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Remote Rn Utilization Review Nurse Jobs in Virginia

Integrated Case Manager- RN

Winchester, VA · On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Day (8am-5pm) ThisPosition is remote but does require in person face-to-face assessments ... efficient utilization of health benefits; conducts gap in care management for quality programs.

Nurse Case Manager-NOVA, VA

Manassas, VA · On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... efficient utilization of health benefits; conducts gap in care management for quality programs ... Registered Nurse License (RN) - Nursing License - Compact/Multi-State License required. Experience ...

Registered Nurse

Mclean, VA · On-site +1

  • Medical

  • Dental

  • Life

  • Retirement

  • PTO

Provide support with chart reviews/documentation, scheduling and confirming appointments, answering ... Passing the NCLEX-RN (National Council Licensure Examination for Registered Nurses) * State nursing ...

Prevention Nurse Specialist

Richmond, VA · On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Travel reimbursement This is a remote PRN status position with Day Shift Hours, requires onsite participation across the Richmond region. Required Qualifications: • Active Registered Nurse (RN) ...

Prevention Nurse Specialist

Williamsburg, VA · On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This is a remote PRN status position within day shift hours. This is not a work from home role and ... Required Qualifications: • Active Registered Nurse (RN) license (Virginia or multistate license ...

NCLEX-RN Tutor

Leesburg, VA · 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 ...

Showing results 21-40

Remote Rn Utilization Review Nurse information

See Virginia salary details

$21

$41

$68

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

As of Aug 14, 2026, the average hourly pay for remote rn utilization review nurse in Virginia is $41.92, according to ZipRecruiter salary data. Most workers in this role earn between $33.12 and $48.12 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 Virginia?

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

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

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

Infographic showing various Remote Rn Utilization Review Nurse job openings in Virginia as of August 2026, with employment types broken down into 86% Full Time, 6% Part Time, and 8% Contract. Highlights an 100% Remote job distribution, with an average salary of $87,192 per year, or $41.9 per hour.

Collaborative Practice Nurse RN Sr

Intrafusion

Roanoke, VA • On-site, Remote

Full-time

Re-posted 18 days ago


Job description

Overview

Blue Ridge Cancer Care is seeking an experienced and highly motivated Collaborative Practice Nurse (CPN) to support oncology patients across the continuum of care. The CPN serves as a clinical resource and care coordinator, partnering closely with providers, nursing teams, and interdisciplinary staff to improve patient outcomes, enhance the patient experience, and support value-based care initiatives.
This role focuses on proactive patient management, care coordination, symptom assessment, patient education, and navigation of complex clinical needs. The ideal candidate is a strong communicator, critical thinker, and patient advocate who thrives in a collaborative environment and is passionate about delivering high-quality oncology care.
Work Location Options
This position offers flexibility to meet both organizational and employee needs:
Fully Remote: Candidates may work remotely from anywhere within the United States.
Hybrid: Candidates who prefer a combination of remote and on-site work may choose a hybrid schedule based on business needs and location.


Responsibilities

Respond promptly to patient inquiries via calls, portal messages, and emails, ensuring timely communication and intervention.

  • Utilize open-ended questions and computerized algorithms/pathways to assess and manage a wide range of patient symptoms and side effects, documenting all interventions thoroughly to maintain comprehensive medical records.

  • Determine the urgency of patient symptoms/side effects, aggressively managing them to prevent unnecessary emergency department and hospital utilization.

  • Collaborate with physicians through electronic communication, face-to-face meetings, or phone calls for cases requiring emergency care that cannot be addressed independently through standard protocols.

  • Coordinate with providers to facilitate outpatient clinic visits for patients when appropriate, ensuring continuity of care.

  • Prepare, organize, and lead Patient Care Conferences (huddles), communicating interventional outcomes to the full care team efficiently.

  • Perform assessments for patient risk stratification, basic psychosocial assessments, and provide emotional support, delegating or making referrals for further screening and support as needed.

  • Develop and implement nursing diagnoses and corresponding action plans, supporting oral chemotherapy education, adherence, and side effect monitoring.

  • Engage in survivorship and advance care planning visits, making necessary referrals to support patient needs.

  • Participate in research, quality, and performance improvement initiatives, including reporting on navigation metrics, while supporting patient advocacy and empowerment.

  • Serve as a mentor/preceptor, providing guidance to less experienced nurses and performing other duties as required.

  • Identify potential and real gaps in care delivery, seeking opportunities to address and close these gaps.

  • Stay informed on practice operations guidelines, healthcare economics, value-based care, and quality programs, with travel to outlying clinics as needed based on care team requests.


Qualifications
  • Bachelor’s prepared Registered Nurse (BSN) preferred, Oncology Certification (OCN) a plus, Nurse Navigator Certification a plus

  • 5 (five) years work experience as a Registered Nurse. Oncology experience preferred.

Critical Skills:

  • Demonstrated leadership, interpersonal, collaboration, communication, and active listening skills  

  • Ability to apply the full nursing process in day-to-day clinical operations, including assessment, analysis and nursing diagnosis, care planning, implementation and outcomes evaluation

  • Ability to assess health disparities, identify needs of populations and cultures found within the general facility service area, describe a patient navigation process to address those needs, and document outcomes

  • Highly adaptable due to shifting priorities around value-based care/quality program requirements; ability to prioritize and re-prioritize quickly

  • Strong organizational, critical thinking, and follow-through skills

  • Ability to apply and/or oversee care coordination in conjunction with the multidisciplinary team

  • Strong verbal and written communication skills

  • Ability to problem-solving cross-functionally or independently, and know when to pull in leaders or other care team members to come up with a solution

  • Thrives in a team environment; embraces teamwork, but also enjoys and is successful at working independently

Additional Knowledge/Skills

  • Working computer, Microsoft, and internet skills, including an electronic EMR system

  • Basic knowledge of local community resources

PHYSICAL DEMANDS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range.

-Required to lift and assist patients as requested.

WORK ENVIRONMENT:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology/hematology clinic environment may occur.

Salary Scale:  The general pay scale for this position at BRCC is $62,933.07 - $96,824.00. The actual hiring rate is dependent on many factors, including but not limited to prior work experience, education, job/position responsibilities, location, work performance, etc. 

Qualifications:
  • Bachelor’s prepared Registered Nurse (BSN) preferred, Oncology Certification (OCN) a plus, Nurse Navigator Certification a plus

  • 5 (five) years work experience as a Registered Nurse. Oncology experience preferred.

Critical Skills:

  • Demonstrated leadership, interpersonal, collaboration, communication, and active listening skills  

  • Ability to apply the full nursing process in day-to-day clinical operations, including assessment, analysis and nursing diagnosis, care planning, implementation and outcomes evaluation

  • Ability to assess health disparities, identify needs of populations and cultures found within the general facility service area, describe a patient navigation process to address those needs, and document outcomes

  • Highly adaptable due to shifting priorities around value-based care/quality program requirements; ability to prioritize and re-prioritize quickly

  • Strong organizational, critical thinking, and follow-through skills

  • Ability to apply and/or oversee care coordination in conjunction with the multidisciplinary team

  • Strong verbal and written communication skills

  • Ability to problem-solving cross-functionally or independently, and know when to pull in leaders or other care team members to come up with a solution

  • Thrives in a team environment; embraces teamwork, but also enjoys and is successful at working independently

Additional Knowledge/Skills

  • Working computer, Microsoft, and internet skills, including an electronic EMR system

  • Basic knowledge of local community resources

PHYSICAL DEMANDS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range.

-Required to lift and assist patients as requested.

WORK ENVIRONMENT:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology/hematology clinic environment may occur.

Salary Scale:  The general pay scale for this position at BRCC is $62,933.07 - $96,824.00. The actual hiring rate is dependent on many factors, including but not limited to prior work experience, education, job/position responsibilities, location, work performance, etc. 

Education:UNAVAILABLEEmployment Type: FULL_TIME