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Remote Rn Utilization Review Nurse Jobs in West Virginia

Noor Locum

CRNA

Princeton, WV · Remote

CRNA Locum Opportunity | Kansas Noor Locums is seeking CRNAs for ongoing coverage in Kansas with a ... Weekdays (M-F): 7a-3p + remote call 3p-7a (1st & 2nd call rotation) * Weekend 24-hour call: 7a-7a ...

Corvel

Telephonic Case Manager I

Charleston, WV · Remote

$63K - $95K/yr

Current RN Licensure in state of operation * 3 or more years of recent clinical experience ... Strong cost containment background, such as utilization review or managed care helpful

Harris

$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 ...

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$53

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

As of Aug 17, 2026, the average hourly pay for remote rn utilization review nurse in West Virginia is $32.73, according to ZipRecruiter salary data. Most workers in this role earn between $25.87 and $37.60 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 West Virginia?

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

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

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

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

Cities in West Virginia 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 West Virginia as of August 2026, with employment types broken down into 84% Full Time, 13% Part Time, and 3% Contract. Highlights an 100% Remote job distribution, with an average salary of $68,085 per year, or $32.7 per hour.

Healthcare Staffing Sales

Anderson Recruiting & Consulting

Charleston, WV • Remote

$49K - $64K/yr

Full-time, Contractor

Re-posted 18 days ago

Job description

healthcare Staffing Sales - Remote US

Our client is expanding their Science and Healthcare Practice and is looking for proven sales talent with experience selling RN Case Managers and Utilization Review RN's. They focus solely on Contract and Contract to Hire business nationally. They sell to Hospitals, Health Insurance Companies, Home Health, Nursing Facilities, along with many other Providers and Programs. Target is to average over 30% GM per placement on $1M+ in GM per year.

Offering a solid base salary + uncapped commissions, excellent benefits package with a lot of additional perks. Excellent leadership/training and growth opportunities.

For additional information/consideration, please apply.

#LI - CA1