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Entry Level Utilization Review Remote Jobs (NOW HIRING)

$23.76 - $51.49/hr

... utilization management (UM) policies and procedures. Required Qualifications • At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization ...

The Utilization Review Nurse gathers demographic and clinical information on prospective ... This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Identifies the necessity of ...

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Entry Level Utilization Review Remote information

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How much do entry level utilization review remote jobs pay per hour?

As of Jun 1, 2026, the average hourly pay for entry level utilization review remote in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.

What is the difference between Entry Level Utilization Review Remote vs Entry Level Medical Coder Remote?

AspectEntry Level Utilization Review RemoteEntry Level Medical Coder Remote
Required CertificationsUtilization Review Certification, possibly a healthcare or insurance-related licenseCertified Coding Associate (CCA) or Certified Professional Coder (CPC)
Work EnvironmentRemote, healthcare or insurance companiesRemote, healthcare facilities, or coding companies
Industry UsageHealthcare insurance, utilization managementMedical billing, coding, healthcare documentation
Common Search/ComparisonYesYes

Entry Level Utilization Review Remote and Entry Level Medical Coder Remote both operate in healthcare but focus on different tasks. Utilization reviewers assess medical necessity for services, requiring certifications in utilization review. Medical coders translate medical records into codes, requiring coding certifications. Both roles are remote and essential in healthcare administration, but they serve distinct functions within the industry.

More about Entry Level Utilization Review Remote jobs
What cities are hiring for Entry Level Utilization Review Remote jobs? Cities with the most Entry Level Utilization Review Remote job openings:
What states have the most Entry Level Utilization Review Remote jobs? States with the most job openings for Entry Level Utilization Review Remote jobs include:
Infographic showing various Entry Level Utilization Review Remote job openings in the United States as of May 2026, with employment types broken down into 83% Full Time, and 17% Part Time. Highlights an 90% Physical, 2% Hybrid, and 8% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Registered Nurse - Utilization Review - RNUR26-06087

NavitasPartners

Santa Rosa, CA • Remote

$40/hr

Other

Posted 7 days ago


Job description

Job Title: Registered Nurse - Utilization Review

Location: Santa Rosa, CA 

Shift Details: Day Shift | 5x8 Hours | 08:00 AM - 04:30 PM
Contract Duration: 13 Weeks
Orientation: 40 Hours (Non-Billable)


Required Qualifications
  • Active Registered Nurse (RN) License required
  • Minimum 1-2 years acute care nursing experience preferred
  • Experience in Utilization Review, Case Management, or similar role preferred
  • Strong understanding of medical necessity, payer guidelines, and clinical documentation
  • Knowledge of insurance authorization processes preferred
  • Strong analytical, communication, and decision-making skills
  • Ability to work independently in a remote environment
  • Proficiency with EMR systems preferred (Epic experience a plus)

Job Responsibilities
  • Perform utilization review of inpatient and outpatient cases
  • Evaluate medical necessity based on clinical guidelines and payer policies
  • Review patient records and documentation for appropriate level of care
  • Collaborate with physicians, case managers, and insurance providers
  • Process prior authorizations and continued stay reviews
  • Document all review decisions accurately in EMR systems
  • Identify cases requiring further clinical escalation
  • Ensure compliance with regulatory, hospital, and insurance standards
  • Support discharge planning and care coordination as needed
  • Maintain productivity and quality standards in a remote setting

For more details contact at sthakur@navitashealth.com 

About Navitas Healthcare, LLC certified WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided and your salary will be discussed upfront.