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Remote Rn Utilization Review Nurse Jobs in Minnesota

... remote role! Candidate must live in CST or EST. DaVita is seeking a full-time Nurse Practitioner ... Lead complex case reviews and manage escalations involving high-risk or high-utilization patients ...

This registered nurse position fosters interdepartmental/interprofessional collaboration. The ... review policies and procedures and operational matters, rounding on all employees, completing ...

$10/hr

EXAMPLE: Chart Review 8 min Outreach Attempts: 6 min Actual Call:11 min Care Coordination:9 min ... Current COMPACT license to practice as an RN/ LVN/LPN held in current state of residence with no ...

$10/hr

EXAMPLE: Chart Review 8 min Outreach Attempts: 6 min Actual Call:11 min Care Coordination:9 min ... Current COMPACT license to practice as an RN/ LVN/LPN held in current state of residence with no ...

Showing results 41-60

Remote Rn Utilization Review Nurse information

See Minnesota salary details

$20

$41

$67

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

As of Sep 14, 2026, the average hourly pay for remote rn utilization review nurse in Minnesota is $41.41, according to ZipRecruiter salary data. Most workers in this role earn between $32.74 and $47.55 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 Minnesota?

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

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

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

Infographic showing various Remote Rn Utilization Review Nurse job openings in Minnesota as of September 2026, with employment types broken down into 1% As Needed, 80% Full Time, 17% Part Time, and 2% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $86,136 per year, or $41.4 per hour.

MDS Nurse (PRN)

Anoka, MN • On-site, Remote

Volunteers of America National Services
Non-Profits • 10K+ employees

$65K - $95K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 26 days ago


Volunteers Of America rating

6.9

Company rating: 6.9 out of 10

Based on 130 frontline employees who took The Breakroom Quiz


Job description

We are seeking an MDS Nurse to join our clinical team and float between our Minnesota Skilled Nursing Facilities. The MDS Nurse is responsible for planning and organizing the MDS/RAI process in coordination with the RAI/PPS Coordinator.  This position assures compliance with all State and Federal MDS transmission requirements. The MDS Nurse is responsible for collaborating with Clinical and Administrative staff regarding issues relative to the Resident Assessment Instrument (RAI) process.

Compensation: $65,000-$95,000 (Based on years of experience) 

Schedule: Monday-Friday *Hours will vary (PRN/On Call status) *Remote or Onsite 

Locations:

Rochester Homestead Rehab & Living Center- 1900 Ballington Blvd NW, Rochester, MN 55901

Anoka Homestead Rehab & Living Center- 3000 N 4th Ave, Anoka, MN 55303

*Potential for remote work in Florida and Colorado

(Applicant must be willing to travel to MN sites on an as needed basis)

Employer/Employee Benefits:

  • Medical, Dental and Vision insurance
  • Health Savings Account (HSA)
  • Flexible Saving Account (FSA) 
  • 403(b) - with discretionary contribution 
  • Paid Vacation/Sick Time

Benefits with minimal to no cost to employees: 

  • Scholarships
  • Employee Assistance Program (EAP)
  • Wellness program
  • Life insurance (with an option to purchase additional)
  • Short term disability 
  • Loan program
  • Ministry Program
  • NetSpend – Get paid early: Tap into 50% of your earnings before payday

Essentials:

Assessment and Documentation:
• Complete assigned MDS assessments and Care Area Assessments (CAAs) accurately and within regulatory timeframes using the RAI manual.
• Complete nursing sections of the MDS and ensure timely completion of interdisciplinary sections in collaboration with other departments.
• Use direct observation, clinical interviews, chart audits, and staff communication to support accurate documentation.
• Follow and update the facility’s MDS schedule and tracking systems under the direction of the MDS Coordinator.


Regulatory Compliance and Data Integrity:
• Ensure assessments are completed and submitted per federal and state regulations and organizational policies.
• Review validation reports and correct error or inconsistencies as needed.
• Track assessment completion and submission status; notify the MDS Coordinator of the delays or problems.
• Assist with identifying documentation gaps or inaccuracies that impact Quality Reporting Program (QRP) scores.

Collaboration and Support:
• Collaborate with the interdisciplinary team as need to clarify clinical details and support accurate documentation.
• Notify the MDS Coordinator of significant findings, challenges, or issues related to assessments or resident status.
• Provide support in the absence of the MDS Coordinator, including participation in meetings and managing assessment processes.

Education and Training:
• Complete assigned trainings and certifications (e.g., MDS Essentials, Medicare Basics, ICD-10-CM, RAC-CT).
• Attend required in-services, meetings, and educational sessions relevant to the MDS role.
• Participate in training and educational efforts related to MDS/RAI processes as directed.


Professionalism and Collaboration:
• Demonstrate sound judgement, independence, and prioritization in managing responsibilities.
• Build strong working relationships across disciplines with external partners (e.g., hospitals, payers).
• Represent the MDS role professionally and collaboratively within the organization.
• Actively

Required Qualifications

Licensure: Active and unencumbered license as a Licensed Practical Nurse (LPN) or Registered Nurse (RN). Ability and willingness to obtain licensure in Colorado, Florida, and Minnesota.

Willingness to travel between Minnesota locations as needed

Experience: Minimum of two (2) years of nursing experience in a skilled nursing facility (SNF). At least one (1) year of experience working directly with MDS is strongly preferred.

Certifications: Resident Assessment Coordinator – Certified (RAC-CT) certification required or must be obtained within six (6) months of hire.


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