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Remote Nicu Utilization Review Jobs (NOW HIRING)

Franciscan Health

Utilization Review Coordinator

Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care ... Perform concurrent reviews for appropriateness of utilization to optimize clinical and financial ...

Actalent

Utilization Review Nurse - Remote

$34 - $40/hr

Urgent Hiring for "Remote Clinical Review Nurses" * Review approximately 20 cases a day for medical ... Qualifications: * 3+ years of utilization management, concurrent review, prior authorization ...

Cobalt Benefits Group

Utilization Review Nurse

As a Utilization Review Nurse (UR Nurse), you'll play an important role in helping us offer ... This role involves evaluating healthcare services and facilities under the provisions of applicable ...

Umpqua Health

Utilization Review Nurse

Roseburg, OR · Remote

$85K - $105K/yr

UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR ... We provide integrated, whole-person care through primary care, specialty care, behavioral health ...

Compass Group

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 ...

Umpqua Health

Utilization Review Nurse

Roseburg, OR · On-site +1

$85K - $105K/yr

UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR ... We provide integrated, whole-person care through primary care, specialty care, behavioral health ...

The Meadows

Utilization Review Coordinator

Phoenix, AZ · On-site +1

Meadows Behavioral Healthcare offer a range of specialized programs including residential ... As the Utilization Review Coordinator, you will develop and implement systems for authorizations ...

Umpqua Health

Utilization Review Nurse

Roseburg, OR · On-site +1

$85K - $105K/yr

UTILIZATION REVIEW NURSE REMOTE, ability to travel to 3031 NE STEPHENS ST. ROSEBURG, OR 97470, as ... We provide integrated, whole-person care through primary care, specialty care, behavioral health ...

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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 Jul 2, 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 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 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 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, and why are they important?

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.
More about Remote Nicu Utilization Review jobs
What cities are hiring for Remote Nicu Utilization Review jobs? Cities with the most Remote Nicu Utilization Review job openings:
What are the most commonly searched types of Nicu Utilization Review jobs? The most popular types of Nicu Utilization Review jobs are:
What states have the most Remote Nicu Utilization Review jobs? States with the most job openings for Remote Nicu Utilization Review jobs include:
What job categories do people searching Remote Nicu Utilization Review jobs look for? The top searched job categories for Remote Nicu Utilization Review jobs are:
Remote Nicu Utilization Review jobs near you
Infographic showing various Remote Nicu Utilization Review job openings in the United States as of June 2026, with employment types broken down into 74% Full Time, 22% Part Time, and 4% Contract. Highlights an 4% In-person, and 96% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.
Utilization Review Coordinator

Utilization Review Coordinator

Franciscan Health

Remote

Full-time

Posted 10 days ago

Franciscan Health rating

6.8

Company rating: 6.8 out of 10

Based on 265 frontline employees who took The Breakroom Quiz

483rd of 877 rated healthcare providers

Job description

Work From Home
Work From Home Work From Home, Indiana 46544
The Utilization Review Coordinator performs admission screening for patients in a bed for medical necessity, and reviews for appropriateness of setting and utilization.
WHO WE ARE
With 11 ministries and access points across Indiana, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve.
WHAT YOU CAN EXPECT
  • Schedule: Monday - Friday, 8am - 4:30pm EST
  • Perform concurrent reviews for appropriateness of utilization to optimize clinical and financial outcomes.
  • Communicate with physicians, patients, members of the Healthcare team, Coordinated Business Office staff, Denial Management staff, and third-party payors to justify the admission or continued stay.
  • Notify appropriate staff members of any admission, service, length of stay, lack of medical necessity criteria, as well as denials/appeals and issuing of letters to patients.
  • Provide Physician, Patient, Family, Staff and Student education.
  • Act as a resource person for the case management department regarding payer rules, regulations, policies and procedures, and utilization issues.
  • Perform admission necessity screening using criteria as established by the various federal, state and private sector programs.

QUALIFICATIONS
  • Associate degree in nursing/patient care required
  • Bachelor's Degree in nursing/patient care preferred
  • Registered Nurse (RN - Indiana licensure) required
  • 3 years of nursing/patient care experience required
  • 2 years of Utilization or Case Management experience preferred

TRAVEL IS REQUIRED:
Never or Rarely
JOB RANGE:
Utilization Review Coordinator $56971.20-$84749.60
INCENTIVE:
Not Applicable
EQUAL OPPORTUNITY EMPLOYER
It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.
Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.
Franciscan Alliance is committed to equal employment opportunity.
Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.

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