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Remote Utilization Review Nurse Jobs in Roy, UT (NOW HIRING)

Utility Sales Support

UT · 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

Remote Utilization Review Nurse information

See Roy, UT salary details

$20

$40

$65

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

As of Aug 23, 2026, the average hourly pay for remote utilization review nurse in Roy, UT is $40.33, according to ZipRecruiter salary data. Most workers in this role earn between $31.88 and $46.30 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 Roy, UT look for?

The top searched job categories for Remote Utilization Review Nurse jobs in Roy, UT are:

What cities near Roy, UT are hiring for Remote Utilization Review Nurse jobs?

Cities near Roy, UT with the most Remote Utilization Review Nurse job openings:

Infographic showing various Remote Utilization Review Nurse job openings in Roy, UT as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 16% Part Time, 2% Contract, and 1% Nights. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $83,882 per year, or $40.3 per hour.

Staff Psychiatric Mental Health Nurse Practitioner (PMHNP) -- Remote | Telehealth | Full-Time or Part

Legion Health

Ogden, UT • Remote

$150K - $300K/yr

Full-time

Posted 5 days ago


Job description

[We show compassion to heal minds.]

 
🧠 About Legion Health

Legion Health is a technology-forward psychiatry company delivering world-class outpatient mental health care while expanding access for patients through insurance.

We are seeking exceptional Psychiatric Mental Health Nurse Practitioners (PMHNPs) across the United States who are passionate about evidence-based psychiatry and want the time, support, and clinical autonomy needed to provide exceptional patient care.

Our innovative model combines the stability of a traditional hospital position with the flexibility of a private practice. We prioritize our clinicians' well-being and professional growth, offering a competitive compensation package and fostering a vibrant, collaborative culture.

Quality and patient experience are paramount to us. This means recruiting exceptional providers, championing evidence-based protocols, and displaying compassion in every patient interaction. Our exceptional PMHNPs operate with clinical autonomy, supported by experienced psychiatrists through consults and peer case reviews.

Our vision is to pioneer a new era of medicine by delivering world-class psychiatry. We believe in a future where every person can access the compassionate, high-quality care they need.

 
🚀 About the Role

Practice at the top of your license, from wherever you do your best work. This role is designed for PMHNPs who want meaningful clinical autonomy without having to build and operate a private practice alone.

We are looking for clinically excellent, patient-centered PMHNPs to provide psychiatric care through telehealth. Full-time and part-time positions are available.

 
💙 Benefits

Legion’s model is built to give clinicians more time for patients, fewer administrative distractions, and the support of a high-caliber psychiatric community.

  • Flexibility: Set your own schedule for optimal work-life balance.

  • Work from Home: See patients from the comfort of your home via telehealth.

  • Significant Administrative Support: You focus on patient care, and we’ll handle scheduling, insurance verification, billing, prior authorizations, pharmacy coordination, etc.

  • Patient Acquisition: Unlike with a private practice, we’ll work to fill your schedule, so you don’t have to do your own marketing.

  • Collaborating Physician Coverage: Where applicable, we provide your collaborating psychiatrist and fully cover the costs.

  • Competitive Pay: We compensate our providers at market-leading rates.

  • Weekly Pay: We pay our providers every week for immediate financial benefit and planning ease.

  • Legal Protection: We provide full malpractice insurance coverage.

  • Clinical Autonomy: We hire the most skilled providers and trust them to do what’s best for patients.

  • Technical Support: We cover the costs for you to have best-in-class EHR, e-Prescribe, and AI tools.

  • Credentialing Support: We handle all aspects and costs of credentialing with a large number of insurance plans, including commercial, ACA, and government, ensuring your legal and effective authorization within insurance networks.

  • Licensure and DEA Coverage: We’ll reimburse you for all fees associated with getting licensed in other states as required by Legion.

  • Commitment to Responsible Prescribing and High-Quality Care: We have rigorous, evidence-based protocols and provide objective diagnostic tools to ensure responsible and ethical prescriptions of controlled substances.

  • Community of Clinical Excellence: You will work alongside the most talented PMHNPs and psychiatrists in the world. Our current PMHNPs have trained at some of the country’s most prestigious institutions, including Vanderbilt, UT Austin, Johns Hopkins, Columbia, NYU, and UTHealth Houston.

  • Opportunities for Professional Growth: As we expand, we intend to promote clinical leadership from the best of our active providers.

  • Culture of Excellence through Innovation: Actively participate in ushering in a new era of mental health care through superior clinical care and technology.

  • Resources: We provide premium subscriptions to resources such as UpToDate and Carlat.

  • Exclusive Events: Engage with your colleagues through exclusive in-person and virtual events.

 
✅ Responsibilities
  • Provide excellent patient care for conditions including depression, anxiety, ADHD, insomnia, PTSD, bipolar disorder, etc.

  • Perform comprehensive psychiatric assessments, including mental-health history, medical history, diagnostic evaluation, and risk analysis.

  • Create and execute individualized treatment plans that may combine medication management and brief psychotherapy.

  • Provide compassionate, respectful, and patient-centered care.

  • Use evidence-based clinical protocols and responsible prescribing practices.

  • Collaborate with psychiatrists and clinical peers through consultations and case reviews.

  • Use technology and operational systems effectively to deliver reliable telehealth care.

 
🧰 Qualifications
  • Active, unrestricted state-issued authority to practice as a PMHNP in at least one U.S. state or jurisdiction.

  • Strong clinical assessment, diagnostic, and medication-management skills.

  • Excellent communication and interpersonal skills.

  • Comfort providing care remotely and using electronic health record systems.

  • Commitment to patient-centered, compassionate, evidence-based care.

 
📍 Role Logistics
  • Location: Fully remote within the United States.

  • Schedule: Full-time or part-time positions are available.

  • Compensation: $150K–$300K per year, depending on completed patient-care hours.

 
🤝 Clinical Advisory Board

Legion’s Clinical Advisory Board brings together nationally recognized psychiatrists, physician executives, telepsychiatry pioneers, and primary-care leaders. Working closely with Legion’s medical leadership, they help shape our clinical quality standards, evidence-based care protocols, prescribing safeguards, risk-management practices, and continuous quality-improvement efforts as the company scales.

Members of our Clinical Advisory Board include:

  • Madhukar Trivedi, M.D. — Psychiatrist; Professor of Psychiatry and Distinguished Chair in Mental Health at UT Southwestern

  • Alexander Ruvalcaba, M.D. — Psychiatrist; Physician Executive at MultiCare Behavioral Health Network

  • Jon Kole, M.D. — Psychiatrist; Senior Medical Director at Headspace

  • Liberty Eberly, D.O. — Psychiatrist; Co-Founder and Former Chief Medical Officer at innovaTel Telepsychiatry

  • John Lusins, M.D. — Psychiatrist; Founder and President at South Texas Mental Health Associates

  • Jacqueline Champlain, M.D. — Family Medicine Physician; Lead Physician at WellMed and Fellow of the American Academy of Family Physicians

 
✨ Bring Your Best Clinical Work to Legion

If you are a thoughtful, evidence-based PMHNP who wants the flexibility of remote practice, meaningful clinical autonomy, robust operational support, and a community committed to excellent psychiatric care, we would be excited to learn more about you.

 
🤝 Equal Employment Opportunity

Legion Health is proud to be an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees, contractors, and applicants without regard to race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, veteran status, genetic information, or any other protected characteristic under applicable law. We encourage applicants from all backgrounds to apply.

Compensation Range: $150K - $300K