ZipRecruiter

Log In

2

Internship Remote Utilization Review Nurse Jobs (NOW HIRING)

Oscar Health

Utilization Review Nurse

Miami, FL · Remote

$35 - $45.94/hr

We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois;

Oscar Health

Utilization Review Nurse

Dallas, TX · Remote

$35 - $45.94/hr

We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois;

Oscar Health

Utilization Review Nurse

Tempe, AZ · Remote

$35 - $45.94/hr

We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... 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 ...

Oscar Health

Utilization Review Nurse

Atlanta, GA · Remote

$35 - $45.94/hr

We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois;

Actalent

Utilization Review Nurse

$30 - $40/hr

RN Clinical Review Nurse (Utilization Review Nurse) The Clinical Review Clinician for Appeals is ... This is a fully remote position. Application Deadline: This position is anticipated to close on Aug ...

New

silvercross

Utilization Review Nurse

$34.73 - $45.15/hr

Nurse, Registered (RN) licensure * BSN preferred. 2-5 years previous Utilization Review experience ... Days, Primarily remote; onsite orientation requirement; weekend and holiday rotation; on site ...

Silver Cross Hospital

Utilization Review Nurse

New Lenox, IL · On-site +1

$34.73 - $45.15/hr

Nurse, Registered (RN) licensure * BSN preferred. 2-5 years previous Utilization Review experience ... Days, Primarily remote; onsite orientation requirement; weekend and holiday rotation; on site ...

KYYBA

Remote Utilization Review RN

Detroit, MI · Remote

$35 - $39/hr

Utilization Review RN Contract Duration: 12+ months Job Location: 100% REMOTE License Requirements: MI Registered Nurse License Mandatory Requirements to Apply * Active, unrestricted Michigan ...

University of Utah

Utilization Review Nurse

Refers to UR committee any case that surpasses expected LOS, expected cost, or over/under-utilization of resources. * Performs verbal/fax clinical review with payer as determined by nursing judgment ...

next page

Showing results 1-20

All Jobsremote Jobsinternship JobsHealthcare JobsNursing JobsNurse Case Manager JobsInternship Remote Utilization Review Nurse Jobs

Internship Remote Utilization Review Nurse information

See salary details

$9

$16

$22

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

As of Aug 26, 2026, the average hourly pay for internship remote utilization review nurse in the United States is $16.77, according to ZipRecruiter salary data. Most workers in this role earn between $14.42 and $18.75 per hour, depending on experience, location, and employer.

What is an internship remote utilization review nurse?

An Internship Remote Utilization Review Nurse is a nursing student or recent graduate who works remotely to learn the process of reviewing medical records and determining the necessity and appropriateness of healthcare services. Under supervision, they help ensure patients receive the proper level of care and that healthcare resources are used efficiently. This internship provides hands-on experience in case management, medical documentation, and insurance review processes, all from a remote setting.

What are the key skills and qualifications needed to thrive as an internship remote utilization review nurse?

To thrive as an Internship Remote Utilization Review Nurse, you need a strong understanding of clinical care, medical terminology, and case review processes, typically backed by an active RN license and relevant nursing education. Familiarity with utilization management software, electronic health records (EHRs), and healthcare regulatory guidelines is essential. Strong analytical skills, attention to detail, and effective communication are crucial soft skills for this remote, review-focused position. These abilities ensure accurate assessments, compliance with regulations, and clear coordination with healthcare teams to optimize patient care and resource use.

What are some common challenges faced by remote utilization review nurse interns, and how can they be addressed?

Remote utilization review nurse interns often face challenges such as adapting to virtual communication, managing time effectively without direct supervision, and staying updated on constantly changing insurance guidelines. To address these, it's important to establish clear daily routines, actively participate in team meetings via video calls or chat, and utilize available resources like online training modules and mentorship. Building relationships with experienced team members can also provide valuable support and guidance throughout the internship.

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

AspectInternship Remote Utilization Review NurseRemote Utilization Review Nurse
CredentialsTypically in progress or recent graduation, may lack full licensureLicensed Registered Nurse (RN) with required certifications
Work EnvironmentSupervised internship setting, learning-focusedFull-time remote work, independent review tasks
Employer & IndustryHospitals, healthcare providers, or training programsInsurance companies, healthcare organizations, utilization management

The Internship Remote Utilization Review Nurse is a training position for aspiring nurses gaining experience in utilization review, often without full licensure. In contrast, the Remote Utilization Review Nurse is a fully licensed professional responsible for conducting reviews independently. The internship role emphasizes learning and supervision, while the full nurse role involves autonomous decision-making in a remote setting.

What cities are hiring for Internship Remote Utilization Review Nurse jobs?

Cities with the most Internship Remote Utilization Review Nurse job openings:

What are the most commonly searched types of Remote Utilization Review Nurse jobs?

The most popular types of Remote Utilization Review Nurse jobs are:

What states have the most Internship Remote Utilization Review Nurse jobs?

States with the most job openings for Internship Remote Utilization Review Nurse jobs include:

Internship Remote Utilization Review Nurse jobs near you

Remote UTILIZATION REVIEW NURSE - RN

Nexus Health Systems

Remote

Other

Medical, Dental, Vision, Retirement, PTO

Posted 11 days ago

Nexus Health Systems rating

6.3

Company rating: 6.3 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

Job description

Remote Utilization Review Registered Nurse (UR RN)
Location: Remote (Texas RN License or Compact License Required)
Company: Nexus Health Systems
Employment Type: Full-Time
Make an Impact from Anywhere
Nexus Health Systems is seeking an experienced Utilization Review Registered Nurse (UR RN) to join our growing Utilization Management team. This fully remote position plays a critical role in ensuring patients receive medically necessary, high-quality care while promoting appropriate resource utilization and regulatory compliance.
If you're a detail-oriented RN with experience in utilization review, case management, or behavioral health and enjoy collaborating with interdisciplinary teams to improve patient outcomes, we'd love to hear from you.
What You'll Do
  • Conduct concurrent and retrospective utilization reviews to determine medical necessity and appropriate level of care.
  • Apply evidence-based criteria, including InterQual (or similar), to support clinical decision-making and payer compliance.
  • Collaborate with physicians, case managers, and interdisciplinary teams to facilitate timely authorizations, discharge planning, and appropriate transitions of care.
  • Review clinical documentation to ensure accuracy, completeness, and compliance with payer and regulatory requirements.
  • Manage insurance authorizations, denials, appeals, and level-of-care determinations.
  • Monitor utilization trends and contribute to quality improvement initiatives that enhance patient outcomes and operational efficiency.
  • Participate in multidisciplinary utilization review meetings and provide recommendations to optimize care delivery.
  • Maintain accurate documentation within the electronic health record (EHR) while ensuring HIPAA compliance.
Qualifications
Required
  • Associate Degree in Nursing (ADN) from an accredited nursing program.
  • Current, unrestricted Texas RN license or Compact RN license.
  • Minimum of 2 years of acute care clinical nursing experience.
  • At least 3 years of Utilization Review or Case Management experience involving complex medical/surgical and/or behavioral health patients.
  • Strong knowledge of payer guidelines, medical necessity criteria, and utilization management principles.
  • Excellent critical thinking, communication, and organizational skills.
  • Proficiency with electronic health records (EHRs) and Microsoft Office applications.
Preferred
  • Bachelor of Science in Nursing (BSN).
  • Experience with InterQual or MCG criteria.
  • Behavioral health utilization review experience.
  • Experience with Meditech.
  • Professional certifications such as CCM, CPHQ, or HCQM.
Why Nexus Health Systems?
At Nexus Health Systems, our mission is to improve lives through compassionate, high-quality care. As a member of our Utilization Review team, you'll collaborate with dedicated healthcare professionals while helping ensure patients receive the right care at the right time.
We offer:
  • Competitive compensation
  • Comprehensive medical, dental, and vision benefits
  • Paid time off and company holidays
  • 401(k) with company match
  • Professional development and continuing education opportunities
  • A collaborative, mission-driven culture
  • Fully remote work environment

If you're ready to make a meaningful impact in healthcare while enjoying the flexibility of working remotely, we'd love to hear from you.
Apply today through LinkedIn or visit the Nexus Health Systems Careers page to learn more.

What Nexus Health Systems employees say

Pay

Workplace

Get the full story on Breakroom

Apply