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Remote Utilization Review Rn Jobs in Macon, GA (NOW HIRING)

The Arc Macon, Inc.

LPN - On Site ONLY

Macon, GA · Remote

$26.97/hr

Work under the supervision of a registered nurse * Report to the registered nurse * Specific ... Review the ISP * Attend ISP Meetings, if applicable * Wound Care * Medication Documentation

Gentell

Certified Wound Care Clinician/Nurse

Macon, GA · On-site +1

... utilization of wound care products - Understanding Medicare documentation and reimbursement ... (RN, LPN, PT, OTR-L, DPM or similar) preferred but could be certified in the first year of hire ...

DataAnnotation

Registered Nurse - AI Trainer

Macon, GA · Remote

$50 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

DataAnnotation

RN - AI Trainer

Macon, GA · Remote

$50 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

All JobsUtilization Review Rn JobsRemote Utilization Review Rn JobsRemote Utilization Review Rn Jobs in Macon, GA

Remote Utilization Review Rn information

See Macon, GA salary details

$20

$40

$66

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

As of Jul 7, 2026, the average hourly pay for remote utilization review rn in Macon, GA is $40.47, according to ZipRecruiter salary data. Most workers in this role earn between $31.97 and $46.49 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.
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Remote Utilization Review Rn jobs near you
Remote Virtual Nurse Practitioner

Remote Virtual Nurse Practitioner

Remote Care Partners

Forsyth, GA • On-site, Remote

$95K - $115K/yr

Full-time, Part-time

Posted 22 days ago

Job description

Nurse Practitioner
Remote Care Partners
Remote Care Partners is seeking a compassionate, experienced, and self-motivated Nurse Practitioner (APRN) to join our growing virtual care team. This is a fully remote position offering flexibility to provide high-quality patient care from anywhere while making a meaningful impact on patient outcomes through innovative healthcare technology.
The ideal candidate is passionate about preventive care, chronic disease management, weight management, and patient engagement. This role combines clinical care delivery with ongoing oversight of patients enrolled in Remote Patient Monitoring (RPM), Chronic Care Management (CCM), and weight management programs.
What You'll Do: Responsibilities include, but are not limited to:
  • Conduct virtual primary care visits for adult patients
  • Perform Remote Patient Monitoring (RPM) and Chronic Care Management (CCM) visits
  • Conduct weight management consultations and follow-up appointments
  • Conduct primary care appointments for acute illnesses, refills, etc.
  • Provide ongoing clinical oversight and management of RPM, CCM, and weight management patient populations
  • Collaborate with nurses, care coordinators, specialists, pharmacists, and other healthcare professionals to optimize patient outcomes
  • Educate patients on disease prevention, lifestyle modification, medication adherence, and self-management strategies
  • Ensure compliance with Medicare, payer, state, and organizational guidelines
  • Participate in quality improvement initiatives and population health management efforts

Requirements:
  • Active, unrestricted APRN license in good standing in Florida, Mississippi, Georgia, and/or Alabama is required.
  • Additional licensure in Tennessee, South Carolina, and/or Virginia preferred.
  • Minimum of 3 years of Nurse Practitioner experience
  • Experience in primary care, chronic disease management, obesity medicine, telehealth, or population health preferred
  • Comfortable delivering care through telehealth platforms and documenting within EHR systems
  • Strong clinical assessment, communication, and organizational skills
  • Ability to work independently while collaborating effectively with a multidisciplinary team
  • Proficiency with technology and remote patient monitoring tools

Benefits & Perks:
  • Full-time, salaried position; part-time possibility
  • 100% remote work environment
  • Regular practice hours maintained
  • Comprehensive benefits package available
  • Company-provided software and hardware
  • Malpractice insurance provided
  • Ongoing training and professional development opportunities
  • Collaborative and supportive care team
  • Opportunity to help shape the future of virtual healthcare
  • Additional state licenses are encouraged, and licensure costs will be reimbursed after licensure is obtained.

Who We Are: Remote Care Partners (RCP)
At Remote Care Partners, we're redefining healthcare through innovative virtual care solutions. Our cloud-based platform delivers Remote Patient Monitoring (RPM), Chronic Care Management (CCM), patient engagement, population health services, telemedicine, and preventive care programs designed to keep patients healthier between office visits.
We empower healthcare professionals to provide exceptional patient-centered care through technology-driven solutions that improve outcomes, increase engagement, and enhance quality of life.
Join Our Team & Change Lives!
If you're a dedicated Nurse Practitioner who thrives in a technology-enabled, patient-first environment and is passionate about improving healthcare accessibility, we'd love to hear from you.
Apply today and become a vital part of our innovative and growing virtual care team.

Apply