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Remote Aetna Utilization Review Nurse Jobs in Rochester, MN

REMOTE MDS Coordinator

Rochester, MN · On-site +1

$33.50 - $42.75/hr

This role requires a RN license, LPN will not meet the minimum qualifications. What do we offer you ... Review and verify MDS documentation and charting requirements to support the clinical services ...

REMOTE MDS Coordinator

Rochester, MN · On-site +1

$33.50 - $42.75/hr

This role requires a RN license, LPN will not meet the minimum qualifications. What do we offer you ... Review and verify MDS documentation and charting requirements to support the clinical services ...

REMOTE MDS Coordinator

Rochester, MN · Remote

$33.50 - $42.75/hr

This role requires a RN license, LPN will not meet the minimum qualifications. What do we offer you ... Review and verify MDS documentation and charting requirements to support the clinical services ...

Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a ... Review completed charts with the provider between patients or at the completion of shift * Update ...

Remote Aetna Utilization Review Nurse information

See Rochester, MN salary details

$21

$42

$70

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

As of Sep 4, 2026, the average hourly pay for remote aetna utilization review nurse in Rochester, MN is $42.98, according to ZipRecruiter salary data. Most workers in this role earn between $33.94 and $49.38 per hour, depending on experience, location, and employer.

What is a Remote Aetna Utilization Review Nurse?

A Remote Aetna Utilization Review Nurse is a registered nurse who works from home or another remote location to review medical records and determine the necessity and appropriateness of healthcare services for Aetna insurance members. Their primary role is to ensure that patients receive the right care at the right time, according to established guidelines and insurance policies. They collaborate with healthcare providers, patients, and insurance teams to make coverage decisions, manage authorizations, and support quality care while controlling healthcare costs.

What are the key skills and qualifications needed to thrive as a Remote Aetna Utilization Review Nurse?

To thrive as a Remote Aetna Utilization Review Nurse, you need a current RN license, strong clinical assessment abilities, and experience in case management or utilization review. Familiarity with healthcare management software, Aetna's proprietary systems, and knowledge of insurance guidelines and regulatory standards are essential. Excellent communication, critical thinking, and time management skills help you effectively coordinate care and interact with patients, providers, and payers. These competencies ensure accurate, timely utilization reviews that support patient care quality and cost-effective healthcare delivery.

How does a Remote Aetna Utilization Review Nurse typically collaborate with physicians and other healthcare providers while working remotely?

As a Remote Aetna Utilization Review Nurse, collaboration with physicians and other healthcare providers is primarily conducted through secure digital platforms, emails, and phone calls. Nurses regularly communicate with providers to clarify medical information, discuss clinical documentation, and ensure that care decisions align with Aetna's medical policies and guidelines. While working remotely, maintaining strong communication skills and being responsive to queries are crucial for effective teamwork and efficient case resolution. This virtual collaboration helps ensure members receive appropriate, cost-effective care while adhering to regulatory and organizational standards.

What is the difference between Remote Aetna Utilization Review Nurse vs Remote Case Manager?

AspectRemote Aetna Utilization Review NurseRemote Case Manager
CertificationsRN license, Utilization Review certification often preferredRN license, Case Management certification (CCM or ACM) often preferred
Work EnvironmentHealthcare insurance company, clinical review settingHealthcare insurance or managed care, patient coordination
Employer & IndustryInsurance providers like Aetna, healthcare industryInsurance companies, healthcare organizations, managed care

Both roles involve patient assessment and healthcare review, but the Remote Aetna Utilization Review Nurse focuses on clinical review for insurance authorization, while the Remote Case Manager emphasizes coordinating patient care and discharge planning. They share similar certifications and work environments but differ in daily responsibilities and focus areas.

What are the most commonly searched types of Aetna Utilization Review Nurse jobs in Rochester, MN?

The most popular types of Aetna Utilization Review Nurse jobs in Rochester, MN are:

What are popular job titles related to Remote Aetna Utilization Review Nurse jobs in Rochester, MN?

For Remote Aetna Utilization Review Nurse jobs in Rochester, MN, the most frequently searched job titles are:

What cities near Rochester, MN are hiring for Remote Aetna Utilization Review Nurse jobs?

Cities near Rochester, MN with the most Remote Aetna Utilization Review Nurse job openings:

Infographic showing various Remote Aetna Utilization Review Nurse job openings in Rochester, MN as of June 2026, with employment types broken down into 43% Full Time, 52% Part Time, and 5% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $89,397 per year, or $43 per hour.

Aetna/CVS Health Virtual Underwriting Externship Program

CVS Health

Rochester, MN • On-site, Remote

Full-time

Re-posted 10 days ago


CVS Health rating

5.8

Company rating: 5.8 out of 10

Based on 4,361 frontline employees who took The Breakroom Quiz

92nd of 113 rated pharmacies


Job description

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

Our Values in Action support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient, and affordable.

Position Summary:

Are you a current college student eager to explore the dynamic world of insurance and underwriting? Join us for a transformative 3-week virtual externship program designed to introduce you to the fundamentals of underwriting and risk analysis and offer professional development sessions to build your professional skill set. This program is ideal for individuals looking to learn more about the underwriting field and jump start their career with an industry leader.

The Underwriting Externship Program looks to provide externs with immersive, hands-on underwriting experience that helps them understand the role of a full-time underwriter and Aetna’s underwriting organization. This program serves as one of the primary pipelines for the Underwriting Internship Program and the full-time Underwriting Leadership Development Program.

You will also have the opportunity to apply and interview for a position in our 2028 Summer Corporate Underwriting Internship Program (UIP). This program is intended to take place at our Hartford, CT office location following a hybrid work model.

Position: Underwriting Extern

Duration: Three Week Program; Tuesday, Wednesday, Thursday from 3:00pm-4:30pm ET

Program Dates:

  • Week 1: September 29th, 30th and October 1st
  • Week 2: October 6th, 7th, 8th
  • Week 3: October 13th, 14th, 15th

Location: Remote/Virtual (Using your own personal laptop/computer)

Program Overview:

  • Unpaid Educational Experience: Participants who complete the program will receive priority during the following internship recruiting season.
  • Introduction to Underwriting: Learn the basics of underwriting, risk analysis, and pricing strategies.
  • Virtual Training Sessions: Engage in interactive virtual sessions led by industry experts to deepen your understanding of underwriting concepts and practices.
  • Case Studies: Apply your knowledge to real-world scenarios and collaborate with peers to analyze risks, make underwriting decisions, and present recommendations.
  • Professional Development: Gain insights into career paths within the insurance industry, receive mentorship from seasoned professionals, and build foundational skills in communication, problem solving, and decision-making.
  • Networking Opportunities: Connect with company leaders, underwriters, and other industry professionals to expand your network and gain valuable insights into the industry.

Required Qualifications:

  • Currently enrolled in an undergraduate program; Sophomore students preferred (12/2028 – 5/2029 Graduation date).
  • Access to a computer with reliable internet connection for virtual sessions.
  • Available for ALL Externship Dates (listed above)

Preferred Qualifications:

  • Majors in: Risk Management/Insurance, Math, Statistics, Business Analytics, Economics (and related majors)
  • Strong analytical skills and attention to detail.
  • Excellent communication and interpersonal skills.
  • Curiosity about the insurance industry and eagerness to learn about underwriting and risk analysis.

Program Highlights:

  • Gain a comprehensive understanding of underwriting and risk analysis from industry leaders.
  • Develop foundational skills essential for a successful career in the insurance industry.
  • Build a professional network and establish connections with insurance professionals.
  • Receive a certificate of completion at the end of the externship.
  • Receive priority in the following underwriting internship recruiting process.

Recruiting Process:

To be considered, please submit a resume with your application. We will be reviewing applications on a rolling basis with the opportunity tentatively closing on Sunday, September 6th, at 11:59 p.m. (ET) or if externship spots are filled sooner. The recruiting process consists of an On-Demand Virtual Interview. We will inform you of an interview decision two weeks after your interview submission.

Embark on a journey of exploration and discovery in the world of underwriting with one of the top insurance companies. Apply now and take the first step towards a rewarding career in insurance!

This role is part of an unpaid program and is not eligible for pay or benefits.

This job does not have an application deadline, as CVS Health accepts applications on an ongoing basis.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.


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