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Remote Utilization Review Nurse Practitioner Jobs in Reston, VA

Inova

Urology PRN APP (NP/PA)

Fairfax, VA · On-site +1

$111K - $144K/yr

Work/Life Balance: offering paid time off, paid parental leave, flexible work schedules, and remote ... Writing of consult notes for attending review * Performing or assisting with bedside procedures ...

Inova Primary Care

Urology PRN APP (NP/PA)

Fairfax, VA · On-site +1

$111K - $144K/yr

Work/Life Balance: offering paid time off, paid parental leave, flexible work schedules, and remote ... Writing of consult notes for attending review * Performing or assisting with bedside procedures ...

UVA Health

Physician Advisor (Remote)

Manassas, VA · Remote

$250K - $350K/yr

... across Utilization Management (UM), Clinical Documentation Integrity (CDI), Coding, and Case ... Perform medical necessity reviews using MCG and/or InterQual * Support CMS compliance, including ...

Centerbrite

BCBA (Part-time) (Remote)

Fairfax, VA · Remote

$80 - $110/hr

BCBA (Board Certified Behavior Analyst) - Part-time $80110/hr Flexible Schedule Hybrid (Remote + In ... Own documentation quality , utilization reviews, and oversight of treatment plans * Supervise RBTs ...

CINQCARE

Transition of Care RN

Washington, DC · Remote

$76K - $94K/yr

Experience with utilization review either in the hospital or with a managed care company, at least one year of experience in a medical office preferred. Experience working with Excel, Word and EMR ...

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All JobsUtilization Review Nurse Practitioner JobsRemote Utilization Review Nurse Practitioner JobsRemote Utilization Review Nurse Practitioner Jobs in Reston, VA

Remote Utilization Review Nurse Practitioner information

See Reston, VA salary details

$73.9K

$139.8K

$219K

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

As of Aug 11, 2026, the average yearly pay for remote utilization review nurse practitioner in Reston, VA is $139,791.00, according to ZipRecruiter salary data. Most workers in this role earn between $115,500.00 and $158,700.00 per year, depending on experience, location, and employer.

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 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 are popular job titles related to Remote Utilization Review Nurse Practitioner jobs in Reston, VA? For Remote Utilization Review Nurse Practitioner jobs in Reston, VA, the most frequently searched job titles are:
What cities near Reston, VA are hiring for Remote Utilization Review Nurse Practitioner jobs? Cities near Reston, VA with the most Remote Utilization Review Nurse Practitioner job openings:
Remote Utilization Review Nurse Practitioner jobs near you
Infographic showing various Remote Utilization Review Nurse Practitioner job openings in Reston, VA as of August 2026, with employment types broken down into 20% Full Time, 60% Part Time, and 20% Contract. Highlights an 100% Remote job distribution, with an average salary of $139,791 per year, or $67.2 per hour.

Urology PRN APP (NP/PA)

Inova

Fairfax, VA • On-site, Remote

$111K - $144K/yr

Part-time

Medical, Dental, Vision, PTO

Re-posted 27 days ago

Inova Health System rating

7.5

Company rating: 7.5 out of 10

Based on 260 frontline employees who took The Breakroom Quiz

234th of 887 rated healthcare providers

Job description

Inova is looking for an experienced PRN Advanced Practice Provider (Nurse Practitioner or Physician Assistant) needed for busy inpatient/outpatient Urology service.

Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation. 

Featured Benefits:

  • Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program.
  • Retirement: Inova matches the first 5% of eligible contributions - starting on your first day.
  • Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans.
  • Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.
  • Work/Life Balance: offering paid time off, paid parental leave, flexible work schedules, and remote and hybrid career opportunities.

Urology Advanced Practice Provider Job Responsibilities:

  • Daily morning and afternoon rounding on inpatients and consults,
  • Daily writing of progress notes
  • Assessment and verbal presentation of ER and inpatient consults
  • Writing of consult notes for attending review 
  • Performing or assisting with bedside procedures (for example: complex catheter placements (including intraoperatively for other surgical subspecialties), complex catheter removal, suprapubic catheter exchanges, urinary catheter irrigation for clot retention, irrigation of priapism, incision and drainage of scrotal abscesses, and others)
  • Placing orders for admissions and discharges
  • Ordering and interpreting labs and radiologic studies
  • Fielding phone calls from beside nurses
  • Multidisciplinary care coordination and patient education.
  • Outpatient visits
  • Some opportunity exists for first-assisting in the OR, as service needs permit or require.

Minimum Qualifications:

  • Education: Graduate of an accredited NP or PA program
  • Experience: Prefer a provider with prior urology experience (inpatient or outpatient), or with a minimum of 2 years of any clinical experience.
  • Board certified (ACNP or NCCPA certification)
  • BLS
  • Virginia License
  • DEA

Preferred Qualifications:

  • 2 or more years of Advanced Practitioner experience in a Urology setting (inpatient or outpatient)

We are Inova, Northern Virginia's leading nonprofit healthcare provider. Every day, our 26,000+ team members provide world-class healthcare to the communities we serve. Our people are the reason we're a national leader in healthcare safety, quality and patient experience. And from best-in-class facilities to professional development opportunities, we support them at every step. At Inova, we're constantly striving to be ever better - to shape a more compassionate future for healthcare. 

Inova Health System is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, pregnancy (including childbirth, pregnancy-related conditions and lactation), race, religion, sex, sexual orientation, veteran status, genetic information, or any other characteristics protected by law.

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