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Remote Utilization Review Rn Jobs in Warwick, RI

RN

New Bedford, MA ยท Remote

$40 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

RN

Providence, RI ยท Remote

$40 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

Nurse Case Manager II

Woonsocket, RI ยท On-site +1

$34.35 - $37/hr

Remote Work Type: Remote Est. Pay Range: $34.35/hr. To $37.00/hr. all-inclusive on W2 Position ... Through the use of clinical tools and information/data review, conducts comprehensive assessments ...

Requires an OH RN with unrestricted active license or Compact license Duties Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member ...

Medical Director

Carolina, RI ยท Remote

$152K - $283K/yr

Health care professional in good standing (MD, DO, RN, PA, NP) * Possess a minimum of 3 years of ... This is a fully remote opportunity. #LI-JH #LI-Remote The role being advertised is an existing ...

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Remote Utilization Review Rn information

See Warwick, RI salary details

$21

$42

$69

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

As of Jun 13, 2026, the average hourly pay for remote utilization review rn in Warwick, RI is $42.40, according to ZipRecruiter salary data. Most workers in this role earn between $33.51 and $48.70 per hour, depending on experience, location, and employer.

What is the meaning of the word remote?

In the context of a Remote Utilization Review RN job, 'remote' refers to working outside of a traditional office setting, often from home or another location of the employee's choice. This setup typically involves using digital tools and communication platforms to perform job duties without being physically present in an office environment.

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 meaning of remote in one word?

In the context of a Remote Utilization Review RN role, 'remote' means working from a location outside of a traditional office, typically from home, using digital communication tools. It emphasizes flexibility and virtual access to work systems without physical presence at a healthcare facility.

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.

How to make 2000 a week working from home?

A Remote Utilization Review RN can potentially earn $2,000 weekly by working full-time hours, often 40 hours per week, and gaining experience or certifications that allow for higher billing rates. Increasing income may involve taking on additional cases, specializing in high-demand areas, or working for agencies that offer competitive pay for remote utilization review roles.

What is remote job?

A remote Utilization Review RN job is a healthcare position where the nurse reviews patient cases and insurance claims from a location outside of a traditional office, often working from home. It requires strong communication skills, knowledge of medical documentation, and familiarity with electronic health record systems, with flexible schedules common in remote roles.

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 Warwick, RI? For Remote Utilization Review Rn jobs in Warwick, RI, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in Warwick, RI look for? The top searched job categories for Remote Utilization Review Rn jobs in Warwick, RI are:
What cities near Warwick, RI are hiring for Remote Utilization Review Rn jobs? Cities near Warwick, RI with the most Remote Utilization Review Rn job openings:
Psychiatric Nurse Practitioner (PMHNP) - Telehealth

Psychiatric Nurse Practitioner (PMHNP) - Telehealth

Brightside Health

North Kingstown, RI โ€ข Remote

$84 - $115/hr

Contractor

Posted 6 days ago


Job description

Psychiatric Nurse Practitioner (PMHNP) - Flexible Telehealth

Brightside is dedicated to offering transformative mental health care to individuals regardless of their background, location, or circumstances. Our primary goal is to improve access to high-quality and impactful mental health care that is supported by scientific research and delivered with humanity. This is why we are revolutionizing the traditional approach by leveraging precision treatment that is rooted in evidence and tailored to each person's unique needs, ensuring that they receive the most effective treatment from the very beginning.

Apply to be a Psychiatric Nurse Practitioner at Brightside Health, where we integrate a consumer-centric approach with evidence-based methodologies, cutting-edge artificial intelligence, and a dedicated team of providers and therapists to deliver customized treatment for each Brightside member. As we redefine mental healthcare for the telemedicine era, we're driven to establish ourselves as the leading provider of psychiatric care across the nation. Be part of our mission to transform the landscape of mental health treatment.

Our Psychiatric Nurse Practitioners Enjoy:

  • Flexible & Remote Telemedicine: Evidence-based approach to psychiatric care via telemedicine, including asynchronous case review, video consultation, and e-prescribing, lowers the barriers to accessing high-quality and affordable care.

  • Supportive and Collaborative Environment: To ensure the success of our patients and members, we have established dedicated teams for both member and provider support. Additionally, we facilitate collaboration between our providers and clinical leadership through 1:1 consultations, as well as encourage interaction among colleagues through internal communication forums.

  • Measurement-Based Care: Our technology measures symptoms, adherence, and side effects weekly through the active treatment phase and automatically triggers treatment reviews if patients are not improving. We are redefining the provider-patient relationship, supporting encounter-based care with remote and proactive oversight enabled by technology.

  • Machine Learning-Powered Clinical Decision Support: Contrary to conventional practice, data can help match patients to medications for better outcomes. Using machine learning and real-time data from patient monitoring, we are building a highly effective clinical decision support tool for prescribing.

Who Were Hiring:

Were seeking forward-thinking and experienced Psychiatric Nurse Practitioners who understand the magnitude of the need and want to be part of the solution. Working with Brightside means the ability to practice with clinical autonomy alongside Psychiatrist support while creating a flexible work schedule. Our providers use the latest tools, including a custom-built practice management EMR, and clinical decision support, all truly designed to be easy to use.

Benefits:

  • 100% remote, telehealth position

  • 1099 contract agreement

  • Autonomy to create your own schedule

  • No on-call or after-hours work

  • Collaborating psychiatrists covered for all psychiatric nurse practitioners (nationwide)

  • Malpractice insurance covered

  • Ongoing collaboration and camaraderie with other Brightside providers

  • State-of-the-art tools and customizable EMR, integrated with artificial intelligence to prompt check-ins, follow-ups, and much more with your patients

Responsibilities:

  • Maintain all appropriate licensure to prescribe and dispense medications under applicable state and federal laws

  • Have excellent grammar, attention to detail, and proficient at writing medical information at a patient level

  • Must be technology savvy and excited about how technology can improve medical care

  • Be pleasant, responsive, and willing to collaborate with our team

  • Provide direct patient care via telemedicine (remote); including synchronous video consultations and asynchronous messaging

  • Consistently responsive to clinical leadership team and highly reliable to our members

  • Evaluate patient records, make prescribing decisions, and provide medication-related counseling as needed in a timely manner

  • Successful completion of charting within 48 hours of session

  • Support a 72-hour messaging response window for patients

Requirements:

  • Active and clear APRN license

  • Licensed Nurse Practitioner - Certified in Psychiatric & Mental Health (PMHNP Required)

  • At least 2 years of autonomous experience practicing as a PMHNP, post-graduate

  • Previous experience working in an outpatient setting

  • Telehealth experience and a high comfort level of working with technology

  • Must be licensed in 4+ states (the more the merrier)

  • 8+ hours of availability per week

  • Experience working with adolescents is strongly preferred

  • Opted in to Medicare/Medicaid

We know that diversity makes for the best problem-solving and creative thinking, and are committed to equity and inclusion. We are dedicated to adding new perspectives to the team and encourage everyone to apply if your experience is close to what we are looking for. Were an Equal Opportunity Employer and do not discriminate against candidates or patients on the basis of race, color, gender, sexual orientation, gender identity or expression, age, religion, disability, national origin, protected veteran status, or any other status protected by applicable federal, state, or local law.