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Remote Utilization Review Rn Jobs in Madison, MS

This position is remote based and will be responsible for leading a team and customers within our ... Identify and justify the utilization of independent sales representatives within the region ...

Fully remote within the United States About Visana Health Visana Health is an innovative virtual ... Reviewing test results and ensuring proper patient notification in compliance with practice ...

1099 Telehealth Gynecologist

Jackson, MS · On-site +1

$120 - $150/hr

Fully remote within the United States About Visana Health Visana Health is an innovative virtual ... Reviewing test results and ensuring proper patient notification in compliance with practice ...

Remote Utilization Review Rn information

See Madison, MS salary details

$17

$34

$56

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 Madison, MS is $34.40, according to ZipRecruiter salary data. Most workers in this role earn between $27.16 and $39.52 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 Madison, MS? For Remote Utilization Review Rn jobs in Madison, MS, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in Madison, MS look for? The top searched job categories for Remote Utilization Review Rn jobs in Madison, MS are:
What cities near Madison, MS are hiring for Remote Utilization Review Rn jobs? Cities near Madison, MS with the most Remote Utilization Review Rn job openings:
Infographic showing various Remote Utilization Review Rn job openings in Madison, MS as of July 2026, with employment types broken down into 81% Full Time, 16% Part Time, 1% Temporary, and 2% Contract. Highlights an 39% Physical, 2% Hybrid, and 59% Remote job distribution, with an average salary of $71,554 per year, or $34.4 per hour.
Regional Director of Clinical Education

Regional Director of Clinical Education

Gentiva Hospice

Jackson, MS • On-site, Remote

$78K - $106K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 6 days ago


Gentiva Health Services rating

7.2

Company rating: 7.2 out of 10

Based on 107 frontline employees who took The Breakroom Quiz

28th of 236 rated social care providers


Job description

Overview:

The Regional Director of Clinical Education provides support and education on compliance, organizational policies and procedures and federal and state regulatory requirements to assigned branches. This position will also lead branches through quality initiatives and quality assurance activities.

Essential Functions:
  • Assist with education and monitor adherence with internal and external survey plans of correction.
  • Coordinate with the appropriate area, regional and corporate staff, including Medical Directors/Hospice Physicians, Clinical Managers, Executive Directors, Area Vice Presidents of Operations and Administrators on a regular basis.
  • Lead initiatives to drive clinical excellence by conducting education on key performance topics.
  • First responder to external complaint surveys. Assist with the proper handling and resolution of any complaints from patients, families, and the public.
  • Participate in the organization quality assessment and performance improvement program activities.
  • Perform other duties as assigned.
About You:

Specialized Knowledge/Skills:

  • Familiarity with state and federal guidelines and regulations.
  • Ability to work with confidential information.
  • Well organized and confident to work independently, but is a team player.
  • Ability to communicate clearly to remote field, mid-level, and executive staff.
  • Exercise professional judgement and demonstrate good problem-resolution skills.
  • Very comfortable working with multiple online and computer applications.
  • Ability to balance multiple tasks and manage conflicting priorities.
  • Strong follow-up skills.

Education/Experience:

  • RN degree required; bachelor’s degree in nursing preferred.
  • Two years previous managerial experience, of which 3 years is in Hospice/Home Health service industry, is preferred.
  • Familiarity with state and federal guidelines and regulations.

License/Certification:

  • Valid driver’s license and automobile liability insurance coverage
  • Unencumbered and active RN license in state of residence required if RN

Training/Equipment:

  • Intermediate Excel skills
  • Basic PowerPoint skills
  • Experience reviewing data in electronic systems
  • Experience with HomeCare-HomeBase preferred
We Offer:

Benefits for All Associates (Full-Time & Per Diem):

  • Competitive Pay
  • 401(k) with Company Match
  • Career Advancement Opportunities
  • National & Local Recognition Programs
  • Teammate Assistance Fund

Additional Full-Time Benefits:

  • Medical, Dental, Vision Insurance
  • Generous Paid Time Off + 7 Paid Holidays
  • Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care)
  • Education Support & Tuition Assistance
  • Company-paid Life & Long-Term Disability Insurance
  • Voluntary Benefits (Pet, Critical Illness, Accident, LTC)
Legalese:
  • This is a safety-sensitive position
  • Employee must meet minimum requirements to be eligible for benefits
  • Where applicable, employee must meet state specific requirements
  • We are proud to be an EEO employer
  • We maintain a drug-free workplace
Location: Gentiva Hospice Our Company:

At Gentiva, it is our privilege to offer compassionate care in the comfort of wherever our patients call home. We are a national leader in hospice care, palliative care, home health care, and advanced illness management, with nearly 600 locations and thousands of dedicated clinicians across 38 states.

Our place is by the side of those who need us – from helping people recover from illness, injury, or surgery in the comfort of their homes to guiding patients and their families through the physical, emotional, and spiritual effects of a serious illness or terminal diagnosis.

Our nationwide reach is powered by a family of trusted brands that include:

  • Hospice care: Gentiva Hospice, Emerald Coast Hospice Care, Heartland Hospice, Hospice Plus, New Century Hospice, Regency SouthernCare, SouthernCare Hospice Services, SouthernCare New Beacon
  • Palliative care: Empatia Palliative Care, Emerald Coast Palliative Care
  • Home health care: Heartland Home Health
  • Advanced illness management: Illumia Health

With corporate headquarters in Atlanta, Georgia, and providers delivering care across the U.S., we are proud to offer rewarding careers in a collaborative environment where inspiring achievements are recognized – and kindness is celebrated.


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