2

Remote Utilization Review Nurse Practitioner Jobs in Minnesota

... remote role! Candidate must live in CST or EST. DaVita is seeking a full-time Nurse Practitioner ... Lead complex case reviews and manage escalations involving high-risk or high-utilization patients ...

next page

Showing results 1-20

Remote Utilization Review Nurse Practitioner information

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.

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.

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.

What are popular job titles related to Remote Utilization Review Nurse Practitioner jobs in Minnesota?

For Remote Utilization Review Nurse Practitioner jobs in Minnesota, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Review Nurse Practitioner jobs in Minnesota look for?

The top searched job categories for Remote Utilization Review Nurse Practitioner jobs in Minnesota are:

What cities in Minnesota are hiring for Remote Utilization Review Nurse Practitioner jobs?

Cities in Minnesota with the most Remote Utilization Review Nurse Practitioner job openings:

Infographic showing various Remote Utilization Review Nurse Practitioner job openings in Minnesota as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 16% Part Time, 1% Temporary, and 3% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution.

Manager, Nurse Practitioner (IKC)

DaVita

On-site, Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 12 days ago


Key responsibilities

  • Provide clinical leadership, oversight, coaching, supervision, and performance management for a team of Nurse Practitioners.

  • Ensure high standards of clinical quality, documentation, diagnoses, and compliance with coding practices, while supporting NP onboarding and ongoing clinical guidance.

  • Partner with medical and operational leadership to develop and execute clinical and operational strategies, including managing complex cases and participating in population health initiatives.


DaVita rating

7.0

Company rating: 7.0 out of 10

Based on 1,187 frontline employees who took The Breakroom Quiz

421st of 898 rated healthcare providers


Job description

Posting Date

08/25/2026100 Spaulding DrSte 102,Marion,North Carolina,28752-5115,United States of America

Primarily remote role! Candidate must live in CST or EST.

DaVita is seeking a full-timeNurse Practitioner (NP) Managerto join ourIKCCare.This role provides clinical leadership and management for Nurse Practitioners within a designated region, ensuring the delivery of high-quality, cost-effective care for patients withChronic Kidney Disease(CKD) and End-Stage Kidney Disease (ESKD).

The NP Manager functions autonomously while partnering closely with clinical and operational leadership to support population health management, quality outcomes, and the overall financial sustainability of the program.

Work Schedule & Environment

  • Monday-Friday schedule

  • Hybrid role with work-from-home and regional travel responsibilities as this program will cover several states

  • Willingness to travel regionally to support meetings,trainings, and clinical initiatives

  • Flexibility to adjust start and stop times as needed to accommodate meetings,trainings, and business needs

  • Reliable high-speed internetrequired

  • Dedicated, quiet, private workspacerequiredfor work-from-home days

Key Responsibilities

Clinical Leadership & Team Management

  • Serve as the clinical leader for a team of Nurse Practitioners, providing oversight, coaching, supervision, and performance management.

  • Ensurehigh standardsof clinical quality and productivity, includingaccuratedocumentation,appropriate diagnoses, closure of Plan of Care gaps, and compliant coding practices.

  • Support NP hiring efforts and oversee onboarding of new NPs. Provide ongoing clinical guidance and training to NPs to improve understanding of CKD, ESKD, and commonly associated chronic conditions.

  • Provide ongoing clinical education and guidance to enhance NPexpertisein CKD, ESKD, and commonly associated chronic conditions.

Strategy, Quality & Population Health

  • Partner with Medical Officers and Operations Leadership to develop and execute clinical and operational strategies.

  • Identifyopportunities to streamline workflows and prioritize care for high-risk, high-utilization patient populations.

  • Lead complex case reviews and manage escalations involving high-risk or high-utilization patients, collaborating with interdisciplinary teams and external resources as needed.

  • Participate in population health initiatives and contribute to quality improvement efforts,outcomestracking, and performance measurement.

Compliance & Program Support

  • Ensure compliance with DaVita policies and procedures, as well as all applicable state and federal regulations, including CMS, HIPAA, OSHA, and accreditation standards (e.g., NCQA).

  • Support market Comprehensive Health Evaluations as needed.

  • Performadditionalduties as assigned.

Preferred Qualifications & Experience

  • Master's degree in Nursingwith current Nurse Practitioner licensure.

  • 4-6years of Nurse Practitioner experience; experience in population health, primary/family care, and/ornephrology stronglypreferred.

  • At least 2 years of leadership or supervisory experience.

  • Experience with Medicare Advantage risk adjustment, documentation, coding, and Health Risk Assessments for high-risk or chronically ill populations.

  • Demonstrated clinicalexpertisein assessment, diagnosis, care planning, implementation, documentation, and evaluation for chronic disease management.

  • Strong verbal and written communication skills.

  • Ability to handle confidential information with discretion and sound judgment.

  • Proficiencyin Microsoft Word, Excel, and Outlook; intermediate computer skillsrequired.

  • Excellent organizational skills with strong attention to detail.

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-BB3

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 $141,000.00-$175,000.00 per year.If a candidate is hired, they will be paid at least the minimum wage according to their geographical jurisdiction and the exemption status for the position.New York Exempt: New York City and Long Island: $66,300.00/year, Nassau, Suffolk, and Westchester counties: $66,300.00/year, Remainder of New York state: $62,353.20/year New York Non-exempt: New York City and Long Island: $17.00/hour, Nassau, Suffolk, and Westchester counties: $17.00/hour, Remainder of New York state: $16.00/hourWashington Exempt: $80,168.40/year Washington Non-exempt: Bellingham: $19.13/hour, Burien: $21.71/hour, Everette: $20.77/hour, Unincorporated King County: $20.82/hour, Renton: $21.57/hour, Seattle: $21.30/hour, Tukwila: $21.65/hour, Remainder of Washington state: $17.13/hour

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.


What DaVita employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom


DaVita logo

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