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Remote Rn Utilization Review Nurse Jobs in West Virginia

Healthcare Claims Data Analyst

WV ยท Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Exposure to fraud, waste and abuse, program integrity, payment integrity or utilization review work ... Remote Work Location: Any Location / Remote Additional Work Locations: Total Rewards at GDIT: Our ...

Responsible for the review, development and/or writing of clinical trial documents and manuals ... RN, MT, PA, RT) is preferred, but individuals with commensurate experience will be considered.

New

  • Life

Sales Team Leader (Remote) - Globe Life American Income Division | Zuzick Organization Are you a ... nurses--to provide supplemental life insurance benefits that help protect their families. As we ...

  • Life

Sales Team Leader (Remote) - Globe Life American Income Division | Zuzick Organization Are you a ... nurses--to provide supplemental life insurance benefits that help protect their families. As we ...

  • Life

Sales Team Leader (Remote) - Globe Life American Income Division | Zuzick Organization Are you a ... nurses--to provide supplemental life insurance benefits that help protect their families. As we ...

$79K - $118K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... Nurse (RN) * State licensure is mandatory as required * Current Certified Diabetes Care and ... This position is a remote working position, and the working space will have to meet certain ...

$60K - $120K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Review loan application package for completeness and accuracy, reconcile application against system ... Utilization of AUSSIE and company procedures * Establish an ongoing relationship by delivering best ...

$23.56 - $28.85/hr

  • Medical

  • PTO

... nurses, offering more than 240 specialties and subspecialties. This position is primarily remote ... Review account history for continuous follow up. * Address incoming correspondence. Prepare ...

$23.56 - $28.85/hr

  • Medical

  • PTO

... nurses, offering more than 240 specialties and subspecialties. This position is primarily remote ... Review account history for continuous follow up. * Address incoming correspondence. Prepare ...

100% Remote Radiologist

Charleston, WV ยท Remote

$296K - $370K/yr

  • Medical

  • Retirement

  • PTO

Florida - Remote WHY JOIN FCS At Florida Cancer Specialists & Research Institute, we believe our ... With over 250 physicians, 220 nurse practitioners and physician assistants and nearly 100 locations ...

Showing results 21-40

Remote Rn Utilization Review Nurse information

See West Virginia salary details

$16

$32

$53

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 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:

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.

Licensed Psychiatric Nurse Practitioner (Remote)

Headway

Morgantown, WV โ€ข On-site, Remote

$235.47/hr

Full-time, Contractor

This job post hasย expired today.ย Applications are no longer accepted.


Job description

"

Licensed Psychiatric Nurse Practitioner

Wage: Up to $235.47/hour

Did you know that you can build a flexible private practice on your terms as a psychiatric nurse practitioner? Whether you want to see patients alongside a full-time job or grow a full-time practice, Headway makes it easy to accept insurance, boost your earnings, and focus on care - without the administrative burden. Itโ€™s all on one free-to-use platform, no commitment required.


About the role

This position is for licensed psychiatric nurse practitioners looking to start or grow their private practice. Headway provides the tools, resources, and support to help you navigate insurance, streamline operations, and let you focus on what matters most - your patients.


About you

  • Youโ€™re a fully licensed psychiatric nurse practitioner with your DEA or CDS numberANCC or AANP board certification, a valid NPI number and malpractice insurance.

  • Youโ€™re looking to start or expand your private practice while maintaining control over your schedule, client load, and work environment.


Why partner with Headway?

As an independent provider with Headway, youโ€™ll gain access to:

  • Hassle-free insurance credentialing: Get credentialed for free in multiple states within as little as 30 days.

  • Increased earnings: Secure competitive rates with top insurance plans through our nationwide network.

  • Predictable bi-weekly payments: Receive reliable payouts directly from Headway.

  • Built-in EHR tools: Access real-time scheduling, secure client messaging, documentation templates, assessments, and more.

  • Compliance & audit support: Stay up-to-date with insurance requirements and industry regulations.

  • Free continuing education: Earn CEUs and expand your expertise through Headway Academy.


How Headway supports your patients

  • Increased access: Headway makes it easier for your clients to get the care they need at a price they can afford through insurance.

  • Instant verification: Clients can easily check their insurance status and get the care they need without disruption. 


Important Notes

  • This is a 1099 independent contractor role. Youโ€™ll have full autonomy over your practice, including setting your hours and managing your caseload.

  • At this time, Headway canโ€™t support mental health professionals that arenโ€™t fully licensed. If your application was rejected for incomplete licensure, youโ€™re welcome to reapply once you have a valid license. 




About Headway

We make it easy for mental health providers to take insurance by credentialing you with the nationโ€™s largest networks, handling billing and admin paperwork, and helping you earn more stable income with higher rates. With Headway, you can finally focus on what matters most: providing life-changing care. Weโ€™ll take care of the rest.