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Remote Utilization Review Nurse Jobs in Decatur, IN

Remote Utilization Review Nurse information

See Decatur, IN salary details

$20

$40

$66

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

As of Aug 30, 2026, the average hourly pay for remote utilization review nurse in Decatur, IN is $40.80, according to ZipRecruiter salary data. Most workers in this role earn between $32.26 and $46.83 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.

What job categories do people searching Remote Utilization Review Nurse jobs in Decatur, IN look for?

The top searched job categories for Remote Utilization Review Nurse jobs in Decatur, IN are:

What cities near Decatur, IN are hiring for Remote Utilization Review Nurse jobs?

Cities near Decatur, IN with the most Remote Utilization Review Nurse job openings:

Infographic showing various Remote Utilization Review Nurse job openings in Decatur, IN as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 18% Part Time, 4% Contract, and 1% Nights. Highlights an 86% Physical, 2% Hybrid, and 12% Remote job distribution, with an average salary of $84,854 per year, or $40.8 per hour.

Multi-State Remote RD, CDCES - Contracted Position

Perry Health Inc

Ohio City, OH • Remote

$40/hr

Full-time

Re-posted 20 days ago


Job description

Multi-State Remote Registered Dietitian, CDCES (Contracted)

Location: Remote — United States (Priority States: TN, OH, MS, LA)

THE HIGHLIGHTS
  • Anticipated Start Date: Late Spring/Summer 2026 (TBD)
  • Role Type: Contracted, 1099
  • Payment Terms: Net 30
  • Licensure: Valid, unencumbered state RD license required. Priority states: TN, OH, MS, LA — strong preference for candidates currently licensed in one or more of these states.
  • Certification: CDR and CDCES required.
  • Schedule: 1099 flexibility; you set your own hours with at least 20 hours of weekly availability.
    • Current Demand: Monday–Friday, 9 a.m.–6 p.m. ET
    • Requirement: Provide availability for the next two months by the 15th of each month.
  • Compensation: $20.00 per 20-minute clinical encounter + $30.00/hour for non-clinical time; budget for an average of $40+/hr (see Compensation & Payment Terms below).
  • Remote Requirements: Must reside in the United States with consistent access to a clean, quiet workspace; solid internet connection; and proficient technical experience.

OUR MISSION

Perry Health is rethinking chronic care through a fully remote, continuous care model. We provide expert diabetes education and clinical management for Medicare patients, delivered by a comprehensive team of specialized Registered Nurses, Registered Dietitians, and Accountability Coaches.

Our model integrates high-level clinical expertise with real-time data from cellular-connected glucometers and advanced CGM management. By bridging the gap between physician visits with proactive, data-driven support, we deliver life-changing outcomes for our members.


ABOUT THE ROLE

We are seeking an experienced Registered Dietitian (RD) and Certified Diabetes Care and Education Specialist (CDCES) passionate about remote care delivery. In this role, you will offer diabetes education and management, medical nutrition therapy, and personalized nutritional guidance for our members. You will partner with a multidisciplinary care team to ensure members receive expert clinical attention and education to lead healthier lives.


KEY RESPONSIBILITIES
  • Provide call-based care and clinical nutrition management to patients in our Remote Patient Monitoring (RPM) program.
  • Assess member health regimens and interpret blood glucose and CGM readings as they relate to nutrition.
  • Craft individualized, compassionate meal plans based on member health needs and access.
  • Support nutrition-related escalations and provide data-driven education.
  • Collaborate with the broader care team — including RNs and Accountability Coaches — to reinforce clinical goals and SMART goal progression.
  • Adhere to Perry Health policies, procedures, and standard operating procedures to ensure ongoing clinical quality and compliance.

QUALIFICATIONS
  • Education: BS in Nutrition.
  • License: Valid, unencumbered state RD license. Priority states: TN, OH, MS, LA — strong preference for candidates currently licensed in one or more of these states.
  • Certification: CDR and CDCES required.
  • Experience: 3+ years managing patients with diabetes preferred.
  • Knowledge: Familiarity with continuous glucose monitors (CGMs) and behavior change theory is a plus.
  • Skills: Motivated learner, willing to acquire proficiency with the necessary technology (computers, software applications, phone systems); experience or training in Motivational Interviewing to support sustainable behavior change is a plus.
  • Traits: Creative thinking, an eye for detail, ability to work independently, a positive attitude, and the ability to excel in a fast-paced atmosphere while collaborating with diverse groups at all levels of the organization.
  • Language: Spanish-speaking preferred.

COMPENSATION & PAYMENT TERMS

Contractors are paid on a monthly basis following Net 30 payment terms.

  • Clinical Pay: $20.00 per 20-minute clinical encounter. An encounter is defined as a successful call with a member, primarily spent in live conversation, with chart review time also counting toward this total.
  • Non-Clinical Pay: $30.00/hour flat rate for required meetings and training.

Examples:

  • Initial consultations are scheduled in 60-minute intervals. Completing one initial consultation that meets the engagement-time requirement pays $60.
  • Follow-up visits are scheduled in 30-minute intervals. Completing two follow-ups within an hour that each meet the engagement-time requirement pays a total of $40 for that hour.

OUR VALUES

Our patients are our purpose: We understand that the decisions we make have an impact on our patients' health. We are a healthcare company above all else. The choices we make are always in the best interest of our patients.

Bring your best self: The authenticity of our team drives our innovation. We show up for each other and our patients every day. Your teammates will count on you for motivation and support, and you should expect the same in return. Conversely, recognize when you are not at your best so you can seek support and take time to recharge.

Own your ideas and your results: Each member of the team contributes to the growth of Perry. Identify problems, seek solutions that maximize impact. Ownership is key; seek out support from team members, and take accountability for the results of your efforts.

Move fast, but with purpose: Consistent, rapid growth is expected. Set goals, work with purpose, assess, reassess, and pivot when necessary. Perfection should not impede progress. Ego should not prevent reevaluation. Each day will provide opportunities for learning and growth and will move us closer to our goals.

Good ideas come from anywhere: Ideas, good and bad, come from every level of the organization. Employees at all levels are empowered to share their ideas and feedback. The whole of Perry is greater than the sum of its parts. All ideas are considered, and when a decision is made we will move forward together.


Perry Health is proud to be an equal opportunity workplace, providing equal employment and advancement opportunities to all team members. We are building an environment where every Perry Health team member can thrive, feel a sense of belonging, and do the best work of their careers. We value diversity and recruit, hire, and promote individuals solely based on talent, qualifications, competence, and merit. We evaluate candidates without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics as required by law and as a matter of our company values.