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Remote Utilization Review Nurse Jobs in Decatur, AL

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

Telehealth Nurse Practitioner

Huntsville, AL ยท Remote

$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 ...

RN

Huntsville, AL ยท Remote

$40 - $60/hr

MDs, PAs, and Nurses. Benefits ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...

Home Infusion RN Per Diem Company: Atulo Health About Atulo Health: Atulo Health is a multi-state provider of home infusion services. We deliver high-quality, patient-centered care using smart ...

Reviews and analyzes FMLA and STD documents received and determines if all necessary information ... Assists Case Managers and Nurse Consultants as needed * Will follow all processes as laid out in ...

Home Infusion RN Per Diem Company: Atulo Health About Atulo Health: Atulo Health is a multi-state provider of home infusion services. We deliver high-quality, patient-centered care using smart ...

Remote Utilization Review Nurse information

See Decatur, AL salary details

$20

$39

$64

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

As of May 31, 2026, the average hourly pay for remote utilization review nurse in Decatur, AL is $39.64, according to ZipRecruiter salary data. Most workers in this role earn between $31.35 and $45.53 per hour, depending on experience, location, and employer.

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, and why are they important?

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 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 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.

What are popular job titles related to Remote Utilization Review Nurse jobs in Decatur, AL? For Remote Utilization Review Nurse jobs in Decatur, AL, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Nurse jobs in Decatur, AL look for? The top searched job categories for Remote Utilization Review Nurse jobs in Decatur, AL are:
What cities near Decatur, AL are hiring for Remote Utilization Review Nurse jobs? Cities near Decatur, AL with the most Remote Utilization Review Nurse job openings:
Infographic showing various Remote Utilization Review Nurse job openings in Decatur, AL as of May 2026, with employment types broken down into 1% As Needed, 80% Full Time, 10% Part Time, and 9% Contract. Highlights an 93% Physical, and 7% Remote job distribution, with an average salary of $82,446 per year, or $39.6 per hour.

Telehealth Nurse Practitioner (Remote)

Urrly

Huntsville, AL โ€ข Remote

$600 - $720/hr

Full-time

Posted 15 days ago


Job description

Work from home and earn $600$720 per day delivering telehealth visits on your schedule.
  • Role: Telehealth Nurse Practitioner
  • Location/Type: Alabama Remote (No travel)
  • Pay: $600$720/day (1099 contractor, based on efficiency)
  • Schedule: Minimum 24 hours/week Flexible scheduling

Our client is a fast-growing healthcare organization supporting Medicare and Medicaid populations through virtual care.

What you'll do
  • Conduct Comprehensive Health Assessments via telehealth

  • Document risk adjustment (HCC coding) during patient visits

  • Close HEDIS care gaps during visits

  • Review medical history, medications, preventive needs

  • Document visits using ICD-10 and CPT II codes

  • Deliver clear care plans and follow-up guidance

  • Maintain accurate visit documentation for quality programs

Must-haves
  • Active Alabama Nurse Practitioner license

  • 1+ year Family Medicine or Internal Medicine experience

  • Experience with Medicare and Medicaid populations

  • Familiar with HEDIS and risk adjustment workflows

  • Medicare and Medicaid provider enrollment required

  • Comfortable delivering care through telehealth platforms

Nice to have
  • Value-based care model experience

  • Annual Wellness Visit experience

  • HCC risk adjustment documentation experience

Perks & pay
  • Pay: $600$720 daily earning potential

  • 1099 contractor flexibility

  • Fully remote work no commute

  • Consistent visit flow and structured workflows

  • Clear documentation processes

Schedule & setup
  • Minimum 24 hours weekly

  • Flexible scheduling based on availability

  • Fully remote telehealth delivery

  • No on-call and no travel

Impact & growth

Your work expands preventive care access for Medicare and Medicaid members.
You help close care gaps and improve quality scores across populations.

You like pace and ownership. You start, finish, follow through.

At Urrly, fairness matters. We use AI to review every application against the same clear requirements for the role. This means every candidate is evaluated on job-related factors like skills, certifications, and experiencenot on personal attributes such as gender, race, age, or background. Our goal is to create a more objective, consistent, and equal opportunity hiring process for all applicants.

Apply Today to set your own schedule and earn strong daily pay delivering telehealth visits from home.