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Remote Utilization Review Rn Jobs in Mandeville, LA

myLaurel

Registered Nurse, Care Manager

New Orleans, LA · On-site +1

$44/hr

Registered Nurse, Care Manager - Remote Job Type: Full-Time Location: Fully Remote Reports To ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...

Guidehealth

RN Case Manager - Remote

Slidell, LA · On-site +1

$80K - $83K/yr

Active Compact RN License * Strong background in care management as well as complex and chronic ... Ability to work independently in a remote environment while staying connected to the team * Comfort ...

Guidehealth

RN Case Manager - Remote

Slidell, LA · Remote

Active Compact RN License * Strong background in care management as well as complex and chronic ... Ability to work independently in a remote environment while staying connected to the team * Comfort ...

Guidehealth

RN Case Manager - Remote

Slidell, LA · Remote

$80K - $83K/yr

Active Compact RN License * Strong background in care management as well as complex and chronic ... Ability to work independently in a remote environment while staying connected to the team * Comfort ...

Care Access

Registered Dietitian

New Orleans, LA · Remote

$30 - $45/hr

Attend remote, video assisted protocol visits, including reviewing applicable study logs ... Louisiana preferred Registered and/or Licensed Dietician required, from the Academy of Nutrition ...

BetterHelp

Medical Psychologist - Remote

New Orleans, LA · Remote

$650/wk

Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...

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All JobsUtilization Review Rn JobsRemote Utilization Review Rn JobsRemote Utilization Review Rn Jobs in Mandeville, LA

Remote Utilization Review Rn information

See Mandeville, LA salary details

$19

$38

$62

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

As of Jul 26, 2026, the average hourly pay for remote utilization review rn in Mandeville, LA is $38.06, according to ZipRecruiter salary data. Most workers in this role earn between $30.10 and $43.70 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 Mandeville, LA? For Remote Utilization Review Rn jobs in Mandeville, LA, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in Mandeville, LA look for? The top searched job categories for Remote Utilization Review Rn jobs in Mandeville, LA are:
What cities near Mandeville, LA are hiring for Remote Utilization Review Rn jobs? Cities near Mandeville, LA with the most Remote Utilization Review Rn job openings:
Remote Utilization Review Rn jobs near you
Infographic showing various Remote Utilization Review Rn job openings in Mandeville, LA as of July 2026, with employment types broken down into 73% Full Time, 10% Part Time, and 17% Contract. Highlights an 54% Physical, 2% Hybrid, and 44% Remote job distribution, with an average salary of $79,172 per year, or $38.1 per hour.

Registered Nurse, Care Manager

myLaurel

New Orleans, LA • On-site, Remote

$44/hr

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 10 days ago

Job description

Registered Nurse, Care Manager (Remote)
Position: Registered Nurse, Care Manager - Remote Job Type: Full-Time Location: Fully Remote Reports To: Clinical Nurse Manager
Are you an experienced, tech-savvy nurse looking to make a meaningful impact from the comfort of your home? We are expanding our virtual care team and hiring dedicated Registered Nurse Care Managers. In this mission-driven role, you will deliver exceptional, real-time clinical support to patients recovering at home following acute care visits. By leveraging your nursing expertise and our telehealth platform, you will help vulnerable populations navigate their recovery journey safely and comfortably.
If you are a compassionate communicator who thrives in an autonomous, fast-paced environment, we want you on our team.
Key Responsibilities
  • Deliver virtual, patient-centered care with empathy and clinical excellence.
  • Triage patient concerns using evidence-based protocols and sound clinical judgment.
  • Provide vital education, reassurance, and escalation support as necessary.
  • Coordinate laboratory follow-ups, referrals, and diagnostic services across the broader care team.
  • Document all patient interactions accurately within our EMR and communication platforms.
  • Collaborate closely with advanced practice providers and operational teams to ensure high-quality care.
  • Actively contribute to a team culture centered on respect, transparency, and accountability.

Requirements & Qualifications
  • Hold an active RN license in Compact State
  • Hold a Bachelor of Science in Nursing (BSN)
  • Have a minimum of 3 years of post-licensure clinical experience as a Registered Nurse.
  • Demonstrate hospital-based nursing experience, with Emergency Department experience being strongly preferred.
  • Exhibit strong EMR proficiency and a tech-forward mindset for navigating clinical platforms and chat tools.
  • Maintain a HIPAA-compliant remote workspace equipped with reliable high-speed internet, a quality webcam, and a microphone.
  • Be available to work weekends, holidays, with 5, 8 hour shifts.
    • 3 PM to 11 PM EST.
    • Open availability is ideal
  • Be eligible to work in the U.S. without employer sponsorship.

Why Work With Us?
  • Join a collaborative, high-performing team transforming healthcare delivery for vulnerable populations.
  • Enjoy a fully remote role featuring flexible shift options.
  • Embrace the opportunity to help shape the future of acute care delivery.

Benefits
  • Medical (Choice of Six Plans)
  • Dental
  • Vision
  • Flexible Spending Account
  • Health Savings Account
  • Company Paid Life Insurance
  • Commuter Benefits
  • Continuing Education Reimbursement
  • 401k
  • Discretionary Time Off (After 90 Days)
  • State Specific Sick Time
  • Various Supplemental Benefits are also available

$44 - $44 an hour
How to Apply
If you are ready to use your clinical expertise to transform acute care delivery from the comfort of your home, we would love to hear from you!
Please click the "Apply Now" button to submit your resume and a brief cover letter highlighting your experience in the Emergency Department or urgent care settings.
Equal Opportunity Employer
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
Accommodation for Applicants: If you require a reasonable accommodation to complete the application or interview process, please let us know when submitting your application.
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

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