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Internship Remote Utilization Review Jobs (NOW HIRING)

Dane Street, LLC

Utilization Review Physician

Perform utilization review for: * Preauthorization requests * Appeals (first and second level ... Remote work from home * Full-time, Monday-Friday * Availability for occasional weekends and holiday ...

Oscar Health

Utilization Review Nurse

Tempe, AZ · Remote

$35 - $45.94/hr

You will report into the Supervisor, Utilization Review. Work Location ... This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois;

Bracane Co

Utilization Review Nurse

Plano, TX · Remote

***REMOTE - Candidates must be based in Texas: Austin area - Travis/Williamson Counties or Richardson ... This position is responsible for performing initial, concurrent review activities; discharge care ...

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How much do internship remote utilization review jobs pay per hour?

As of May 31, 2026, the average hourly pay for internship remote utilization review in the United States is $19.31, according to ZipRecruiter salary data. Most workers in this role earn between $16.11 and $20.91 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Remote Utilization Review Intern, and why are they important?

To thrive as a Remote Utilization Review Intern, you need a foundational understanding of healthcare processes, medical terminology, and insurance guidelines, often supported by a relevant degree or coursework in nursing, health administration, or a related field. Familiarity with electronic medical record (EMR) systems, utilization review software, and HIPAA compliance is typically required. Strong attention to detail, analytical thinking, and effective written communication are standout soft skills in this role. These abilities are crucial for accurately reviewing patient cases, ensuring regulatory compliance, and supporting efficient healthcare delivery from a remote setting.

What are the main challenges interns face when working remotely in Utilization Review, and how can they overcome them?

Remote Utilization Review interns often encounter challenges in balancing independent work with effective communication, especially when collaborating with clinical teams or supervisors. Staying organized and proactively reaching out for guidance can help bridge gaps caused by remote settings. Utilizing available digital tools, attending virtual meetings, and participating in team chats fosters connection and learning. Setting a structured daily schedule and seeking regular feedback ensures that interns stay aligned with team goals and develop their review skills efficiently.

What is a Remote Utilization Review Internship?

A Remote Utilization Review Internship is a temporary position, often for students or recent graduates, that allows individuals to work remotely while learning about utilization review processes in healthcare. Interns assist in evaluating medical records, ensuring that healthcare services provided to patients are medically necessary and meet established guidelines. They work under the supervision of licensed professionals, gaining experience in medical documentation, insurance policies, and healthcare regulations. This role is ideal for those interested in healthcare administration, nursing, or case management.

What is the difference between Internship Remote Utilization Review vs Utilization Review Specialist?

AspectInternship Remote Utilization ReviewUtilization Review Specialist
CredentialsTypically pursuing or holding relevant certifications (e.g., CCM, RN)Requires active certification and experience in utilization review
Work EnvironmentRemote, internship setting, often part-time or supervisedFull-time, remote or onsite, with more independent responsibilities
Industry UsageEntry-level, training phase within healthcare and insurance sectorsProfessional role with established responsibilities in healthcare management

In summary, an Internship Remote Utilization Review is a training position for individuals gaining experience in utilization review, often with supervision and limited responsibilities. A Utilization Review Specialist is a fully qualified professional responsible for evaluating healthcare services, requiring certifications and more independence in their role.

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What cities are hiring for Internship Remote Utilization Review jobs? Cities with the most Internship 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 Internship Remote Utilization Review jobs? States with the most job openings for Internship Remote Utilization Review jobs include:
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Internship Remote Utilization Review jobs near you
Infographic showing various Internship Remote Utilization Review job openings in the United States as of May 2026, with employment types broken down into 1% As Needed, 91% Full Time, 3% Part Time, 4% Contract, and 1% Nights. Highlights an 39% Physical, and 61% Remote job distribution, with an average salary of $40,174 per year, or $19.3 per hour.

Remote Utilization Review RN - RURR 26-06086

NavitasPartners

Healdsburg, CA • Remote

$40 - $45/hr

Other

Posted 5 days ago

Job description

Job Title: Remote Utilization Review RN

Location: Santa Rosa, CA
Assignment Duration: 13 Weeks
Schedule: Day Shift - 5x8 Hours (8:00 AM - 4:30 PM)

Compensation:
  • Pay Rate: $40-$45/hr based on experience
Position Overview:

We are seeking an experienced Remote Utilization Review Registered Nurse (RN) to support healthcare operations by ensuring the appropriate use of medical services and resources. The ideal candidate will have strong knowledge of medical necessity criteria, payer guidelines, and utilization review processes while working collaboratively with interdisciplinary healthcare teams.

Responsibilities:
  • Perform utilization review activities to ensure appropriate and cost-effective use of healthcare resources
  • Review patient medical records for medical necessity and compliance with payer requirements
  • Collaborate with physicians, case managers, and interdisciplinary healthcare teams
  • Submit, track, and monitor authorizations, approvals, and denials
  • Maintain accurate, timely, and compliant documentation
  • Ensure adherence to healthcare regulations and payer guidelines
  • Communicate effectively with providers and healthcare staff regarding review outcomes
  • Support quality improvement initiatives related to utilization management
Qualifications:
  • Active Registered Nurse (RN) License
  • Recent Utilization Review experience preferred
  • Strong understanding of payer guidelines and medical necessity criteria
  • Excellent communication, critical thinking, and organizational skills
  • Ability to work independently in a remote environment
  • Strong documentation and computer skills
  • Ability to manage multiple tasks in a fast-paced healthcare setting

For more details reach at Aditi.sharma@navitashealth.com or Call / Text at 516-587-6677.

About Navitas Healthcare, LLC: It is a 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.

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