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Remote Iqvia Rn Jobs in Gilbert, AZ (NOW HIRING)

CLINICAL QUALITY REVIEWER (RN or LCSW) Location: USA- Remote in approved states Overview: TEEMA is partnering with a leading organization supporting a large-scale federal healthcare program to ...

US; remote with minimal travel Schedule: Mon - Fri; at least two late shifts per week (1:00 pm - 10 ... Must have an RN license in good standing and be willing to obtain licensure in other states. * A ...

US; remote with minimal travel Schedule: Monday - Friday, with three late shifts (11 am - 8 pm PST ... Must have an RN license in good standing and be willing to obtain licensure in other states. * A ...

US; remote with minimal travel Schedule: Monday - Friday, with three late shifts (11 am - 8 pm PST ... Must have an RN license in good standing and be willing to obtain licensure in other states. * A ...

Utilization Review Nurse

Tempe, AZ · Remote

$35 - $45.94/hr

This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois ... Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate ...

Showing results 41-60

Remote Iqvia Rn information

What is a Remote IQVIA RN?

A Remote IQVIA RN is a registered nurse who works for IQVIA, a global healthcare and clinical research company, providing nursing services remotely, often from home. These nurses may support clinical trials, conduct virtual patient assessments, educate patients, and help manage clinical data. Their work typically involves collaborating with clinical teams and using digital platforms to ensure high-quality patient care and compliance with study protocols. Remote IQVIA RNs play a crucial role in advancing medical research and supporting patient outcomes from a distance.

What are the key skills and qualifications needed to thrive as a Remote IQVIA RN?

To thrive as a Remote IQVIA RN, you need an active RN license, strong clinical judgment, and experience in patient care, often with a background in case management or clinical research. Familiarity with telehealth platforms, electronic data capture systems, and compliance with HIPAA regulations is typically required. Outstanding communication, self-motivation, and organizational skills help you excel in a remote environment while supporting patients and collaborating with teams. These skills are crucial for ensuring accurate patient assessments, regulatory compliance, and high-quality care delivery from a distance.

What are some common challenges faced by Remote IQVIA RNs, and how can they be addressed?

Remote IQVIA RNs often encounter challenges such as maintaining effective communication with clinical teams, managing time zones, and staying updated on electronic documentation requirements. Adapting to virtual collaboration tools and prioritizing tasks independently are essential. Regular check-ins with team members and utilizing IQVIA’s robust support resources can help Remote RNs stay connected and efficient, ensuring high-quality patient care and smooth workflow.

What is the difference between Remote Iqvia Rn vs Remote Medical Coder?

AspectRemote Iqvia RnRemote Medical Coder
CredentialsRegistered Nurse (RN) licenseCertification in medical coding (CPC, CCS)
Work EnvironmentHealthcare settings, clinical data reviewMedical records coding, billing departments
Industry UsagePharmaceutical, clinical research, healthcare

Remote Iqvia Rn and Remote Medical Coder roles both operate in healthcare but focus on different tasks. RNs handle patient care and clinical data, while Medical Coders focus on translating medical records into codes for billing. Both require specialized certifications and are common in healthcare and research industries.

What are popular job titles related to Remote Iqvia Rn jobs in Gilbert, AZ?

For Remote Iqvia Rn jobs in Gilbert, AZ, the most frequently searched job titles are:

What job categories do people searching Remote Iqvia Rn jobs in Gilbert, AZ look for?

The top searched job categories for Remote Iqvia Rn jobs in Gilbert, AZ are:

What cities near Gilbert, AZ are hiring for Remote Iqvia Rn jobs?

Cities near Gilbert, AZ with the most Remote Iqvia Rn job openings:

Infographic showing various Remote Iqvia Rn job openings in Gilbert, AZ as of July 2026, with employment types broken down into 75% Full Time, 17% Part Time, and 8% Contract. Highlights an 100% Remote job distribution.

RN Utilization Management Care Reviewer

Banner Health

Phoenix, AZ • Remote

$37.14 - $61.90/hr

Full-time

Posted 24 days ago


Banner Health rating

7.5

Company rating: 7.5 out of 10

Based on 769 frontline employees who took The Breakroom Quiz

237th of 891 rated healthcare providers


Job description

Department Name:

Utilization Mgmt

Work Shift:

Day

Job Category:

Clinical Care

Nursing careers are better at Banner Health. We’ve built smarter processes to help nurses focus on what really matters. If you want to make a difference in people’s lives - this could be the opportunity you’ve been waiting for. 

As a Remote RN Utilization Management Care Reviewer, you’ll play a critical role in ensuring our Medicare Advantage and AHCCCS members receive the right care at the right time while supporting safe, successful transitions after hospitalization. Collaborating with post-acute facilities and interdisciplinary care teams, you’ll apply your clinical expertise to review medical necessity, optimize length of stay, and help improve member outcomes. If you have a passion for utilization management, care coordination, or case management—and experience with MCG or InterQual is a plus—we’d love to hear from you! 

 

This is a remote, salaried opportunity. CANDIDATES MUST RESIDE IN THE STATE OF ARIZONA. The schedule is as follows: Monday-Friday 8am-5pm, no weekends, and major holidays off,

Banner Plans & Networks (BPN) is an accountable care organization that joins Arizona's largest health care provider, Banner Health, and an extensive network of primary care and specialty physicians to provide the most comprehensive healthcare solutions for Maricopa County and parts of Pinal County. Through BPN, known nationally as an innovative leader in new health care models, insurance plans and physicians are coming together to work collaboratively to keep members in optimal health, while reducing costs.

POSITION SUMMARY
This position, within the Utilization Management Department, will determine the medical appropriateness of requested services by reviewing clinical information and applying evidenced-based guidelines. This position will interact with providers, members, internal and external service teams to obtain necessary information and communicate determinations. In addition to pre-service, admission, and concurrent review determinations, this position will be responsible for managing length of stay, discharge planning, resources, and identification of potential quality of care or safety concerns.
CORE FUNCTIONS
1. Assesses inpatient services for members to ensure optimum outcomes, cost effectiveness, and compliance with all state and federal regulations and guidelines.
2. Analyzes clinical services from members or providers against evidence-based guidelines.
3. Identifies appropriate benefits, eligibility, and expected length of stay for requested services, treatments, and/or procedures.
4. Conducts inpatient reviews to determine financial responsibility. May also perform authorization reviews and/or related duties as needed. Processes requests within required timelines.
5. Refers appropriate cases to Medical Directors and presents them in a consistent and efficient manner. Makes appropriate referrals to other clinical programs.
6. Collaborates with multidisciplinary teams to promote Banner Health's Integrated model.
7. Adheres to UM policies and procedures.
MINIMUM QUALIFICATIONS


Bachelor’s degree in nursing or equivalent working knowledge.
Active, unrestricted State Registered Nursing (RN) license in good standing. MCG certification or ability to obtain within six months of hire.
Five years of clinical nursing experience or equivalent working knowledge.
Must be highly proficient with computer usage, typing, Microsoft Suite, and possess the ability to navigate through multiple platforms. Must be highly proficient in medical record review including EMR and paper/fax platforms.
PREFERRED QUALIFICATIONS


Two to three years of Utilization Management experience using MCG, CMS, and clinical criteria. MSN preferred. Case Management Certification (CCM or RN-BC or CMCN). Utilization Management Certification. Certified Professional in Healthcare Quality Certification (CPHQ). Experience with Medicare Advantage, ACOs, Commercial, Dual Eligible, AHCCCS, and/or ALTCS. Experience with URAC and NCQA accreditation process. Experience using Medical Management software platforms.
Additional related education and/or experience preferred.

Estimated Pay Range:

$37.14 - $61.90 / hour Banner Health is committed to pay equity and transparency. The posted compensation range is a reasonable estimate that extends from the lowest to the highest pay Banner Health in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. This range is based on possible base salaries and does not include the value of our total rewards package. Actual pay determined at offer will be based on years of relevant work experience, education, certifications, skills, and geographic location, along with a review of current employees in similar roles to ensure pay equity is achieved and maintained.

EEO Statement:

EEO/Disabled/Veterans

Our organization supports a drug-free work environment.

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