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Remote Rn Utilization Review Nurse Jobs in Redding, CA

Vynca

Registered Nurse

Redding, CA · Remote

$48 - $52/hr

As a RN with us, you'll be instrumental in delivering top-notch, evidence-based care to a panel of seriously ill patients. We're looking for someone with a genuine passion for this important work and ...

Medical Company

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Nurse Practitioner

Redding, CA · Remote

$80K - $140K/yr

Nurse Practitioner - Mobile Primary Care Provider (Medicare FFS) Location: Redding, CA Company ... Review and interpret diagnostic studies, including laboratory results, imaging reports, and other ...

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Remote Rn Utilization Review Nurse information

See Redding, CA salary details

$22

$44

$73

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 Redding, CA is $44.99, according to ZipRecruiter salary data. Most workers in this role earn between $35.53 and $51.68 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 popular job titles related to Remote Rn Utilization Review Nurse jobs in Redding, CA? For Remote Rn Utilization Review Nurse jobs in Redding, CA, the most frequently searched job titles are:
What job categories do people searching Remote Rn Utilization Review Nurse jobs in Redding, CA look for? The top searched job categories for Remote Rn Utilization Review Nurse jobs in Redding, CA are:
What cities near Redding, CA are hiring for Remote Rn Utilization Review Nurse jobs? Cities near Redding, CA with the most Remote Rn Utilization Review Nurse job openings:
Remote Rn Utilization Review Nurse jobs near you
Infographic showing various Remote Rn Utilization Review Nurse job openings in Redding, CA as of August 2026, with employment types broken down into 81% Full Time, 8% Part Time, and 11% Contract. Highlights an 100% Remote job distribution, with an average salary of $93,569 per year, or $45 per hour.

Utilization Review RN

Mercy Medical Center Redding

Redding, CA • On-site, Remote

$69.95 - $93.81/hr

Other

Posted 5 days ago

Job description

Where You'll Work
Mercy Medical Center Redding offers comprehensive health care to nearly 300,000 residents in a six-county region. It is one of only two Level II trauma centers, the only Level III Neonatal Intensive Care Unit (NICU) and the only Joint Commission-certified Advanced Thrombectomy-Capable Stroke Center north of Sacramento north of Sacramento. Mercy Medical Center Redding is a 266-bed regional medical center providing inpatient and outpatient services as well as specialized cardiovascular care, stroke care, orthopedics, neurological surgery, comprehensive cancer care, maternity care, and a robust robotic surgery program. In addition, the hospital's network of care includes Mercy Home Health and Hospice and Dignity Health Connected Living.
One Community. One Mission. One California
Job Summary and Responsibilities
Position Summary:
As a RN Care Coordinator, you are responsible for overseeing the progression of care and discharge planning for identified patients requiring these services.
Every day you will leverage your expertise to provide individualized, comprehensive care, making critical assessments, performing skilled procedures, and meticulously implementing patient care plans. You'll collaborate seamlessly within an interdisciplinary team, contributing to a dynamic environment focused on optimal patient outcomes.
To be successful in this role, you will possess keen assessment skills, acute critical thinking, and a patient-first mindset, driven by a profound enthusiasm to help others. Your sense of urgency and dedication to excellence in a fast-paced environment will not only support patient recovery but also fuel your own career advancement.
  • Performs this role to meet the individual's health needs while promoting quality of care, cost effective outcomes and by following hospital policies, standards of practice and Federal and State regulations.
  • The position's emphasis will be on care coordination, communication and collaboration with utilization management, nursing, physicians, ancillary departments, insurers and post acute service providers to progress the care toward optimal outcomes at the appropriate level of care.
  • Advocates for the patient and family by identifying, valuing, and addressing patient choice, spiritual needs, cultural, language and socioeconomic barriers to care transitions. In addition,
  • Strives to enhance the patient experience.

P
Job Requirements
Required
    • Graduate of an accredited school of nursing.
    • Minimum two (2) years of acute hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of 1 year experience.
    • RN license in the state(s) covered is required.
    • BLS required within 3 months of hiring

Preferred:
    • Bachelor's Degree in Nursing (BSN) or related healthcare field.
    • At least five (5) years of nursing experience.
  • Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM Certification preferred
    • Able to apply clinical guidelines to ensure progression of care.
    • Knowledge of managed care and payer environment preferred.
    • Must have critical thinking and problem-solving skills.
    • Collaborate effectively with multiple stakeholders
    • Professional communication skills.
    • Understand how utilization management and case management programs integrate.
    • Ability to work as a team player and assist other members of the team where needed.
    • Thrive in a fast paced, self-directed environment.
    • Knowledge of CMS standards and requirements.
    • Proficient in prioritizing work and delegating where indicated.
    • Highly organized with excellent time management skills.

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