Utilization Review Nurse Responsible for utilization review work for emergency admissions and ... Comfortable with remote work arrangements and virtual collaboration tools * Physical demands ...
New
Utilization Review Nurse Responsible for utilization review work for emergency admissions and ... Comfortable with remote work arrangements and virtual collaboration tools * Physical demands ...
New
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;
Quick apply
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;
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;
Quick apply
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;
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;
Quick apply
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;
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;
Quick apply
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;
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 ...
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 ...
Responsible for utilization review work for emergency admissions and continued stay reviews ... Comfortable with remote work arrangements and virtual collaboration tools * Physical demands ...
Responsible for utilization review work for emergency admissions and continued stay reviews ... Comfortable with remote work arrangements and virtual collaboration tools * Physical demands ...
Utilization Review Nurse
New Lenox, IL · On-site +1
$34.73 - $45.15/hr
Medical
Dental
Vision
Life
Retirement
PTO
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 ...
Utilization Review Nurse
New Lenox, IL · On-site +1
$34.73 - $45.15/hr
Medical
Dental
Vision
Life
Retirement
PTO
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 ...
Utilization Review Nurse
$85K - $105K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Utilization Review Nurse Remote Ability to travel on-site to 3031 NE Stephens St., Roseburg OR, 97457, as needed for business operations. Employment Type: Full-Time, Exempt About Umpqua Health At ...
Utilization Review Nurse
$85K - $105K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Utilization Review Nurse Remote Ability to travel on-site to 3031 NE Stephens St., Roseburg OR, 97457, as needed for business operations. Employment Type: Full-Time, Exempt About Umpqua Health At ...
Utilization Review Nurse
Roseburg, OR · On-site +1
$85K - $105K/yr
Medical
Dental
Vision
Life
Retirement
PTO
UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR, 97470, as needed for business operations. EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At ...
Utilization Review Nurse
Roseburg, OR · On-site +1
$85K - $105K/yr
Medical
Dental
Vision
Life
Retirement
PTO
UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR, 97470, as needed for business operations. EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At ...
Utilization Review Nurse
$85K - $105K/yr
Medical
Dental
Vision
Life
Retirement
PTO
UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR, 97470, as needed for business operations. EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At ...
Utilization Review Nurse
$85K - $105K/yr
Medical
Dental
Vision
Life
Retirement
PTO
UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR, 97470, as needed for business operations. EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At ...
Utilization Review Nurse - Remote
Franklin, TN · On-site +1
Medical
Dental
Vision
Retirement
PTO
The Utilization Review Nurse is to assess the medical necessity and quality of healthcare services by conducting pre-service, concurrent, and retrospective utilization management reviews. The primary ...
Utilization Review Nurse - Remote
Franklin, TN · On-site +1
Medical
Dental
Vision
Retirement
PTO
The Utilization Review Nurse is to assess the medical necessity and quality of healthcare services by conducting pre-service, concurrent, and retrospective utilization management reviews. The primary ...
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 ...
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 ...
Utilization Review Nurse
Roseburg, OR · Remote
$85K - $105K/yr
Medical
Dental
Vision
Life
Retirement
PTO
UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR, 97470, as needed for business operations. EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At ...
Quick apply
Utilization Review Nurse
Roseburg, OR · Remote
$85K - $105K/yr
Medical
Dental
Vision
Life
Retirement
PTO
UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR, 97470, as needed for business operations. EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At ...
Utilization Review Nurse
Murray, UT · On-site +1
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 ...
Utilization Review Nurse
Murray, UT · On-site +1
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 ...
CA Utilization Review Nurse I
$30.64 - $45.80/hr
Medical
Dental
Vision
Life
Retirement
PTO
Utilization Review Nurse The Utilization Review Nurse gathers demographic and clinical information ... This is a remote position. Essential Functions & Responsibilities: * Identifies the necessity of ...
CA Utilization Review Nurse I
$30.64 - $45.80/hr
Medical
Dental
Vision
Life
Retirement
PTO
Utilization Review Nurse The Utilization Review Nurse gathers demographic and clinical information ... This is a remote position. Essential Functions & Responsibilities: * Identifies the necessity of ...
Utilization Review Nurse - Remote
Franklin, TN · Remote
Medical
Dental
Vision
Retirement
PTO
The Utilization Review Nurse is to assess the medical necessity and quality of healthcare services by conducting pre-service, concurrent, and retrospective utilization management reviews. The primary ...
Utilization Review Nurse - Remote
Franklin, TN · Remote
Medical
Dental
Vision
Retirement
PTO
The Utilization Review Nurse is to assess the medical necessity and quality of healthcare services by conducting pre-service, concurrent, and retrospective utilization management reviews. The primary ...
Review, analyze, and identify utilization patterns and trends, problems, or inappropriate ... Comfortable with remote work arrangements and virtual collaboration tools * Physical demands ...
New
Review, analyze, and identify utilization patterns and trends, problems, or inappropriate ... Comfortable with remote work arrangements and virtual collaboration tools * Physical demands ...
New
... Full time remote Candidates must be based in TX. RN working in the insurance or managed care ... Provides information regarding utilization management requirements and operational procedures to ...
... Full time remote Candidates must be based in TX. RN working in the insurance or managed care ... Provides information regarding utilization management requirements and operational procedures to ...
CA Utilization Review Nurse I
Rancho Cucamonga, CA · Remote
$30.64 - $45.80/hr
Medical
Dental
Vision
Life
Retirement
PTO
The Utilization Review Nurse gathers demographic and clinical information on prospective ... This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Identifies the necessity of ...
CA Utilization Review Nurse I
Rancho Cucamonga, CA · Remote
$30.64 - $45.80/hr
Medical
Dental
Vision
Life
Retirement
PTO
The Utilization Review Nurse gathers demographic and clinical information on prospective ... This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Identifies the necessity of ...
Remote International Utilization Review Nurse 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 remote international utilization review nurse jobs pay per hour?
As of Aug 14, 2026, the average hourly pay for remote international utilization review nurse 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.
How does a remote international utilization review nurse collaborate with healthcare teams across different time zones and cultures?
As a Remote International Utilization Review Nurse, you’ll frequently coordinate with multidisciplinary teams and providers located in various countries. This involves adapting to different time zones, which may require flexible scheduling or asynchronous communication through email and secure messaging platforms. You’ll need to be culturally sensitive and aware of international healthcare regulations while reviewing cases and making recommendations. Strong communication skills and an understanding of global healthcare practices are essential for building positive working relationships and ensuring accurate, timely case management.
What is the difference between Remote International Utilization Review Nurse vs Remote Utilization Review Nurse?
| Aspect | Remote International Utilization Review Nurse |
|---|---|
| Certifications | Registered Nurse (RN), possibly additional international health or utilization review certifications |
| Work Environment | Remote, often collaborating with international healthcare providers and insurers |
| Employer & Industry | Hospitals, insurance companies, or healthcare organizations operating internationally |
The main difference is that the Remote International Utilization Review Nurse focuses on reviewing healthcare cases across different countries, requiring international health knowledge and possibly additional certifications. In contrast, the Remote Utilization Review Nurse typically works within a specific country, focusing on domestic healthcare cases. Both roles involve remote work and require RN credentials, but the international role demands understanding of global healthcare standards and policies.
What are the key skills and qualifications needed to thrive as a remote international utilization review nurse?
To thrive as a Remote International Utilization Review Nurse, you need a solid nursing background with active RN licensure, expert knowledge of clinical guidelines, and experience in utilization management. Familiarity with utilization management software, electronic health records (EHRs), and international health regulations is typically expected, and certification in case management (e.g., CCM) is advantageous. Strong analytical thinking, cross-cultural communication, and self-motivation are vital soft skills for excelling in a remote and global context. These skills and qualifications ensure accurate case assessments, compliance with international standards, and effective collaboration with diverse healthcare teams across borders.
What is a remote international utilization review nurse?
A Remote International Utilization Review Nurse is a licensed nursing professional who evaluates the necessity, appropriateness, and efficiency of healthcare services provided to patients, often for insurance or healthcare organizations, while working remotely. They review medical records, treatment plans, and insurance claims to ensure compliance with established guidelines and standards. Their role helps to optimize patient care and manage healthcare costs, often extending their expertise across different countries and healthcare systems. This position requires strong clinical knowledge, analytical skills, and the ability to work independently using digital tools.
More about Remote International Utilization Review Nurse jobs
What cities are hiring for Remote International Utilization Review Nurse jobs?
Cities with the most Remote International Utilization Review Nurse job openings:
What are the most commonly searched types of International Utilization Review Nurse jobs?
The most popular types of International Utilization Review Nurse jobs are:
What states have the most Remote International Utilization Review Nurse jobs?
States with the most job openings for Remote International Utilization Review Nurse jobs include:
What job categories do people searching Remote International Utilization Review Nurse jobs look for?
The top searched job categories for Remote International Utilization Review Nurse jobs are:
- Remote Hca Utilization Review
- International Utilization Review Nurse
- Weekend Utilization Review
- Optum Utilization Review Nurse
- Full Time Anthem Utilization Review Nurse
- Rn Utilization Review Nurse
- Remote Optum Utilization Review
- Utilization Management Review Nurse
- Remote Navihealth Utilization Review
- Cigna Utilization Review Remote
Netsmart rating
8.3
Based on 8 frontline employees who took The Breakroom Quiz
44th of 223 rated it services
Job description
Utilization Review Nurse
Responsible for utilization review work for emergency admissions and continued stay reviews. Responsibilities include:
- Review and evaluate electronic medical records of emergency department admissions and screen for medical necessity using InterQual or MCG criteria
- Apply evidence-based clinical guidelines and criteria to assess and ensure proper utilization of healthcare resources
- Participate in telephonic discussions with emergency department physicians relative to documentation and admission status
- Enter clinical review information into system for transmission to insurance companies for authorization
- Review, analyze, and identify utilization patterns and trends, problems, or inappropriate utilization of resources
Qualifications required:
- Current and unrestricted RN license
- At least 3 years clinical experience in acute care setting in emergency room, critical care and/or medical/surgical nursing
- At least 2 years utilization management experience in acute admission and concurrent reviews
- Intermediate level experience with InterQual and/or MCG criteria within the last two years
- Proficiency in medical record review in an electronic medical record (EMR)
- Experience in Microsoft Suite including Office and basic Excel
- Ability to thrive in a fast-paced, dynamic environment and adapt to frequent changing business needs
- Passing score(s) on job-related pre-employment assessment(s)
Preferred:
- At least 5 years clinical experience in acute care setting in emergency room, critical care and/or medical/surgical nursing
- At least 3 years utilization management experience within the hospital setting
- Bachelor's of Science in Nursing (BSN)
- Case Management Certifications such as Certified Case Manager (CCM), Accredited Case Manager (ACM), Certified Managed Care Nurse (CMCN), Case Management, Board Certified (CMGT-BC)
Expectations:
- Comfortable with remote work arrangements and virtual collaboration tools
- Physical demands include extended periods of sitting, computer use, and telephone communication
Netsmart is proud to be an equal opportunity workplace and is an affirmative action employer, providing equal employment and advancement opportunities to all individuals. We celebrate diversity and are committed to creating an inclusive environment for all associates. All employment decisions at Netsmart, including but not limited to recruiting, hiring, promotion and transfer, are based on performance, qualifications, abilities, education and experience. Netsmart does not discriminate in employment opportunities or practices based on race, color, religion, sex (including pregnancy), sexual orientation, gender identity or expression, national origin, age, physical or mental disability, past or present military service, or any other status protected by the laws or regulations in the locations where we operate.
Netsmart desires to provide a healthy and safe workplace and, as a government contractor, Netsmart is committed to maintaining a drug-free workplace in accordance with applicable federal law. Pursuant to Netsmart policy, all post-offer candidates are required to successfully complete a pre-employment background check, including a drug screen, which is provided at Netsmart's sole expense. In the event a candidate tests positive for a controlled substance, Netsmart will rescind the offer of employment unless the individual can provide proof of valid prescription to Netsmart's third party screening provider.
If you are located in a state which grants you the right to receive information on salary range, pay scale, description of benefits or other compensation for this position, please use this form to request details which you may be legally entitled.
All applicants for employment must be legally authorized to work in the United States. Netsmart does not provide work visa sponsorship for this position.
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