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Remote Utilization Review Rn Jobs in Myrtle Beach, SC

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Remote Utilization Review Rn information

See Myrtle Beach, SC salary details

$19

$38

$62

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

As of Aug 24, 2026, the average hourly pay for remote utilization review rn in Myrtle Beach, SC is $38.05, according to ZipRecruiter salary data. Most workers in this role earn between $30.05 and $43.70 per hour, depending on experience, location, and employer.

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 are the key skills and qualifications needed to thrive as a remote utilization review RN?

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 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 Myrtle Beach, SC?

For Remote Utilization Review Rn jobs in Myrtle Beach, SC, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Review Rn jobs in Myrtle Beach, SC look for?

The top searched job categories for Remote Utilization Review Rn jobs in Myrtle Beach, SC are:

What cities near Myrtle Beach, SC are hiring for Remote Utilization Review Rn jobs?

Cities near Myrtle Beach, SC 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 Myrtle Beach, SC as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 21% Part Time, 2% Contract, and 1% Nights. Highlights an 87% Physical, 2% Hybrid, and 11% Remote job distribution, with an average salary of $79,150 per year, or $38.1 per hour.

Patient Care Coordinator - LPN

Little River Medical Center, Inc.

Little River, SC • Remote

$16.50 - $21.50/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 17 days ago

Job description

Patient Care Coordinator (LPN)
POSITION SUMMARY
Little River Medical Center is hiring a full-time Patient Care Coordinator (PCC) to support key programs such as Chronic Care Management (CCM). This role is essential in ensuring patients receive timely, high-quality care through coordinated services, patient outreach, chart reviews, and accurate documentation in the electronic health record (EHR). The PCC serves as a bridge between patients, providers, and care teams, helping manage scheduling, follow-ups, patient education, and onboarding into care programs.
WHY LRMC:
Little River Medical Center is a non-profit community health center within Horry County. At Little River Medical Center, we strive to offer exceptional health services and deliver quality, compassionate care to everyone. We provide a wide range of affordable health and support services for every family. Our mission is to change lives and serve our communities.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following:
  • Coordinate and oversee patient care services to ensure timely and high-quality support across multiple programs.
  • Facilitate communication between patients, providers, and healthcare teams to ensure care continuity and adherence to program protocols.
  • Maintain accurate and timely documentation of patient interactions, assessments, interventions in the electronic health record (EHR).
  • Assist with scheduling and follow-up tasks to ensure patients receive necessary appointments and services.
  • Monitor patient progress, track programs metrics, and escalate concerns to the appropriate team members.
  • Ensure compliance with program guidelines, Medicare regulations, and organizational policies.
  • Educate patients on preventative care, chronic disease management, and self-care strategies.
  • Utilize technology and digital tools to support remote monitoring, virtual visits, and patient engagement.
  • Collaborate with internal departments and external partners to improve workflows, optimize care coordination, and enhance patient outcomes.
  • Participates in ongoing electronic medical record (EMR) training and assists the Health Information Systems Coordinator in optimized development and use of the EMR system with respect to self-monitoring patient care programs.
  • Maintains excellent customer service relationships with patients, colleagues and outside partners.
  • Adhere to clinical policies, protocols, standing orders, and best practice clinical care guidelines.
  • Represents Little River Medical Center, professionally in all work-related interactions with vendors, community members and health care colleagues.
  • Performs all other duties as assigned.
Program Specific Responsibilities:
  • Chronic Care Management (CCM)
    1. Coordinate care for patients with chronic conditions, ensure they receive timely services and follow up care as outlined in their care plan. This includes reviewing patient records, medications, referrals, and ensuring the completion of required interventions.
    2. Maintain regular contact with assigned patients via phone calls, emails, or virtual platforms to provide education, support, and motivation for managing chronic conditions. Encourage patient adherence to care plans and identify potential barriers to compliance.
    3. Perform detailed chart reviews to assess patients’ current health status, monitor progress, document interventions, patient interactions, and any significant changes in condition. Ensure accurate and timely charting in the Electric Health Record (EHR) system.
    4. Work closely with primary care providers and other health care professionals to ensure that patients receive coordinated, high-quality care. Act as a liaison between the patient and healthcare team, facilitating communication and addressing any concerns or discrepancies.
    5. Provide patients with relevant information on managing chronic conditions, including lifestyle modifications, medication management, and preventative care. Offer support and understanding and follow through with medical recommendations.
    6. Track patient progress, monitor for potential issues such as missed appointments or medication refills, and intervene when necessary. Ensure patients receive reminders for follow up appointments and preventive screenings.
    7. Collaborates with Administrative and Quality Improvement team in clinical program goal setting, progress evaluations and ongoing problem solving.
QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
  • The ideal applicant will demonstrate strong organizational and communication skills, attention to detail, and proficiency with virtual care tools.
  • Experience with care plan adherence, chronic disease education, remote monitoring technology, and Medicare guidelines is preferred.
  • Travel between LRMC sites may be required.
  • The ability to work independently and think critically is essential.
  • Bilingual skills in Spanish are a plus.
EDUCATION and/or EXPERIENCE
  • A Licensed Practical Nurse with a minimum of 2 years in a clinical setting, required.
  • Experience with quality programs and measuring patient outcomes is preferred.
CERTIFICATES, LICENSES, REGISTRATION
  • Licensed Practical Nurse in the state of South Carolina or North Carolina.
LRMC offers benefits such as:
  • Medical, Vision amp; Dental insurance.
  • Employer matched 403B Retirement Plan.
  • Paid Vacation time, Sick time, amp; Holiday's. As well as paid qualifying Administrative Leave.
  • Employer Paid Health Benefits: Life / AD amp;D Policies, Short/Long Term Disability, and a Employee Assistant Plan.

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