ZipRecruiter

Log In

2

Remote Utilization Review Rn Jobs in Alabama (NOW HIRING)

Urology Centers of Alabama

Care Coordinator

Birmingham, AL · Remote

$18 - $24.25/hr

This remote role focuses on managing patients with two or more chronic conditions through ongoing ... utilization. Key Responsibilities · Provide CMS-compliant Chronic Care Management (CCM) services ...

Transform9

Account Manager, Enterprise

Birmingham, AL · On-site +1

Run quarterly business reviews with practice leadership using their own metrics: answer rates, hold ... Channel structured client feedback to product Location Remote (US) with approximately 25% travel to ...

Transform9

Account Manager, Enterprise

Birmingham, AL · On-site +1

Run quarterly business reviews with practice leadership using their own metrics: answer rates, hold ... Channel structured client feedback to product Location Remote (US) with approximately 25% travel to ...

Outokumpu

Legal Counsel - USA & Canada

Calvert, AL · On-site +1

If remote from Atlanta or anywhere else, monthly travel to Calvert, Alabama for 2-3 day stay ... Draft, review, and negotiate a wide range of procurement and buy-side agreements, including ...

Varsity Tutors

NCLEX-PN Tutor

Tuscaloosa, AL · Remote

$18 - $40/hr

... RN scope questions, pharmacology calculations, and managing anxiety with the adaptive testing format. Adapts instruction using NCLEX-PN specific practice question banks, content review focused on ...

Varsity Tutors

NCLEX-PN Tutor

Huntsville, AL · Remote

$18 - $40/hr

... RN scope questions, pharmacology calculations, and managing anxiety with the adaptive testing format. Adapts instruction using NCLEX-PN specific practice question banks, content review focused on ...

Varsity Tutors

NCLEX-PN Tutor

Birmingham, AL · Remote

$18 - $40/hr

... RN scope questions, pharmacology calculations, and managing anxiety with the adaptive testing format. Adapts instruction using NCLEX-PN specific practice question banks, content review focused on ...

Varsity Tutors

NCLEX-PN Tutor

Montgomery, AL · Remote

$18 - $40/hr

... RN scope questions, pharmacology calculations, and managing anxiety with the adaptive testing format. Adapts instruction using NCLEX-PN specific practice question banks, content review focused on ...

Autocar, LLC

Vice President of Sales

Birmingham, AL · Remote

Develop and lead a high-performance remote field-based sales team and strong accountability culture ... Conduct structured performance reviews and individual coaching to accelerate team development and ...

Autocar, LLC

Vice President of Sales

Birmingham, AL · Remote

Develop and lead a high-performance remote field-based sales team and strong accountability culture ... Conduct structured performance reviews and individual coaching to accelerate team development and ...

GVW Group, LLC

Vice President of Sales

Birmingham, AL · Remote

Develop and lead a high-performance remote field-based sales team and strong accountability culture ... Conduct structured performance reviews and individual coaching to accelerate team development and ...

Autocar, LLC

Vice President of Sales

Birmingham, AL · Remote

Develop and lead a high-performance remote field-based sales team and strong accountability culture ... Conduct structured performance reviews and individual coaching to accelerate team development and ...

Varsity Tutors

NCLEX Tutor

Birmingham, AL · Remote

$25 - $40/hr

Adapts instruction using NCLEX review resources, practice question banks, and clinical scenario analysis to support nursing graduates preparing for first-time licensure as registered nurses or ...

next page

Showing results 1-20

All JobsUtilization Review Rn JobsRemote Utilization Review Rn JobsRemote Utilization Review Rn Jobs in Alabama

Remote Utilization Review Rn information

See Alabama salary details

$19

$38

$62

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

As of Jul 12, 2026, the average hourly pay for remote utilization review rn in Alabama is $38.32, according to ZipRecruiter salary data. Most workers in this role earn between $30.29 and $43.99 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Remote Utilization Review RN, and why are they important?

To excel as a Remote Utilization Review RN, you need a valid RN license, strong clinical judgment, and knowledge of utilization management principles. Familiarity with electronic medical records (EMR), utilization management software, and guidelines such as InterQual or MCG is typically required. Outstanding attention to detail, critical thinking, and effective communication skills help you collaborate with healthcare teams and advocate for appropriate patient care. These competencies are crucial for ensuring medical necessity, regulatory compliance, and optimal resource use in a remote setting.

What is a Remote Utilization Review RN?

A Remote Utilization Review RN is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services provided to patients, typically working from a remote location. They review medical records, apply clinical guidelines, and collaborate with healthcare providers to ensure patients receive the right care at the right time. Their work helps manage healthcare costs and improves patient outcomes by preventing unnecessary treatments or hospital stays. Remote Utilization Review RNs often work for insurance companies, hospitals, or healthcare organizations, and use secure digital platforms to conduct their reviews.

What is the difference between Remote Utilization Review Rn vs Remote Case Manager Rn?

AspectRemote Utilization Review RnRemote Case Manager Rn
CertificationsRN license, Utilization Review certification (e.g., URAC)RN license, Case Management certification (e.g., CCM)
Work EnvironmentReviewing medical records, insurance policies, telehealth platformsCoordinating patient care, discharge planning, telehealth
Employer & IndustryInsurance companies, healthcare organizationsHospitals, insurance providers, healthcare agencies

Remote Utilization Review Rns primarily focus on evaluating medical necessity for insurance coverage, while Remote Case Manager Rns coordinate patient care and discharge planning. Both roles require RN licensure and involve telehealth work, but they serve different functions within healthcare and insurance industries.

What are some common challenges Remote Utilization Review RNs face when working from home, and how can they be addressed?

Remote Utilization Review RNs often encounter challenges such as maintaining clear communication with interdisciplinary teams, managing time efficiently, and staying updated on changing payer guidelines. To address these challenges, it's important to establish consistent check-ins with team members via video or chat platforms, use digital tools to organize and prioritize caseloads, and participate in ongoing training sessions provided by employers. Adhering to a structured daily routine and leveraging available technology can help ensure productivity and high-quality reviews while working remotely.
What are the most commonly searched types of Utilization Review Rn jobs in Alabama? The most popular types of Utilization Review Rn jobs in Alabama are:
What are popular job titles related to Remote Utilization Review Rn jobs in Alabama? For Remote Utilization Review Rn jobs in Alabama, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in Alabama look for? The top searched job categories for Remote Utilization Review Rn jobs in Alabama are:
What cities in Alabama are hiring for Remote Utilization Review Rn jobs? Cities in Alabama with the most Remote Utilization Review Rn job openings:
Remote Utilization Review Rn jobs near you
Infographic showing various Remote Utilization Review Rn job openings in Alabama as of July 2026, with employment types broken down into 80% Full Time, 14% Part Time, and 6% Contract. Highlights an 40% Physical, 3% Hybrid, and 57% Remote job distribution, with an average salary of $79,714 per year, or $38.3 per hour.
Care Coordinator

Care Coordinator

Urology Centers of Alabama

Birmingham, AL • Remote

$18 - $24.25/hr

Other

Re-posted 11 days ago

Job description

The Chronic Care Coordinator supports patients enrolled in CMS Chronic Care Management (CCM) programs by delivering non–face-to-face care coordination services in accordance with Medicare guidelines. This remote role focuses on managing patients with two or more chronic conditions through ongoing monitoring, care plan management, patient education, and care team collaboration to improve outcomes and reduce avoidable utilization.

Key Responsibilities

· Provide CMS-compliant Chronic Care Management (CCM) services for eligible Medicare patients with two or more chronic conditions expected to last at least 12 months.

· Conduct non–face-to-face patient outreach via phone, secure messaging, and telehealth platforms to meet monthly CCM time requirements.

· Develop, document, and maintain comprehensive electronic care plans addressing medical, functional, psychosocial, and preventive care needs.

· Perform monthly care coordination activities, including medication reconciliation support, appointment coordination, and follow-up on care gaps.

· Educate patients and caregivers on chronic disease management, medication adherence, lifestyle modifications, and self-management strategies.

· Identify and address barriers to care, including social determinants of health, and connect patients with community and clinical resources.

· Coordinate communication between patients, primary care providers, specialists, pharmacies, and other care team members.

· Accurately track, document, and report billable CCM time in compliance with CMS guidelines and organizational policies.

· Ensure patient consent for CCM services is obtained, documented, and maintained per CMS requirements.

· Support quality measures, risk stratification efforts, and care gap closure initiatives.

· Maintain strict compliance with HIPAA, CMS regulations, and internal compliance standards.

HS Diploma or equivalent required. 

· Demonstrated background in medical knowledge through relevant healthcare experience, such as:

o Chronic Care Management (CCM), care coordination, or case management roles

o Medical assistant, patient navigator, health coach, EMT, CNA, LPN, or similar healthcare positions

o Healthcare documentation, EHR management, or clinical support experience

· 1–3 years of experience in healthcare, population health, or chronic care support preferred.

· Familiarity with CMS CCM guidelines, billing concepts, and documentation standards strongly preferred.

· Experience working with Medicare populations and chronic disease management preferred.

· Prior remote healthcare or telehealth experience is a plus.

Required Skills & Competencies

· Strong understanding of chronic disease states, medical terminology, and care coordination workflows.

· Knowledge of CMS CCM requirements, including care plans, patient consent, and time tracking.

· Excellent verbal and written communication skills for remote patient engagement.

· High attention to detail and strong documentation skills to support compliance and billing accuracy.

· Ability to manage a remote caseload and meet monthly CCM time thresholds.

· Proficiency with EHR systems, care management platforms, and telehealth tools.

· Ability to work independently while collaborating with clinical and administrative teams.

· Patient-centered, empathetic approach with strong problem-solving skills.

· Reliable high-speed internet and a private, secure workspace.

Work Environment

· Hybrid  after 90 days of onsite training. 

· Requires frequent phone, messaging, and computer use throughout the workday.

Physical Requirements

· Ability to sit and work at a computer for extended periods.

· Ability to manage sensitive patient information and emotionally complex patient interactions

Apply