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Remote Utilization Review Rn Jobs in Worcester, MA

Role Title: Pharmacovigilance Expert Role Type: Contractor Location: Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety expertise on a key customer project.

Role Title: Pharmacovigilance Expert Role Type: Contractor Location: Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety expertise on a key customer project.

NCLEX Tutor

Waltham, MA · Remote

$40/hr

About the Job The Varsity Tutors Live Learning Platform has thousands of students looking for online NCLEX tutors nationally. As a tutor on the Varsity Tutors Platform, you'll have the flexibility to

NCLEX Tutor

Newton, MA · Remote

$40/hr

About the Job The Varsity Tutors Live Learning Platform has thousands of students looking for online NCLEX tutors nationally. As a tutor on the Varsity Tutors Platform, you'll have the flexibility to

Medical Billing Coder

Wellesley, MA · Remote

$20.50 - $27.50/hr

Company Description US Tech Solutions is a global staff augmentation firm providing a wide-range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit

Showing results 41-60

Remote Utilization Review Rn information

See Worcester, MA salary details

$21

$42

$68

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

As of Sep 13, 2026, the average hourly pay for remote utilization review rn in Worcester, MA is $42.19, according to ZipRecruiter salary data. Most workers in this role earn between $33.32 and $48.46 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 cities near Worcester, MA are hiring for Remote Utilization Review Rn jobs?

Cities near Worcester, MA with the most Remote Utilization Review Rn job openings:

Infographic showing various Remote Utilization Review Rn job openings in Worcester, MA as of September 2026, with employment types broken down into 1% As Needed, 78% Full Time, 16% Part Time, 2% Temporary, and 3% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $87,755 per year, or $42.2 per hour.

Licensed Independent Clinical Social Worker (LICSW) - Remote at Hospice Center

Worcester, MA • Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 10 days ago


Job description

Position Overview

Gotham Enterprises Ltd is seeking a dedicated and compassionate Licensed Independent Clinical Social Worker (LICSW) to join our dynamic team. In this full-time remote role, you will play a pivotal role in providing essential mental health services to patients within our Hospice Center, emphasizing empathetic, patient-centered care. Your work will directly contribute to improving the quality of life for individuals facing complex, end-of-life issues.

About the Organization

At Gotham Enterprises Ltd, we pride ourselves on delivering comprehensive and compassionate healthcare solutions. Our Hospice Center serves a diverse patient population across Worcester, Massachusetts, focusing on quality of life and emotional well-being for individuals and their families during challenging times. We are committed to fostering a supportive and inclusive environment that enhances our patients' dignity, comfort, and peace of mind.

Work Environment

As a remote role, this position offers flexibility while still being a crucial part of our interdisciplinary team. You will collaborate closely with healthcare professionals, including doctors, nurses, and psychotherapists, ensuring a holistic approach to patient care within the Hospice setting. Our team values communication, teamwork, and mutual respect, creating an atmosphere where everyone's contributions are valued.

Key Responsibilities
  • Conduct thorough mental health assessments for patients and families, gathering crucial information regarding their psychosocial history, presenting concerns, and unique stressors related to end-of-life care.
  • Develop, implement, and monitor individualized treatment plans that are person-centered, focusing on addressing mental health needs, emotional support, and overall well-being.
  • Provide evidence-based therapeutic interventions tailored to individual patient needs, including but not limited to, cognitive-behavioral therapy (CBT), supportive counseling, and grief counseling.
  • Facilitate both individual and family therapy sessions to promote coping strategies and emotional resilience during the hospice process.
  • Collaborate with a multidisciplinary team in weekly meetings to review patient care plans, ensuring a coordinated and comprehensive approach to treatment.
  • Deliver crisis intervention and support during acute mental health emergencies, demonstrating proficiency in de-escalation techniques and making appropriate referrals for higher levels of care if necessary.
  • Provide psychoeducation and resources to patients and their families, empowering them with vital information about mental health, available community resources, and coping strategies.
  • Ensure accurate and timely documentation of all assessments, treatment plans, and progress notes to maintain compliance with legal and ethical standards in healthcare.
  • Stay informed of relevant laws, regulations, and ethical guidelines pertaining to mental health practice, especially within hospice care settings.
Patient Population / Client Focus

Your focus will primarily be on patients and their families in the hospice context, addressing varied emotional and psychological needs associated with end-of-life care. This population often faces unique challenges, including grief, anxiety, and complex family dynamics, necessitating a deep understanding of trauma-informed and culturally sensitive approaches to care.

Qualifications
  • A Master’s degree in Social Work from an accredited institution is required.
  • Current and valid LICSW licensure in the state of Massachusetts is essential.
  • A minimum of two years of post-licensure experience in mental health settings, with a preference for those with experience in hospice or palliative care.
  • Thorough knowledge of mental health disorders and evidence-based treatment modalities specific to the challenges faced by hospice patients.
  • Proficient in conducting mental health assessments and developing appropriate treatment plans.
  • Ability to effectively deliver both individual and group therapy sessions.
  • Excellent crisis management skills and the ability to thrive in high-stress, emotional environments.
  • Strong interpersonal communication skills, with a commitment to building trustworthy relationships with patients and their families.
  • Proficiency with electronic health record (EHR) systems and general computer skills.
Preferred Experience
  • Experience working collaboratively in multidisciplinary teams within healthcare or educational settings.
  • Background in grief counseling, trauma-informed care, and palliative care practices.
  • Familiarity with community resources available for hospice patients and their families.
Compensation and Benefits

This role offers a competitive salary range of USD 80,000 to 100,000 annually, commensurate with experience and qualifications. In addition, we provide a comprehensive benefits package, including:

  • Medical, dental, and vision insurance to ensure your health and well-being.
  • A retirement savings plan with employer-matching contributions to secure your financial future.
  • Generous paid time off (PTO) and holiday pay to support work-life balance.
  • Professional liability insurance coverage to protect you in your practice.
  • Access to continued education opportunities and funding for professional development to enhance your skills.
  • Opportunities for career advancement within Gotham Enterprises Ltd's mental health services.
  • A supportive and collaborative work environment that values teamwork and clinical excellence.
Career Growth Opportunities

Join our team and immerse yourself in a culture of professional growth and development. Gotham Enterprises Ltd provides various opportunities for further training, specialization, and advancement within our Hospice Center and beyond, encouraging you to expand your practice and excel in your career.

Why Join Our Team

By becoming a part of Gotham Enterprises Ltd, you will find a mission-driven organization that prioritizes patient-centered care and fosters an environment of empathy and support. Here, your contributions will make a significant impact on the lives of those in our care, providing an enriching and fulfilling professional experience.

Application Information

If you are a dedicated and compassionate Licensed Independent Clinical Social Worker looking for a rewarding opportunity to make a difference in the lives of hospice patients and their families, we encourage you to apply. Please submit your resume and cover letter outlining your relevant experience and passion for working in this field.