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Remote International Utilization Review Nurse Jobs

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

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;

Virginia Mason Medical Center

$52.03 - $101.24/hr

Job Summary and Responsibilities As our Utilization Review Nurse, you will ensure the medical necessity and appropriateness of care for all hospitalized patients, promoting fiscal responsibility and ...

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 ...

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 ...

Corvel

CA Utilization Review Nurse I

Rancho Cucamonga, CA · Remote

$30.64 - $45.80/hr

The Utilization Review Nurse gathers demographic and clinical information on prospective ... This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Identifies the necessity of ...

Personify Health

Utilization Review Nurse - RN

$30 - $38/hr

Current, unrestricted RN license in the United States or a U.S. territory (compact license accepted ... Utilization review/utilization management experience preferred Technical Skills: * Proficiency with ...

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Remote International Utilization Review Nurse information

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$42

$68

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

As of Aug 3, 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?

AspectRemote International Utilization Review Nurse
CertificationsRegistered Nurse (RN), possibly additional international health or utilization review certifications
Work EnvironmentRemote, often collaborating with international healthcare providers and insurers
Employer & IndustryHospitals, 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 International Utilization Review Nurse jobs near you
Infographic showing various Remote International Utilization Review Nurse job openings in the United States as of July 2026, with employment types broken down into 70% Full Time, 10% Part Time, and 20% Contract. Highlights an 100% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Utilization Review Nurse

Oscar Health

Miami, FL • Remote

$35 - $45.94/hr

Full-time

Posted 11 days ago

Oscar Health rating

6.9

Company rating: 6.9 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

251st of 301 rated insurance

Job description

Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review team.

About the role:

You will perform frequent case reviews, check medical records and speak with care providers regarding treatment as needed. You will make recommendations regarding the appropriateness of care for identified diagnoses based on the research results for those conditions.

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; Iowa; Kansas; Michigan; Missouri; Nebraska; New Jersey; North Carolina; Ohio; Oklahoma; Pennsylvania; South Carolina; Tennessee; Texas; or Virginia. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events.

Pay Transparency: The base pay for this role is: $35.00 - $45.94 per hour. You are also eligible for employee benefits and monthly vacation accrual at a rate of 15 days per year.

Responsibilities:

  • Complete medical necessity reviews and level of care reviews for requested services using clinical judgment and Oscar Clinical Guidelines, Milliman Care Guidelines
  • Obtain the information necessary (via telephone and fax) to assess a member's clinical condition, and apply the appropriate evidence-based guidelines
  • Meet required decision-making SLAs
  • Refer members for further care engagement when needed
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Requirements:

  • Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC)
  • Associate Degree - Nursing or Graduate of Accredited School of Nursing Or Successful completion of Nursing Diploma Program in Accredited School of Nursing
  • Ability to obtain additional state licenses to meet business needs
  • 1+ year of utilization review experience in a managed care setting
  • Strong experience utilizating MCG (Milliman Care Gudielines)
  • 1+ years of clinical experience (including at least 1+ year clinical practice in an acute care setting, i.e., ER or hospital)
  • Weekend availability is required; all applicants must be able to work at least one weekend day (Saturday or Sunday) each week.

Bonus points:

  • BSN
  • Previous experience conducting concurrent or inpatient reviews for a managed care plan

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.

California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

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