Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic preferred) Job Responsibilities * Perform utilization review for inpatient and outpatient services
Quick apply
Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic preferred) Job Responsibilities * Perform utilization review for inpatient and outpatient services
CA Utilization Review Nurse I
Rancho Cucamonga, CA · Remote
$30.64 - $45.80/hr
This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Identifies the necessity of ... A comprehensive benefits package is available for full-time regular employees and includes Medical ...
Quick apply
CA Utilization Review Nurse I
Rancho Cucamonga, CA · Remote
$30.64 - $45.80/hr
This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Identifies the necessity of ... A comprehensive benefits package is available for full-time regular employees and includes Medical ...
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 ...
Quick apply
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 ...
Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic preferred) Job Responsibilities * Perform utilization review for inpatient and outpatient services
Quick apply
Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic preferred) Job Responsibilities * Perform utilization review for inpatient and outpatient services
Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic preferred) Job Responsibilities * Perform utilization review for inpatient and outpatient services
Quick apply
Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic preferred) Job Responsibilities * Perform utilization review for inpatient and outpatient services
CA Utilization Review Nurse I
Rancho Cucamonga, CA · Remote
$30.64 - $45.80/hr
This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Identifies the necessity of ... A comprehensive benefits package is available for full-time regular employees and includes Medical ...
CA Utilization Review Nurse I
Rancho Cucamonga, CA · Remote
$30.64 - $45.80/hr
This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Identifies the necessity of ... A comprehensive benefits package is available for full-time regular employees and includes Medical ...
Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic preferred) Job Responsibilities * Perform utilization review for inpatient and outpatient services
Quick apply
Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic preferred) Job Responsibilities * Perform utilization review for inpatient and outpatient services
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 ...
Quick apply
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 ...
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 ...
Quick apply
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 ...
Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic preferred) Job Responsibilities * Perform utilization review for inpatient and outpatient services
Quick apply
Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic preferred) Job Responsibilities * Perform utilization review for inpatient and outpatient services
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 ...
Quick apply
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 ...
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 ...
Quick apply
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 ...
RN Utilization Review
Austin, TX · Remote
$84.06K - $118.67K/yr
Remote Facility: Ascension Network Services Department: Utilization Management Schedule: Full Time ... Review admissions and service requests for medical necessity, reimbursement compliance, and ...
RN Utilization Review
Austin, TX · Remote
$84.06K - $118.67K/yr
Remote Facility: Ascension Network Services Department: Utilization Management Schedule: Full Time ... Review admissions and service requests for medical necessity, reimbursement compliance, and ...
Utilization Review Nurse
Morehead, KY · On-site +1
Supports utilization review processes by planning, analyzing data, and setting goals to ensure ... Days (United States of America) Time Type: Full time Address : 222 Medical Circle City, State
Utilization Review Nurse
Morehead, KY · On-site +1
Supports utilization review processes by planning, analyzing data, and setting goals to ensure ... Days (United States of America) Time Type: Full time Address : 222 Medical Circle City, State
Utilization Review Nurse(Austin/Richardson TX) (Remote)
Plano, TX · Remote
$38 - $40/hr
Utilization management experience LOCATION: REMOTE in Texas (Austin area - Travis/Williamson ... FULL_TIME
Utilization Review Nurse(Austin/Richardson TX) (Remote)
Plano, TX · Remote
$38 - $40/hr
Utilization management experience LOCATION: REMOTE in Texas (Austin area - Travis/Williamson ... FULL_TIME
UM Clinical Specialist-Behavioral Health (Full-time Remote, North Carolina Based)
Morrisville, NC · On-site +1
This position is full-time remote. The selected candidate must reside in North Carolina. Some ... Responsibilities & Duties Utilization Reviews and Management * Independently conducts medical ...
UM Clinical Specialist-Behavioral Health (Full-time Remote, North Carolina Based)
Morrisville, NC · On-site +1
This position is full-time remote. The selected candidate must reside in North Carolina. Some ... Responsibilities & Duties Utilization Reviews and Management * Independently conducts medical ...
UM Clinical Specialist-Behavioral Health (Full-time Remote, North Carolina Based)
Smithfield, NC · Remote
This position is full-time remote. The selected candidate must reside in North Carolina. Some ... Responsibilities & Duties Utilization Reviews and Management * Independently conducts medical ...
UM Clinical Specialist-Behavioral Health (Full-time Remote, North Carolina Based)
Smithfield, NC · Remote
This position is full-time remote. The selected candidate must reside in North Carolina. Some ... Responsibilities & Duties Utilization Reviews and Management * Independently conducts medical ...
UM Clinical Specialist-Behavioral Health (Full-time Remote, North Carolina Based)
Morrisville, NC · Remote
This position is full-time remote. The selected candidate must reside in North Carolina. Some ... Responsibilities & Duties Utilization Reviews and Management * Independently conducts medical ...
UM Clinical Specialist-Behavioral Health (Full-time Remote, North Carolina Based)
Morrisville, NC · Remote
This position is full-time remote. The selected candidate must reside in North Carolina. Some ... Responsibilities & Duties Utilization Reviews and Management * Independently conducts medical ...
UM Clinical Specialist-Behavioral Health (Full-time Remote, North Carolina Based)
Charlotte, NC · Remote
This position is full-time remote. The selected candidate must reside in North Carolina. Some ... Responsibilities & Duties Utilization Reviews and Management * Independently conducts medical ...
UM Clinical Specialist-Behavioral Health (Full-time Remote, North Carolina Based)
Charlotte, NC · Remote
This position is full-time remote. The selected candidate must reside in North Carolina. Some ... Responsibilities & Duties Utilization Reviews and Management * Independently conducts medical ...
UM Clinical Specialist-Behavioral Health (Full-time Remote, North Carolina Based)
Fayetteville, NC · Remote
This position is full-time remote. The selected candidate must reside in North Carolina. Some ... Responsibilities & Duties Utilization Reviews and Management * Independently conducts medical ...
UM Clinical Specialist-Behavioral Health (Full-time Remote, North Carolina Based)
Fayetteville, NC · Remote
This position is full-time remote. The selected candidate must reside in North Carolina. Some ... Responsibilities & Duties Utilization Reviews and Management * Independently conducts medical ...
Full Time Remote Utilization Review information
See salary details
$21.39 - $25.72
2% of jobs
$25.72 - $30.05
9% of jobs
$33.01 is the 25th percentile. Wages below this are outliers.
$30.05 - $34.38
21% of jobs
The median wage is $37.88 / hr.
$34.38 - $38.70
23% of jobs
$38.70 - $43.03
13% of jobs
$46.39 is the 75th percentile. Wages above this are outliers.
$43.03 - $47.36
10% of jobs
$47.36 - $51.68
8% of jobs
$51.68 - $56.01
5% of jobs
$56.01 - $60.34
5% of jobs
$60.34 - $64.66
2% of jobs
$64.66 - $68.99
2% of jobs
$21
$42
$68
How much do full time remote utilization review jobs pay per hour?
As of Jun 1, 2026, the average hourly pay for full time remote utilization review 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 Full Time Remote Utilization Review vs Part Time Remote Utilization Review?
| Aspect | Full Time Remote Utilization Review | Part Time Remote Utilization Review |
|---|---|---|
| Work Hours | Typically 40 hours/week | Fewer hours, often less than 20/week |
| Certifications | Required certifications like AAHAM or URAC often needed | Same certifications as full-time, but may vary by employer |
| Work Environment | Remote, full-time employment | Remote, part-time engagement |
| Job Responsibilities | Complete utilization reviews, documentation, compliance | Similar responsibilities but on a reduced schedule |
Full Time Remote Utilization Review involves working 40 hours weekly with comprehensive responsibilities, while Part Time Remote Utilization Review offers flexible, reduced hours with similar duties. Both roles require relevant certifications and are performed remotely, but differ mainly in hours and workload.
More about Full Time Remote Utilization Review jobs
What cities are hiring for Full Time Remote Utilization Review jobs? Cities with the most Full Time Remote Utilization Review job openings:
What are the most commonly searched types of Remote Utilization Review jobs? The most popular types of Remote Utilization Review jobs are:
What states have the most Full Time Remote Utilization Review jobs? States with the most job openings for Full Time Remote Utilization Review jobs include:
What job categories do people searching Full Time Remote Utilization Review jobs look for? The top searched job categories for Full Time Remote Utilization Review jobs are:
- Temporary Aetna Utilization Review Nurse
- Utilization Review Coordinator
- Medical Utilization Review Physician
- Utilization Review No Experience
- Coordinator Aetna Utilization Review
- Free Utilization Review Training
- Utilization Review Coordinator Prn
- Remote Aetna Utilization Review
- Remote Authorization Utilization Review Bcba
- Weekend Utilization Review
$40/hr
Full-time
Posted 6 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 experience preferred
- Experience in Utilization Review, Case Management, or similar clinical coordination role preferred
- Strong understanding of medical necessity criteria and payer guidelines
- Knowledge of insurance authorization and review processes
- Strong documentation, analytical, and communication skills
- Ability to work independently in a remote setting
- Experience with EMR systems preferred (Epic preferred)
Job Responsibilities
- Perform utilization review for inpatient and outpatient services
- Evaluate medical records for appropriate level of care and medical necessity
- Process prior authorizations and continued stay reviews
- Collaborate with physicians, case managers, and insurance payers
- Document review decisions accurately in EMR systems
- Identify cases requiring escalation to clinical reviewers or medical directors
- Support discharge planning and care coordination when needed
- Ensure compliance with regulatory, payer, and facility guidelines
- Maintain productivity and quality standards in a remote environment
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.