Utilization Review Specialist Registered Nurse / RN

Emory Healthcare

2 months ago

Georgia — RemoteFull TimeUtilization Review

✓ No Call✓ No Weekends✓ No Nights

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Job Description

About the Role

Join Emory Healthcare as a Utilization Review Specialist Registered Nurse / RN in United States.

Key Responsibilities

Coverage (HINNs) for Medicare beneficiaries as appropriate. 2. Ensures compliance with all state of Georgia and Federal regulatory

Requirements

task in a fast

Associate degree in nursing. Experience

Minimum of 5 years of recent acute hospital experience or a minimum of two years of previous utilization review experience. Licensure

Must have a valid, active unencumbered Registered Nurse license approved by the Georgia Licensing Board. Skills

Benefits & Compensation

Student loan repayment assistance.

Work Schedule

Full-Time position.

Remote position - work from anywhere.

Day shift only - no nights.

This position offers day shifts only, student loan benefits. Work with Emory Healthcare in United States.

Key Skills

Utilization ReviewRegistered NurseMedical Necessity ReviewsInterQual CriteriaClinical Nursing JudgementProvider Team DiscussionMedical Director of URInitial ReviewsAdmission ReviewsConcurrent ReviewsSeverity of Illness DocumentationIntensity of Service DocumentationAvoidable Delays IdentificationDenial WorkflowsMedicare Outpatient Observation NoticesMedicare Change of Status Notice

HealthcareAdministrativevia Icims

Position Insights

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Utilization Review Specialist Registered Nurse / RN at Emory Healthcare a 7.1 out of 10 for work-life balance — classified as very good. This places the position in the top 15% of all Utilization Review registered nurse listings evaluated on our platform. Contributing factors include no on-call duties, no weekend requirements, no night shifts, remote work flexibility.

Positions in this range offer a solid balance between clinical responsibility and personal time. Most providers report manageable workloads with adequate recovery time.

Utilization Review — Registered Nurse Career Context

This Utilization Review position at Emory Healthcare is open to registered nurse candidates.

Registered Nurses have diverse career pathways from bedside care to telehealth triage, care coordination, and leadership roles with increasingly flexible scheduling options.

Remote registered nurse positions in Utilization Review have grown significantly in recent years, offering clinicians the ability to maintain a full patient panel without geographic constraints or commute-related burnout.

Location & Logistics

This is a fully remote registered nurse position. Remote clinicians can practice from any state where they hold an active license, eliminating commute time and offering maximum schedule flexibility. Many remote healthcare positions also allow providers to establish a more sustainable long-term practice pattern.

Why This Position Stands Out

No on-call requirements — clinicians are completely off-duty after hours
No weekend shifts — preserving personal and family time
No night shifts — a daytime-only schedule
Fully remote — work from anywhere with an active license

Skills, Responsibilities & Benefits

Key skills and qualifications: Utilization Review, Registered Nurse, Medical Necessity Reviews, InterQual Criteria, Clinical Nursing Judgement, Provider Team Discussion, Medical Director of UR, Initial Reviews. Candidates with experience in these areas may be especially well-suited for this Utilization Review role.

Core responsibilities: The Utilization Review Specialist, a Registered Nurse, conducts thorough medical necessity reviews to determine appropriate patient class designation using InterQual Criteria and clinical judgment. Primary duties involve performing initial, admission, and concurrent utilization reviews while ensurin...

Benefits package: Health Insurance, Dental & Vision, Student Loan Repayment Assistance, Family-Focused Benefits, Wellness Incentives, Mentorship & Leadership Programs. A comprehensive benefits package is an important factor in evaluating total compensation beyond base salary.

About WeekdayDoc

WeekdayDoc is the only healthcare job board that scores every position for burnout risk and work-life balance. Every listing includes a proprietary burnout score, transparent salary data when available, and lifestyle filters for no-call, no-weekends, and remote positions. Browse more Utilization Review registered nurse jobs on WeekdayDoc to compare work-life balance scores and compensation across employers.