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Remote Rn Utilization Review Nurse Jobs in Pennsylvania

Varsity Tutors

NCLEX-RN Tutor

Allentown, PA · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

State College, PA · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

Pittsburgh, PA · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

Reading, PA · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

Chester, PA · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

Harrisburg, PA · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

Erie, PA · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

DaVita

RN Case Manager Experienced (IKC)

Blandon, PA · On-site +1

... RN Case Manager Experienced (IKC) This DaVita IKC Nurse position is for MA, NH, ME, RI and NJ ... Telephonic positions that are remote will require home offices. DaVita Integrated Kidney Care ...

Oshi Health

GI- Nurse Practitioner

Philadelphia, PA · Remote

Preferred RN compact License Required Location: We are only hiring from the following states ... Remote-first -- work from home anywhere in the US within our approved states * Growth: Advanced ...

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

Remote Rn Utilization Review Nurse information

See Pennsylvania salary details

$21

$42

$69

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

As of Aug 18, 2026, the average hourly pay for remote rn utilization review nurse in Pennsylvania is $42.38, according to ZipRecruiter salary data. Most workers in this role earn between $33.51 and $48.65 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 the most commonly searched types of Rn Utilization Review Nurse jobs in Pennsylvania?

The most popular types of Rn Utilization Review Nurse jobs in Pennsylvania are:

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

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

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

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

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

Cities in Pennsylvania 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 Pennsylvania as of August 2026, with employment types broken down into 84% Full Time, 5% Part Time, and 11% Contract. Highlights an 100% Remote job distribution, with an average salary of $88,158 per year, or $42.4 per hour.

Registered Nurse

Jefferson Health at Home by BAYADA

King Of Prussia, PA • Remote

$96K - $106K/yr

Full-time

PTO

Posted 14 days ago

Job description

When you know Home is the future of Healthcare

Jefferson Health at Home by BAYADA was founded on the principle that healthcare gets better when people get better care at home – the place where they feel best.

We are currently recruiting for a compassionate Home Health Registered Nurse (RN) to reliably serve patients throughout the surrounding King of Prussia, PA area or Lower Bucks, PA area. This is a full-time or part-time, salaried position.

What you’ll do:

As a Jefferson Health at Home by BAYADA Nurse, you’ll use your clinical skills and compassionate heart to treat patients where they want to be the most – in the comfort of their own home. As a Jefferson Health at Home by BAYADA RN you will:

  • See a client through their care needs – from hospital discharge to living a safe home life with comfort, independence, and dignity.
  • Deliver 1:1 skilled nursing, intervention, and supportive care in accordance with individual care plan, including administration of medication, wound care, treatments, and comfort care
  • Perform client assessments, provide education to the patient and/or their family, and monitor patients' condition.

What you should have:

  • Active and current license to practice as a professional registered nurse (RN) in the state of PA.
  • One year of clinical experience strongly preferred.
  • Previous home healthcare experience welcomed, but not required.
  • Ability to travel to cases as assigned
  • A calm and reassuring presence, active listening skills, excellent assessment skills and strong written and verbal communication.
  • The ability to deliver patient care as you would want those you love to be treated, with compassion, excellence, and reliability.

Why you’ll love what you do at Jefferson Health at Home by BAYADA:

We are committed to providing patients the highest-quality care, enabling them to live at home with comfort, independence, and dignity. At Jefferson Health at Home by BAYADA, we believe our employees are our greatest asset.

As a Jefferson Health at Home by BAYADA Registered Nurse, you’ll enjoy:

  • Flexible schedules for work/life balance: full-time, part-time, per-diem, and on-call. Scheduling is primarily during the daytime hours.
  • 1:1 hands on training supplemented with virtual learning.
  • Ability to perform 1:1 direct client care and advocate for clients’ needs
  • 24/7 clinical support as part of a larger care team with the highest safety standards.
  • PTO and benefits offerings based on commitment level
  • Continued education and training; tuition reimbursement

Additional Information:
Base Pay, depending upon qualifications, status, and subject to negotiation:
$62.00 - $68.00 per point ($96,720 - $106,080 annual earning potential)

As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates.

BAYADA is celebrating 50 years of compassion, excellence, and reliability. Learn more about our 50th anniversary celebration and how you can join in here.

BAYADA Home Health Care, Inc., and its associated entities and joint venture partners, are Equal Opportunity Employers. All employment decisions are made on a non-discriminatory basis without regard to sex, race, color, age, disability, pregnancy or maternity, sexual orientation, gender identity, citizenship status, military status, or any other similarly protected status in accordance with federal, state and local laws. Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities.

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