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Entry Level Remote Um Nurse information

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$39K

$89.5K

$163K

How much do entry level remote um nurse jobs pay per year?

As of Jul 23, 2026, the average yearly pay for entry level remote um nurse in the United States is $89,483.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,500.00 and $104,500.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as an Entry Level Remote UM Nurse, and why are they important?

To thrive as an Entry Level Remote UM Nurse, you need a current RN license, a solid understanding of clinical guidelines, and foundational knowledge of utilization management processes. Familiarity with case management software, electronic health records (EHR), and utilization review tools like InterQual or MCG is typically required. Strong communication, critical thinking, and organizational skills help you collaborate with providers and manage cases efficiently in a remote environment. These skills ensure accurate and compliant utilization reviews, support cost-effective patient care, and maintain quality standards in a virtual setting.

What is the difference between Entry Level Remote Um Nurse vs Entry Level Remote Medical Assistant?

AspectEntry Level Remote Um NurseEntry Level Remote Medical Assistant
Required CredentialsRN license, Basic Life Support (BLS)High school diploma, Certified Medical Assistant (CMA) or similar
Work EnvironmentRemote patient care, telehealth platformsRemote administrative support, scheduling, data entry
Employer & Industry UsageHospitals, clinics, telehealth companiesMedical offices, clinics, healthcare providers
Common Search & ComparisonPatient care, nursing duties, telehealthAdministrative tasks, patient scheduling, data management

Entry Level Remote Um Nurses primarily focus on patient care and nursing responsibilities via telehealth, requiring an RN license. In contrast, Entry Level Remote Medical Assistants handle administrative and support tasks, often with a CMA certification. Both roles are remote but serve different functions within healthcare organizations.

What are Entry Level Remote UM Nurses?

Entry Level Remote Utilization Management (UM) Nurses are registered nurses who work from home to review medical records and ensure that healthcare services are medically necessary and compliant with insurance policies. They typically assess treatment plans, coordinate with healthcare providers, and help determine coverage for procedures and hospital stays. These nurses use their clinical knowledge and understanding of insurance guidelines to make decisions that support quality patient care while controlling healthcare costs. Remote positions allow them to perform these duties virtually, offering flexibility and the ability to work from various locations. Entry-level roles usually require an active RN license and some clinical experience, but extensive UM experience may not be necessary.

What are some common challenges faced by entry level remote UM Nurses, and how can they be overcome?

Entry level remote Utilization Management (UM) Nurses often face challenges such as adapting to virtual communication, managing a high volume of case reviews, and mastering multiple digital platforms. Building strong organizational and time management skills is key, as is regularly collaborating with more experienced team members for guidance. Proactively seeking feedback and participating in ongoing training can also help new UM Nurses stay current with best practices and regulatory requirements. Establishing a dedicated and distraction-free workspace can further support productivity and focus in a remote environment.
More about Entry Level Remote Um Nurse jobs
What cities are hiring for Entry Level Remote Um Nurse jobs? Cities with the most Entry Level Remote Um Nurse job openings:
What are the most commonly searched types of Remote Um Nurse jobs? The most popular types of Remote Um Nurse jobs are:
What states have the most Entry Level Remote Um Nurse jobs? States with the most job openings for Entry Level Remote Um Nurse jobs include:
What job categories do people searching Entry Level Remote Um Nurse jobs look for? The top searched job categories for Entry Level Remote Um Nurse jobs are:
Entry Level Remote Um Nurse jobs near you
Infographic showing various Entry Level Remote Um Nurse job openings in the United States as of July 2026, with employment types broken down into 87% Full Time, 10% Part Time, 1% Temporary, and 2% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $89,483 per year, or $43 per hour.
RN- Care Review Clinician- UM/Discharge Planning (Remote- CA License Req)

RN- Care Review Clinician- UM/Discharge Planning (Remote- CA License Req)

Molina Healthcare

Long Beach, CA • On-site, Remote

$30.37 - $59.21/hr

Full-time

Posted 18 days ago

Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 195 frontline employees who took The Breakroom Quiz

147th of 281 rated insurance

Job description


JOB DESCRIPTION Job Summary
Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
• Assesses services for members to ensure optimum outcomes, cost-effectiveness and compliance with all state/federal regulations and guidelines.
• Analyzes clinical service requests from members or providers against evidence based clinical guidelines.
• Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures.
• Conducts reviews to determine prior authorization/financial responsibility for Molina and its members.
• Processes requests within required timelines.
• Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner.
• Requests additional information from members or providers as needed.
• Makes appropriate referrals to other clinical programs.
• Collaborates with multidisciplinary teams to promote the Molina care model.
• Adheres to utilization management (UM) policies and procedures.
Required Qualifications
• At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience.
• Registered Nurse (RN). License must be active and unrestricted in state of practice.
• Ability to prioritize and manage multiple deadlines.
• Excellent organizational, problem-solving and critical-thinking skills.
• Strong written and verbal communication skills.
• Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
Certified Professional in Healthcare Management (CPHM).
Utilization review, prior authorization, inpatient review desirable. MCG experience, strongly preferred.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

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About Molina Healthcare

Sourced by ZipRecruiter

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

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