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Remote Rn Abstractor Jobs in North Carolina (NOW HIRING)

Job title: RN Utilization Management Reviewer We are currently hiring a talented RN, Utilization ... May require weekends This is a fully remote work at home role. You must have a secure, private wok ...

Job title: RN Utilization Management Reviewer We are currently hiring a talented RN, Utilization ... May require weekends This is a fully remote work at home role. You must have a secure, private wok ...

Preferred RN compact License Required Location: We are only hiring from the following states ... Remote-first -- work from home anywhere in the US within our approved states * Growth: Advanced ...

Registered Dietitian, Remote

Charlotte, NC · On-site +1

$30.50 - $41/hr

... Remote Patient Monitoring ("RPM") to bill under the patient's insurance. This is a major step ... Work closely with a multidisciplinary team, including fellow registered dietitians, licensed nurses ...

Registered Dietitian, Remote

Charlotte, NC · Remote

$30.50 - $41/hr

... Remote Patient Monitoring ("RPM") to bill under the patient's insurance. This is a major step ... Work closely with a multidisciplinary team, including fellow registered dietitians, licensed nurses ...

Showing results 21-40

Remote Rn Abstractor information

See North Carolina salary details

$21

$40

$63

How much do remote rn abstractor jobs pay per hour?

As of Aug 13, 2026, the average hourly pay for remote rn abstractor in North Carolina is $40.82, according to ZipRecruiter salary data. Most workers in this role earn between $31.25 and $48.51 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in the remote RN abstractor position, and why are they important?

To excel as a Remote RN Abstractor, a current RN license and clinical nursing experience, particularly in chart review or data abstraction, are essential. Familiarity with electronic health records (EHR) systems and specialized abstraction software, as well as knowledge of coding and compliance standards like ICD-10, are typically required. Exceptional attention to detail, time management, and strong written communication help remote abstractors deliver precise and timely work. These competencies enable accurate data extraction and compliance with healthcare regulations, which are critical for quality reporting and patient care improvement.

What does a typical workday look like for a remote RN abstractor, and how is performance measured?

A typical day for a Remote RN Abstractor involves reviewing patient medical records, extracting specific clinical data, and entering information into designated databases or abstraction tools—often with set productivity and accuracy benchmarks. Much of the work is highly independent, but abstractors also collaborate remotely with quality assurance teams, other nurses, and healthcare coders. Performance is usually measured by the volume of completed abstractions, data accuracy rates, and adherence to deadlines. Meeting these metrics ensures that healthcare organizations maintain compliance and high standards in quality reporting. The role offers flexibility in scheduling but requires strong self-discipline and organization.

What is a remote RN abstractor?

A Remote RN Abstractor is a registered nurse who reviews and extracts clinical data from medical records for various purposes, such as quality improvement, research, or insurance claims. This role typically involves working from home, using electronic health records (EHR) to ensure data accuracy and compliance with healthcare regulations. Strong analytical skills, attention to detail, and familiarity with coding and medical terminology are essential for success in this position.

What are popular job titles related to Remote Rn Abstractor jobs in North Carolina?

For Remote Rn Abstractor jobs in North Carolina, the most frequently searched job titles are:

What job categories do people searching Remote Rn Abstractor jobs in North Carolina look for?

The top searched job categories for Remote Rn Abstractor jobs in North Carolina are:

What cities in North Carolina are hiring for Remote Rn Abstractor jobs?

Cities in North Carolina with the most Remote Rn Abstractor job openings:

Infographic showing various Remote Rn Abstractor job openings in North Carolina as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $84,900 per year, or $40.8 per hour.

RN Utilization Management Reviewer

Sagility LLC

Concord, NC • Remote

$35 - $40/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 5 days ago


Sagility rating

4.6

Company rating: 4.6 out of 10

Based on 29 frontline employees who took The Breakroom Quiz

62nd of 71 rated call and contact centers


Job description

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.

Job title:

RN Utilization Management Reviewer

Job Description:

We are currently hiring a talented RN, Utilization Management Reviewer. This role will be responsible in day-to-day timely clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring the client meets CMS compliance standards in the area of service decisions and organizational determinations. Successful candidates must hold a valid, current license issued by the Massachusetts Board of Registration in Nursing.

Key responsibilities:

  • Conducts timely clinical decision review for services requiring prior authorization in a variety of clinical areas, including but not limited to surgical procedures, Medicare Part B medications, Long Term Services and Supports (LTSS), and Home Health (HH)
  • Applies established criteria (e.g., InterQual and other available guidelines) and employs clinical expertise to interpret clinical criteria to determine medical necessity of services
  • Communicates results of reviews verbally, in the medical record, and through official written notification to the primary care team, specialty providers, vendors and members in adherence with regulatory and contractual requirements
  • Provides decision-making guidance to clinical teams on service planning as needed
  • Works closely with Clinicians, Medical Staff and Peer Reviewers to facilitate escalated reviews in accordance with Standard Operating Procedures
  • Ensures accurate documentation of clinical decisions and works with UM Manager to ensure consistency in applying policy
  • Works with UM Manager and other clinical leadership to ensure that departmental and organizational policies and procedures as well as regulatory and contractual requirements are met
  • Additional duties as requested by supervisor
  • Maintains knowledge of CMS, State and NCQA regulatory requirements

Education Requirements:

  • RN - Associate's Degree required, Bachelor's Degree preferred
  • RN, current license issued by the Massachusetts Board of Registration in Nursing
  • CCM (Certified Case Manager) a plus

Required Experience (must have):

  • 1 to 2 years Utilization Management experience.
  • 2 or more years working in a clinical setting

Desired Experience (nice to have):

  • 2 or more years of Home Health Care experience
  • 2 or more years working in a Medicare Advantage health Plan

Required Knowledge, Skills & Abilities (must have):

  • Ability to complete assigned work in a timely and accurate manner
  • Knowledge of the Utilization management process
  • Ability to work independently

Desired Knowledge, Skills, Abilities & Language (nice to have):

  • Ability to apply predetermined criteria (e.g., Medical Necessity Guidelines, InterQual) to service decision requests to assess medical necessity
  • Flexibility and understanding of individualized care plans
  • Ability to influence decision making
  • Strong collaboration and negotiation skills
  • Strong interpersonal, verbal, and written communication skills
  • Comfort working in a team-based environment
  • Knowledge of Medicare and Mass health services and benefits

Salary: $35.00 - $40.00 Hourly pending experience.

Hours: Monday through Friday 9AM to 5:30PM Eastern Time. May require weekends

This is a fully remote work at home role. You must have a secure, private wok at home area with a hardwired internet connection with speeds greater than 5MB upload and 10MB download.

Sagility Offers Competitive Benefits Including:

  • Medical
  • Dental
  • Vision
  • Life Insurance
  • Short-Term and Long-Term Disability
  • Flexible Spending Account
  • Life Assistance Program
  • 401K with employer contribution
  • PTO and Sick Time
  • Tuition Reimbursement

Join our team, we look forward to talking with you!

An Equal Opportunity Employer/Vet/Disability

Location:

Work@Home USAUnited States of America

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