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Remote Rn Utilization Review Nurse Jobs in Chicago, IL

Turnitin, LLC

Nurse Educator (USA Remote)

Chicago, IL · Remote

Experience a remote-first culture that empowers you to work with purpose and accountability in a ... Active, unrestricted RN license. * Bachelor's degree in Nursing (BSN). * 5+ years of clinical ...

Turnitin, LLC

Nurse Educator (USA Remote)

Chicago, IL · On-site +1

$75K - $126K/yr

Experience a remote-first culture that empowers you to work with purpose and accountability in a ... Active, unrestricted RN license. * Bachelor's degree in Nursing (BSN). * 5+ years of clinical ...

Med-Metrix

Physician Advisor - Remote

Chicago, IL · On-site +1

Provides consultation to attendings, nurses, and case management staff regarding complex clinical ... Board Certification by the American Board of Quality Assurance and Utilization Review Physicians ...

Corvel

Bilingual Medical Case Manager II

Downers Grove, IL · On-site +1

$65K - $98K/yr

CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse ... A cost containment background, such as utilization review or managed care is helpful. * Strong ...

Baba

Virtual Nurse Practitioner

Chicago, IL · Remote

Telehealth Nurse Practitioner | Remote 1099 | Structured Intake & Care Navigation About Baba Baba ... Active Nurse Practitioner or APRN license, in good standing - licensed in multiple states ...

York Risk Services

RN Field Case Manager

Merrillville, IN · Remote

$76K - $97K/yr

... Insurance RN Field Case Manager This Field Case Manager will cover our Chicago, IL/Northwest ... remote work environment that allows face to face interaction with injured workers and medical ...

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All JobsRn Utilization Review Nurse JobsRemote Rn Utilization Review Nurse JobsRemote Rn Utilization Review Nurse Jobs in Chicago, IL

Remote Rn Utilization Review Nurse information

See Chicago, IL salary details

$22

$43

$71

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

As of Aug 8, 2026, the average hourly pay for remote rn utilization review nurse in Chicago, IL is $43.56, according to ZipRecruiter salary data. Most workers in this role earn between $34.42 and $50.00 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 Chicago, IL? The most popular types of Rn Utilization Review Nurse jobs in Chicago, IL are:
What are popular job titles related to Remote Rn Utilization Review Nurse jobs in Chicago, IL? For Remote Rn Utilization Review Nurse jobs in Chicago, IL, the most frequently searched job titles are:
What job categories do people searching Remote Rn Utilization Review Nurse jobs in Chicago, IL look for? The top searched job categories for Remote Rn Utilization Review Nurse jobs in Chicago, IL are:
Remote Rn Utilization Review Nurse jobs near you
Infographic showing various Remote Rn Utilization Review Nurse job openings in Chicago, IL as of July 2026, with employment types broken down into 1% As Needed, 81% Full Time, 14% Part Time, 1% Temporary, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $90,598 per year, or $43.6 per hour.

Clinical Care Management (CCM) Manager (Registered Nurse)

MEDRINA - CORPORATE TEAM

Chicago, IL • Remote

$85K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 8 days ago

Job description

Come grow with us!  Medrina has been voted one of the fastest growing companies and 92% of our employees feel we are a Great Place To Work!  For more details on what our employees say go to Working at Medrina | Great Place To Work®.

We offer an annual salary of $85,000 with teleworker monthly stipend of $100.  We offer a robust benefits package including 15 days of vacation, 7 paid holidays, and 5 sick days annually and group healthcare benefits, which begin day one and include health/dental/vision plans (multiple plans to choose from), employer-paid life insurance, tuition reimbursement, 401(k) with a company match and more.  

This is a full-time remote position, work must be performed in a private and quiet (with a door) setting requiring reliable internet and phone connectivity.  Ability to communicate via virtual/online meetings with a camera on as well as being responsive in a timely manner during work hours via email, MS Teams and phone is required.

This is not a flex hours job.  Candidates must reside in central or eastern time zones of USA.   This role does not offer immigration visa sponsorship.

 Job Responsibilities:

Key Responsibilities 

  • Team Leadership: Supervise, train, and schedule the Care Coordinators and Case Managers handling telephonic patient assessments, care plan development, and facility triage.  

  • Quality & Escalation: Serve as the first point of escalation for complex patient care plans or high-risk clinical triage decisions. 

  • Workflow Optimization: Monitor triage queue metrics, response times, and document auditing within the electronic medical records (EMR) system. 

  • Liaison Work: Collaborate directly with upper executive management and the practicing Physicians/NPs to adjust clinical protocols as regional needs shift. 

 
1. Patient and Caregiver Support 

  • Review electronic health records (EHR) to identify gaps in care for patients residing in a Long-term Care Nursing Facility. 

  • Review and approve initial and ongoing health questionnaires completed by a member of the care management team. 

  • Develop patient-centered care plans. 

  • Educate patients and their durable medical power of attorney (DPOA) on the benefits of CCM. 

2. Provider Support 

  • Support quality gap closure through clinical discovery 

  • Schedule Provider visits for at-risk patients 

  • Coordinate with the Transitional Care Manager to schedule patient visits  

  • Ensure orders, referrals, and prior authorizations are facilitated by the virtual care support team. 

  • Escalate abnormal diagnostic test results to providers. 

3. Communication Support 

  • Communicate patient health updates to providers. 

  • Communicate treatment plans and health updates to the patient’s caregiver in an effective and caring manner. 

  • Primary liaison between the provider, facility and administrative support team. 

Job Requirement:  

  • Must hold an active and unrestricted compact Registered Nurse (RN) License and be able to obtain additional state licenses, as needed. 

  • Minimum of 5 years of experience as a Registered Nursing in inpatient, outpatient, or skilled nursing facilities settings. 

  • Minimum of 2 years of Case Management experience 

  • Certified Care Manager (CMC) or Chronic Care Professional (CCP) certification 

  • Proficiency with various Electronic Health Records 

Physical Requirements:

  • This is a full-time remote, work-from-home position, primarily working during standard business hours handling sensitive and confidential information. Work must be performed in a private and secure setting requiring reliable internet and phone connectivity. 
  •  Ability to communicate via virtual/online meetings daily with a camera as well as being responsive in a timely manner during work hours via email, MS Teams, and phone. 
  •  Ability to travel quarterly for training, meetings, and on-site visits. 
  •  Ability to sit, stand, and walk for extended periods. 
  •  Ability to lift and move up to 25 pounds. 

EOE/M/F/Vet/Disability:

We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.