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Remote Utilization Review Rn Jobs in Lancaster, PA

Behavior Analyst

York, PA · On-site +1

$57/hr

... development and review of preference assessments, reinforcement strategies, and other ... registered nurse practitioner • Licensed in the Commonwealth of Pennsylvania with scope of ...

Account Coordinator

Lititz, PA · On-site +1

$55K - $60K/yr

The ideal candidate will possess qualities in alignment with CNA's Core Values: -Lead with ... Remote Work Qualifications * Access to a reliable and secure high-speed internet connection. Cable ...

Remote Utilization Review Rn information

See Lancaster, PA salary details

$20

$41

$67

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

As of Sep 6, 2026, the average hourly pay for remote utilization review rn in Lancaster, PA is $41.09, according to ZipRecruiter salary data. Most workers in this role earn between $32.45 and $47.21 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 Lancaster, PA?

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

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

The top searched job categories for Remote Utilization Review Rn jobs in Lancaster, PA are:

What cities near Lancaster, PA are hiring for Remote Utilization Review Rn jobs?

Cities near Lancaster, PA with the most Remote Utilization Review Rn job openings:

Infographic showing various Remote Utilization Review Rn job openings in Lancaster, PA as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 16% Part Time, 1% Temporary, and 3% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $85,470 per year, or $41.1 per hour.

Remote Licensed Clinical Social Worker (LCSW) for Hospice Care

Sutter Health Counseling, LLC

Manheim, PA • Remote

Full-time

Medical, PTO

Posted 18 days ago


Job description

Position Overview

As a Licensed Clinical Social Worker (LCSW) at Sutter Health Counseling, LLC, your primary responsibility is to provide critical clinical social work services by conducting thorough evaluations, providing counseling, and managing cases for patients receiving hospice care. This full-time, remote position not only requires keen clinical insights but also emphasizes collaboration with psychiatrists and various healthcare professionals to ensure comprehensive patient support. The competitive salary range for this role is USD 120,000 to 130,000 annually.

About the Organization

Sutter Health Counseling, LLC is dedicated to providing empathetic and comprehensive mental health support, particularly focused on our clients in hospice care. Our organization values the dignity of individuals and their families, striving to make end-of-life experiences as dignified and supportive as possible. As part of a respected healthcare system with a strong community presence, we believe in teamwork and excellent service to positively impact our clients' emotional well-being.

Work Environment

This position offers the flexibility of remote work, allowing you to effectively manage a caseload from the comfort of your own home while maintaining a healthy work-life balance. The work setting primarily involves collaboration through virtual communication, and you will engage with both patients and colleagues via secure online platforms. The Hospice Center is focused on creating a supportive environment for both clients and staff, reinforcing the mission to deliver compassionate care to those in need.

Key Responsibilities
  • Conduct clinical evaluations to understand the psychosocial needs of patients and develop tailored counseling strategies.
  • Collaborate with psychiatrists to monitor medication side effects and adjust treatment plans accordingly for optimal patient outcomes.
  • Manage a diverse caseload, ensuring effective documentation as per company policies, including biopsychosocial assessments and treatment planning.
  • Engage in crisis intervention when necessary, providing timely support to patients and families in challenging situations.
  • Develop and implement comprehensive aftercare plans for clients upon discharge, aimed at facilitating a smooth transition and continued support post-hospice.
  • Participate in treatment team meetings, engaging in utilization reviews and contributing to case management discussions.
  • Advocate for patients by researching and connecting them to necessary community resources, enhancing their quality of life.
Patient Population / Client Focus

This role centers on serving patients engaged in hospice care, which requires sensitivity, empathy, and specialized knowledge of end-of-life processes. You will interact with patients facing terminal illnesses, offering emotional and psychological support to them and their families. Your ability to perform thorough psychosocial assessments, address complex needs, and provide tailored interventions will be crucial for ensuring a supportive environment during an extremely challenging time.

Qualifications
  • A Master’s Degree in Social Work from an accredited graduate program is a prerequisite for this role.
  • Must possess an active and unrestricted California Clinical Social Worker License (LCSW).
  • At least 2 years of direct experience in a behavioral health setting, particularly in case management or a related social services role.
  • Demonstrated ability to conduct psychosocial history taking and utilize effective interview techniques.
  • Excellent conflict management and resolution skills to handle sensitive discussions and situations.
Preferred Experience
  • Experience with hospice or palliative care settings is highly desirable.
  • Familiarity with electronic health record systems and telehealth platforms.
  • Previous work involving cross-disciplinary collaboration with healthcare providers and mental health professionals.
Compensation and Benefits
  • Competitive annual salary ranging from USD 120,000 to 130,000.
  • Flexible work scheduling to promote work-life balance.
  • Comprehensive health insurance offerings for you and your dependents.
  • Generous paid time off policy to recharge and focus on your well-being.
  • An employee referral program that rewards you for bringing talented individuals to our team.
Career Growth Opportunities

Sutter Health Counseling, LLC is committed to your professional development. We provide access to ongoing training and continuing education programs to enhance your skills and knowledge. You will have opportunities to collaborate with experienced professionals, engage in mentorship, and explore pathways to advance within the organization.

Why Join Our Team

Joining Sutter Health Counseling, LLC means being part of a passionate team dedicated to making a difference in the lives of individuals facing critical health challenges. As a remote Licensed Clinical Social Worker, you will have the opportunity to impact patients' well-being dramatically while benefiting from a supportive and flexible work environment that fosters personal satisfaction and professional growth.

Application Information

If you are a compassionate and skilled Licensed Clinical Social Worker who is ready to make a meaningful difference in hospice care, we encourage you to apply. Join our team and be a part of delivering valuable support to our clients and their families during an essential time in their lives. Please submit your application, including your resume and cover letter, highlighting your relevant experience and interest in this position.