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Remote Nicu Utilization Review Jobs in California

NICU DIETITIAN

Bakersfield, CA · On-site +1

$80K - $95K/yr

Semi-Remote- Schedule flexibility offered (4 days onsite/1 day remote). Requirement : Registered ... We are seeking a NICU Dietitian to join the team. Salary: $80000-$95000 or based on experience ...

NICU DIETITIAN

Bakersfield, CA · On-site +1

$80K - $95K/yr

Semi-Remote- Schedule flexibility offered (4 days onsite/1 day remote). Requirement : Registered ... We are seeking a NICU Dietitian to join the team. Salary: $80000-$95000 or based on experience ...

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Remote Nicu Utilization Review information

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.

What are popular job titles related to Remote Nicu Utilization Review jobs in California?

For Remote Nicu Utilization Review jobs in California, the most frequently searched job titles are:

What cities in California are hiring for Remote Nicu Utilization Review jobs?

Cities in California with the most Remote Nicu Utilization Review job openings:

Infographic showing various Remote Nicu Utilization Review job openings in California as of August 2026, with employment types broken down into 96% Full Time, and 4% Contract. Highlights an 100% Remote job distribution.

Clinical Practice Specialist - MBMC NICU (Full Time, Day)

Fairfield, CA • On-site, Remote


NorthBay Health
Health Care and Social Assistance • 1 - 5K employees

7.5

Company rating: 7.5 out of 10

Based on 14 frontline employees who took The Breakroom Quiz

Good employer

Paid breaks

Recommended by parents


Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 16 days ago


Job description

At NorthBay Health, the Clinical Practice Specialist, Neonatal Intensive Care Unit (NICU), is a Registered Nurse who coordinates the clinical and educational resources and care standards for the neonatal patient population. 

The Clinical Practice Specialist role, along with other members of the Patient Care Services team, is to promote the provision of effective, high quality patient care to all neonatal patients. The Clinical Practice Specialist participates in the development of evidence based care delivery systems and clinical practice programs.  

The Clinical Practice Specialist works with physicians to establish a collegial and interdisciplinary patient care environment.  The Clinical Practice Specialist will be responsible for facilitating and managing Patient Care Services division special projects as assigned. The Clinical Practice Specialist will be responsible for directing the clinical nursing practice in the NICU, coordinating and assessing NICU education development and clinical competency of the nursing staff in the NICU; and ensuring continued competency through educational programs for both the newly hired and experienced nursing staff.  

The Clinical Practice Specialist will be consulting with staff on complex neonatal critical care nursing issues and will have oversight of comprehensive patient and/or primary caretaker education activities and ensuring implementation of a coordinated and effective discharge planning program.  The following responsibilities are included: oversight of the High-Risk Infant Follow Up Clinic, the Neonatal Resuscitation Program, oversight of clinical nursing practice and patient care delivery, development of personnel, compliance with regulatory and professional standards, fostering of interdisciplinary, collaborative relationships and is accountable for bringing innovative ideas from and to the bedside.  

The Clinical Practice Specialist works collaboratively with Advance Practice Nurses, Learning and Leadership Team members, and nursing leaders to develop and validate the clinical competency of staff. The Clinical Practice Specialist works with physicians in order to establish a collegial and interdisciplinary patient care environment.  The Clinical Practice Specialist is an independent consultant on clinical care issues for patients, families, staff, physicians and other departments. The Clinical Practice Specialist will be responsible for facilitating and managing Patient Care Services division special projects as assigned.

Interpersonal Skills and Values

Demonstrates NorthBay Health's True North Values: Nurture Care, Own It, Respect Relationships, Build Trust, and Hardwire Excellence. These values guide behavior, accountability, teamwork, and commitment to high-quality patient care.

Why NorthBay Health

NorthBay Health is an independent, nonprofit health system serving the Napa, Solano, and Yolo County regions. We are expanding access to care across our communities through two acute-care hospitals, including a Level II Trauma Center and a Level III NICU maternity unit, along with a cancer center, urgent care locations, and a growing network of primary and specialty care clinics.

We provide advanced services in cardiovascular care, neuroscience, orthopedics, surgery, and outpatient specialties. NorthBay Health is nationally recognized for quality care, including Magnet with Distinction designation for nursing and multiple U.S. News and World Report high performing recognitions.

We are committed to being the trusted healthcare partner of choice and offer an environment where employees can grow, contribute meaningfully, and support the health of our communities.

NorthBay Health Benefits Options

NorthBay Health offers a comprehensive benefits package based on established eligibility requirements. Benefits may include medical, dental, and vision insurance, life, disability, and long-term care coverage, paid time off including vacation, sick leave, holidays, and bereavement, a 403(b) retirement plan with employer match, education reimbursement for eligible roles, professional development and training programs, Employee Assistance Program, wellness programs, recognition programs, shift differentials, and market-based compensation review and increases subject to approval and organizational performance.

Compensation Structure

NorthBay Health uses a structured compensation framework. Staff-level positions use a step-based system (Steps 1-5) based on years of directly related experience, with Step 5 representing 20 or more years of experience in the role. Manager level and above positions are paid a fixed annual base salary and are eligible for a variable incentive compensation plan. Physician compensation is structured based on specialty and role requirements.

Remote Work Disclosure

NorthBay Health is primarily an onsite organization due to the nature of healthcare. Some roles may allow hybrid or remote work based on business needs.

Remote work is not supported in Washington, Ohio, Wyoming, North Dakota, Puerto Rico, the U.S. Virgin Islands, or outside of the United States.

Notice to Recruitment Agencies

NorthBay Health utilizes a managed service provider (MSP) for agency partnerships and is not currently engaging external recruiting firms outside of established agreements. We do not accept unsolicited resumes or third-party candidate submissions. Please do not contact NorthBay Health employees, leaders, physicians, or hiring managers regarding recruitment or job postings.

More Information

Visit NorthBay Health Careers for recruitment FAQs and additional information.

Education:

  • Master's and/or doctoral degree in nursing.  

Licensure and Certification:  

  • Current California RN License required.  
  • Certification in Neonatal Intensive Care Nursing from a nationally recognized accrediting organization within 1 year of hire.
  • Current AHA or equivalent BLS and NRP certification required.
  • Current Clinical Nurse Specialist certification is preferred.  

Experience:  

  • Working knowledge of health care practices, patient care equipment and products required.
  • Minimum of 3 years' clinical experience in neonatal nursing care, at least one of which has been in a facility with a NICU that is equivalent to a Regional or Community NICU.  
  • 3-5 years of education, Clinical Nurse Leader, or Clinical Nurse Specialist experience with increasing scope of responsibility preferred.
  • Preference to have current NRP Instructor status at time of hire. If not, will begin the process to become an NRP instructor within 4 months of hire.

Skills:

  • Excellent oral and written communication skills required.  
  • Possesses instructional ability, leadership ability, and high professional standards.  
  • Must be well organized, be able to set priorities, work independently and is an effective team member.  
  • Word Processing skills required.
  • Statistical/data management skills preferred.
  • Must demonstrate and maintain current knowledge and skill in providing patient care based on age-related needs.  
  • Demonstrates current knowledge and skill in providing appropriate care for patient in the following age groups:  
  • Neonatal and Pediatric.

Standards of Performance:

  • Demonstrate performance by adhering to established policies and procedures and exhibiting the defined characteristics associated with attendance and punctuality.  Attendance is an essential function of the job.

Physical Skills:  

  • The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Physical Effort:  

  • Performs all physical duties of the job.

Other:  

  • Knowledge of regulatory processes and Standards of Practice required (BRN,   ANA, TJC, CCS and Title 22).  
  • Completion of annual organizational requirements for employment (TB testing, Safety Training, Corporate Compliance, HIPAA etc.).


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