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Remote Utilization Review Rn Jobs in Oak Ridge, TN

Pharmacist

Knoxville, TN · Remote

$44.20/hr

Adecco Healthcare & Life Sciences is hiring Remote Pharmacists ! This role is work from home and ... medication review of prescription and non-prescription medications with emphasis on patient ...

NCLEX Tutor

Knoxville, TN · Remote

$40/hr

Adapts instruction using NCLEX review resources, practice question banks, and clinical scenario analysis to support nursing graduates preparing for first-time licensure as registered nurses or ...

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...

Review, analyze, and communicate areas of opportunity within the scope of internet marketing ... Proven track record in knowledge and utilization of PPC, SEO, and social media marketing best ...

Showing results 21-40

Remote Utilization Review Rn information

See Oak Ridge, TN salary details

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$65

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

As of Sep 14, 2026, the average hourly pay for remote utilization review rn in Oak Ridge, TN is $40.42, according to ZipRecruiter salary data. Most workers in this role earn between $31.92 and $46.44 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 Oak Ridge, TN?

For Remote Utilization Review Rn jobs in Oak Ridge, TN, the most frequently searched job titles are:

What cities near Oak Ridge, TN are hiring for Remote Utilization Review Rn jobs?

Cities near Oak Ridge, TN with the most Remote Utilization Review Rn job openings:

Infographic showing various Remote Utilization Review Rn job openings in Oak Ridge, TN as of September 2026, with employment types broken down into 1% As Needed, 74% Full Time, 22% Part Time, 2% Contract, and 1% Nights. Highlights an 87% Physical, 2% Hybrid, and 11% Remote job distribution, with an average salary of $84,081 per year, or $40.4 per hour.

Licensed Clinical Social Worker for Remote Detox Center

Lake City, TN • Remote

Full-time

Medical, Dental, Vision

Posted 2 days ago

New


Job description

Position Overview

Gotham Enterprises Ltd is seeking a dedicated and compassionate Licensed Clinical Social Worker (LCSW) to join our team at our innovative remote detox center in Lake City, Tennessee. This full-time position offers a competitive annual salary ranging from USD 80,000 to 100,000, along with a structured support system to help you thrive in your career while making a meaningful impact on the lives of our clients.

About the Organization

At Gotham Enterprises Ltd, we are committed to transforming lives through exceptional mental health care. Our detox center is designed to create a safe and supportive environment for individuals struggling with addiction, where our expert staff works collaboratively to facilitate recovery. With a focus on evidence-based practices, we aim to empower our patients while advancing the standards of care in behavioral health. We pride ourselves on fostering a diverse, inclusive workplace that values personal growth and professional development.

Work Environment

This role is fully remote, allowing for a flexible work-life balance that meets your personal and professional needs. Our virtual setting is equipped with state-of-the-art communication tools to ensure seamless collaboration among team members and the effective delivery of care. You will be part of a multidisciplinary team that includes doctors, nurses, and other social workers, working together to ensure holistic treatment for our patients.

Key Responsibilities
  • Conduct comprehensive clinical assessments of patients to understand their mental health and substance use challenges, creating tailored treatment plans backed by research and best practices.

  • Implement evidence-based therapeutic interventions, such as cognitive behavioral therapy and motivational interviewing, customized to meet the unique needs of each patient.

  • Document and maintain accurate clinical records, adhering to regulatory standards and ensuring compliance with documentation requirements.

  • Engage in collaborative discussions with a multidisciplinary team, participating in case consultations and peer review meetings to ensure cohesive and informed care for clients.

  • Educate patients and their families about mental health and substance use, empowering them with the knowledge and tools necessary for recovery and ongoing wellness.

  • Stay current with the latest developments in social work practice, attending ongoing training and professional development opportunities.

Patient Population / Client Focus

As an LCSW at our detox center, you will primarily work with individuals experiencing substance use disorders and associated mental health issues. Your role will be pivotal in creating treatment plans that address the complex interplay of psychological and behavioral factors affecting our diverse patient population. Our clients range from age groups, backgrounds, and experiences, requiring sensitivity, understanding, and adaptability from our team.

Qualifications
  • Master's degree in Social Work from an accredited institution.

  • Current and valid LCSW license in the state of Tennessee.

  • A minimum of two years of clinical experience in a mental health setting, focusing on psychotherapy and substance use issues.

  • Ability to implement solution-focused interventions and demonstrate proficiency in therapeutic methodologies.

  • Exceptional communication skills, both written and verbal, to effectively convey complex information to clients and collaborate with team members.

  • A strong capacity for problem-solving and adaptability in a fast-paced, dynamic environment.

Preferred Experience
  • Three or more years of experience in a clinical setting that specializes in addiction treatment.

  • Experience working in a remote or virtual environment is a plus.

  • Familiarity with electronic health record (EHR) systems and telehealth platforms to enhance patient care.

Compensation and Benefits
  • Annual salary between USD 80,000 and 100,000, commensurate with experience and qualifications.

  • Comprehensive benefits package including medical, dental, and vision insurance to support your well-being.

  • Life and disability insurance, along with malpractice coverage, ensuring your professional security.

  • An employee assistance program providing mental health support for you and your family.

  • Assistance with professional development and continuing education, including access to training and resources.

  • A steady caseload that guarantees a fulfilling work schedule and growth opportunities within our organization.

Career Growth Opportunities

Joining Gotham Enterprises Ltd opens doors to numerous professional advancement opportunities. As we expand our services and outreach, there will be potential roles for leadership positions, program development, and specializations in areas such as trauma-informed care or family therapy. We encourage our team members to pursue their professional passions through ongoing education and mentorship programs.

Why Join Our Team

If you are seeking a challenging yet rewarding career in mental health, look no further. At Gotham Enterprises Ltd, you will find not just a job, but a purposeful mission to create positive changes in the lives of individuals in our community. Here, you can expect genuine support from your peers, opportunities for professional development, and the fulfillment that comes from facilitating healing and recovery. Together, we make a difference!

Application Information

If you are ready to take on this fulfilling role and contribute to meaningful change, please submit your resume and a cover letter outlining your relevant experience. We look forward to welcoming passionate and driven individuals who share our vision of improving mental health care in our community.