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Remote Utilization Review Nurse Jobs in Springfield, MA

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Remote Utilization Review Nurse information

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$42

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

As of Aug 21, 2026, the average hourly pay for remote utilization review nurse in Springfield, MA is $42.13, according to ZipRecruiter salary data. Most workers in this role earn between $33.32 and $48.37 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 are the most commonly searched types of Utilization Review Nurse jobs in Springfield, MA?

The most popular types of Utilization Review Nurse jobs in Springfield, MA are:

What are popular job titles related to Remote Utilization Review Nurse jobs in Springfield, MA?

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

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

The top searched job categories for Remote Utilization Review Nurse jobs in Springfield, MA are:

What cities near Springfield, MA are hiring for Remote Utilization Review Nurse jobs?

Cities near Springfield, MA with the most Remote Utilization Review Nurse job openings:

Infographic showing various Remote Utilization Review Nurse job openings in Springfield, MA as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 14% Part Time, 4% Contract, and 1% Nights. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $87,639 per year, or $42.1 per hour.

Territory Manager, Infusion Therapies and Platforms (Connecticut/Rhode Island)

Baxter

Springfield, MA • Remote

$96K - $132K/yr

Full-time

Medical, Dental, Life, Retirement, PTO

Re-posted 26 days ago


Job description

This is whereyour work makes a difference.

At Baxter, we believe every person-regardless of who they are or where they are from-deserves a chance to live a healthy life. It was our founding belief in 1931 and continues to be our guiding principle. We are redefining healthcare delivery to make a greater impact today, tomorrow, and beyond.

Our Baxter colleagues are united by our Mission to Save and Sustain Lives. Together, our community is driven by a culture of courage, trust, and collaboration. Every individual is empowered to take ownership and make a meaningful impact. We strive for efficient and effective operations, and we hold each other accountable for delivering exceptional results.

Here, you will find more than just a job-you will find purpose and pride.

Working at Baxter is not just a job, it's a calling. Our Mission to Save and Sustain Lives motivates us as we create a culture in which each of us can succeed.

Together, we are redefining how care is delivered to make a greater impact today, tomorrow, and beyond. We're more than just colleagues, we're a community that supports, motivates, and inspires each other to pursue rewarding careers.

This is where you make a difference.

THIS IS WHERE you build trust to achieve results

As a Territory Manager within our Infusion Therapies and Platform team, you take pride in representing Baxter and our products in the Connecticut and Rhode Island market. You serve as the primary connection to the healthcare professionals who rely on our solutions to save and sustain lives, acting as both the face and voice of our portfolio. You value the collaboration between teams and understand how these connections drive strong business results. The insights and feedback you provide to your team and crossfunctional partners help inform priorities and support meaningful change.

In this role, you will promote our Medication Delivery, Pharma, and Nutrition portfolio with primary call points including Materials Management, Nursing, Pharmacy, Risk Management, and other departments throughout the hospital in the Connecticut/Rhode Island market. We are seeking individuals who take personal accountability for achieving results and can "win" at every stage of the customer's buying process. Are you ready to become a subject matter expert in our medication delivery portfolio?

Homebase: Connecticut and/or Rhode Island

Territory: Connecticut and Rhode Island

What you'll be doing:

  • Achieve sales quotas across a diverse portfolio including Baxter's Pharma, Access, Drug Delivery, Nutrition, and Fluid Therapy products.
  • Implement sales strategies and execute business plans to deliver on volume, product mix, and profit objectives.
  • Call on acutecare hospital customers; deliver effective presentations; and provide product information, demonstrations, and education.
  • Partner closely with Infusion Systems and the broader Baxter team to meet goals and objectives.
  • Protect, service, and grow the existing customer base.
  • Manage and optimize Baxter's GPO contracts.
  • Serve as a resource for market information to management and marketing teams.

What you'll bring:

  • Bachelor's degree with 3+ years of experience, or 6+ years of relevant industry experience.
  • Three years of medical/hospital sales experience preferred.
  • Strong interpersonal, communication, negotiation, and presentation skills.
  • Ability to analyze and interpret data to support effective sales strategies.
  • Willingness to travel to both remote and urban locations, independently or with other personnel.
  • Proven sales performance, a strong team orientation, and solid organizational skills.

The estimated base pay range for this position is $96,000 - $132,000 annually, with additional opportunity to earn sales incentive compensation for achieving or exceeding your goals. The estimated range is meant to reflect an anticipated salary range for the position. We may pay more or less within the anticipated range based upon market data and other factors, all of which are subject to change.

Individual pay is based upon location, skills and expertise, experience, and other relevant factors. For questions about this, our pay philosophy, and available benefits, please speak to the recruiter if you decide to apply and are selected for an interview.

Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment visa at this time.

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US Benefits at Baxter (except for Puerto Rico)

This is where your well-being matters. Baxter offers comprehensive compensation and benefits packages for eligible roles. Our health and well-being benefits include medical and dental coverage that start on day one, as well as insurance coverage for basic life, accident, short-term and long-term disability, and business travel accident insurance. Financial and retirement benefits include the Employee Stock Purchase Plan (ESPP), with the ability to purchase company stock at a discount, and the 401(k) Retirement Savings Plan (RSP), with options for employee contributions and company matching. We also offer Flexible Spending Accounts, educational assistance programs, and time-off benefits such as paid holidays, paid time off ranging from 20 to 35 days based on length of service, family and medical leaves of absence, and paid parental leave. Additional benefits include commuting benefits, the Employee Discount Program, the Employee Assistance Program (EAP), and childcare benefits. Join us and enjoy the competitive compensation and benefits we offer to our employees.For additional information regarding Baxter US Benefits, please speak with your recruiter or visit our Benefits site: Benefits | Baxter

Equal Employment Opportunity

Baxter is an equal opportunity employer. Baxter evaluates qualified applicants without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity or expression, protected veteran status, disability/handicap status or any other legally protected characteristic.

Know Your Rights: Workplace Discrimination is Illegal

Reasonable Accommodations
Baxter is committed to working with and providing reasonable accommodations to individuals with disabilities globally. If, because of a medical condition or disability, you need a reasonable accommodation for any part of the application or interview process, please click on the link here and let us know the nature of your request along with your contact information.

Recruitment Fraud Notice
Baxter has discovered incidents of employment scams, where fraudulent parties pose as Baxter employees, recruiters, or other agents, and engage with online job seekers in an attempt to steal personal and/or financial information. To learn how you can protect yourself, review our Recruitment Fraud Notice.