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Remote Rn Utilization Review Nurse Jobs in Arizona

Banner Health

RN, Case Manager

Phoenix, AZ · Remote

After completing training, it is a remote position with a work schedule of Monday - Friday 8am ... MINIMUM QUALIFICATIONS Must possess knowledge of case management or utilization review as normally ...

Bannerhealth

RN, Case Manager

Tucson, AZ · Remote

After completing training, it is a remote position with a work schedule of Monday - Friday 8am ... MINIMUM QUALIFICATIONS Must possess knowledge of case management or utilization review as normally ...

UnitedHealth Group

Case Manager RN

Tucson, AZ · Remote

$60K - $107K/yr

... utilization. This role includes high-volume telephonic outreach, patient education, and ... reviews, scheduling timely follow up appointments, and providing education on discharge ...

UnitedHealth Group

Case Manager RN

Tucson, AZ · Remote

$60K - $107K/yr

... utilization. This role includes high-volume telephonic outreach, patient education, and ... reviews, scheduling timely follow up appointments, and providing education on discharge ...

Oscar Health

Case Management RN

Tempe, AZ · Remote

$32.60 - $42.79/hr

This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas ... Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate ...

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All JobsRn Utilization Review Nurse JobsRemote Rn Utilization Review Nurse JobsRemote Rn Utilization Review Nurse Jobs in Arizona

Remote Rn Utilization Review Nurse information

See Arizona salary details

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$39

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How much do remote rn utilization review nurse jobs pay per hour?

As of Sep 15, 2026, the average hourly pay for remote rn utilization review nurse in Arizona is $39.40, according to ZipRecruiter salary data. Most workers in this role earn between $31.15 and $45.24 per hour, depending on experience, location, and employer.

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?

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.

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.

What are popular job titles related to Remote Rn Utilization Review Nurse jobs in Arizona?

For Remote Rn Utilization Review Nurse jobs in Arizona, the most frequently searched job titles are:

What job categories do people searching Remote Rn Utilization Review Nurse jobs in Arizona look for?

The top searched job categories for Remote Rn Utilization Review Nurse jobs in Arizona are:

What cities in Arizona are hiring for Remote Rn Utilization Review Nurse jobs?

Cities in Arizona with the most Remote Rn Utilization Review Nurse job openings:

Infographic showing various Remote Rn Utilization Review Nurse job openings in Arizona as of September 2026, with employment types broken down into 1% As Needed, 78% Full Time, 19% Part Time, and 2% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $81,956 per year, or $39.4 per hour.

Telephonic Case Manager (RN) - Compact License - REMOTE!

Tucson, AZ • On-site, Remote

EK Health Services Inc
Health Care and Social Assistance • 51 - 200 employees
Learn more about EK Health Services Incexternal

$72K - $87K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 13 days ago

Job description

Job Type
Full-time
Description
EK Health is now hiring for a Full-Time Telephonic Nurse Case Manager (RN) for our Case Management Team! This role includes assessing, planning, implementing, coordinating, and evaluation of service options. The goal of the Case Manager is to assist the injured worker in receiving appropriate, cost-effective medical care for their injury in a timely manner, and to expedite their return to work.
Position Logistics: Monday - Friday, 8:30am -5:30pm local time, Full-time Remote.
NOTE: Requires a Compact RN license in good standing . Workers Compensation experience is preferred but not required.
Wage is based on experience, education, certifications and location (may be either hourly or salary based on individual state requirements). Will be required to obtain a CA RN license.
Benefits & Perks:
  • Base pay $35-42/hr ($72,800 - $87,360 annually). Wage is based on experience, education, certifications and location (may be either hourly or salary based on individual state requirements).
  • Medical, Dental and Vision Insurance
  • 401K
  • Paid Time Off
  • Paid holidays
  • Equipment is provided
  • Monthly internet stipend

Here's a snapshot of what you'll be doing (not all-inclusive):
  • Communicate with medical providers, employers and with injured workers
  • Perform a complete nursing evaluation to determine needs of patient
  • Review and evaluate all medical correspondence, provider reports, & treatment plan history
  • Evaluate clinical status of claimant and research for alternative options to treatment as warranted
  • Communicate with the claims examiners regarding directives, and provide updates on file status
  • Arranging transportation services when necessary and authorized
  • Evaluating therapy facilities and their progress on specific cases
  • Prepare comprehensive notes following any discussions had with injured worker, medical providers, claims examiners, and employers in the case file
  • Discuss the analyzed data and the comprehensive plan of care with the insurance representative prior to implementation
  • Upon authorization, implement this plan of care with patient, physician and health care providers
  • Arrange for care/services as needed (home care, procedures, medication, equipment or supplies)
  • Monitor the plan of care with modifications or changes suggested to the patient and physician as the need arises
  • Coordinate information between all parties (injured worker, physicians, employer, other providers, such as therapists, and attorney, if any is involved)

Requirements
  • Graduate of an accredited school of nursing
  • 3-5 years clinical experience as an RN outside of school
  • Valid Compact RN license in good standing with no restrictions
  • Valid state-appropriate RN license in good standing with no restrictions
  • Will be required to obtain CA RN License within 90 days (reimbursed)
  • Possesses and can demonstrate the professional and technical skills of a Registered Nurse
  • Experience in Case Management, Workers' Compensation experience preferred, but not required
  • Experience in Home Health Care, Occupational Health considered a plus
  • Excellent Written and Oral Communication Skills
  • Excellent Interpersonal & Organizational Skills
  • High comfort level with computers and computer programs (MS Word, MS Excel, Email)

Apply