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Remote Utilization Review Rn Jobs in Connecticut

Review data discrepancies and gaps across multiple systems. Escalate to appropriate channels. What ... History identifying and resolving part quality and delivery issues - including utilization of ...

NCLEX-PN Tutor

Norwalk, CT · 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 ...

NCLEX-PN Tutor

New Haven, CT · 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 ...

NCLEX-PN Tutor

Hartford, CT · 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 ...

NCLEX-PN Tutor

Stamford, CT · 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 ...

NCLEX-PN Tutor

Bridgeport, CT · 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 ...

Director Client Development

Hartford, CT · On-site +1

$120K - $205K/yr

All remote positions are based in the United States, and candidates must reside within the U.S. to ... Conduct quarterly and annual performance reviews tied to sales outcomes, including win rates, deal ...

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Remote Utilization Review Rn information

See Connecticut salary details

$20

$40

$65

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

As of Jul 18, 2026, the average hourly pay for remote utilization review rn in Connecticut is $40.22, according to ZipRecruiter salary data. Most workers in this role earn between $31.78 and $46.20 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 cities in Connecticut are hiring for Remote Utilization Review Rn jobs? Cities in Connecticut with the most Remote Utilization Review Rn job openings:
Infographic showing various Remote Utilization Review Rn job openings in Connecticut as of July 2026, with employment types broken down into 87% Full Time, 10% Part Time, and 3% Contract. Highlights an 40% Physical, 2% Hybrid, and 58% Remote job distribution, with an average salary of $83,662 per year, or $40.2 per hour.
Clinical Analyst, Population Health & CARE Solutions

Clinical Analyst, Population Health & CARE Solutions

IQVIA

Greenwich, CT • Remote

Full-time

Posted 18 days ago


IQVIA rating

8.1

Company rating: 8.1 out of 10

Based on 53 frontline employees who took The Breakroom Quiz

55th of 210 rated it services


Job description

About Cedar Gate Technologies

Cedar Gate Technologies, an IQVIA business, enables payers, providers, employers, and service administrators to excel at value-based care with a unified technology and services platform delivering analytics, care, and payment technology on a single data management foundation. At Cedar Gate, you'll be part of a collaborative, innovative environment where great ideas thrive. We invest deeply in our people through ongoing training, comprehensive benefits, and a strong culture of teamwork, offering the chance to grow your skills while contributing to high impact initiatives for some of the world's most dynamic companies.

Position Summary

Cedar Gate Technologies, an IQVIA business, is seeking a clinically experienced healthcare professional who brings both deep care delivery expertise and the ability to work alongside product and engineering teams to improve technology-enabled workflows. As the Clinical Analyst, Population Health & CARE Solutions, you will partner directly with healthcare clients to operationalize CARE solutions, translating real-world clinical and value-based care requirements into practical system configuration and workflow design. You will serve as a trusted advisor to providers and care teams while also acting as a critical bridge to internal product teams, helping shape solutions that drive measurable improvements in quality, cost, and patient outcomes.

Roles & Responsibilities

Healthcare Client Enablement

  • Serve as a trusted enablement partner to healthcare clients, demonstrating a deep understanding of their clinical, operational, and business objectives.
  • Build strong, credibility-based relationships with physicians, nurses, and care management teams by speaking their language and understanding day-to-day workflows.
  • Enable providers, MSOs, delegated care organizations, and TPAs to successfully adopt and operationalize CARE products in support of value-based care performance goals.
  • Translate client business models, risk arrangements, and contract structures into practical product usage, configuration decisions, and workflow optimization.
  • Facilitate strategic client conversations related to population health, care management operations, and value-based care program execution.

CARE Product Implementation & Optimization

  • Lead and support the configuration, implementation, and optimization of CARE solutions across a variety of client environments.
  • Train and guide clients on best practices to maximize adoption, efficiency, and ROI from CARE products.
  • Identify gaps in usage or outcomes and recommend improvements aligned with quality, utilization, cost, and patient experience objectives.
  • Support clients in developing workflows, identifying reporting requirements, and meeting regulatory and compliance needs.

Product Strategy, Innovation & Market Expansion

  • Collaborate with Product Management, Engineering, and other internal teams to gather client feedback and translate insights into functional requirements and enhancement opportunities.
  • Contribute to solution design and enhancement planning for new and existing CARE product capabilities.
  • Support innovation initiatives and exploration of new market segments, particularly within delegated care, MSO-led models, and risk-bearing provider organizations.
  • Act as a voice of the customer, ensuring product direction is informed by real-world clinical and operational needs.

Cross-Functional Collaboration

  • Work effectively within a distributed, global organization, demonstrating flexibility across time zones while primarily supporting U.S.-based clients.
  • Partner with internal teams to support performance improvement initiatives, strategic client objectives, and prospective customer engagements.
  • Coordinate with cross-functional stakeholders to ensure alignment between client needs, product delivery, and organizational goals.

Job Location

United States - Remote

Work Arrangement

U.S. residents only; work must be performed within the United States.

Experience / Qualifications

  • Clinical degree or certification (RN, PharmD, or related field) with significant hands-on clinical experience in care delivery, care management, or utilization management
  • Deep understanding of value-based care, population health, and delegated care models, including how performance is measured (quality, cost, utilization)
  • Proven experience working directly with providers, nurses, and care teams, with the ability to influence clinical workflows and operational decisions
  • Experience partnering with product, engineering, or IT teams to improve tools, workflows, or system configurations
  • Demonstrated ability to translate clinical workflows into system requirements, process improvements, or technology-enabled solutions
  • Advanced experience with healthcare software implementation, configuration, or optimization (not just end-user experience)
  • Strong working knowledge of care management, utilization management, or population health operations
  • Ability to identify workflow inefficiencies and drive practical, scalable improvements in a technology-enabled environment
  • Excellent communication skills, with a track record of bridging clinical and technical teams
  • Comfortable operating as a trusted advisor to clinical and operational leaders
  • To be eligible for this position, you must reside in the same country where the job is located.

Enhancements to Experience:

  • Proficiency with EHR platforms (Epic, Oracle Health/Cerner, Meditech) is preferred, including workflow design or build exposure
  • Prefer those with a background in managed care or payer environments, especially UM, prior authorization, or care management platforms
  • Experience supporting risk-bearing entities, MSOs, or delegated care organizations would be nice to have
  • Familiarity with clinical decision support tools, care management platforms, or population health systems will be helpful
  • Contributions to product feedback loops, feature design, or solution development are preferred
  • Preference for some exposure to regulatory reporting and compliance requirements in value-based programs

IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide. Learn more athttps://jobs.iqvia.com

IQVIA is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable law. https://jobs.iqvia.com/eoe

IQVIA is committed to integrity in our hiring process and maintains a zero tolerance policy for candidate fraud. All information and credentials submitted in your application must be truthful and complete. Any false statements, misrepresentations, or material omissions during the recruitment process will result in immediate disqualification of your application, or termination of employment if discovered later, in accordance with applicable law. We appreciate your honesty and professionalism.

The potential base pay range for this role, when annualized, is $86,500.00 - $216,000.00. The actual base pay offered may vary based on a number of factors including job-related qualifications such as knowledge, skills, education, and experience; location; and/or schedule (full or part-time). Dependent on the position offered, incentive plans, bonuses, and/or other forms of compensation may be offered, in addition to a range of health and welfare and/or other benefits.

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About IQVIA

Sourced by ZipRecruiter

At IQVIA, we are passionate about helping customers and partners improve results and patient outcomes. Everything we do contributes to this vision for creating a healthier world. In today’s healthcare environment, it’s not only about how much data, information, and technology you have at your fingertips – it’s what you do with it. IQVIA is focused on making intelligent connections for customers across the entire healthcare ecosystem to help you drive healthcare forward. Whether that means partnering with novel technology companies to boost patient engagement, leveraging AI & machine learning to accelerate results, or using decentralized trials to reach the right patients wherever they are – we are always looking for smarter ways to move you forward.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Durham, NC, US