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Remote Utilization Review Rn Jobs in Simpsonville, SC

Varsity Tutors

NCLEX-RN Tutor

Greenville, SC · Remote

$18 - $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 ...

Sedgwick

RN Field Case Manager

Spartanburg, SC · On-site +1

$76K - $96K/yr

... RN Field Case Manager This Field Case Manager will cover our Spartanburg, SC region and must live ... remote work environment that allows face-to-face interaction with injured workers and medical ...

York Risk Services

RN Field Case Manager

Spartanburg, SC · On-site +1

$76K - $96K/yr

... RN Field Case Manager This Field Case Manager will cover our Spartanburg, SC region and must live ... remote work environment that allows face-to-face interaction with injured workers and medical ...

Varsity Tutors

NCLEX-PN Tutor

Greenville, SC · Remote

$18 - $40/hr

... RN scope questions, pharmacology calculations, and managing anxiety with the adaptive testing format. Adapts instruction using NCLEX-PN specific practice question banks, content review focused on ...

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Remote Utilization Review Rn information

See Simpsonville, SC salary details

$18

$37

$61

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

As of Jul 15, 2026, the average hourly pay for remote utilization review rn in Simpsonville, SC is $37.47, according to ZipRecruiter salary data. Most workers in this role earn between $29.62 and $43.03 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 Simpsonville, SC? For Remote Utilization Review Rn jobs in Simpsonville, SC, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in Simpsonville, SC look for? The top searched job categories for Remote Utilization Review Rn jobs in Simpsonville, SC are:
What cities near Simpsonville, SC are hiring for Remote Utilization Review Rn jobs? Cities near Simpsonville, 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 Simpsonville, SC as of July 2026, with employment types broken down into 86% Full Time, 11% Part Time, and 3% Contract. Highlights an 40% Physical, 3% Hybrid, and 57% Remote job distribution, with an average salary of $77,945 per year, or $37.5 per hour.

Regional Registered Dietitian - Remote

NATIONAL HEALTH- WHITE OAK GROUP

Spartanburg, SC • Remote

$27.75 - $37.50/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 5 days ago

Job description

Clinical Registered Dietitian (Remote)Support Exceptional Resident Care Across Multiple Skilled Nursing Centers

Come join the White Oak team!

White Oak is seeking a Registered Dietitian (RD) to provide remote clinical nutrition services for our long-term care and rehabilitation centers. This position offers the flexibility of working remotely while making a meaningful impact on the nutritional health and well-being of residents across multiple facilities within our region (NC/SC).

If you're a compassionate, organized, and clinically driven Registered Dietitian who enjoys collaborating with interdisciplinary healthcare teams, we'd love to hear from you!

Position Summary

As a Clinical Registered Dietitian, you will assess, develop, implement, and monitor individualized nutrition care plans while ensuring compliance with federal and state regulations, facility policies, and clinical best practices. This role provides regional coverage for open assignments and supports multiple facilities as needed under the direction of the Regional Registered Dietitian.

This is primarily a remote position; however, occasional travel to assigned facilities may be required for resident care, regulatory support, or operational needs.

Responsibilities
  • Complete initial, quarterly, annual, and significant change nutrition assessments
  • Develop and monitor individualized nutrition care plans
  • Document according to CMS, state, and facility guidelines
  • Collaborate with physicians, nursing staff, speech therapy, dietary managers, and interdisciplinary teams
  • Participate in care plan meetings, wound and weight meetings, Medicare meetings, utilization review, and other clinical committees as needed
  • Monitor residents' nutritional status and recommend interventions
  • Perform quality assurance and performance improvement (QAPI) audits
  • Assist facilities in maintaining survey readiness and regulatory compliance
  • Support budget-conscious nutritional care practices
  • Stay current on evidence-based nutrition practices and regulatory changes
  • Attend required in-services and maintain continuing education requirements
  • Provide regional coverage and support multiple facilities as assigned
Qualifications

Required:

  • Bachelor's or Master's degree in Nutrition or Dietetics from an accredited college or university
  • Registered Dietitian (RD) credential in good standing with the Commission on Dietetic Registration (CDR)
  • Current state licensure (or eligibility) in NC and SC. 
  • One-year previous remote work required.
  • Experience in long-term care, skilled nursing, rehabilitation, or healthcare nutrition preferred
  • Strong knowledge of CMS regulations and nutrition documentation
  • Excellent organizational, communication, and time management skills
  • Proficient computer and documentation skills
  • Ability to effectively support multiple facilities remotely
Schedule
  • Flexible schedule
  • 40 hours per week, based on business needs and regional coverage requirements
  • Primarily remote with occasional travel to assigned facilities
Why Join White Oak?

At White Oak, we are committed to providing compassionate, resident-centered care while supporting our employees with a collaborative and professional work environment.

We offer:

  • Competitive compensation
  • Flexible remote work opportunity
  • Mileage reimbursement for required travel
  • Medical, Dental, Vision, Life, and Disability Insurance
  • 401(k) with company participation
  • Paid Time Off (for eligible employees)
  • Continuing education support
  • Professional, collaborative clinical team
  • Opportunity to positively impact resident outcomes across multiple communities

If you're passionate about improving lives through nutrition and want the flexibility of a remote role while remaining connected to resident care, apply today!

White Oak is an Equal Opportunity Employer.

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