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Remote Rn Utilization Review Nurse Jobs in Raleigh, NC

Quality Perform Spec Clinical

Raleigh, NC · On-site +1

$31.25 - $41.75/hr

  • Medical

  • Retirement

  • PTO

Remote based position with a strong preference for a North Carolina resident ... Will support the North Carolina plan. RN required Responsibilities: As part of the Quality ...

While this position allows remote work, the individual must reside within the state of North ... Minimum three (3) years of experience supporting policy interpretation, utilization review ...

Remote Medical Scribe

Durham, NC · Remote

$14 - $17/hr

  • Medical

  • PTO

Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a ... Review completed charts with the provider between patients or at the completion of shift * Update ...

Medical Scribe (Remote)

Raleigh, NC · Remote

$14 - $17/hr

  • Medical

  • PTO

Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a ... Review completed charts with the provider between patients or at the completion of shift * Update ...

Showing results 21-40

Remote Rn Utilization Review Nurse information

See Raleigh, NC salary details

$20

$41

$67

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

As of Aug 12, 2026, the average hourly pay for remote rn utilization review nurse in Raleigh, NC is $41.10, according to ZipRecruiter salary data. Most workers in this role earn between $32.50 and $47.21 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 Raleigh, NC? The most popular types of Rn Utilization Review Nurse jobs in Raleigh, NC are:
Infographic showing various Remote Rn Utilization Review Nurse job openings in Raleigh, NC as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $85,491 per year, or $41.1 per hour.

Remote Safety Observer-DUHS Patient Attendant Safety Aide Float Pool

Duke Health

Durham, NC • On-site, Remote

Full-time

Posted 26 days ago


Duke Health rating

7.3

Company rating: 7.3 out of 10

Based on 254 frontline employees who took The Breakroom Quiz

305th of 887 rated healthcare providers


Job description

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.
About Duke University Hospital
Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States. The largest of the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.
Remote Safety Observer-Patient Attendant Safety Aide Float Pool
3-12 hour shifts per week 7:00pm-7:30am
Location:14 Moore Drive, Durham NC 27713.
Perform work under the supervision of a registered nurse, or virtual registered nurse, the remote safety observer
will virtually maintain constant direct observation and visualization of the identified
patient(s).
Duties and Responsibilities of this Level:
• Constant and direct observation of the patient virtually using approved telehealth technology.
• Virtually monitoring changes in the patient's physical, emotional, and mental condition.
• Communicate the status of the patient, including any changes, to bedside nursing team and virtual nursing team.
• Observing and reporting patients' behavioral changes.
• Document observation in electronic health record.
• Escalate unsafe events via alarm or redirections.
• Monitoring of patients in seclusion and/or restraint.
• Collaboration with bedside staff and virtual nursing staff on patient's safety plan of care.
• Participate in review of activities and processes for work area; assist in implementing changes to effect continual improvement in services provided; comply with regulatory and legal requirements.
• Perform other related duties incidental to the work described herein.
• Find and order RSO carts if needed.
• Make assignments to each work station every shift.
• Take handoff from bedside nursing staff on what to observe and share with assigned RSO for viewing.
• Help bedside team with setting up carts, troubleshooting audio/video issues, and discontinuing carts.
Required Qualifications at this Level Education:
Work requires completion of a high school diploma or equivalent.
Experience:
In-Patient Hospital experience preferred. Enrollment in nursing or medical programs strongly preferred.
Degrees, Licensure, and/or Certification:
Listing on the Nurse Aid Registry of North Carolina preferred.
If a hire does not meet this requirement, they must start the process to complete one of the requirements within 1 year of employment and complete within 2 years.
BLS certification must be maintained/completed by the end of new hire orientation, which typically takes place during the first week of employment.
CPI certification strongly preferred.
Knowledge, Skills, and Abilities:
• Technology skills
• Understands basic first aid and CPR, and is capable of administering them if need be.
• Demonstrates a personal interest in the health and well-being of others.
• Is willing to place the needs of others first.
• Has the ability to work with minimal supervision.
• Is able to maintain patient confidentiality.
• Possesses good time management skills.
• Has good physical strength and stamina.
• Knowledge of special procedures that are applicable to work performed.
• Knowledge of procedures and techniques involved in administering routine treatments to patients.
• Knowledge of sanitation, personal hygiene, infection control, and basic health and safety precautions applicable to work in a health care environment.
• Knowledge of behavioral principles and individual responses to stressors.
• Ability to establish and maintain effective working relationships with patients and hospital staff.
• Ability to work with, express sensitivity and understanding, and secure the cooperation of patients, including maintaining sympathetic attitude towards patients.
• Ability to keep calm in stressful situations.
• Ability to maintain routine records and prepare reports.
• Ability to recognize patients in emergency states and seek appropriate assistance.
• Ability to maintain confidentiality and other patient rights.
• Ability to understand, follow and communicate/relate oral and written instructions and pertinent information accurately.
• Ability to apply proper body mechanics and safety. individuals in didactic or recreational groups
Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions:
Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

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