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Internship Remote Utilization Review Nurse Jobs (NOW HIRING)

Astrana Health, Inc.

UM Review Nurse

$34 - $47/hr

... Utilization Review Nurse to assist our Health Services Department. In this position, you will ... This is a remote position for CA-licensed nurses. Candidates must live in California. We are ...

iMPROve Health

Contingent UR/LTSS Registered Nurse

... Utilization Review / Long-Term Services & Supports (UR/LTSS) Review Nurse . This fully remote ... position supports Michigan Medicaid programs by conducting Nursing Facility Level of Care (LOC ...

Enterprise Engineering

Be Seen First

Concurrent Utilization Review (UR) Nurse

OR · Remote

$30 - $38/hr

Concurrent Utilization Review (UR) Nurse Remote Opportunity Contract to Hire Must be licenses in California The Concurrent Utilization Review (UR) Nurse is responsible for conducting real-time ...

Medica

Utilization Management RN III

$70K - $120K/yr

Medica's Utilization Review Nurses are responsible for reviewing and documenting prior ... Active, unrestricted RN license required This position is a Remote role. To be eligible for ...

Astrana Health

UM Review Nurse

Monterey Park, CA · Remote

$34 - $47/hr

Astrana Health is looking for a CA-licensed Utilization Review Nurse to assist our Health Services ... This is a remote position for CA-licensed nurses. Candidates must live in California. We are ...

Astrana Health, Inc.

UM Review Nurse

Monterey Park, CA · Remote

$34 - $47/hr

Description Astrana Health is looking for a CA-licensed Utilization Review Nurse to assist our ... This is a remote position for CA-licensed nurses. Candidates must live in California. We are ...

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Internship Remote Utilization Review Nurse information

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

As of Aug 10, 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 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 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 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

UM Review Nurse

Astrana Health, Inc.

Remote

$34 - $47/hr

Other

Re-posted 18 days ago

Job description

UM Review Nurse
Department: HS - UM
Employment Type: Full Time
Location: 1600 Corporate Center Dr., Monterey Park, CA 91754
Reporting To: Phillip Vasquez
Compensation: $34.00 - $47.00 / hour
Description
Astrana Health is looking for a CA-licensed Utilization Review Nurse to assist our Health Services Department. In this position, you will utilize your clinical judgement to approve or deny outpatient medical services for patients based on Medical Necessity Criteria, respective to various Health Plans.
This position requires open availability between Monday through Sunday, 8 A - 8 P. You would be scheduled for 5 shifts per week. This is a remote position for CA-licensed nurses. Candidates must live in California.
We are seeking nurses with at least one year of outpatient Utilization Management experience in a fast-paced setting.
Our Values:
  • Put Patients First
  • Empower Entrepreneurial Provider and Care Teams
  • Operate with Integrity & Excellence
  • Be Innovative
  • Work As One Team
What You'll Do
  • Complete prior authorization/retrospective review of elective inpatient admissions, outpatient procedures, post-homecare services, and durable medical equipment
  • Refer cases to Medical Directors as needed/appropriate
  • Maintain knowledge of state and federal regulations and accreditation standards
  • Comply with internal policies and procedures
  • Perform any other job duties as requested
Qualifications
  • Active and unrestricted LVN license in CA.
  • At least 1 years of outpatient UM experience
  • Experience with Microsoft applications such as Word, Excel, and Outlook
You'll be Great for this Role If:
  • At least two (2) years of health plan, IPA or MSO experience
  • Strong interpersonal skills
  • Ability to collaborate with co-workers, senior leadership, and other management
  • Experience educating and training staff
Environmental Job Requirements and Working Conditions
  • This is a remote position. Our office is located at 1600 Corporate Center Drive in Monterey Park, CA. Candidates who live within a 30 mile radius of the office may be expected to work hybrid.
  • Typical business hours are Monday - Friday from 8:30 AM to 5 PM, however, this position requires open availability between 8 AM - 8 PM PST, M-Su. Your schedule will be compromised of 5 shifts per week. Nurses rotate weekend and holiday coverage. Overtime is required in this position.
  • The national target pay range for this role is $34.00 - $47.00 per hour. Actual compensation will be based on job level, geographic location (current or future), experience, and other job-related factors.

Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided based on qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation.
Additional Information:
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.

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