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Remote Rn Utilization Review Nurse Jobs in Duluth, MN

Essentia Health

RN Pre-Service Authorization

Duluth, MN · On-site +1

$70K - $105K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Working remote * Epic * Insurance knowledge/Prior authorization Licensure/CertificationQualifications: Current nursing licensure in state(s) of employment FTE: 1 Possible Remote/Hybrid Option: Remote ...

Boston Medical Center

Cardiac Device Technician

Foxboro, WI · Remote

$26.68 - $37.50/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Under the supervision of Nursing, Director of Cardiovascular Medicine and the Medical Director, the ... Primarily the daily review and documentation of remote pacemaker, implantable cardioverter ...

Essentia Health

PHYSICIAN - Rheumatology - Duluth, MN

Duluth, MN · On-site +1

$321K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... RNs, 3 CAs, and 2 DXA techs * Excellent compensation and benefits including starting bonus ... Swor@EssentiaHealth.org FTE: 1 Possible Remote/Hybrid Option: Shift Rotation: Day Rotation (United ...

Essentia Health

PHYSICIAN - Endocrinology - Duluth, MN

Duluth, MN · On-site +1

$344K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Call is in effect for providers during office business hours only and triaged through our RN team first. An NP/PA team covers all hospital glucose management. * Capability to apply and analyze latest ...

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Remote Rn Utilization Review Nurse information

See Duluth, MN salary details

$21

$41

$68

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

As of Aug 16, 2026, the average hourly pay for remote rn utilization review nurse in Duluth, MN is $42.00, according to ZipRecruiter salary data. Most workers in this role earn between $33.17 and $48.22 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 Duluth, MN?

The most popular types of Rn Utilization Review Nurse jobs in Duluth, MN are:

What are popular job titles related to Remote Rn Utilization Review Nurse jobs in Duluth, MN?

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

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

The top searched job categories for Remote Rn Utilization Review Nurse jobs in Duluth, MN are:

What cities near Duluth, MN are hiring for Remote Rn Utilization Review Nurse jobs?

Cities near Duluth, MN with the most Remote Rn Utilization Review Nurse job openings:

Remote Rn Utilization Review Nurse jobs near you

RN Pre-Service Authorization

Essentia Health

Duluth, MN • On-site, Remote

$70K - $105K/yr

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 10 days ago

Essentia Health rating

7.0

Company rating: 7.0 out of 10

Based on 210 frontline employees who took The Breakroom Quiz

415th of 887 rated healthcare providers

Job description

Building Location:Support Services BuildingDepartment:1007190 PRE-SERVICE AUTHORIZATION - EH SSJob Description:Conducts Managed Care Programs in conjunction with third party administrators' health care agreements. Works collaboratively with and provides clinical expertise and leadership to Access Coordinators to perform all aspects of managed care, including the referral, prior authorization/precertification processes, using and revising Essentia Health's established policies and procedures for managed care activities. Performs complex care coordination and referral management. Works collaboratively with the Essentia Health customer service personnel to provide efficient service for insurance issue resolution and smooth operations. Works collaboratively with clinical areas and business services both internally and externally. Supports efforts and participates with the Supervisor of Contracting & Payor Relations and the Health Plans Medical Directors regarding health care initiatives and compliance issues for health plans.Education Qualifications:

BSN or ADN degree from an accredited school or college of nursing

Be a part of a Healthcare organization that invests in you and your career.

Apply now and help us continue to raise the bar in patient care!

We are looking for candidates with experience in:

  • Working remote
  • Epic
  • Insurance knowledge/Prior authorization
Licensure/CertificationQualifications:

Current nursing licensure in state(s) of employment

FTE:1

Possible Remote/Hybrid Option:

RemoteShift Rotation:Day Rotation (United States of America)Shift Start Time:0800Shift End Time:1630Weekends:Holidays:NoCall Obligation:NoUnion:Union Posting Deadline:

Compensation Range:

$70,595.20 - $105,892.80Employee Benefits at Essentia Health: At Essentia Health, we're committed to supporting your well-being, growth, and work-life balance. Our comprehensive benefits include medical, dental, vision, life, and disability insurance, along with supplemental options to fit your needs. We offer a 401(k) plan with employer contributions to help you plan for the future, and we invest in your professional development through training, tuition reimbursement, and educational programs. To help you thrive both at work and at home, we provide flexible scheduling, generous time off, and wellness resources focused on your physical, mental, and emotional health. Please note that benefit eligibility may vary. For full details, refer to your benefit summary or contact our HR Service Center at (218) 576-0000.

What Essentia Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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About Essentia Health

Sourced by ZipRecruiter

Headquartered in Duluth, Minnesota, Essentia Health combines the strengths and talents of 13,500 employees, including 3,500 registered nurses & licensed practical nurses, who serve our patients and communities through the mission of being called to make a healthy difference in people's lives. Essentia Health, which includes many Catholic facilities, is guided by the values of Quality, Hospitality, Respect, Joy, Justice, Stewardship and Teamwork. The organization lives out its mission by having a patient-centered focus at 14 hospitals, 70 clinics, six long-term care facilities, three assisted living facilities, three independent living facilities, five ambulance services and one research institute.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Duluth, MN, US

Year founded

2004

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