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Remote Utilization Review Nurse Jobs in Alabama (NOW HIRING)

Urrly

Telehealth Nurse Practitioner

Huntsville, AL · On-site +1

$600 - $720/day

Location/Type: Alabama Remote (No travel) * Pay: $600-$720/day (1099 contractor, based on ... Review medical history, medications, preventive needs * Document visits using ICD-10 and CPT II ...

Harris

$10/hr

EXAMPLE: Chart Review 8 min Outreach Attempts: 6 min Actual Call:11 min Care Coordination:9 min ... Graduates from accredited Schools of Nursing (LPN, LVN, RN, BSN, etc.) * Current COMPACT license to ...

Harris

$10/hr

EXAMPLE: Chart Review 8 min Outreach Attempts: 6 min Actual Call:11 min Care Coordination:9 min ... Graduates from accredited Schools of Nursing (LPN, LVN, RN, BSN, etc.) * Current COMPACT license to ...

Transform9

Senior Customer Success Manager

Birmingham, AL · On-site +1

Run quarterly business reviews with practice leadership using their own metrics: answer rates, hold ... Channel structured client feedback to product Location Remote (US) with approximately 25% travel to ...

Transform9

Senior Customer Success Manager

Birmingham, AL · On-site +1

Run quarterly business reviews with practice leadership using their own metrics: answer rates, hold ... Channel structured client feedback to product Location Remote (US) with approximately 25% travel to ...

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Remote Utilization Review Nurse information

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$19

$38

$62

How much do remote utilization review nurse jobs pay per hour?

As of Sep 1, 2026, the average hourly pay for remote utilization review nurse in Alabama is $38.32, according to ZipRecruiter salary data. Most workers in this role earn between $30.29 and $43.99 per hour, depending on experience, location, and employer.

What is a remote utilization review nurse?

A Remote Utilization Review Nurse is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services and treatments, typically from a remote location such as their home. They review patient medical records, apply clinical guidelines, and collaborate with providers and insurance companies to ensure patients receive appropriate care while managing healthcare costs. This role often involves making coverage determinations, conducting pre-authorizations, and participating in appeals processes. Remote Utilization Review Nurses play a critical role in improving patient outcomes and resource allocation within the healthcare system.

What does a remote utilization review nurse do?

As a remote utilization nurse, your duties are to work from home or a remote location to review patient medical records and prepare a range of paperwork for different types of actions a hospital or health care provider can take. Your responsibilities are to determine patient coverage, carry out denial of service authorizations, and negotiate different treatment options and hospital stay length for patients. You rely on your knowledge of treatment options and diseases to determine the level of appropriate care for a patient. Because you telecommute, you also need good technical skills.

What are the key skills and qualifications needed to thrive as a remote utilization review nurse?

To thrive as a Remote Utilization Review Nurse, you need a current RN license, clinical experience, and a solid understanding of medical necessity criteria and healthcare regulations. Familiarity with utilization management software, EHR systems, and certifications like CCM or URAC are highly valued. Strong analytical thinking, attention to detail, and effective communication skills enable success in evaluating clinical documentation and collaborating with providers remotely. These skills and qualifications are essential to ensure efficient, compliant care decisions that optimize patient outcomes and resource use.

How does a remote utilization review nurse collaborate with physicians and other healthcare team members while working remotely?

As a Remote Utilization Review Nurse, collaboration with physicians, case managers, and other healthcare professionals is primarily conducted through secure digital platforms such as email, video conferencing, and electronic health record systems. Effective communication is essential to discuss patient care plans, clarify medical necessity, and ensure compliance with utilization policies. Nurses in this role often participate in virtual meetings or case conferences to present findings and recommendations. Building strong working relationships remotely requires proactive communication, responsiveness, and familiarity with digital collaboration tools.

What is the difference between Remote Utilization Review Nurse vs Remote Case Manager?

AspectRemote Utilization Review NurseRemote Case Manager
CertificationsRN license, possibly CCM or UR certificationsRN license, CCM or case management certifications
Work EnvironmentHealthcare facilities, insurance companies, telehealthInsurance companies, healthcare organizations, telehealth
Job FocusReview medical necessity, approve or deny servicesCoordinate patient care, arrange services, discharge planning

Remote Utilization Review Nurses primarily evaluate medical necessity for services, while Remote Case Managers coordinate patient care and discharge planning. Both roles require nursing credentials and work in healthcare or insurance settings, but their core responsibilities differ. Understanding these distinctions helps job seekers find the best fit for their skills and career goals.

More about Remote Utilization Review Nurse jobs

What are the most commonly searched types of Utilization Review Nurse jobs in Alabama?

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

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

Remote Utilization Review Nurse jobs near you
Infographic showing various Remote Utilization Review Nurse job openings in Alabama as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $79,714 per year, or $38.3 per hour.

Remote Patient Monitoring (RPM) Nurse

Medical Director Services PC

Birmingham, AL • Remote

Other

Re-posted yesterday

Job description

Remote Patient Monitoring (RPM) Nurse – Remote

Join Our Growing Clinical Team!

We are seeking compassionate, detail-oriented Registered Nurses (RNs) or Licensed Practical Nurses (LPNs) to join our Remote Patient Monitoring (RPM) team. This is a fully remote position where you will monitor patients' vital signs, identify clinical trends, and collaborate with providers to improve patient outcomes.

Responsibilities:

  • Monitor daily patient vital signs through our Remote Patient Monitoring platform.

  • Review blood pressure, pulse, oxygen saturation, weight, blood glucose, temperature, and other biometric data.

  • Identify abnormal trends and escalate clinically significant findings to the appropriate provider.

  • Communicate with patients by phone to assess symptoms, provide education, and encourage adherence to care plans.

  • Document all patient interactions and clinical interventions accurately in the electronic medical record.

  • Collaborate with nurse practitioners, physicians, and the clinical team to ensure timely follow-up.

  • Meet Medicare RPM documentation requirements while delivering high-quality patient care.

Qualifications:

  • Active RN or LPN license in good standing.

  • Strong assessment and critical thinking skills.

  • Excellent verbal and written communication skills.

  • Comfortable using electronic medical records and remote monitoring technology.

  • Ability to work independently while managing multiple patients efficiently.

  • Reliable high-speed internet and a quiet home office environment.

What We Offer:

  • 100% remote work

  • Flexible scheduling

  • Competitive compensation

  • Supportive clinical leadership

  • Opportunity to grow with a rapidly expanding healthcare organization

  • Meaningful work helping patients manage chronic conditions from the comfort of their homes

If you are passionate about preventive care, enjoy working with technology, and want to make a meaningful impact on patients' lives, we'd love to hear from you!


Medical Director Services PC was founded in 2016 when SNF’s were shifting a focus on value at the same time treating residents with higher level of acuity. MDS PC puts an emphasis on quality and customer service first. Another crucial focus is treating in place when possible and reducing unnecessary hospitalizations.