What is an Utilization Review Nurse Jobs Remote Part Time?
Utilization review nurse jobs remote part time refer to nursing jobs that involve the review of medical claims to ensure that patients receive the most appropriate and cost-effective care. Remote part-time utilization review nurses work from home and perform their duties using online tools and software. These nurses are responsible for reviewing medical records, assessing the care provided, and making recommendations to improve the quality of care and reduce costs. They play a crucial role in ensuring that patients receive high-quality care and that healthcare providers are reimbursed fairly for their services.
What usually do in this position?
Remote part-time utilization review nurses work to ensure that patients receive high-quality and cost-effective care. They are responsible for reviewing medical claims and records, assessing the care provided, and making recommendations to improve the quality of care and reduce costs. Specifically, they review patients' medical histories, treatment plans, and current conditions to determine the appropriateness of treatments and procedures. They work with healthcare providers to develop care plans that meet patients' needs and ensure that they receive the right care at the right time. They also work with insurance companies to ensure that healthcare providers are reimbursed fairly for their services.
Top 5 Skills for Position
- Strong critical thinking skills
- Excellent communication skills
- Attention to detail
- Ability to work independently
- Proficiency in using online tools and software
How to become this type of specialist?
To become a remote part-time utilization review nurse, you need to have a Bachelor of Science in Nursing degree and a valid nursing license. You also need to gain clinical experience in a hospital or healthcare setting. Once you have gained the required experience, you can apply for positions as a utilization review nurse. Most employers prefer nurses who have experience in case management, utilization review, or quality improvement. You can also gain additional certifications in case management or utilization review to demonstrate your expertise in these areas.
Average Salary
The average salary for a remote part-time utilization review nurse is around $68,000 per year, according to Glassdoor. Salaries may vary depending on the nurse's level of experience, education, and certifications. Some employers offer additional benefits, such as healthcare and retirement plans, to their employees.
Roles and Types
Remote part-time utilization review nurses work in a variety of healthcare settings, including hospitals, insurance companies, and healthcare consulting firms. They may also work as independent contractors, providing services to multiple clients. The roles and types of utilization review nurses include:
- Hospital utilization review nurse
- Insurance utilization review nurse
- Independent utilization review nurse
- Clinical utilization review nurse
Locations with the Most Popular Jobs in USA
Remote part-time utilization review nurses are in demand across the United States. The most popular locations for these jobs include:
- California
- Texas
- Florida
- Illinois
- New York
What are the Typical Tools?
Remote part-time utilization review nurses use a variety of online tools and software to perform their duties. These tools may include:
- Electronic health record systems
- Medical claims processing software
- Case management software
- Online communication tools, such as email and instant messaging
- Video conferencing software
In Conclusion
Remote part-time utilization review nursing is a rewarding and challenging career that offers flexibility, autonomy, and the opportunity to make a real difference in patients' lives. Utilization review nurses are in high demand across the United States, and the field is expected to continue to grow in the coming years. If you are a registered nurse with strong critical thinking, communication, and problem-solving skills, consider a career in utilization review nursing. With the right education, experience, and certifications, you can become a remote part-time utilization review nurse and help ensure that patients receive high-quality, cost-effective care.