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Remote Utilization Review Rn Jobs in Mandeville, LA

NCLEX-RN Tutor

New Orleans, LA ยท Remote

$40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

RN

New Orleans, LA ยท Remote

$40 - $60/hr

MDs, PAs, and Nurses. Benefits ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...

Remote -- United States (Licensure required in at least 3 of: AL, GA, IL, IN, LA, MS, NC, OH, TN ... Collaborate with the broader care team -- including RNs, RDs, and Accountability Coaches -- to ...

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 ...

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 ...

Current, unencumbered NP/PA/RN license in Texas * Aesthetic Training Certification (or willingness ... Review monthly updates and company communications * Treat a minimum of 4 patients per month Ideal ...

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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 May 29, 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 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 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 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 Hospice Triage RN PT 3:30p-11p + rotating Sat & Sun 9:30a-4p CST

Remote Hospice Triage RN PT 3:30p-11p + rotating Sat & Sun 9:30a-4p CST

IntellaTriage

New Orleans, LA โ€ข Remote

$28/hr

Full-time, Part-time

Dental, Vision, Retirement, PTO

Posted 10 days ago


Job description

We are seeking a compassionate registered nurse (RN) to join our growing team! In this role, you will provide critical after-hours support, triaging hospice patients and family needs over the phone wit professionalism and empathy. You will help ensure timely interventions and coordination of care for patients receiving hospice services.

Built around a mission to improve the lives of nurses and patients, IntellaTriage has been providing after-hours nurse triage for hospice and home health providers since 2008. Utilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care. We are growing rapidly and excited to support our clientsโ€™ nursing staff in the field by leveraging our remote team of nurses to manage after-hours care delivery. Our triage nurses become an extension of our clientsโ€™ care team, and they trust us to support them and their patients during their non-core hours. Learn more at www.intellatriage.com.

Why Join Us

    • Base pay at $25 an hour with multiple opportunities to increase the hourly rate with a potential to earn up to $28 an hour within your first 6 months of hire
    • 3 weeks of paid remote training
    • Supportive clinical team
    • Work from home allows you to create a comfortable and personalized workspace
    • Shorter shifts that provide a better work-life balance and reduce potential for burnout
    • Working remotely gives you more time to spend with those you love!

What do our nurses say?

When asked what inspires her, 2024 IntellaTriage Nurse of the Year shared:

โ€œHelping people. Thatโ€™s it. And knowing this team has your backโ€”that makes all the difference. People say it takes a special kind of person to do hospice, and I think thatโ€™s true. Youโ€™re walking with people and their families through one of the most sacred times in life. Itโ€™s an honor to support them and guide them through that journey. Iโ€™m so grateful to have been chosen for this award.โ€

At IntellaTriage we recognize nurses who go above and beyond to make a meaningful impact on patientsโ€™ lives. This years' honoree exemplifies what it means to lead with compassion, skill, and dedication. Read more about being a nurse at IntellaTriage, and the reward: https://intellatriage.com/telehealth-solutions-media/2024-nurse-of-the-year/

Requirements

  • Active multistate Registered Nurse (RN) license
  • Hospice, palliative, or end-of-life care is strongly preferred
  • Must be comfortable with technology and electronic medical records (EMR) utilized for documentation of calls
  • Ability and comfort with typing documentation and notes in a fast-paced environment
  • Must be able to handle stress and multitask when receiving calls (minimum of 5 calls per hour on weekdays, and up to 8 per hour on weekends)
  • Strong communication and critical thinking skills
  • Ability to work independently in a remote environment
  • This is a remote position that requires consistent attendance, active communication, and reliable internet connectivity during all scheduled shifts to support timely patient care coordination

Key responsibilities

  • Provide telephone triage for hospice patients and families
  • Assess patient conditions and determine appropriate next steps
  • Collaborate with on-call teams to coordinate care and resources
  • Accurately document all communications and interventions
  • Maintain a calm and professional demeanor while handling urgent calls.

Benefits

All Remote Hospice Triage RNs, once trained to their originally assigned team are paid $25 per hour. There are multiple opportunities to increase the hourly rate with the potential to earn up to $28 an hour within your fist 6 months of hire. All nurses are eligible for a $2 shift differential for overnights and a $2 shift differential for weekends (Friday evening, Saturday & Sunday). All part-time and full-time nurses accumulate PTO, based on the number of hours worked (per year). All part-time and full-time nurses are eligible to participate in our 401(k) plan. Full-time nurses may also participate in medical, dental, vision, and/or supplemental insurances.