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Remote Utilization Review Nurse Jobs in Exeter, NH

ABB

Utility Sales Support

Manchester, NH · Remote

$17.75 - $23.25/hr

While this is a remote position, candidates must be located in the United States. You will be ... Must have knowledge and skill in utilization of computer databases; empower experience preferred

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Remote Utilization Review Nurse information

See Exeter, NH salary details

$21

$43

$70

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

As of Sep 3, 2026, the average hourly pay for remote utilization review nurse in Exeter, NH is $43.02, according to ZipRecruiter salary data. Most workers in this role earn between $33.99 and $49.42 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.

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

What cities near Exeter, NH are hiring for Remote Utilization Review Nurse jobs?

Cities near Exeter, NH 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 Exeter, NH as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 15% Part Time, 4% Contract, and 1% Nights. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $89,486 per year, or $43 per hour.

Core - Physician Remote Primary Care Inbox

Exeter Hospital

Exeter, NH • On-site, Remote

Full-time

Re-posted 22 days ago

Exeter Hospital rating

6.3

Company rating: 6.3 out of 10

Based on 26 frontline employees who took The Breakroom Quiz

776th of 1,065 rated hospitals

Job description

Support primary care teams remotely by completing indirect patient care tasks. Remote inbox physicians collaborate with on-site providers and staff to co-manage the medical needs of patients.
Requirements:
  • Board-certified MD or DO
  • DEA
  • NH License
  • 3-5 years' clinical experience in primary care

Major Responsibilities:
  1. Respond to patient calls and portal messages requiring provider input.
  2. Review and refill medication refill requests.
  3. Coordinate patient care with triage and care coordination nurses.
  4. Communicate lab and diagnostic test results to patients.
  5. Complete peer-to-peer review with insurance company for authorization of testing or treatment when needed.
  6. Attend regularly-scheduled virtual meetings with on-site providers.
  7. Other duties as assigned.

What Exeter Hospital employees say

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