The role requires 5+ years of CDI or acute care coding experience, RHIA/RHIT with CCS or RN license, and strong editing and training coordination skills. Remote work with occasional travel may be ...
The role requires 5+ years of CDI or acute care coding experience, RHIA/RHIT with CCS or RN license, and strong editing and training coordination skills. Remote work with occasional travel may be ...
Chronic Care Manager (Remote - Compact States)
Iowa, LA · Remote
$10/hr
Remote Join our mission to help transform healthcare delivery from reactive, episodic care to ... Current COMPACT license to practice as an RN/ LVN/LPN held in current state of residence with no ...
Chronic Care Manager (Remote - Compact States)
Iowa, LA · Remote
$10/hr
Remote Join our mission to help transform healthcare delivery from reactive, episodic care to ... Current COMPACT license to practice as an RN/ LVN/LPN held in current state of residence with no ...
Coordinator, Medical Affairs
Iowa, LA · On-site +1
Associate's degree in Nursing with an active RN license. * Required Work Experience : 5 years ... Sound clinical review judgement. Independent thinking and strong organizational skills. * Required ...
Coordinator, Medical Affairs
Iowa, LA · On-site +1
Associate's degree in Nursing with an active RN license. * Required Work Experience : 5 years ... Sound clinical review judgement. Independent thinking and strong organizational skills. * Required ...
Lead operational governance activities across assigned Clubs, including creative review oversight ... Track and monitor Club marketing funding utilization to ensure compliance with Producer Agreements
Lead operational governance activities across assigned Clubs, including creative review oversight ... Track and monitor Club marketing funding utilization to ensure compliance with Producer Agreements
... reviews and documentation, and requirements elicitation, allowing the project team to gain a ... utilization of assigned resources. * Be a leader in providing subject matter expertise to R&D and ...
... reviews and documentation, and requirements elicitation, allowing the project team to gain a ... utilization of assigned resources. * Be a leader in providing subject matter expertise to R&D and ...
... reviews and documentation, and requirements elicitation, allowing the project team to gain a ... utilization of assigned resources. * Be a leader in providing subject matter expertise to R&D and ...
... reviews and documentation, and requirements elicitation, allowing the project team to gain a ... utilization of assigned resources. * Be a leader in providing subject matter expertise to R&D and ...
... reviews and documentation, and requirements elicitation, allowing the project team to gain a ... utilization of assigned resources. * Be a leader in providing subject matter expertise to R&D and ...
... reviews and documentation, and requirements elicitation, allowing the project team to gain a ... utilization of assigned resources. * Be a leader in providing subject matter expertise to R&D and ...
Nurse Practitioner (Per Diem)
Lake Charles, LA · Remote
$2.4K - $10K/mo
Complete comprehensive, accurate and thorough review of the assigned member population, including ... Ability to practice autonomously in a remote clinical environment, including independently ...
Nurse Practitioner (Per Diem)
Lake Charles, LA · Remote
$2.4K - $10K/mo
Complete comprehensive, accurate and thorough review of the assigned member population, including ... Ability to practice autonomously in a remote clinical environment, including independently ...
Remote Utilization Review Rn information
See Lake Charles, LA salary details
$19.63 - $23.60
2% of jobs
$23.60 - $27.57
9% of jobs
$30.28 is the 25th percentile. Wages below this are outliers.
$27.57 - $31.54
21% of jobs
The median wage is $34.75 / hr.
$31.54 - $35.51
23% of jobs
$35.51 - $39.48
13% of jobs
$42.57 is the 75th percentile. Wages above this are outliers.
$39.48 - $43.45
10% of jobs
$43.45 - $47.42
8% of jobs
$47.42 - $51.39
5% of jobs
$51.39 - $55.36
5% of jobs
$55.36 - $59.33
2% of jobs
$59.33 - $63.30
2% of jobs
$19
$38
$63
How much do remote utilization review rn jobs pay per hour?
As of Jul 27, 2026, the average hourly pay for remote utilization review rn in Lake Charles, LA is $38.79, according to ZipRecruiter salary data. Most workers in this role earn between $30.67 and $44.57 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?
| 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 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 Lake Charles, LA? For Remote Utilization Review Rn jobs in Lake Charles, LA, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in Lake Charles, LA look for? The top searched job categories for Remote Utilization Review Rn jobs in Lake Charles, LA are:
What cities near Lake Charles, LA are hiring for Remote Utilization Review Rn jobs? Cities near Lake Charles, LA with the most Remote Utilization Review Rn job openings:
Full-time
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Job description
Solventum is seeking an Inpatient Content Management Consultant (CDI) to lead and enhance clinical documentation integrity training and resources. You will develop training materials, coordinate monthly education sessions, and collaborate with coding and clinical teams as well as customers. The role requires 5+ years of CDI or acute care coding experience, RHIA/RHIT with CCS or RN license, and strong editing and training coordination skills. Remote work with occasional travel may be involved. #J-18808-Ljbffr