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Remote Nicu Utilization Review Jobs (NOW HIRING)

UNIVERSITY OF VIRGINIA MEDICAL CENTER

NICU

RN - NICU Specialty: Registered Nurse - NICU (Neonatal Intensive Care Unit) Experience: Minimum 2 years of Level III or IV NICU experience required License: Active State or Compact RN License ...

UNIVERSITY OF VIRGINIA MEDICAL CENTER

RN - NICU

NICU RN Opportunity in Charlottesville, Virginia Zack Group is currently seeking NICU RNs for positions in Charlottesville, Virginia. The ideal candidate will possess a current state or equivalent ...

Bryn Mawr Hospital

RN - NICU

RN - NICU About the Position Specialty: Registered Nurse - NICU (Neonatal Intensive Care Unit) Experience: Minimum 2 years of Level III or IV NICU experience required License: Active State or Compact ...

Lewisgale Medical Center VA

RN - NICU

RN - NICU About the Position Specialty: Registered Nurse - NICU (Neonatal Intensive Care Unit) Experience: Minimum 2 years of Level III or IV NICU experience required License: Active State or Compact ...

HCA TriStar Centennial Medical Center TN

RN - NICU

Travel - RN - NICU City/State: Nashville, Tennessee Shift: 07:00-19:00, Days Contract Length: 12 weeks Start Date: 09/08/2026 The role involves providing care in the Neonatal Intensive Care Unit ...

Parkland Health

RN - NICU

Registered Nurse - Neonatal Intensive Care Unit (NICU) Schedule 7:00 PM - 7:00 AM, Weekend availability required (Friday & Saturday) The RN is a licensed professional who uses the nursing ...

Medical City Alliance

RN - NICU

Travel Rn Specialty Nicu Job type: Travel Profession: RN Specialty: NICU Job ID: 18979963 Shift details: 3x12 Nights Start date: 09/22/2026 End date: 12/22/2026 Duration: 13 weeks Float required: No ...

Oklahoma Children's Hospital OU Health

RN - NICU

Travel Rn - Nicu Job Type: Travel Profession: RN Specialty: NICU Job ID: 18990522 Shift Details: 3x12 Nights Start Date: 08/31/2026 End Date: 11/30/2026 Duration: 13 Week(s) Float Required: No Client ...

Providence Swedish Issaquah Campus

RN - NICU

Registered Nurse - Level II NICU This is a 13-week contract position. Night Shift: 3x12-Hour (19:00 - 07:30) Join a dedicated team as a Level II NICU Registered Nurse, caring for unstable newborns ...

Swedish Issaquah Primary Care

RN - NICU

RN - NICU Are you an experienced NICU RN looking for your next exciting travel assignment, or are you ready to start your travel healthcare career? At Voca, we offer an unmatched experience for ...

PROVIDENCE SACRED HEART MEDICAL CENTER

RN - NICU

$2.0K/wk

RN - NICU Job Type: Travel Profession: RN Specialty: NICU Weekly Pay: $2,073 Shift Details: Shift 12H Nights Job Order Details: Start Date 09/21/2026 End Date 12/21/2026 Duration 13 Week(s) Client ...

St. David's HealthCare

RN - NICU

NICU RN Travel Assignment Meda Health is looking for a NICU RN to work a travel assignment in an acute care hospital setting. Must have at least two years of experience, state licensure and BLS/NRP.

Medical Center Hospital

RN - NICU

Registered Nurse - Nicu Travel profession RN specialty NICU. Shift details: three night shifts x 12 hours. Job order details: start date 09/08/2026, end date 12/08/2026, duration 13 weeks. Client ...

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Remote Nicu Utilization Review information

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How much do remote nicu utilization review jobs pay per hour?

As of Sep 1, 2026, the average hourly pay for remote nicu utilization review 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 NICU utilization review nurse?

A Remote NICU Utilization Review nurse is a registered nurse who evaluates the necessity, appropriateness, and efficiency of care provided to newborns in Neonatal Intensive Care Units (NICU) from a remote location. They review patient records, treatment plans, and hospital stays to ensure that the care provided meets established clinical guidelines and insurance policies. This role helps optimize patient outcomes, control healthcare costs, and facilitate communication between healthcare providers, insurers, and families. Working remotely, these nurses use secure digital platforms to access medical records and collaborate with medical teams.

What are the key skills and qualifications needed to thrive as a remote NICU utilization review nurse?

To excel as a Remote NICU Utilization Review Nurse, you need a valid RN license, strong clinical expertise in neonatal intensive care, and experience with utilization management practices. Familiarity with case management software, electronic health records (EHRs), and UR-specific platforms such as InterQual or MCG is essential. Outstanding critical thinking, attention to detail, and effective written and verbal communication set top performers apart. These skills ensure accurate assessments, regulatory compliance, and optimized patient outcomes while working remotely in a highly specialized healthcare environment.

What are some common challenges faced in a remote NICU utilization review role and how can they be managed?

In a remote NICU Utilization Review position, professionals often encounter challenges such as ensuring thorough communication with clinical teams, navigating different electronic health record (EHR) systems, and maintaining up-to-date knowledge of evolving NICU care standards. Successfully managing these challenges typically involves establishing clear communication channels with onsite staff, participating in regular virtual team meetings, and dedicating time for ongoing education and training. Proficiency in telehealth technologies and strong organizational skills are also essential for accurate documentation and timely case reviews.

What is the difference between Remote Nicu Utilization Review vs Remote Pediatric Utilization Review?

AspectRemote Nicu Utilization ReviewRemote Pediatric Utilization Review
CredentialsRN, NICU experience, utilization review certificationRN, pediatric experience, utilization review certification
Work EnvironmentHome-based, healthcare facilities, insurance companiesHome-based, healthcare facilities, insurance companies
Industry UsageHospitals, insurance, healthcare managementHospitals, insurance, healthcare management
Search IntentCompare roles, job requirements, salary, responsibilitiesCompare roles, job requirements, salary, responsibilities

Remote Nicu Utilization Review involves evaluating NICU patient cases to ensure appropriate care and resource use, requiring NICU experience. Remote Pediatric Utilization Review focuses on pediatric cases, requiring pediatric nursing background. Both roles involve reviewing medical necessity and optimizing healthcare resources remotely within the healthcare and insurance industries.

More about Remote Nicu Utilization Review jobs

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Cities with the most Remote Nicu Utilization Review job openings:

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States with the most job openings for Remote Nicu Utilization Review jobs include:

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Remote Nicu Utilization Review jobs near you
Infographic showing various Remote Nicu Utilization Review job openings in the United States as of August 2026, with employment types broken down into 75% Full Time, and 25% Part Time. Highlights an 100% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

NICU Utilization Management Nurse Consultant - Louisiana Residence Preferred

Remote

CVS Health
Health Care and Social Assistance • 10K+ employees

5.8

Company rating: 5.8 out of 10

Based on 4,359 frontline employees who took The Breakroom Quiz

92nd of 113 rated pharmacies

Recommended by students

Recommended by parents

Respectful managers

Learn more about CVS Healthexternal

$26.01 - $56.14/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 5 days ago

Job description

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselvesaccountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

NICU Utilization Management Nurse Consultant (Remote)

Are you passionate about improving outcomes for the most vulnerable patients? We are seeking an experienced NICU Utilization Management Nurse Consultant to support high-risk neonatal populations through clinical review, care coordination, and evidence-based decision-making.

In this role, you will collaborate with neonatologists, hospitals, case managers, and interdisciplinary teams to evaluate medical necessity, determine appropriate levels of care, and facilitate timely, cost-effective services for newborns and infants requiring specialized care. You'll play a critical role in supporting quality outcomes, discharge planning, and seamless transitions of care while ensuring compliance with regulatory and accreditation standards.

What You'll Bring - REQUIRED

  • Active, unrestricted RN license in the state of residence. Ability to obtain and maintain additional state licensure as required by business needs.
  • 3+ years of clinical NICU nursing experience minimum
  • 1+ years of experience in utilization management, case management, managed care, NICU, pediatrics, or maternal-child health
  • Strong knowledge of neonatal intensive care, prematurity, congenital conditions, and complex infant care needs
  • Experience reviewing medical records and applying evidence-based clinical criteria (MCG or similar tools)
  • Excellent clinical judgment, communication, and collaboration skills
  • Proficiency with electronic medical records and utilization management systems
  • Associates Degree in Nursing

Preferred Qualifications

  • BSN
  • NICU, pediatric inpatient, maternal-child health, or neonatal case management experience
  • Health plan utilization management experience (Medicaid, Medicare, or Commercial)
  • Experience supporting Louisiana Medicaid populations
  • Louisiana residency preferred

Why Join Us?

  • Meaningful work that directly impacts neonatal and infant health outcomes
  • Collaborative, mission-driven environment
  • Opportunity to leverage your NICU expertise in a remote setting
  • Focus on quality, innovation, and member-centered care

If you're a skilled RN with a passion for neonatal care and utilization management, we'd love to hear from you. Apply today to help ensure the right care is delivered at the right time for our smallest patients.

Work from Home Requirements:

  • You must have or be able to obtain a direct/hardwired internet connection to a modem/router within 7 feet of your computer and a minimum download speed of 25 mbs download and 3 mbs upload. WiFi and satellite internet are not permitted.
  • A quiet, secure and private designated home virtual work location, free from distractions, tidy and organized, compliant with CVS Health and HIPAA guidelines, and allowing for uninterrupted work during work hours.
  • Work-from-Home colleagues are required to work within the state and city where they have confirmed they currently live.
  • The company will provide equipment (keyboard, monitor, computer, headset, etc.). All new hires should provide their own workspace furniture (desk or standing desk, as this position would require you to be at your desk for extended periods of time).
  • If hired, you will commit to obtaining required internet speeds and adhere to all Work From Home requirements.

Technical and Logistical Requirements:

  • Device & System Navigation: Comfortable setting up and using multiple monitors and navigating multiple applications simultaneously to streamline tasks and improve efficiency.
  • Communication Tools: Ability to communicate on digital channels such as via email, calendar invites, Teams messaging, and virtual meetings.
  • Collaboration & Scheduling: Experience with Microsoft Office 365 (Teams, Outlook, Word, Excel, PowerPoint) applications or similar (Google Workspace).
  • Systems Access & Security: Ability to Log in to secure systems (e.g., VPN, EHR portal), lock a computer screen when unattended, manage strong passwords, and recognize suspicious emails or links.
  • Troubleshooting & Support: Ability to resolve common technical issues independently, such as: restarting an application when frozen, resolving internet connection issues, and contacting IT for unresolved technical issues.
  • Future Growth: Openness to learning new skills in the future as the workplace environment evolves

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$26.01 - $56.14

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This fulltime position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellbeing of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.


Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 09/12/2026

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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