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Remote Utilization Management Jobs in Vinton, VA

Remote Utilization Management information

See Vinton, VA salary details

$21

$41

$67

How much do remote utilization management jobs pay per hour?

As of Aug 15, 2026, the average hourly pay for remote utilization management in Vinton, VA is $41.51, according to ZipRecruiter salary data. Most workers in this role earn between $32.79 and $47.69 per hour, depending on experience, location, and employer.

How does a remote utilization management professional typically collaborate with healthcare providers and insurance teams?

Remote Utilization Management professionals frequently interact with both healthcare providers and insurance teams through secure digital platforms, phone calls, and virtual meetings. They review patient records, assess the necessity of medical services, and communicate their recommendations or authorization decisions. Effective collaboration requires clear documentation, timely responses, and strong communication skills to ensure that care is both medically appropriate and cost-effective. While the work is often independent, regular coordination with interdisciplinary teams is essential for maintaining high-quality patient outcomes and adhering to regulatory standards.

What are the key skills and qualifications needed to thrive in remote utilization management?

Success as a Remote Utilization Management Nurse requires a registered nursing license, clinical experience, and strong knowledge of medical necessity criteria and insurance guidelines. Familiarity with utilization review software, electronic health records (EHRs), and case management systems is typically necessary. Exceptional communication, critical thinking, and organizational skills help professionals excel in evaluating cases and coordinating with providers remotely. These skills are crucial for ensuring appropriate care, cost-effective resource use, and regulatory compliance in a remote healthcare setting.

What is remote utilization management?

Remote utilization management is a process in which healthcare professionals, such as nurses or case managers, review and assess the necessity, efficiency, and appropriateness of medical services—often from a remote location. These professionals typically work for insurance companies, hospitals, or healthcare organizations to ensure that patients receive the right care while controlling costs. By working remotely, they use electronic health records, phone calls, and other digital tools to collaborate with providers and patients. This role helps improve healthcare quality and cost-effectiveness while allowing employees flexible work arrangements.

What is the difference between Remote Utilization Management vs Remote Case Management?

AspectRemote Utilization ManagementRemote Case Management
CredentialsRN, LPN, or licensed healthcare professionalsRN, LPN, or social workers
Work EnvironmentHealthcare facilities, insurance companies, telehealthHealthcare providers, insurance, community agencies
Industry UsageInsurance, healthcare, telehealthHealthcare, social services, insurance
Primary FocusReviewing medical necessity, authorizationsCoordinating patient care, support services

Remote Utilization Management primarily involves reviewing medical necessity and authorizations, while Remote Case Management focuses on coordinating patient care and support services. Both roles require healthcare credentials and are used within healthcare and insurance industries, but they serve different functions in patient care and resource allocation.

What are popular job titles related to Remote Utilization Management jobs in Vinton, VA?

For Remote Utilization Management jobs in Vinton, VA, the most frequently searched job titles are:

What cities near Vinton, VA are hiring for Remote Utilization Management jobs?

Cities near Vinton, VA with the most Remote Utilization Management job openings:

Infographic showing various Remote Utilization Management job openings in Vinton, VA as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $86,337 per year, or $41.5 per hour.

Remote Collaborative Practice Nurse RN Sr

The US Oncology Network

Roanoke, VA • On-site, Remote

Full-time

Re-posted 13 days ago


US Oncology rating

7.1

Company rating: 7.1 out of 10

Based on 109 frontline employees who took The Breakroom Quiz

380th of 887 rated healthcare providers


Job description

Overview

Blue Ridge Cancer Care is seeking an experienced and highly motivated Collaborative Practice Nurse (CPN) to support oncology patients across the continuum of care. The CPN serves as a clinical resource and care coordinator, partnering closely with providers, nursing teams, and interdisciplinary staff to improve patient outcomes, enhance the patient experience, and support value-based care initiatives.
This role focuses on proactive patient management, care coordination, symptom assessment, patient education, and navigation of complex clinical needs. The ideal candidate is a strong communicator, critical thinker, and patient advocate who thrives in a collaborative environment and is passionate about delivering high-quality oncology care.
Work Location Options
This position offers flexibility to meet both organizational and employee needs:
Fully Remote: Candidates may work remotely from anywhere within the United States.
Hybrid: Candidates who prefer a combination of remote and on-site work may choose a hybrid schedule based on business needs and location.


Responsibilities

Respond promptly to patient inquiries via calls, portal messages, and emails, ensuring timely communication and intervention.

  • Utilize open-ended questions and computerized algorithms/pathways to assess and manage a wide range of patient symptoms and side effects, documenting all interventions thoroughly to maintain comprehensive medical records.

  • Determine the urgency of patient symptoms/side effects, aggressively managing them to prevent unnecessary emergency department and hospital utilization.

  • Collaborate with physicians through electronic communication, face-to-face meetings, or phone calls for cases requiring emergency care that cannot be addressed independently through standard protocols.

  • Coordinate with providers to facilitate outpatient clinic visits for patients when appropriate, ensuring continuity of care.

  • Prepare, organize, and lead Patient Care Conferences (huddles), communicating interventional outcomes to the full care team efficiently.

  • Perform assessments for patient risk stratification, basic psychosocial assessments, and provide emotional support, delegating or making referrals for further screening and support as needed.

  • Develop and implement nursing diagnoses and corresponding action plans, supporting oral chemotherapy education, adherence, and side effect monitoring.

  • Engage in survivorship and advance care planning visits, making necessary referrals to support patient needs.

  • Participate in research, quality, and performance improvement initiatives, including reporting on navigation metrics, while supporting patient advocacy and empowerment.

  • Serve as a mentor/preceptor, providing guidance to less experienced nurses and performing other duties as required.

  • Identify potential and real gaps in care delivery, seeking opportunities to address and close these gaps.

  • Stay informed on practice operations guidelines, healthcare economics, value-based care, and quality programs, with travel to outlying clinics as needed based on care team requests.


Qualifications
  • Bachelor’s prepared Registered Nurse (BSN) preferred, Oncology Certification (OCN) a plus, Nurse Navigator Certification a plus

  • 5 (five) years work experience as a Registered Nurse. Oncology experience preferred.

Critical Skills:

  • Demonstrated leadership, interpersonal, collaboration, communication, and active listening skills  

  • Ability to apply the full nursing process in day-to-day clinical operations, including assessment, analysis and nursing diagnosis, care planning, implementation and outcomes evaluation

  • Ability to assess health disparities, identify needs of populations and cultures found within the general facility service area, describe a patient navigation process to address those needs, and document outcomes

  • Highly adaptable due to shifting priorities around value-based care/quality program requirements; ability to prioritize and re-prioritize quickly

  • Strong organizational, critical thinking, and follow-through skills

  • Ability to apply and/or oversee care coordination in conjunction with the multidisciplinary team

  • Strong verbal and written communication skills

  • Ability to problem-solving cross-functionally or independently, and know when to pull in leaders or other care team members to come up with a solution

  • Thrives in a team environment; embraces teamwork, but also enjoys and is successful at working independently

Additional Knowledge/Skills

  • Working computer, Microsoft, and internet skills, including an electronic EMR system

  • Basic knowledge of local community resources

PHYSICAL DEMANDS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range.

-Required to lift and assist patients as requested.

WORK ENVIRONMENT:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology/hematology clinic environment may occur.

Salary Scale:  The general pay scale for this position at BRCC is $62,933.07 - $96,824.00. The actual hiring rate is dependent on many factors, including but not limited to prior work experience, education, job/position responsibilities, location, work performance, etc. 

Qualifications:
  • Bachelor’s prepared Registered Nurse (BSN) preferred, Oncology Certification (OCN) a plus, Nurse Navigator Certification a plus

  • 5 (five) years work experience as a Registered Nurse. Oncology experience preferred.

Critical Skills:

  • Demonstrated leadership, interpersonal, collaboration, communication, and active listening skills  

  • Ability to apply the full nursing process in day-to-day clinical operations, including assessment, analysis and nursing diagnosis, care planning, implementation and outcomes evaluation

  • Ability to assess health disparities, identify needs of populations and cultures found within the general facility service area, describe a patient navigation process to address those needs, and document outcomes

  • Highly adaptable due to shifting priorities around value-based care/quality program requirements; ability to prioritize and re-prioritize quickly

  • Strong organizational, critical thinking, and follow-through skills

  • Ability to apply and/or oversee care coordination in conjunction with the multidisciplinary team

  • Strong verbal and written communication skills

  • Ability to problem-solving cross-functionally or independently, and know when to pull in leaders or other care team members to come up with a solution

  • Thrives in a team environment; embraces teamwork, but also enjoys and is successful at working independently

Additional Knowledge/Skills

  • Working computer, Microsoft, and internet skills, including an electronic EMR system

  • Basic knowledge of local community resources

PHYSICAL DEMANDS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range.

-Required to lift and assist patients as requested.

WORK ENVIRONMENT:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology/hematology clinic environment may occur.

Salary Scale:  The general pay scale for this position at BRCC is $62,933.07 - $96,824.00. The actual hiring rate is dependent on many factors, including but not limited to prior work experience, education, job/position responsibilities, location, work performance, etc. 

Education:UNAVAILABLEEmployment Type: FULL_TIME

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