Review, analyze, and identify utilization patterns and trends, problems, or inappropriate ... Comfortable with remote work arrangements and virtual collaboration tools * Physical demands ...
Review, analyze, and identify utilization patterns and trends, problems, or inappropriate ... Comfortable with remote work arrangements and virtual collaboration tools * Physical demands ...
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 ...
... 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 ...
Review, analyze, and identify utilization patterns and trends, problems, or inappropriate ... Comfortable with remote work arrangements and virtual collaboration tools * Physical demands ...
Review, analyze, and identify utilization patterns and trends, problems, or inappropriate ... Comfortable with remote work arrangements and virtual collaboration tools * Physical demands ...
Review, analyze, and identify utilization patterns and trends, problems, or inappropriate ... Comfortable with remote work arrangements and virtual collaboration tools * Physical demands ...
Review, analyze, and identify utilization patterns and trends, problems, or inappropriate ... Comfortable with remote work arrangements and virtual collaboration tools * Physical demands ...
Utilization Review Nurse-Remote-Contract
Dallas, TX · Remote
$40/hr
... 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 ...
Quick apply
Utilization Review Nurse-Remote-Contract
Dallas, TX · Remote
$40/hr
... 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
The Utilization Review Nurse gathers demographic and clinical information on prospective ... This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Identifies the necessity of ...
Quick apply
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 ...
Utilization Review Nurse- Care Coordination Department
Poughkeepsie, NY · On-site +1
$48.49 - $73.58/hr
Summary: The Utilization Review Nurse is responsible for conducting timely, accurate, and ... Adheres to the standards outlined in the Nuvance Health Remote Work Program Policy when utilizing a ...
Utilization Review Nurse- Care Coordination Department
Poughkeepsie, NY · On-site +1
$48.49 - $73.58/hr
Summary: The Utilization Review Nurse is responsible for conducting timely, accurate, and ... Adheres to the standards outlined in the Nuvance Health Remote Work Program Policy when utilizing a ...
Utilization Review Nurse - Remote - Contract
Dallas, TX · Remote
$41/hr
Remote position, however, candidates must reside in the State of TX or State of IL This position is ... Pay: $41/hour RN working in the insurance or managed care industry using medically accepted ...
Quick apply
Utilization Review Nurse - Remote - Contract
Dallas, TX · Remote
$41/hr
Remote position, however, candidates must reside in the State of TX or State of IL This position is ... Pay: $41/hour RN working in the insurance or managed care industry using medically accepted ...
Utilization Review Nurse - Remote - Contract
Chicago, IL · Remote
$41/hr
Remote position, however, candidates must reside in the State of TX or State of IL This position is ... Pay: $41/hour RN working in the insurance or managed care industry using medically accepted ...
Quick apply
Utilization Review Nurse - Remote - Contract
Chicago, IL · Remote
$41/hr
Remote position, however, candidates must reside in the State of TX or State of IL This position is ... Pay: $41/hour RN working in the insurance or managed care industry using medically accepted ...
PRN Utilization Review Nurse Reviewer
Medical
Dental
Vision
Life
Retirement
PTO
The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring ... Apple equipment and a media stipend are provided for remote workspace. ABOUT DANE STREET: A fast ...
PRN Utilization Review Nurse Reviewer
Medical
Dental
Vision
Life
Retirement
PTO
The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring ... Apple equipment and a media stipend are provided for remote workspace. ABOUT DANE STREET: A fast ...
We are currently seeking Board-Certified physicians in International Radiology to conduct independent Utilization Reviews . This is a flexible, fully remote opportunity requiring just 1-2 hours per ...
We are currently seeking Board-Certified physicians in International Radiology to conduct independent Utilization Reviews . This is a flexible, fully remote opportunity requiring just 1-2 hours per ...
We are currently seeking Board-Certified physicians in International Radiology to conduct independent Utilization Reviews . This is a flexible, fully remote opportunity requiring just 1-2 hours per ...
We are currently seeking Board-Certified physicians in International Radiology to conduct independent Utilization Reviews . This is a flexible, fully remote opportunity requiring just 1-2 hours per ...
PRN Utilization Review Nurse Reviewer
Medical
Dental
Vision
Life
Retirement
PTO
The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring ... Apple equipment and a media stipend are provided for remote workspace. ABOUT DANE STREET: A fast ...
PRN Utilization Review Nurse Reviewer
Medical
Dental
Vision
Life
Retirement
PTO
The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring ... Apple equipment and a media stipend are provided for remote workspace. ABOUT DANE STREET: A fast ...
The P2P Utilization Review Nurse reports to Utilization Management leadership within the ... On remote workdays, employees must use a stable, secure, and compliant workstation in a quiet ...
The P2P Utilization Review Nurse reports to Utilization Management leadership within the ... On remote workdays, employees must use a stable, secure, and compliant workstation in a quiet ...
We are currently seeking Board-Certified physicians in International Radiology to conduct independent Utilization Reviews . This is a flexible, fully remote opportunity requiring just 1-2 hours per ...
We are currently seeking Board-Certified physicians in International Radiology to conduct independent Utilization Reviews . This is a flexible, fully remote opportunity requiring just 1-2 hours per ...
We are currently seeking Board-Certified physicians in International Radiology to conduct independent Utilization Reviews . This is a flexible, fully remote opportunity requiring just 1-2 hours per ...
We are currently seeking Board-Certified physicians in International Radiology to conduct independent Utilization Reviews . This is a flexible, fully remote opportunity requiring just 1-2 hours per ...
Utilization Review Nurse - RN
$30 - $40/hr
Medical
Dental
Retirement
PTO
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 ...
Utilization Review Nurse - RN
$30 - $40/hr
Medical
Dental
Retirement
PTO
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 ...
Utilization Review Nurse - RN
$30 - $40/hr
Medical
Dental
Retirement
PTO
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 ...
Utilization Review Nurse - RN
$30 - $40/hr
Medical
Dental
Retirement
PTO
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 ...
Registered Nurse - Utilization Review (Remote) This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital ...
Registered Nurse - Utilization Review (Remote) This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital ...
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 20, 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.
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.
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.
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.
More about Remote International Utilization Review Nurse jobs
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Cities with the most Remote International Utilization Review Nurse job openings:
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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:
Netsmart rating
8.3
Based on 8 frontline employees who took The Breakroom Quiz
44th of 224 rated it services
Job description
Job Description
Responsibilities
- 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
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)
- 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)
- 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.
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