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Remote Utilization Review Rn Jobs in Sparks, NV (NOW HIRING)

Coding Lead

Reno, NV ยท Remote

This list is to include Acute Inpatient, Level II Trauma, Rehab Facility, Skilled Nursing, Home ... Incumbent will also perform highly complex and specialized coding, including review analysis. The ...

Coding Lead

Reno, NV ยท Remote

This list is to include Acute Inpatient, Level II Trauma, Rehab Facility, Skilled Nursing, Home ... Incumbent will also perform highly complex and specialized coding, including review analysis. The ...

Showing results 41-60

Remote Utilization Review Rn information

See Sparks, NV salary details

$21

$43

$70

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

As of Sep 6, 2026, the average hourly pay for remote utilization review rn in Sparks, NV is $43.24, according to ZipRecruiter salary data. Most workers in this role earn between $34.18 and $49.66 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 Sparks, NV?

For Remote Utilization Review Rn jobs in Sparks, NV, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Review Rn jobs in Sparks, NV look for?

The top searched job categories for Remote Utilization Review Rn jobs in Sparks, NV are:

What cities near Sparks, NV are hiring for Remote Utilization Review Rn jobs?

Cities near Sparks, NV with the most Remote Utilization Review Rn job openings:

Infographic showing various Remote Utilization Review Rn job openings in Sparks, NV as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 14% Part Time, 1% Temporary, and 3% Contract. Highlights an 88% Physical, 2% Hybrid, and 10% Remote job distribution, with an average salary of $89,933 per year, or $43.2 per hour.

Licensed Clinical Social Worker (LCSW) - Remote Hospice Center Position

Company Confidential

Nixon, NV โ€ข On-site, Remote

Full-time

Medical, Dental, Vision, Life

Posted 18 days ago


Job description

Position Overview

Gotham Enterprises Ltd is actively seeking a dedicated and compassionate Licensed Clinical Social Worker (LCSW) to join our team in a full-time capacity. This position offers the flexibility of a remote work environment while being integral to our hospice center, where your expertise will play a crucial role in enhancing the quality of life for patients and their families. You will have the opportunity to work within a multidisciplinary team, addressing complex emotional and psychological needs through evidence-based practices and personalized interventions.

About the Organization

At Gotham Enterprises Ltd, we are committed to delivering high-quality healthcare services through our hospice center in Nixon, Nevada. Our mission is to provide comprehensive, compassionate care that prioritizes both the physical and emotional needs of our patients. We foster a culture of support and empowerment, ensuring that our team members are equipped and motivated to thrive in their roles. Our organization values ongoing professional development and teamwork, reflecting our deep dedication to improving community health outcomes.

Work Environment

This position is tailored for those who thrive in a remote work setting, allowing for a flexible work-life balance. You will be part of a supportive virtual team committed to high standards of care. Utilizing advanced communication tools and telehealth platforms, you will interact with patients and colleagues, fostering meaningful connections while providing essential support and guidance in the hospice care setting.

Key Responsibilities
  • Perform comprehensive clinical assessments to understand the unique needs of patients and develop individualized treatment plans that incorporate evidence-based therapeutic interventions.

  • Deliver tailored therapeutic interventions, utilizing solution-based practices that promote patient engagement and empower families through education and support.

  • Maintain meticulous clinical records and documentation, ensuring adherence to regulatory standards and maintaining patient confidentiality.

  • Collaborate closely with a multidisciplinary team, including physicians, nurses, and other healthcare professionals, to provide coordinated and holistic care.

  • Participate in case consultations and peer review meetings to discuss treatment plans, challenges, and share best practices, contributing to the overall enhancement of care quality.

  • Continuously engage in professional development by staying informed on the latest research and advancements in the field of social work and hospice care, integrating new knowledge into practice.

Patient Population / Client Focus

As an LCSW within our hospice center, you will work with a diverse patient population, including individuals facing life-limiting illnesses and their families. Your role is pivotal in helping patients navigate their emotional and psychological challenges, providing them and their families with the necessary tools and support to cope with the complexities of end-of-life care.

Qualifications
  • A Masterโ€™s degree in Social Work from an accredited institution is required.

  • A valid Licensed Clinical Social Worker (LCSW) license in the state is mandatory.

  • A minimum of three years of clinical experience, with a focus on psychotherapy and end-of-life care, is essential.

  • Demonstrated proficiency in solution-focused therapy and evidence-based practices.

  • Exceptional communication and interpersonal skills, with a strong ability to relate to patients and families in a compassionate and empathetic manner.

Preferred Experience
  • Experience working in hospice, palliative care, or similar settings is highly desirable.

  • Familiarity with electronic health record (EHR) systems and telehealth platforms.

  • Previous involvement in case management and interdisciplinary collaboration.

Compensation and Benefits

The compensation range for this position is between USD 80,000 and 100,000 annually, commensurate with experience and qualifications. We offer a comprehensive benefits package that includes medical, dental, and vision insurance, life and disability coverage, and malpractice insurance. Additionally, our employee assistance program provides mental health resources for our staff. You will have access to streamlined processes to minimize paperwork, allowing you to focus on patient interaction while managing a fulfilling caseload.

Career Growth Opportunities

We encourage continuous professional development and provide opportunities for additional training and certifications. As a part of our commitment to fostering your career, we also offer avenues for internal mobility, enabling you to explore different specialties within our organization or take on leadership roles.

Why Join Our Team

If you are passionate about making a difference in the lives of patients and their families through compassionate care, Gotham Enterprises Ltd is the place for you. Our organization prioritizes a collegial and positive work environment where you can thrive both personally and professionally. We believe that every member of our team plays a vital role in delivering exceptional patient care and creating a lasting impact in the community.

Application Information

Ready to embark on a fulfilling career with us? Submit your application today to become part of a team dedicated to improving quality of life for hospice patients and their families. We look forward to reviewing your credentials and potentially welcoming you to our innovative organization.