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Remote Utilization Review Rn Jobs in Lafayette, LA

micro1 AI

Clinical Pharmacy Technicians

Lafayette, LA · Remote

$70 - $80/hr

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...

micro1 AI

Pharmacovigilance Expert

Lafayette, LA · Remote

$70 - $80/hr

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...

SCP Health

Medical Staff Liaison

Lafayette, LA · On-site +1

Initiate and coordinate Risk Review Process. * Recommend action regardingclinical ... Previous experience with Medical and Nursing Boards, a plus. * Proficiency in MS Office (Word ...

All JobsUtilization Review Rn JobsRemote Utilization Review Rn JobsRemote Utilization Review Rn Jobs in Lafayette, LA

Remote Utilization Review Rn information

See Lafayette, LA salary details

$20

$40

$65

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

As of Aug 27, 2026, the average hourly pay for remote utilization review rn in Lafayette, LA is $40.38, according to ZipRecruiter salary data. Most workers in this role earn between $31.92 and $46.39 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 Lafayette, LA?

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

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

The top searched job categories for Remote Utilization Review Rn jobs in Lafayette, LA are:

What cities near Lafayette, LA are hiring for Remote Utilization Review Rn jobs?

Cities near Lafayette, LA 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 Lafayette, LA as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 17% Part Time, 2% Contract, and 1% Nights. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $83,989 per year, or $40.4 per hour.

Clinical Care Manager, RN - Home Health

VitalCaring Group

Lafayette, LA • Remote

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

Clinical Care Manager (RN) – Home Health

VitalCaring - Where Your Leadership Drives Patient Outcomes

At VitalCaring, we don't just deliver care - we create meaningful connections that change lives. As a Clinical Care Manager (RN), you are at the center of that impact - leading coordination of care, guiding clinical decisions, and ensuring every patient receives the quality and attention they deserve.

This is a role for a strong clinician who thrives in ownership, collaboration, and a fast-paced environment - someone who can connect the dots across patients, providers, and teams to deliver exceptional outcomes.

If you have a passion for home health and want to lead care that truly makes a difference, this is where you belong.

Why Join VitalCaring?

  • Lead the patient journey – Serve as the clinical quarterback, ensuring care is coordinated, compliant, and aligned to patient needs
  • Autonomy with support – Manage your day independently with strong leadership and clear processes behind you
  • Meaningful impact – Your decisions directly influence patient outcomes, experience, and quality of care
  • Work-life balance that's real – Full-time salaried role with flexibility and generous PTO
  • Growth-focused culture – Be part of a team that invests in your development and success

What You'll Do

Lead and coordinate care across the full patient journey:

  • Coordinate and integrate patient care across clinicians, caregivers, and providers
  • Manage physician orders, documentation, and workflows within the EMR
  • Partner with Intake to support timely admissions and reduce referral delays
  • Conduct ongoing patient assessments and ensure plan-of-care alignment
  • Review clinical reports (occurrences, infection control, on-call) and take appropriate action
  • Lead case conferences, recertifications, and discharge planning
  • Ensure compliance with clinical, state, and federal regulations
  • Serve as a key liaison between physicians, patients, families, and internal teams
  • Support care delivery through in-home visits as needed

What We're Looking For

We're seeking RNs who understand the pace, accountability, and impact of home health care:

  • Active RN license in state of practice
  • Graduate of an accredited nursing program (BSN preferred)
  • Home Health experience strongly preferred
  • Experience in care coordination, case management, or clinical leadership preferred
  • Strong clinical judgment and ability to manage multiple priorities
  • Confident communicator with the ability to collaborate across disciplines
  • Comfortable working independently in a fast-paced, field-based environment

What Sets You Apart

  • Proven ability to manage complex patient cases and coordinate across teams
  • Confidence making clinical decisions and driving outcomes
  • Strong organizational skills with attention to detail in documentation and compliance
  • Ability to proactively identify issues and take action
  • A natural balance of accountability, leadership, and compassion

Benefits

Health & Wellness

Medical, Dental, and Vision coverage

Pharmacy benefits

Virtual care and mental health support

Flexible Spending Accounts (FSA) and Health Savings Account (HSA)

Supplemental health and life insurance

Financial & Protection

401(k) with company match

Employee referral program

Prepaid legal services

Identity theft protection

Work-Life Balance & Perks

Generous paid time off

Pet insurance

Tuition and continuing education reimbursement

At VitalCaring, our values - trustworthy, capable, compassionate, proactive, and called - guide how we care for our patients and support each other every day.

Apply today and lead care that truly matters.

All employment decisions are made without regard to race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, or any other protected characteristic. Candidates are evaluated based on job-related qualifications, skills, and business needs.