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Remote Rn Utilization Review Nurse Jobs in New York

Susquehanna University

Registered Nurse

Brooklyn, NY · On-site +1

$100K - $103K/yr

The role integrates utilization management, care coordination, and discharge planning functions to ... Observe, audit and reviews each resident's condition, status, and care requirements and act to ...

VNA Health Group

RN OASIS Reviewer

Tinton Falls, NJ · Remote

$40 - $52/hr

Clinical Data Coordinator/OASIS Review VNA Health Group Remote Per Diem This position requires ... Current NJ RN License required * BSN preferred * OASIS Certified or actively pursuing OASIS ...

Vynca

Registered Nurse

Hackensack, NJ · Remote

$48 - $52/hr

As a RN with Vynca, you are a key part of the interdisciplinary team, helping to improve care ... Remote work experience. Additional Information * The hiring process for this role may consist of ...

MedReview

Physician Reviewer

Manhattan, NY · On-site +1

This is a fully remote opportunity for a physician with a strong background in utilization review and clinical validation who thrives in a fast-paced, data-driven environment. In this role, you will ...

MedReview

Physician Reviewer

Manhattan, NY · Remote

This is a fully remote opportunity for a physician with a strong background in utilization review and clinical validation who thrives in a fast-paced, data-driven environment. In this role, you will ...

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All JobsRn Utilization Review Nurse JobsRemote Rn Utilization Review Nurse JobsRemote Rn Utilization Review Nurse Jobs in New York

Remote Rn Utilization Review Nurse information

See New York salary details

$23

$46

$75

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

As of Aug 10, 2026, the average hourly pay for remote rn utilization review nurse in New York is $46.26, according to ZipRecruiter salary data. Most workers in this role earn between $36.54 and $53.12 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?

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 the most commonly searched types of Rn Utilization Review Nurse jobs in New York? The most popular types of Rn Utilization Review Nurse jobs in New York are:
What are popular job titles related to Remote Rn Utilization Review Nurse jobs in New York? For Remote Rn Utilization Review Nurse jobs in New York, the most frequently searched job titles are:
What job categories do people searching Remote Rn Utilization Review Nurse jobs in New York look for? The top searched job categories for Remote Rn Utilization Review Nurse jobs in New York are:
What cities in New York are hiring for Remote Rn Utilization Review Nurse jobs? Cities in New York with the most Remote Rn Utilization Review Nurse job openings:
Remote Rn Utilization Review Nurse jobs near you
Infographic showing various Remote Rn Utilization Review Nurse job openings in New York as of August 2026, with employment types broken down into 67% Full Time, 22% Part Time, and 11% Contract. Highlights an 100% Remote job distribution, with an average salary of $96,216 per year, or $46.3 per hour.

Registered Nurse

Services For The Underserved, Inc.

Brooklyn, NY • On-site, Remote

$100K - $103K/yr

Full-time

Medical, PTO

Re-posted 12 days ago

Services for the UnderServed rating

9.4

Company rating: 9.4 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

Job description

Min
USD $100,000.00/Yr.
Max
USD $103,000.00/Yr.
Position Overview
SCOPE OF ROLE:
The Registered Nurse collaborates with physicians and the multidisciplinary team to ensure residents receive timely care that meets evidence-based practice standards. The role integrates utilization management, care coordination, and discharge planning functions to assist residents in achieving positive clinical outcomes and safe transitions to the community. The Registered Nurse provides resident/family support and education and maintains strong relationships with community providers
Montrose residence is a 45-bed congregate supervised treatment program including 3 Respite Program beds that provides transitional housing and restorative services for adult co-ed population diagnosed with mental illness.
ESSENTIAL DUTIES & RESPONSIBILITIES:
  • Implement and establish plan of care in accordance with scope of practice in collaboration with the physician, clinical team members, social services, physical therapy, the resident and the resident's family by tailoring care to meet individual needs of the resident.
  • Monitor resident's healthcare/medical needs and provide coaching, training and feedback, to assists in daily management of the residents
  • Observe, audit and reviews each resident's condition, status, and care requirements and act to assure care needs are met by connecting residents to appropriated medical services in the community.
  • Visit and provide services to participants in residential and scattered sites
  • Contribute to participant care conferences and evaluate the interdisciplinary plan of care for each resident.
  • Monitor all medication room and support medication coordinators in multiple sites.
  • Ensure all residents are connected to providers in the community (PCP, Therapist, Psychiatrist, etc.)
  • Reports changes in condition of participants that requires nursing intervention notifying the physician, case managers and family
  • Attend medical visits while building rapport with PCP and other care team members for advocacy and to ensure residents comply with medical regimen.
  • Visit residents during hospitalization, attend and contribute to discharge planning meeting to assist with safe discharge.
  • Documents all pertinent information in the interdisciplinary notes and on the 24-hour report timely and accurately
  • Address any emergent resident needs; anticipates changes in condition and makes appropriate clinical decisions.

Qualifications
REQUIRED EDUCATION AND EXPERIENCE
  • Associate Degree in Nursing or a Bachelor of Science Degree in Nursing
  • Must possess an active RN license in the NY state
  • 1+ years working in shelters, behavioral health or with the mental health population, including experience with medication administration and management and care plan development.

PREFERRED QUALIFICATIONS & SKILLS
  • Ability to creatively problem solve in both resident care and employee management situations
  • Must be a team player, well organized, and flexible.
  • Ability to effect change, perform ongoing evaluation and critical analysis, plan and organize effectively and promote client/family autonomy.
  • Effective written and oral communication skills
  • Basic computer skills (e.g. MS Office suite and Windows)

Company Overview
S:US IS AN EQUAL OPPORTUNITY EMPLOYER
Join a team of employees who care about the wellbeing of others. We believe in fostering a culture built on our core values: respect, integrity, support, maximizing individual potential and continuous quality improvement. From health and wellness resources to generous PTO, professional development, and more, explore all that we offer on ourBenefits Page and see how S:US invests in you.
We believe in fostering a culture built on our core values: respect, integrity, support, maximizing individual potential and continuous quality improvement.
All qualified applicants will receive consideration for employment without regard to race, color, religion, disability, age, sexual orientation, national origin, veteran status, or genetic information and including all other statuses protected by Federal, State and Local laws. S:US is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities, including allowance of the use of services animals. To request reasonable accommodation or if you believe such a request was improperly handled or denied, contact the Leave Team at MyMedicalLeave@sus.org.
ID
2026-18489
Work Location
In Person

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