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Remote Utilization Review Nurse Practitioner Jobs in Riverside, CA

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Remote Utilization Review Nurse Practitioner information

See Riverside, CA salary details

$74.1K

$140.2K

$219.6K

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

As of Sep 12, 2026, the average yearly pay for remote utilization review nurse practitioner in Riverside, CA is $140,183.00, according to ZipRecruiter salary data. Most workers in this role earn between $115,800.00 and $159,100.00 per year, depending on experience, location, and employer.

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 Riverside, CA?

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

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

The top searched job categories for Remote Utilization Review Nurse Practitioner jobs in Riverside, CA are:

What cities near Riverside, CA are hiring for Remote Utilization Review Nurse Practitioner jobs?

Cities near Riverside, CA 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 Riverside, CA as of September 2026, with employment types broken down into 57% Full Time, and 43% Contract. Highlights an 100% Remote job distribution, with an average salary of $140,183 per year, or $67.4 per hour.

Oncology Account Executive

Riverside, CA • Remote

BillionToOne
Biotechnology Research and Development • 11 - 50 employees
Learn more about BillionToOneexternal

$241K - $311K/yr

Full-time

Medical, Retirement, PTO

Re-posted 22 days ago

Job description

We are looking for a field-based professional Oncology Account Executive, Riverside with scientific and clinical expertise to support our oncology portfolio of liquid biopsy products. The position is responsible for driving sales volume for BillionToOne's Northstar Liquid biopsy products and services, while cultivating relationships with oncologists and other members of the extended cancer care community in the designated geography. The Oncology Account Executive is a field based position and reports to a Regional Manager - Oncology.

Responsibilities:

  • Increasing revenue and driving market development through direct sales to individual Oncologists
  • Creating and implementing a strategic business plan to grow revenue quickly in your geography
  • Sales efforts include effective prospecting and cultivating new business and maintaining key relationships

Qualifications:

  • Bachelor's Degree or equivalent experience 
  • Demonstrated successful sales track record (e.g., Presidents club, Chairman's club, Rookie of the Year, or a history of success - at or above goal for multiple quarters/years)
  • Experience selling to medical providers
  • Experience selling medical diagnostics, medical or surgical devices
  • Lives within the defined territory and centrally located to defined accounts 
  • Commitment to travel within defined territory 
  • Excellent organizational and communication skills (written and verbal) with demonstrated ability to effectively present to both internal and external customers
  • Effective time management skills required with a demonstrated ability to assess and prioritize opportunity required
  • Exceptionally bright, flexible, self-motivated and results oriented with strong interpersonal and analytical skills and the ability to think strategically as well as execute tactically
  • Must act with a sense of urgency, with a focus on closing business
  • Ability to assess the needs of medical professionals and staff members with a focus on consultative sales, coordination of logistics, and problem solving
  • Strong desire to work in a startup environment and must work independently with an internal drive to be successful

We will also consider candidates with the following backgrounds:

  • Physicians Assistant (PA), Nurse Practitioner (NP) or Registered Nurse (RN) with experience ordering late stage cancer liquid biopsy tests

Benefits And Perks:

  • Working alongside brilliant, kind, passionate and dedicated colleagues, in an empowering environment, toward a global vision, striving for a future in which transformative molecular diagnostics can help millions of patients
  • Open, transparent culture that includes weekly Town Hall meetings
  • The ability to indirectly or directly change the lives of hundreds of thousand patients
  • Multiple medical benefit options; employee premiums paid 100% of select plans, dependents covered up to 80%
  • Extremely generous Family Bonding Leave for eligible employees (16 weeks, paid at 100%)
  • Supplemental fertility benefits coverage 
  • Retirement savings program including a 4% Company match
  • Increase paid time off with increased tenure
  • Latest and greatest hardware (laptop, lab equipment, facilities)

At BillionToOne, we are proud to offer a combination of a (1) base pay + uncapped commissions  (2) generous equity options offering, on top of (3) industry leading company benefits (free healthcare options, 401k match, very generous fully paid parental leave, etc.).

For this position, we offer a total compensation range of $241,946 - $311,536 per year (at plan), including a base salary range of $168,346 - $184,186 per year (based on the level and experience). Commission's potential is uncapped and can be significant.

BillionToOne is an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

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