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Remote Utilization Review Nurse Practitioner Jobs

Bracane Co

Utilization Review Nurse

Plano, TX · Remote

***REMOTE - Candidates must be based in Texas: Austin area - Travis/Williamson Counties or Richardson ... This position is responsible for performing initial, concurrent review activities; discharge care ...

Oscar Health

Utilization Review Nurse

Tempe, AZ · Remote

$35 - $45.94/hr

We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois;

Cobalt Benefits Group

Utilization Review Nurse

Utilization Review Nurse (Ur Nurse) Join our team at Cobalt Benefits Group and start an exciting new career in employee benefits solutions. As a Utilization Review Nurse (UR Nurse), you'll play an ...

Winston Medical Staffing

Be Seen First

Utilization Review Nurse

Newark, NJ · Remote

$38 - $40/hr

Position is 100% remote but will have to go to Newark, NJ to pick up equipment and short ... Serves as mentor/trainer to new RN's and other staff as needed, completes audits, reviews and ...

Umpqua Health

Utilization Review Nurse

Roseburg, OR · Remote

$85K - $105K/yr

UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR, 97457, as needed for business operations. EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At ...

Umpqua Health

Utilization Review Nurse

Roseburg, OR · On-site +1

$85K - $105K/yr

UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR, 97457, as needed for business operations. EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At ...

CorVel

CA Utilization Review Nurse I

$30.64 - $45.80/hr

CA Utilization Review Nurse I The Utilization Review Nurse gathers demographic and clinical ... This is a remote position. Essential Functions & Responsibilities: * Identifies the necessity of ...

UK St Claire

Utilization Review Nurse

Morehead, KY · On-site +1

Supports utilization review processes by planning, analyzing data, and setting goals to ensure ... Education Requirement Bachelor's degree in nursing, or a related field Experience Requirement 2+ ...

Corvel

CA Utilization Review Nurse I

Rancho Cucamonga, CA · Remote

$30.64 - $45.80/hr

The Utilization Review Nurse gathers demographic and clinical information on prospective ... This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Identifies the necessity of ...

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Remote Utilization Review Nurse Practitioner information

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$71K

$134.4K

$210.5K

How much do remote utilization review nurse practitioner jobs pay per year?

As of Jul 13, 2026, the average yearly pay for remote utilization review nurse practitioner in the United States is $134,369.00, according to ZipRecruiter salary data. Most workers in this role earn between $111,000.00 and $152,500.00 per year, depending on experience, location, and employer.

What does a remote utilization review nurse do?

A remote utilization review nurse evaluates medical records and treatment plans to determine the necessity, appropriateness, and efficiency of healthcare services. They work remotely, often using electronic health records and review criteria, to ensure compliance with insurance or healthcare guidelines and support appropriate patient care decisions.

What is the happiest NP specialty?

The happiness of nurse practitioners (NPs) varies by individual and specialty, but many report high job satisfaction in primary care, pediatrics, and mental health due to meaningful patient interactions and diverse responsibilities. Factors such as work environment, autonomy, and work-life balance also influence overall happiness. Choosing a specialty aligned with personal interests and strengths can enhance job satisfaction for NPs.

What is the difference between Remote Utilization Review Nurse Practitioner vs Telehealth Nurse Practitioner?

AspectRemote Utilization Review Nurse PractitionerTelehealth Nurse Practitioner
CertificationsNP license, possibly certification in utilization reviewNP license, general telehealth certifications
Work EnvironmentReviewing medical records, insurance data remotelyProviding patient care via telehealth platforms
Employer & IndustryInsurance companies, healthcare organizationsHospitals, clinics, telehealth companies

The main difference is that Remote Utilization Review Nurse Practitioners focus on reviewing medical necessity and insurance claims remotely, while Telehealth Nurse Practitioners provide direct patient care via telehealth platforms. Both roles require NP licensure, but their daily tasks and work environments differ significantly.

How to make 200,000 as an NP?

A remote utilization review nurse practitioner can reach a $200,000 salary by gaining extensive experience, obtaining certifications such as AANP or ANCC, and working for high-paying organizations or insurance companies. Increasing billable hours, specializing in high-demand areas, and taking on leadership or consulting roles can also boost earnings.

What is a Remote Utilization Review Nurse Practitioner?

A Remote Utilization Review Nurse Practitioner is a licensed advanced practice nurse who evaluates the necessity, efficiency, and appropriateness of healthcare services, treatments, and hospital admissions, typically from a remote or home-based setting. They review patient medical records to ensure care meets established guidelines and insurance requirements, helping to control costs and ensure quality care. Their role often involves collaborating with physicians, insurance companies, and healthcare facilities to determine coverage and recommend alternative treatments when necessary. Working remotely, they rely heavily on electronic health records and telecommunication tools to perform their duties.

How does a Remote Utilization Review Nurse Practitioner typically collaborate with healthcare teams while working offsite?

Remote Utilization Review Nurse Practitioners frequently collaborate with interdisciplinary teams through virtual meetings, secure messaging platforms, and electronic health record (EHR) systems. They work closely with physicians, case managers, and insurance representatives to review patient care plans, ensure medical necessity, and support appropriate resource utilization. Despite working remotely, maintaining clear communication and timely documentation is essential for seamless coordination and decision-making. Many organizations provide robust digital tools and regular team check-ins to facilitate collaboration and support remote staff.

Can you make $500,000 as a nurse practitioner?

Remote utilization review nurse practitioners typically earn between $80,000 and $130,000 annually, with high earners reaching around $150,000. Achieving a $500,000 income would require additional roles, bonuses, or ownership opportunities beyond standard practice. Such high earnings are uncommon in this field without supplementary income sources.

What are the key skills and qualifications needed to thrive as a Remote Utilization Review Nurse Practitioner, and why are they important?

To thrive as a Remote Utilization Review Nurse Practitioner, you need an advanced nursing degree (NP), active state licensure, and strong knowledge of clinical guidelines and insurance criteria. Familiarity with utilization management software, electronic health records (EHRs), and relevant certifications such as CCM (Certified Case Manager) are often required. Critical thinking, strong communication, and a detail-oriented approach set top performers apart in this remote role. These skills ensure accurate, compliant, and efficient review of patient care while supporting healthcare cost management and patient advocacy.
More about Remote Utilization Review Nurse Practitioner jobs
What cities are hiring for Remote Utilization Review Nurse Practitioner jobs? Cities with the most Remote Utilization Review Nurse Practitioner job openings:
What states have the most Remote Utilization Review Nurse Practitioner jobs? States with the most job openings for Remote Utilization Review Nurse Practitioner jobs include:
What job categories do people searching Remote Utilization Review Nurse Practitioner jobs look for? The top searched job categories for Remote Utilization Review Nurse Practitioner jobs are:
Remote Utilization Review Nurse Practitioner jobs near you
Infographic showing various Remote Utilization Review Nurse Practitioner job openings in the United States as of July 2026, with employment types broken down into 71% Full Time, 5% Part Time, 2% Temporary, and 22% Contract. Highlights an 100% Remote job distribution, with an average salary of $134,369 per year, or $64.6 per hour.
Registered Nurse-Utilization Review

Registered Nurse-Utilization Review

3B Healthcare, Inc.

Remote

Other

Posted 13 days ago

Job description

Registered Nurse – Utilization Review (Remote)

This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient, and Observation (OBS).

Minimum of 3 years acute medical Care Management/Utilization Review experience in a hospital setting (experience in health plans or medical groups is not applicable).

InterQual experience is mandatory; candidates without this will not be considered.

Proficient in Epic, with recent use within the last 6–12 months.

Experience working with HMOs, IPAs, and similar managed care organizations.

Strong knowledge of Medicare regulations and associated utilization management processes, including:

  • Condition Code 44 (CC44)
  • Advance Beneficiary Notices (ABNs)
  • Hospital-Issued Notices of Noncoverage (HINNs)
  • Medicare Coverage Status Notices (MCSNs)

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