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Remote Rn Case Review Jobs in Worcester, MA (NOW HIRING)

VIVA USA INC

Nurse Case Manager

Woonsocket, RI · On-site +1

Through the use of clinical tools and information/data review, conducts comprehensive assessments ... RN with unrestricted active license in Georgia. REQUIRED : Must have experience working a remote ...

VIVA USA INC

Nurse Case Manager

Woonsocket, RI · On-site +1

Through the use of clinical tools and information/data review, conducts comprehensive assessments ... RN with unrestricted active license in Georgia. REQUIRED : Must have experience working a remote ...

Varsity Tutors

NCLEX-RN Tutor

Newton, MA · Remote

$18 - $40/hr

... NCLEX case study formats. Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates ...

Varsity Tutors

NCLEX-RN Tutor

Waltham, MA · Remote

$18 - $40/hr

... NCLEX case study formats. Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates ...

VIVA USA INC

Clinical Pharmacist Advisor

Woonsocket, RI · On-site +1

$113K - $135K/yr

Remote Description: Position Summary As a Clinical Pharmacist Advisor, Medicare B Operations, you ... You will be responsible for accurate case set up, review of clinical information for decisioning ...

Lancesoft

Licensed Vocational Nurse-LPN

Woonsocket, RI · On-site +1

$26 - $28.50/hr

Remote Work Type: Remote Est. Pay Range: $26.00/hr. To $28.50/hr. All-inclusive on W2 Position ... Review and process complex prior authorization requests using clinical criteria and supporting ...

Dutch

Virtual Care Veterinarian (Remote)

Woonsocket, RI · Remote

$50 - $80/hr

Review medical history, symptoms, and treatment concerns shared through Dutch's digital platform ... the case * Provide evidence-based treatment recommendations, including prescriptions when ...

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Remote Rn Case Review information

See Worcester, MA salary details

$19

$47

$79

How much do remote rn case review jobs pay per hour?

As of Jul 22, 2026, the average hourly pay for remote rn case review in Worcester, MA is $47.43, according to ZipRecruiter salary data. Most workers in this role earn between $35.24 and $57.31 per hour, depending on experience, location, and employer.

What is the difference between Remote Rn Case Review vs Remote Rn Utilization Review?

AspectRemote Rn Case ReviewRemote Rn Utilization Review
CredentialsRegistered Nurse (RN), licensure, case review certificationsRegistered Nurse (RN), licensure, utilization review certifications
Work EnvironmentRemote, healthcare settings, insurance companiesRemote, healthcare settings, insurance companies
Employer & IndustryHospitals, insurance firms, healthcare providersInsurance companies, healthcare management organizations

Remote Rn Case Review and Remote Rn Utilization Review roles both involve remote nursing work within the healthcare and insurance industries. While they share similar credentials and work environments, case review focuses on evaluating individual patient cases, whereas utilization review assesses the necessity and appropriateness of healthcare services. Understanding these distinctions helps job seekers identify the right role based on their skills and career goals.

What are popular job titles related to Remote Rn Case Review jobs in Worcester, MA? For Remote Rn Case Review jobs in Worcester, MA, the most frequently searched job titles are:
What job categories do people searching Remote Rn Case Review jobs in Worcester, MA look for? The top searched job categories for Remote Rn Case Review jobs in Worcester, MA are:
Remote Rn Case Review jobs near you
Nurse Case Manager

Nurse Case Manager

VIVA USA INC

Woonsocket, RI • On-site, Remote

Contractor

Posted 10 days ago

Job description

Fully remote (never coming onsite)
Description:
The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes.
Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services. Application and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or member's needs to ensure appropriate administration of benefits. Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.
Duties
Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding
Effective communication skills, both verbal and written.
Ability to multitask, prioritize and effectively adapt to a fast paced changing environment
Sedentary work involving periods of sitting, talking, listening. Work requires sitting for extended periods, talking on the telephone and typing on the computer.
Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor.
Typical office working environment with productivity and quality expectations.
Experience
2-3 years Clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care required.
2 years Healthcare and/or managed care industry experience.
Case Management experience required.
Requires an RN with unrestricted COMPACT active license
Education
RN with current unrestricted compact state licensure.
Case Management Certification CCM preferred
Requires an RN with unrestricted active license in Georgia.
REQUIRED:
Must have experience working a remote position previously.
Must have case management experience.
Notes:
Monday- Friday 8am - 5pm EST
Remote
VIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status

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