The support specialist is a support role crucial to the centralized Utilization Review team for time sensitive authorization tracking and resolution process. Responsible for obtaining and tracking ...
New
The support specialist is a support role crucial to the centralized Utilization Review team for time sensitive authorization tracking and resolution process. Responsible for obtaining and tracking ...
New
The support specialist is a support role crucial to the centralized Utilization Review team for time sensitive authorization tracking and resolution process. Responsible for obtaining and tracking ...
New
The support specialist is a support role crucial to the centralized Utilization Review team for time sensitive authorization tracking and resolution process. Responsible for obtaining and tracking ...
New
In this position you will be reviewing patient charts to determine if pre-elective surgical cases ... Previous utilization management or case management experience preferred. CERTIFICATIONS/LICENSURES ...
In this position you will be reviewing patient charts to determine if pre-elective surgical cases ... Previous utilization management or case management experience preferred. CERTIFICATIONS/LICENSURES ...
In this position you will be reviewing patient charts to determine if pre-elective surgical cases ... Previous utilization management or case management experience preferred. CERTIFICATIONS/LICENSURES ...
In this position you will be reviewing patient charts to determine if pre-elective surgical cases ... Previous utilization management or case management experience preferred. CERTIFICATIONS/LICENSURES ...
In this position you will be reviewing patient charts to determine if pre-elective surgical cases ... Previous utilization management or case management experience preferred. CERTIFICATIONS/LICENSURES ...
In this position you will be reviewing patient charts to determine if pre-elective surgical cases ... Previous utilization management or case management experience preferred. CERTIFICATIONS/LICENSURES ...
... Nurse (RN) to serve our patient population in the navigation, prevention and management of their ... Welcome patients into continuous care program(s) and review benefits and services included
... Nurse (RN) to serve our patient population in the navigation, prevention and management of their ... Welcome patients into continuous care program(s) and review benefits and services included
Department: Care Coordinator RN (Remote in Michigan) Position Summary: As an advocate for the ... teach warning signs, review discharge instructions, coordination of care, and problem solve ...
Department: Care Coordinator RN (Remote in Michigan) Position Summary: As an advocate for the ... teach warning signs, review discharge instructions, coordination of care, and problem solve ...
Department: Care Coordinator RN (Remote in Michigan) Position Summary: As an advocate for the ... teach warning signs, review discharge instructions, coordination of care, and problem solve ...
Department: Care Coordinator RN (Remote in Michigan) Position Summary: As an advocate for the ... teach warning signs, review discharge instructions, coordination of care, and problem solve ...
Department: Care Coordinator RN (Remote in Michigan) Position Summary: As an advocate for the ... teach warning signs, review discharge instructions, coordination of care, and problem solve ...
Department: Care Coordinator RN (Remote in Michigan) Position Summary: As an advocate for the ... teach warning signs, review discharge instructions, coordination of care, and problem solve ...
Care Coordinator RN (Remote in Michigan) Shift: Part-Time Days 8:00am-3:00pm (Tuesdays and ... teach warning signs, review discharge instructions, coordination of care, and problem solve ...
Care Coordinator RN (Remote in Michigan) Shift: Part-Time Days 8:00am-3:00pm (Tuesdays and ... teach warning signs, review discharge instructions, coordination of care, and problem solve ...
Review claims data, clinical records, and assessment tools to evaluate member needs and benefit ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Review claims data, clinical records, and assessment tools to evaluate member needs and benefit ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Review claims data, clinical records, and assessment tools to evaluate member needs and benefit ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Review claims data, clinical records, and assessment tools to evaluate member needs and benefit ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Review claims data, clinical records, and assessment tools to evaluate member needs and benefit ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Review claims data, clinical records, and assessment tools to evaluate member needs and benefit ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Review claims data, clinical records, and assessment tools to evaluate member needs and benefit ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Review claims data, clinical records, and assessment tools to evaluate member needs and benefit ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Review claims data, clinical records, and assessment tools to evaluate member needs and benefit ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Review claims data, clinical records, and assessment tools to evaluate member needs and benefit ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Collaborate with the broader care team -- including RNs, RDs, and Accountability Coaches -- to ... chart review, and care coordination -- for the visit to be billable. Payment is issued for ...
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Collaborate with the broader care team -- including RNs, RDs, and Accountability Coaches -- to ... chart review, and care coordination -- for the visit to be billable. Payment is issued for ...
Review claims data, clinical records, and assessment tools to evaluate member needs and benefit ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Review claims data, clinical records, and assessment tools to evaluate member needs and benefit ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Case Manager Registered Nurse (LTSS) - Field MI (Wayne and Macomb County)
Clinton Township, MI · Remote
Review claims data, clinical records, and assessment tools to evaluate member needs and benefit ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Case Manager Registered Nurse (LTSS) - Field MI (Wayne and Macomb County)
Clinton Township, MI · Remote
Review claims data, clinical records, and assessment tools to evaluate member needs and benefit ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Review claims data, clinical records, and assessment tools to evaluate member needs and benefit ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Review claims data, clinical records, and assessment tools to evaluate member needs and benefit ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Review claims data, clinical records, and assessment tools to evaluate member needs and benefit ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Review claims data, clinical records, and assessment tools to evaluate member needs and benefit ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Remote Rn Utilization Review Nurse information
See Michigan salary details
$18.65 - $22.42
2% of jobs
$22.42 - $26.19
9% of jobs
$28.77 is the 25th percentile. Wages below this are outliers.
$26.19 - $29.96
21% of jobs
The median wage is $33.01 / hr.
$29.96 - $33.73
23% of jobs
$33.73 - $37.50
13% of jobs
$40.44 is the 75th percentile. Wages above this are outliers.
$37.50 - $41.28
10% of jobs
$41.28 - $45.05
8% of jobs
$45.05 - $48.82
5% of jobs
$48.82 - $52.59
5% of jobs
$52.59 - $56.36
2% of jobs
$56.36 - $60.13
2% of jobs
$18
$36
$60
How much do remote rn utilization review nurse jobs pay per hour?
As of Jul 23, 2026, the average hourly pay for remote rn utilization review nurse in Michigan is $36.85, according to ZipRecruiter salary data. Most workers in this role earn between $29.13 and $42.31 per hour, depending on experience, location, and employer.
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?
| Aspect | Remote Rn Utilization Review Nurse | Remote Rn Case Manager |
|---|---|---|
| Certifications | RN license, possibly UR or CCM certification | RN license, CCM or other case management certification |
| Work Environment | Reviewing medical records, insurance guidelines, and authorizations | Coordinating patient care, discharge planning, and resource management |
| Employer & Industry Usage | Health insurance companies, third-party administrators | Hospitals, 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 popular job titles related to Remote Rn Utilization Review Nurse jobs in Michigan? For Remote Rn Utilization Review Nurse jobs in Michigan, the most frequently searched job titles are:
- Remote Cvs Utilization Management Nurse
- Mckesson Nurse
- Remote Registered Nurse Paid Training Program
- Remote Chart Review Nurse
- No Experience Utilization Review Nurse
- Seasonal Remote Hedis Review Nurse
- Remote Utilization Management Nurse
- Interim Nursing Management
- Flex Schedule Remote Utilization Review Nurse
- Rn Government
What job categories do people searching Remote Rn Utilization Review Nurse jobs in Michigan look for? The top searched job categories for Remote Rn Utilization Review Nurse jobs in Michigan are:
- Registered Nurse Medical Reviewer
- Remote Preservice Review Nurse
- Remote Hca Utilization Review
- Temporary Aetna Utilization Review Nurse
- Lpn Utilization Review
- Full Time Cigna Utilization Review Nurse
- Optum Utilization Review Nurse
- Volunteer Navihealth Utilization Review
- From Home Anthem Utilization Review Nurse
- Remote Lpn Utilization Review
What cities in Michigan are hiring for Remote Rn Utilization Review Nurse jobs? Cities in Michigan with the most Remote Rn Utilization Review Nurse job openings:
Support Specialist- Utilization Review (Non-Nursing)/Full Time/Remote
Troy, MI • Remote
Other
Posted yesterday
Job description
GENERAL SUMMARY:
 The support specialist is a support role crucial to the centralized Utilization Review team for time sensitive authorization tracking and resolution process. Responsible for obtaining and tracking approvals, denials, and additional information requests received from third party payers within the EMR.
PRINCIPLE DUTIES AND RESPONSIBILITIES:
        Acts as a subject matter expert in insurance authorization requirements, timeframes, and various revenue cycle related requirements.
        Submits all clinical information required by payers.
        Responds to payer requests, inquiries, and/or escalates issues to leadership.
        Processes, familiarizes, and completes communication forms required by payers.
        Works directly with coordinators regarding clinical issues for resolution.
        Processes all incoming communication from payers via fax, voicemail, email and mail, appropriately routes information to assigned team members.
        Update and load case information to payers as needed.
        Maintain a current knowledge of Utilization Management through interaction with staff and payor portal representatives.
        Identify process improvement strategies.
        Promotes individual professional growth and development by meeting requirements for mandatory continuing education and supports department goals which contribute to success of the organization.
        Perform other duties as requested.
EDUCATION/EXPERIENCE REQUIRED:
High School Diploma/G.E.D.
Working knowledge of computers and software systems
 Communication skills, verbal and written, and interpersonal skills necessary to effectively achieve department outcomes.
Minimum one (1) year of experience in healthcare
- Experience working in Epic preferred
Additional Information
- Organization: Corporate Services
- Department: Central Utilization Mgt
- Shift: Day Job
- Union Code: Not Applicable