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Remote Utilization Review Nurse Practitioner Jobs in Rochester, MI

RN Care Manager - PRN

Almont, MI · Remote

$41.20 - $62.17/hr

Demonstrated experience in case management, utilization review, value-based care, and/or discharge ... If applying for a remote or hybrid role, this includes remote work expectations related to ...

Showing results 21-40

Remote Utilization Review Nurse Practitioner information

See Rochester, MI salary details

$65.4K

$123.7K

$193.8K

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 Rochester, MI is $123,680.00, according to ZipRecruiter salary data. Most workers in this role earn between $102,200.00 and $140,400.00 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 cities near Rochester, MI are hiring for Remote Utilization Review Nurse Practitioner jobs? Cities near Rochester, MI with the most Remote Utilization Review Nurse Practitioner job openings:

Provider (Physician Assistant/Nurse Practitioner) - East Region

Bicycle Health

Detroit, MI • Remote

$3.0K/mo

Full-time

Re-posted 4 days ago


Job description

The Opioid Epidemic is a public health crisis with a highly effective but underutilized clinical intervention - millions of Americans are physically dependent on Opioids but only 10% of those likely to have OUD actually access treatment. Bicycle Health addresses this gap by maximizing accessibility, affordability, and overall quality of care by enabling highly qualified clinicians to reach patients broadly and efficiently through our online platform.

We're looking for Nurse Practitioners and Physician Assistants to join us full-time in a 40-hour-per-week, W-2 role with a schedule designed to offer both structure and flexibility.

The Provider position at Bicycle Health is a remote full-time addiction medicine clinical position with responsibility for the continuity care of a panel of adult patients under care primarily for opioid use disorder. The Nurse Practitioner or Physician Assistant will assess new patients presenting for telemedicine-based care of opioid use disorder, determine appropriateness of enrollment in our care setting, and manage their continuity OUD treatment from initial induction through the duration of their care. The Nurse Practitioner also addresses co-occurring mental health conditions directly when appropriate, and also via referral and care-coordination with outside providers. The NP/PA participates actively in regular clinical team meetings and quality improvement activities, collaborates with our program physicians and therapists, and reports to the regional medical director.

What You Can Expect:

Stable, full time employment - We are currently hiring for full-time, W-2 employees. As a a full-time employee you will receive full benefits.
Location Flexibility - Work from home and work from anywhere in your state (subject to change depending on regulations)
Limited Call - there are on-call responsibilities but most providers are on-call once every 2-3 months on average. Call is one week at a time (Monday to Monday).
Start times vary by region - See below to see more detail on available shifts by region

East region:
All states are within the East Coast & Central Time Zones
Option 1: Monday–Friday (late start)

  • 8 hour shifts
  • Shift start time of 11:00am EST or 12:00pm EST
  • Schedule remains consistent each week

Option 2: Includes 1 weekend day (early start)

  • 8 hour shifts
  • Includes one weekend day
  • Shifts start at 9:00am EST
  • Schedule remains consistent each week

Target Pay Range: $120,000-$140,000 + Bonus Eligible - Salary to be determined by the education, experience, knowledge, skills, and abilities of the applicant, internal equity, and alignment with market data.

Benefits:

  • 3 Weeks Vacation + 8.5 days of additional sick time + 8 paid holidays + 3 CME days
  • 100% Employer Paid Medical, Dental, and Vision Insurance
  • Employer Paid STD & LTD
  • 401k
  • Up to $3,000 CME
  • $50 monthly Remote Work Stipend
  • All equipment provided
  • White glove licensing and credentialing service, with all L&C costs paid

What you'll Do:

  • Full-time (40 hours per week) opportunity
  • Provide assessment and treatment for a continuity of panel of up to 275 adults with Opioid Use Disorder from initial treatment-start throughout their ongoing care
  • Provide diagnosis of Opioid Use Disorder and co-occurring mental health conditions
  • Safely and effectively start treatment with buprenorphine-naloxone for OUD, manage the early induction and stabilization phase of care with close follow-up
  • Utilize motivational interviewing and other engagement and rapport-building techniques to achieve optimal patient outcomes
  • Collaborate with the care team to coordinate additional services as may be needed
  • Take an active role in clinical team meetings and practice improvement, engage in case discussion with colleagues
  • Develop a thorough understanding of practice policies and procedures, and actively participate in P&P feedback and development
  • Develop an understanding of your local and regional referral resources and utilize them
  • Utilize our intuitive web-based EMR platform to manage patient care.
  • Work from anywhere in your state (subject to change depending on regulations).
  • This is a fantastic opportunity to be part of a talented, enthusiastic and mission driven team and have strategic input into a variety of company-wide projects and other initiatives.

What you'll Need:

  • Valid license to practice medicine & DEA license in your home state. Must be eligible and willing to obtain licenses in multiple states.
  • At least 1 year of Buprenorphine prescribing experience in a family medicine, internal medicine, addiction medicine, or psychiatric practice environment.
  • Telehealth experience a big plus!
  • Strong communication skills, ability to build an effective provider-patient relationship that fosters engagement and adherence to a collaboratively developed care plan.
  • Comfort with risk/benefit balancing and a love for problem solving are required attributes.
  • Motivational Interviewing experience preferred.
  • Ability to share equally in the on-call needs of the region including on call coverage for a percentage of the 8 company observed holidays.
  • Bilingual English/Spanish preferred
  • Psychiatric Nurse Practitioner certification highly preferred

This is a full-time (40hrs per week) remote position.

#LIRemote #zr

Recruitment Scam Notice

We are aware of fraudulent recruiting messages circulating that claim to represent our company. Please note:

  • All official communication from our recruiting team will come from an @bicyclehealth.com email address.

  • We will never ask you to pay fees, purchase equipment, or provide financial information as part of our hiring process.

  • We will never request your Social Security number or banking information before an offer of employment is made.

  • We only conduct interviews through legitimate, scheduled channels and will never make job offers via text message or chat apps.

If you believe you have been contacted by someone misrepresenting our company, please report it to careers@bicyclehealth.com.

About Bicycle Health:

Bicycle Health is a telemedicine group that specializes in the evidence-based treatment of individuals with Opioid Use Disorder using buprenorphine. We've grown our clinical staff of medical providers caring for patients, across 32 states, and we employ a large ancillary staff for support with technologic and administrative needs, clinical and behavioral support, and care coordination. Our innovative model has achieved clinical outcomes that exceed expectations for standard-of-care in-person treatment nationally. Our mission is to increase access to high quality, affordable, convenient and confidential Opioid Use Disorder treatment for all.

Bicycle Health is an Equal Opportunity Employer and considers applicants for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or any other basis forbidden under federal, state, or local law.