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Remote Rn Utilization Review Nurse Jobs in Alabama

Ourhrconnect

... Nursing * Required Experience: 2 years clinical plus 1 year utilization/medical review, quality ... Active, unrestricted RN licensure from the United States and in the state of hire, OR, active ...

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Varsity Tutors

NCLEX-RN Tutor

Tuscaloosa, AL · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Ourhrconnect

... Nursing * Required Experience: 2 years clinical plus 1 year utilization/medical review, quality ... Active, unrestricted RN licensure from the United States and in the state of hire, OR, active ...

Varsity Tutors

NCLEX-RN Tutor

Birmingham, AL · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

Huntsville, AL · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

Montgomery, AL · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Harris

$10/hr

Remote Join our mission to help transform healthcare delivery from reactive, episodic care to ... Current COMPACT license to practice as an RN/ LVN/LPN held in current state of residence with no ...

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Remote Rn Utilization Review Nurse information

How to make an extra 2000 a month as a nurse?

A remote RN utilization review nurse can increase income by taking on additional shifts, working overtime, or pursuing specialized certifications such as CCM or CPHQ to qualify for higher-paying roles. Developing skills in case management, telehealth, or documentation can also open opportunities for freelance or consulting work to earn extra income.

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

AspectRemote Rn Utilization Review NurseRemote Rn Case Manager
CertificationsRN license, possibly UR or CCM certificationRN license, CCM or other case management certification
Work EnvironmentReviewing medical records, insurance guidelines, and authorizationsCoordinating patient care, discharge planning, and resource management
Employer & Industry UsageHealth insurance companies, third-party administratorsHospitals, health plans, healthcare providers

Remote Rn Utilization Review Nurses primarily evaluate medical necessity for insurance approvals, focusing on documentation and guidelines. In contrast, Remote Rn Case Managers coordinate patient care, discharge planning, and resource allocation. Both roles require RN licensure and related certifications but differ in daily tasks and work focus.

How to get into utilization review as a nurse?

To become a utilization review nurse, you typically need to be a registered nurse (RN) with clinical experience and obtain knowledge of insurance processes and healthcare regulations. Many employers prefer candidates with certifications such as the Certified Professional in Healthcare Quality (CPHQ) or Certified Case Manager (CCM). Gaining experience in case management, medical records review, or insurance settings can improve your chances of entering utilization review roles.

What is a Remote RN Utilization Review Nurse?

A Remote RN Utilization Review Nurse is a registered nurse who evaluates medical records and healthcare services from a remote location to ensure that patients receive appropriate, necessary, and cost-effective care. They review treatment plans, check for compliance with insurance and healthcare guidelines, and often work with healthcare providers, insurance companies, and patients to coordinate care. This role typically involves assessing the medical necessity of procedures, authorizing services, and helping prevent unnecessary treatments or hospitalizations.

What are the key skills and qualifications needed to thrive as a Remote RN Utilization Review Nurse, and why are they important?

To thrive as a Remote RN Utilization Review Nurse, you need an active RN license, strong clinical knowledge, and experience in case management or utilization review. Proficiency with healthcare review software, electronic health records (EHRs), and familiarity with insurance guidelines or regulatory requirements is vital. Excellent communication, critical thinking, and time management skills distinguish top performers in remote settings. These skills enable nurses to make accurate, timely decisions about patient care while ensuring compliance and efficient resource utilization.

What are some common challenges faced by Remote RN Utilization Review Nurses, and how can they be addressed?

Remote RN Utilization Review Nurses often encounter challenges such as managing large caseloads, maintaining effective communication with interdisciplinary teams, and staying updated with ever-changing insurance guidelines. Balancing productivity expectations while ensuring thorough case reviews can be demanding. To address these challenges, nurses can utilize robust organizational tools, participate in ongoing training sessions, and leverage regular virtual meetings to stay connected with colleagues and supervisors, ensuring both efficiency and high-quality patient care.

How can I make $2000 a week working from home?

A Remote Rn Utilization Review Nurse can potentially earn $2000 or more weekly by working full-time hours, often requiring specialized nursing experience, certification, and strong clinical assessment skills. Increasing income may involve taking on additional shifts, working for multiple employers, or gaining advanced certifications to qualify for higher-paying roles. Flexibility and efficiency with electronic health record tools can also enhance earning potential.

How to become a remote nurse reviewer?

To become a remote RN utilization review nurse, candidates typically need an active nursing license, experience in case management or utilization review, and familiarity with healthcare software and medical records. Certification in case management or utilization review, such as the Certified Case Manager (CCM), can enhance job prospects. Strong communication skills and the ability to work independently are also important for remote roles.
What are the most commonly searched types of Rn Utilization Review Nurse jobs in Alabama? The most popular types of Rn Utilization Review Nurse jobs in Alabama are:
What are popular job titles related to Remote Rn Utilization Review Nurse jobs in Alabama? For Remote Rn Utilization Review Nurse jobs in Alabama, the most frequently searched job titles are:
What job categories do people searching Remote Rn Utilization Review Nurse jobs in Alabama look for? The top searched job categories for Remote Rn Utilization Review Nurse jobs in Alabama are:
Remote Rn Utilization Review Nurse jobs near you
Infographic showing various Remote Rn Utilization Review Nurse job openings in Alabama as of July 2026, with employment types broken down into 2% As Needed, 57% Full Time, 22% Part Time, and 19% Contract. Highlights an 99% Physical, and 1% Remote job distribution.
Remote Registered Nurse Chronic Care Management

Remote Registered Nurse Chronic Care Management

Vitability Health

Florence, AL • On-site, Remote

$31/hr

Full-time

Life, PTO

Re-posted 7 days ago

Job description

) Chronic Care Manager (RN)
Vitability Health of New Jersey
Remote Position
Our Mission
At Vitability Health of New Jersey, we believe great care goes beyond checklists and charts-it's about relationships, trust, and walking alongside patients as they navigate life with chronic conditions. Our mission is to improve quality of life through thoughtful, personalized care that meets patients where they are and supports them every step of the way.
About the Role
We are looking for a compassionate and experienced Chronic Care Manager (RN) who is passionate about caring for patients over the long term. In this role, you will build meaningful relationships with patients, help them better understand and manage their health, and serve as a steady, trusted presence in their care journey.
This position is ideal for a nurse who values connection, collaboration, and purpose-and who enjoys using clinical expertise to make a real difference, all while working remotely.
What You'll Do
  • Provide ongoing chronic care management to a caseload of patients living with multiple chronic conditions
  • Develop and maintain personalized care plans that reflect each patient's goals, challenges, and needs
  • Conduct comprehensive assessments to understand medical, social, and lifestyle factors affecting health
  • Monitor patient progress, identify changes early, and adjust care plans to support better outcomes
  • Educate and encourage patients and their families on disease management, medications, and healthy lifestyle choices
  • Use telehealth and remote monitoring to stay connected with patients between visits
  • Partner with Care Navigators (social workers) by delegating tasks and supporting their work to ensure seamless, high-quality care
  • Collaborate with providers and interdisciplinary team members to promote continuity and alignment across care
  • Support medication reconciliation and help patients feel confident in understanding their treatment plans
  • Assist with coordinating appointments, tests, and follow-ups to reduce barriers to care
  • Help patients access community resources and support services that enhance overall well-being
  • Work proactively to reduce hospital readmissions and emergency department visits through consistent engagement
  • Maintain clear, timely, and compliant documentation in the EHR in accordance with HIPAA and CMS guidelines
  • Track patient outcomes and quality measures to help strengthen and grow our care management programs
  • Stay informed on best practices and evolving standards in chronic care management
What We're Looking For
  • Active Registered Nurse (RN) license in New Jersey or a valid Compact RN License
  • Experience in Chronic Care Management (CCM)
  • Required acute care nursing experience
  • A caring, patient-centered approach with a genuine desire to support patients over time
  • Strong communication and organizational skills
  • Ability to lead and collaborate with care coordinators in a supportive, team-oriented way
  • Comfort using EHR systems, telehealth platforms, and remote patient monitoring tools
  • Ability to work independently while staying connected to a collaborative care team
    Love this direction. This is exactly where you win great nurses back to meaningful work.
    Why Vitability Health
    At Vitability Health, we care deeply about our patients-and just as deeply about the people who care for them. We've intentionally built a work environment that values balance, trust, and sustainability, so our nurses can do their best work without sacrificing their well-being.
    Here's what you can expect:
    • Fully Remote Work
      Work from the comfort of your home-no commute, no traffic, and no unnecessary stress. We believe great care can happen anywhere.
    • True Work/Life Balance
      This role follows a strict 9:00-5:00 schedule with no nights, weekends, and very limited on-call expectations. When your workday ends, your time is yours.
    • Paid Holidays Off
      We observe major holidays so you can rest, recharge, and spend meaningful time with family and loved ones.
    • Paid Time Off (PTO)
      PTO is available because rest isn't a luxury-it's essential to providing great care.
    • Monthly Work Flexibility
      We understand life happens. Our team is supported with built-in flexibility each month to attend appointments, family needs, or personal responsibilities without guilt.
    • Purpose-Driven Work
      Build long-term relationships with patients and see the impact of your care over time-no rushed encounters, no revolving doors.
    • Supportive, Team-Oriented Culture
      You'll be part of a collaborative care team that values communication, respect, and shared success.
    • A Sustainable Nursing Career
      This role is designed for nurses who want to continue making a difference-without burnout, physical strain, or emotional exhaustion.

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