What is a Remote Utilization Review Nurse Part Time Job?
A remote utilization review nurse part-time job is a nursing position that involves assessing the medical necessity of treatments and procedures for patients. This position is often done remotely, meaning the nurse works from home or another off-site location. The job entails evaluating medical records, discussing treatment options with physicians, and determining if the patient's insurance will cover the recommended care. The remote utilization review nurse must have a solid understanding of medical terminology, clinical guidelines, and insurance protocols.
What Usually Do in this Position?
Remote utilization review nurses typically work for healthcare organizations, insurance companies, or government agencies. They review medical records and treatment plans to determine if they are medically necessary. They work with healthcare providers to ensure that patients receive the appropriate level of care based on their diagnosis, symptoms, and medical history. They also work with insurance companies to make sure that medical treatments are covered by the patient's insurance policy.
Top 5 Skills for Position
- Strong analytical skills to review patient medical records and treatment plans
- Excellent communication skills to work with healthcare providers and insurance companies
- Knowledge of medical terminology and clinical guidelines
- Ability to work independently and remotely
- Attention to detail to ensure that medical treatments are appropriate and covered by insurance
How to Become This Type of Specialist
To become a remote utilization review nurse, you typically need to have a nursing degree and a license to practice nursing. Some employers require previous experience in utilization review or case management. You can also earn certification in utilization review from organizations such as the American Board of Quality Assurance and Utilization Review Physicians. Continuing education is essential to stay current with changes in medical treatments, insurance protocols, and clinical guidelines.
Average Salary
The average salary for a remote utilization review nurse varies depending on experience, education, and location. According to PayScale, the average hourly rate for this position is $32.00. The salary range typically falls between $25.00 and $41.00 per hour.
Roles and Types
Remote utilization review nurses can work in a variety of settings, including hospitals, insurance companies, and government agencies. They can also specialize in specific areas of healthcare, such as mental health, pediatrics, or oncology. Some remote utilization review nurses work part-time, while others work full-time. The job can be done remotely from home or another off-site location.
Locations with the Most Popular Jobs in USA
Remote utilization review nurse positions are available throughout the United States. Some of the top cities with the most job opportunities in this field include New York, NY; Los Angeles, CA; Houston, TX; Chicago, IL; and Atlanta, GA. Healthcare organizations, insurance companies, and government agencies are the top employers for remote utilization review nurses.
What are the Typical Tools?
Remote utilization review nurses typically use a variety of tools to perform their job, including electronic medical records systems, teleconferencing software, and internet-based communication tools. They also use medical reference materials to stay current with clinical guidelines and treatment options. Remote utilization review nurses may also use productivity tools such as Microsoft Office or Google Suite to manage their work schedules, communicate with colleagues, and document their work.
In Conclusion
Remote utilization review nursing is a growing field that offers opportunities for nurses to work from home or other off-site locations. This position requires strong analytical skills, excellent communication skills, and knowledge of medical terminology and clinical guidelines. Becoming certified in utilization review can help you stand out in the job market and advance your career. The average salary for this position is competitive, and there are many job opportunities available throughout the United States.