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Remote Rn Utilization Review Nurse Jobs in Newark, NJ

Phaxis

AIMS- REMOTE RN CARE MANAGER

NY · On-site +1

$61 - $63/hr

... appropriate utilization of services. This role supports patients across the continuum of care ... Current NYS RN license * Experience in case management, care coordination, or similar clinical ...

CVS Health

Case Manager, Registered Nurse

New York, NY · Remote

$54K - $155K/yr

Position Summary This is a remote work from home role anywhere in the US with virtual training ... Utilization Review. * CCM and/or other URAC recognized accreditation preferred. * 1+ years ...

Mercor

Utilisation Management Expert - RN

New York, NY · Remote

$100 - $150/hr

Remote Role Responsibilities * Lead utilisation management and case management operations ... Conduct and oversee clinical reviews against InterQual , MCG , or Milliman care guidelines to ...

Susquehanna University

Registered Nurse

Brooklyn, NY · On-site +1

$100K - $103K/yr

The role integrates utilization management, care coordination, and discharge planning functions to ... Observe, audit and reviews each resident's condition, status, and care requirements and act to ...

PONOS MGMT INC

New Jersey-RN Case Manager

Middletown, NJ · Remote

$45 - $60/hr

In this role, the nurse manages a complex caseload of members and provides both remote support and ... Participate in interdisciplinary team meetings and case reviews to align on care strategies and ...

PONOS MGMT INC

New Jersey-RN Case Manager

Jersey City, NJ · Remote

$45 - $60/hr

In this role, the nurse manages a complex caseload of members and provides both remote support and ... Participate in interdisciplinary team meetings and case reviews to align on care strategies and ...

PONOS MGMT INC

New Jersey-RN Case Manager

Union, NJ · Remote

$45 - $60/hr

In this role, the nurse manages a complex caseload of members and provides both remote support and ... Participate in interdisciplinary team meetings and case reviews to align on care strategies and ...

PONOS MGMT INC

New Jersey-RN Case Manager

Middlesex, NJ · Remote

$45 - $60/hr

In this role, the nurse manages a complex caseload of members and provides both remote support and ... Participate in interdisciplinary team meetings and case reviews to align on care strategies and ...

PONOS MGMT INC

New Jersey-RN Case Manager

Jersey City, NJ · Remote

$45 - $60/hr

In this role, the nurse manages a complex caseload of members and provides both remote support and ... Participate in interdisciplinary team meetings and case reviews to align on care strategies and ...

PONOS MGMT INC

New Jersey-RN Case Manager

Newark, NJ · Remote

$45 - $60/hr

In this role, the nurse manages a complex caseload of members and provides both remote support and ... Participate in interdisciplinary team meetings and case reviews to align on care strategies and ...

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All JobsRn Utilization Review Nurse JobsRemote Rn Utilization Review Nurse JobsRemote Rn Utilization Review Nurse Jobs in Newark, NJ

Remote Rn Utilization Review Nurse information

See Newark, NJ salary details

$22

$44

$72

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

As of Aug 23, 2026, the average hourly pay for remote rn utilization review nurse in Newark, NJ is $44.22, according to ZipRecruiter salary data. Most workers in this role earn between $34.95 and $50.77 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 the most commonly searched types of Rn Utilization Review Nurse jobs in Newark, NJ?

The most popular types of Rn Utilization Review Nurse jobs in Newark, NJ are:

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

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

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

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

Remote Rn Utilization Review Nurse jobs near you
Infographic showing various Remote Rn Utilization Review Nurse job openings in Newark, NJ as of August 2026, with employment types broken down into 84% Full Time, 5% Part Time, and 11% Contract. Highlights an 100% Remote job distribution, with an average salary of $91,968 per year, or $44.2 per hour.

Physician Reviewer - Psychiatry (Utilization Review)

Dane Street, LLC

New York, NY • On-site, Remote

Contractor

Re-posted 7 days ago

Job description

Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently seeking Board-Certified Psychiatrist with an active New York medical license and Workers' Compensation Board Certification to conduct Utilization Reviews.
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling. Physicians provide objective, evidence-based opinions on the medical necessity of treatment requests and appeals. No patient contact, no treatment, and no doctor-patient relationship is established.
Key Responsibilities:
  • Review medical records to determine the medical necessity of services
  • Utilize state-specific workers' compensation guidelines and nationally recognized criteria
  • Submit clear, concise, and well-supported determinations
  • Complete reviews within required timeframes (typically 1-5 business days)
  • Participate in peer-to-peer calls as needed (coordinated by Dane Street)
  • Complete addenda when new information is provided

Role Highlights:
  • Independent contractor (1099) status
  • Average case takes 15 minutes or less
  • Flat rate per case - consistent, supplemental income
  • Fully remote - work from anywhere
  • You control volume and availability
  • No direct patient interaction or treatment
  • Chronological, pre-organized medical records provided
  • User-friendly portal and streamlined case management
  • Full onboarding and ongoing support included

Requirements:
  • Board Certification in Psychiatry
  • Active, unrestricted New York medical license
  • Workers' Compensation Board Certification (New York)
  • Active clinical practice

About Dane Street:
Dane Street is a national leader in Utilization Review and Independent Medical Review services. We partner with highly qualified, actively practicing physicians to ensure high-quality, evidence-based clinical decisions that support better outcomes across the healthcare system.
Apply today to join our Physician Review Panel and start earning on your schedule.

Apply