurses, and addiction specialists, to provide integrated and holistic treatment plans.
Licensed Mental Health Therapist - Remote Opportunity with Innovative Medical Solutions
Athens, GA · On-site +1
This full-time remote role is an exciting opportunity for a licensed professional to support our ... registered nurses, and addiction specialists, to provide integrated and holistic treatment plans.
Engage in multidisciplinary collaboration, working alongside psychiatrists, nurses, and other ... Participate in ongoing case consultations and peer review sessions aimed at enriching therapeutic ...
Engage in multidisciplinary collaboration, working alongside psychiatrists, nurses, and other ... Participate in ongoing case consultations and peer review sessions aimed at enriching therapeutic ...
Engage in multidisciplinary collaboration, working alongside psychiatrists, nurses, and other ... Participate in ongoing case consultations and peer review sessions aimed at enriching therapeutic ...
Engage in multidisciplinary collaboration, working alongside psychiatrists, nurses, and other ... Participate in ongoing case consultations and peer review sessions aimed at enriching therapeutic ...
Collaborate closely with a multidisciplinary team, including nurses, physicians, and chaplains, to ... Participate in case consultations and peer review meetings, continuously improving the quality of ...
Collaborate closely with a multidisciplinary team, including nurses, physicians, and chaplains, to ... Participate in case consultations and peer review meetings, continuously improving the quality of ...
... nurses, and wellness specialists, who are all dedicated to achieving positive outcomes for our ... Participate in case consultations and peer review meetings to enhance clinical skills and care ...
New
... nurses, and wellness specialists, who are all dedicated to achieving positive outcomes for our ... Participate in case consultations and peer review meetings to enhance clinical skills and care ...
New
Remote Utilization Review Rn information
See Gainesville, GA salary details
$19.95 - $23.98
2% of jobs
$23.98 - $28.02
9% of jobs
$30.78 is the 25th percentile. Wages below this are outliers.
$28.02 - $32.05
21% of jobs
The median wage is $35.32 / hr.
$32.05 - $36.09
23% of jobs
$36.09 - $40.12
13% of jobs
$43.26 is the 75th percentile. Wages above this are outliers.
$40.12 - $44.16
10% of jobs
$44.16 - $48.19
8% of jobs
$48.19 - $52.23
5% of jobs
$52.23 - $56.26
5% of jobs
$56.26 - $60.30
2% of jobs
$60.30 - $64.33
2% of jobs
$19
$39
$64
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 Gainesville, GA is $39.43, according to ZipRecruiter salary data. Most workers in this role earn between $31.15 and $45.29 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?
| Aspect | Remote Utilization Review Rn | Remote Case Manager Rn |
|---|---|---|
| Certifications | RN license, Utilization Review certification (e.g., URAC) | RN license, Case Management certification (e.g., CCM) |
| Work Environment | Reviewing medical records, insurance policies, telehealth platforms | Coordinating patient care, discharge planning, telehealth |
| Employer & Industry | Insurance companies, healthcare organizations | Hospitals, 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 Gainesville, GA?
For Remote Utilization Review Rn jobs in Gainesville, GA, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in Gainesville, GA look for?
The top searched job categories for Remote Utilization Review Rn jobs in Gainesville, GA are:
What cities near Gainesville, GA are hiring for Remote Utilization Review Rn jobs?
Cities near Gainesville, GA with the most Remote Utilization Review Rn job openings:
Senior Practice Coding Specialist (Remote-Resource)
Lawrenceville, GA • Remote
Full-time
Posted 14 days ago
Northside Hospital rating
7.3
Based on 450 frontline employees who took The Breakroom Quiz
305th of 898 rated healthcare providers
Job description
Overview
Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today.
ResponsibilitiesResponsible for coding procedures and entering charges to comply with federal/state regulations and internal policies. Coordinate with Practice Coordinator and Revenue Integrity to assure all necessary documentation is present to support selected procedure codes or to code cases as needed. Participates in audits to evaluate if all selected codes are accurate and develops methodologies to improved coding issues identified.
QualificationsREQUIRED:
- Must have a coding credential (RHIA, RHIT, CPC, CCS, RN).
- Minimum of 3 years of specialty and or surgical coding experience
- Familiarity with data processing applications in a Windows environment, especially in the healthcare accounts receivable area.
- Knowledge of medical terminology, billing procedures, medical insurance.
What Northside Hospital employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Northside Hospital
Sourced by ZipRecruiter
* 288-bed hospital, offering a full range of services including comprehensive and interventional stroke care, preventative and corrective cardiac care, full-service orthopedic and spine treatment, an ER 24/7®, and general surgery * As one of the first hospitals in the area to achieve Atrial Fibrillation Certification (SCPC), our technologically advanced hospital allows our highly skilled physicians, nursing and caregivers to serve our growing community * Northside Hospital was the first nationally recognized Comprehensive Stroke Center in Pinellas County and nationally recognized for quality and safety by earning an 'A' rating from the Leapfrog Group
Industry
Hospitals
Company size
10,000+ Employees
Headquarters location
Atlanta, GA, US