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Remote Utilization Review Rn Jobs in Laurel, MS (NOW HIRING)

Remote Utilization Review Rn information

See Laurel, MS salary details

$18

$36

$59

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

As of Jul 17, 2026, the average hourly pay for remote utilization review rn in Laurel, MS is $36.51, according to ZipRecruiter salary data. Most workers in this role earn between $28.85 and $41.92 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?

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 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 Laurel, MS? For Remote Utilization Review Rn jobs in Laurel, MS, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in Laurel, MS look for? The top searched job categories for Remote Utilization Review Rn jobs in Laurel, MS are:
What cities near Laurel, MS are hiring for Remote Utilization Review Rn jobs? Cities near Laurel, MS with the most Remote Utilization Review Rn job openings:
Infographic showing various Remote Utilization Review Rn job openings in Laurel, MS as of July 2026, with employment types broken down into 83% Full Time, and 17% Contract. Highlights an 100% In-person job distribution, with an average salary of $75,946 per year, or $36.5 per hour.
Clinical Support Representative - Hattiesburg, MS

Clinical Support Representative - Hattiesburg, MS

ZOLL Medical Corporation

Hattiesburg, MS • On-site, Remote

$16.25 - $21.50/hr

Full-time

PTO

Re-posted 2 days ago


Job description

CMS
At ZOLL, we're passionate about improving patient outcomes and helping save lives. We provide innovative technologies that make a meaningful difference in people's lives. Our medical devices, software and related services are used worldwide to diagnose and treat patients suffering from serious cardiopulmonary and respiratory conditions.
ZOLL Cardiac Management Solutions offers a unique portfolio of novel technologies designed to deliver better insights and better outcomes. On any given day, clinicians utilize these ZOLL products for tens of thousands of cardiac patients around the world:
  • LifeVest, the world's first wearable defibrillator, has been trusted to protect more than 1M patients at risk of sudden cardiac death.
  • HFMS (Heart Failure Management system) is a non-invasive, patch-based device that monitors pulmonary fluid levels and has been shown to reduce heart failure readmissions rates by 38 percent.
  • TherOx Super Saturated Oxygen (SSO2) Therapy is the first FDA-approved therapy since the stent 20+ years ago to reduce infarct size in patients with the most severe heart attacks.

Heart disease is the leading cause of death for both men and women in the U.S. At ZOLL, your work will help to ensure cardiac patients get the life-saving therapy they need.
ZOLL has been Pittsburgh's Manufacturer of the Year, one of Western PA's Healthiest Employers, and even one of Pittsburgh's Coolest Offices. But it's our unique opportunity to impact people's lives that makes ZOLL the ideal place to build your career.
Job Summary
Field based clinical representative responsible for customer and administrative support, education and streamlining of order processing, working collaboratively with Territory Manager(s) to support goals to drive higher market penetration, act as the revenue specialist through exception management and local payor knowledge within territory and follow the direction of Regional Management.
Essential Functions
  • Responsible for Medical Order Process education and streamlining:
  • Educate ZOLL Customers and staff on Medical Order requirements including MORe Team partnership
  • Identify EMR/HL7 order opportunities in accounts and key stake holders
  • Work with TM to develop EMR/HL7 champions
  • Partner with HSD for MO process automation
  • Prioritize competing objectives (patient's plan of care, any potential transition of care, reorder documentation and possible end of use) based on independent clinical acumen and knowledge of ZOLL's medical devices to determine the best path forward for patient's care and advise providers or their staff accordingly.
  • Responsible for Revenue Recognition in a defined territory:
  • Exception management to drive down DTC and Aging Exceptions for defined territory
  • Local Payor Landscape expert to increase paying authorization percentages
  • Reduce zero rev by managing TOC and PEI in defined territory
  • ZPM expert and contact for key staff and prescribers:
  • Identify key contacts in hospital and office to provide ZPM education
  • Drive ZPM clinical value and utilization
  • Partner with TM on ZPM data review for quarterly account business reviews
  • Manage ancillary ZPM/Customer service needs for HFMS/HST
  • Be a regional and area resource for ZPM training
  • Support Duties and Responsibilities:
  • Be a constant and consistent Clinical Support Representative of ZOLL with customers in a defined territory
  • Partner with TM on daily processing and servicing of Medical Orders to allow TM to focus on selling opportunities
  • Provide support and educational activities in a defined territory when the TM is on PTO or the territory is vacant
  • Build the ZOLL Brand in Accounts:
  • Lead local tradeshows and account educational opportunities
  • Provide ZOLL Product presentations and resources for account staff on-boarding programs
  • Work closely with the marketing department to facilitate local save awareness through social and local media outlets specific to the assigned territory
  • TOZA contact
  • Hospital Account focus of Key staff relationships: Own and develop key Director Level staff relationships to include Case Management, Quality, Cath Lab, Risk.

Required/Preferred Education and Experience
  • Associate's Degree required.
  • Minimum 3 years hospital/HF/nursing experience required.
  • Clinical experience providing proficiency navigating hospital flow, document collection, along with competent and confident provider and patient interaction required.

Knowledge, Skills and Abilities
  • Cardiology clinical acumen preferred.
  • Ability to influence clinical decision-making process through presentation and discussion of clinical data.
  • Ability to proactively plan and work independently and autonomously in close collaboration and communication with others.
  • A high sense of urgency and flexibility.
  • Superior organizational skills with the ability to multi-task.
  • Problem solving mentality, while being accountable for each task from beginning to end.
  • Proficient working knowledge of MS Office (including Power BI, Excel, Word, Outlook) & Customer Relationship Management systems (Salesforce.com, Dynamics) is preferred.
  • Effective team player who is also capable of working independently with strong self-motivation.

Travel Requirements
  • This job is a field-based position in the Sales group. Employee will be responsible for working daily in hospitals, doctors' offices and other medical establishments within the assigned territory. Approximately 80% travel within a defined geography. Occasionally, atypical hours (evenings and weekends) based on business needs may be required.

Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
  • Standing - Occasionally
  • Walking - Occasionally
  • Sitting - Constantly
  • Talking - Occasionally
  • Hearing - Occasionally
  • Repetitive Motions - Frequently

ZOLL is a fast-growing company that operates in more than 140 countries around the world. Our employees are inspired by a commitment to make a difference in patients' lives, and our culture values innovation, self-motivation and an entrepreneurial spirit. Join us in our efforts to improve outcomes for underserved patients suffering from critical cardiopulmonary conditions and help save more lives.
The annual salary for this position is:
$85,000.00 to $105,000.00
Factors which may affect starting salary include geography, skills, education, experience, and other qualifications of the successful candidate. Details of ZOLL's comprehensive benefits plans can be found at www.zollbenefits.com.
Applications will be accepted on an ongoing basis until this position is filled. For fully remote positions, compensation will comply with all applicable federal, state, and local wage laws, including minimum wage requirements, based on the employee's primary work location.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, disability, or status as a protected veteran.
ADA: The employer will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990.