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Remote Rn Utilization Review Nurse Jobs in Temple, PA

Senior Director, Clinical Services

Barto, PA · On-site +1

$78K - $106K/yr

Current Registered Nurse / RN license Travel : * Regional travel up to 50% of the time * Availability for evening and weekend work as needed * On-site presence in facilities 1-2 days per week Safety ...

Senior Director, Clinical Services

Birdsboro, PA · On-site +1

$74K - $101K/yr

Current Registered Nurse / RN license Travel : * Regional travel up to 50% of the time * Availability for evening and weekend work as needed * On-site presence in facilities 1-2 days per week Safety ...

Senior Director, Clinical Services

Adamstown, PA · On-site +1

$73K - $100K/yr

Current Registered Nurse / RN license Travel : * Regional travel up to 50% of the time * Availability for evening and weekend work as needed * On-site presence in facilities 1-2 days per week Safety ...

Senior Director, Clinical Services

Bowers, PA · On-site +1

$73K - $100K/yr

Current Registered Nurse / RN license Travel : * Regional travel up to 50% of the time * Availability for evening and weekend work as needed * On-site presence in facilities 1-2 days per week Safety ...

NCLEX-PN Tutor

Reading, PA · Remote

$18 - $40/hr

... RN scope questions, pharmacology calculations, and managing anxiety with the adaptive testing format. Adapts instruction using NCLEX-PN specific practice question banks, content review focused on ...

NCLEX Tutor

Reading, PA · Remote

$25 - $40/hr

Adapts instruction using NCLEX review resources, practice question banks, and clinical scenario analysis to support nursing graduates preparing for first-time licensure as registered nurses or ...

Showing results 21-40

Remote Rn Utilization Review Nurse information

See Temple, PA salary details

$19

$38

$63

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

As of Sep 8, 2026, the average hourly pay for remote rn utilization review nurse in Temple, PA is $38.77, according to ZipRecruiter salary data. Most workers in this role earn between $30.62 and $44.52 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 cities near Temple, PA are hiring for Remote Rn Utilization Review Nurse jobs?

Cities near Temple, PA with the most Remote Rn Utilization Review Nurse job openings:

Infographic showing various Remote Rn Utilization Review Nurse job openings in Temple, PA 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 $80,634 per year, or $38.8 per hour.

Director, Clinical Services, Hospital Services

Birdsboro, PA • On-site, Remote

DaVita
Health Care and Social Assistance • 10K+ employees

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted yesterday


Key responsibilities

  • Own hospital-based safety readiness, including CMS, CLUE, Joint Commission, and hospital credentialing requirements.

  • Lead and coach the Hospital Clinical Services leadership team, including performance management and leadership development.

  • Identify underperforming hospital programs and deploy clinical recovery plans to improve quality, safety, and patient outcomes.


DaVita rating

7.0

Company rating: 7.0 out of 10

Based on 1,188 frontline employees who took The Breakroom Quiz

421st of 898 rated healthcare providers


Job description

Posting Date

06/05/2026100 Spaulding DrSte 102,Marion,North Carolina,28752-5115,United States of America

Director, Clinical Services - Hospital Programs

The Director, Clinical Services (DCS) - Hospital Programs is the senior clinical leader accountable for quality, safety, and regulatory readiness across DaVita's hospital and acute care partnerships. This role drives clinical excellence across inpatient dialysis, hospital-based programs, and physician-aligned care models by leading safety response, developing clinical leaders, and executing division-wide clinical strategy.

This leader partners closely with hospital executives, physician groups, operations, and DaVita divisional leadership to ensure consistent, compliant, and high-performing hospital programs while advancing patient outcomes and clinical reliability at scale. Registered Nurse (RN) license required.

Location: Can be located anywhere in North Carolina, Virginia, DC, Maryland, or Delaware

Core Accountabilities

Hospital Safety, Regulatory & Survey Readiness

  • Owns hospital-based safety readiness, including CMS, CLUE, Joint Commission, and hospital credentialing requirements.

  • Leads real-time response for serious safety events, Immediate Jeopardy surveys, and high-risk regulatory issues across hospital programs.

  • Drives consistent execution of safety dashboards, incident response, and corrective action plans across all hospital sites.

Clinical Leadership & Talent Development

  • Leads and coaches the Hospital Clinical Services leadership team (hospital-based clinical leaders, nurse managers, and regional clinical partners).

  • Drives performance management, leadership capability, and succession planning for hospital clinical leaders.

  • Intervenes directly in underperforming teams, high-risk relationships, or complex physician / hospital dynamics.

Hospital Performance & Outlier Management

  • Identifies underperforming hospital programs (quality, safety, throughput, or experience) and deploys focused clinical recovery plans.

  • Prioritizes resources and leadership attention based on risk, regulatory exposure, and patient impact.

  • Partners with hospital operations and physician leadership to stabilize and elevate high-acuity programs.

Division-Level Clinical Strategy

  • Owns the hospital clinical strategy for the division in partnership with the DVP and hospital operations leaders.

  • Leads execution of hospital-focused clinical initiatives, quality improvement plans, and standardization across all hospital partnerships.

  • Ensures initiatives translate into measurable improvement in patient outcomes, safety, and compliance.

Operating Model

  • Acts as the clinical authority for hospital partnerships, balancing regulatory rigor with operational reality.

  • Works in tight partnership with hospital executives, DaVita operations leaders, and physician groups.

  • Provides visible, on-site leadership in high-risk or high-growth hospital programs.

Travel & Work Environment

  • Regional travel up to 50%

  • Evening and weekend availability as required for hospital or regulatory events

  • On-site presence in hospitals 2-3 days per week

Required Qualifications

  • Active Registered Nurse (RN) license

  • Bachelor's degree in Nursing or related field (Master's preferred)

  • 8-10+ years of clinical experience, with 4+ years in senior clinical leadership

  • Deep experience with hospital-based care, acute services, or complex healthcare systems

  • Strong command of regulatory, quality, and safety frameworks (CMS, Joint Commission, hospital accreditation)

  • Proven ability to lead through complex stakeholder environments (hospitals, physicians, executives)

  • Strong analytical, communication, and executive-level presentation skills

  • Proficient in Excel, PowerPoint, Word, and Outlook


Here is what you can expect when you join our Village:
A "community first, company second" culture based on Core Values that really matter.
Clinical outcomes consistently ranked above the national average.
Award-winning education and training across multiple career paths to help you reach your potential.
Performance-based rewards based on stellar individual and team contributions.
A comprehensive benefits package designed to enhance your health, your financial well-being and your future.
Dedication, above all, to caring for patients suffering from chronic kidney failure across the nation.
Join us as we pursue our vision "To Build the Greatest Healthcare Community the World has Ever Seen."
Why wait? Explore a career with DaVita today.
Go to http://careers.davita.com to learn more or apply.

What We'll Provide:

More than just pay, our DaVita Rewards package connects teammates to what matters most. Teammates are eligible to begin receiving benefits on the first day of the month following or coinciding with one month of continuous employment. Below are some of our benefit offerings.

  • Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out

  • Support for you and your family: Family resources, EAP counseling sessions, access Headspace, backup child and elder care, maternity/paternity leave and more

  • Professional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita's online training platform StarLearning.

#LI-RF1

At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic.

This position will be open for a minimum of three days.

The Salary Range for the role is $128,000.00-$175,000.00 per year.

For location-specific minimum wage details, see the following link: DaVita.jobs/WageRates

Compensation for the role will depend on a number of factors, including a candidate's qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits

Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.


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About DaVita

Sourced by ZipRecruiter

DaVita is a healthcare company that provides compassionate, quality healthcare. The company’s mission is to be the Provider, Partner, and Employer of Choice. DaVita serves more than 200,000 dialysis patients in 10 countries outside the U.S. and has over 55,000 teammates in the U.S. Since 2011, DaVita teammates have donated $11 million to local nonprofits and have volunteered over 180,000 hours since 2006. DaVita has been on Fortune’s list of the world’s most admired companies for 15 years in a row.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Denver, CO, US

Year founded

1994