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Remote Rn Utilization Review Nurse Jobs in Minnesota

Allina Health

RN Navigator - Oncology

Buffalo, MN · On-site +1

Assures health care benefits have been reviewed and plan has been coordinated with the insurance ... Licensed Registered Nurse - WI Dept of Safety & Professional Services required upon hire if ...

Pharmacy Careers

Appeals Pharmacist (Remote)

Saint Paul, MN · On-site +1

$58 - $70.50/hr

Collaborate with physicians, nurses, and medical directors during case reviews. * Track, document ... Prior managed care or utilization management experience preferred - retail and hospital pharmacists ...

Pharmacy Careers

Appeals Pharmacist (Remote)

Minneapolis, MN · On-site +1

$57 - $69.25/hr

Collaborate with physicians, nurses, and medical directors during case reviews. * Track, document ... Prior managed care or utilization management experience preferred - retail and hospital pharmacists ...

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 ...

Pinch Med Spa

Aesthetic Nurse Practitioner

Wayzata, MN · On-site +1

Aesthetic Nurse Injector (APRN) - Concierge Med Spa Grow your practice with flexibility on your terms Pinch is looking for Advanced Practice Registered Nurses (APRNs) in Minnesota for a 1099 ...

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Remote Rn Utilization Review Nurse information

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$20

$41

$67

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

As of Jun 15, 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 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 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.
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 job categories do people searching Remote Rn Utilization Review Nurse jobs in Minnesota look for? The top searched job categories for Remote Rn Utilization Review Nurse jobs in Minnesota 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:
Remote Rn Utilization Review Nurse jobs near you
1099 Contracted Nurse Assessor - Nationwide Need

1099 Contracted Nurse Assessor - Nationwide Need

illumifin

Eden Prairie, MN • On-site, Remote

Part-time

Posted 5 hours ago

Illumifin rating

7.8

Company rating: 7.8 out of 10

Based on 20 frontline employees who took The Breakroom Quiz

101st of 190 rated software companies

Job description

Registered Nurse - PRN visits
Leave Shift Work Behind
Consider our per diem opportunity to earn additional income as a Nurse Interviewer visiting clients at their place of residence. Complete questionnaires on their medical, functional and cognitive status.
  • Flexible scheduling - The nurses can schedule visits Monday - Sunday, mornings, afternoons or evenings based on the client's and nurse's schedule.
  • Flexible work - you can cover up to a 75 mile radius and work as little or as much as you want per month based on available cases in your area.
  • Extra income - Work with illumifin whenever you need a little extra money, even if you have another job.
  • No blood draws or specimen collections required.

About the Role:
As a RN with illumifin, you will utilize your critical thinking and assessment skills to complete the following:
  • Obtain thorough cognitive and health assessment information as required.
  • Comply with all assessment instructions and accurately complete assessments.
  • Communicate promptly with illumifin regarding file status and appointment times.
  • Return the assessment within 24 hours after the appointment.
  • Respond promptly to any follow-up and clarification questions on submitted assessments.
  • With E-Assessments training, you can complete assessments electronically using your cell phone, tablet, iPad or Laptop

Role Requirements:
  • Unencumbered licensure as a Registered Nurse in your state of practice
  • Minimum of two years' experience working with an adult population
  • Assessment skills are a plus
  • Reliable transportation
  • Calibrated manual upper arm blood pressure cuff
  • Calibrated portable scale (to obtain client's weight)
  • Measuring tape (to obtain client's height)
  • Compatible cell phone, iPad, Tablet or Laptop
  • Printer with a scanner or Printer with Fax

Here's what illumifin contract RN's have to say about us:
"It's an on-going privilege to work with Illumifin and LifePlans." - Pat H.
"Being an independent contractor I could be somewhat "independent". I would recommend to other nurses as a retirement job or otherwise. Thank you so much for this opportunity and experience I had working for illumifin/lifeplans." - Jane W.

What Illumifin employees say

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