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Remote Utilization Review Rn Jobs in Connecticut

Varsity Tutors

NCLEX-PN Tutor

Stamford, CT · Remote

$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

Hartford, CT · Remote

$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

Norwalk, CT · Remote

$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

New Haven, CT · Remote

$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 ...

Insurity

Manager, Professional Services

Hartford, CT · On-site +1

Drive utilization across team * Communicate financial and goal results, and KPIs to direct reports ... Demonstrated experience driving code quality through reviews, testing practices, and use of modern ...

Varsity Tutors

NCLEX-PN Tutor

Bridgeport, CT · Remote

$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 ...

Insurity

Manager, Professional Services

Hartford, CT · On-site +1

Drive utilization across team * Communicate financial and goal results, and KPIs to direct reports ... Demonstrated experience driving code quality through reviews, testing practices, and use of modern ...

CVS Health

AVP, Pharmacy Operations & Strategy

Hartford, CT · Remote

$130K - $172K/yr

Coordinate performance reviews, trend analysis, operational updates, and improvement plans across ... Remote or HybridRequirements * 12+ years of experience in health plan pharmacy, PBM, or related ...

ReSource Pro

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

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

As of Jun 9, 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 are popular job titles related to Remote Utilization Review Rn jobs in Connecticut? For Remote Utilization Review Rn jobs in Connecticut, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in Connecticut look for? The top searched job categories for Remote Utilization Review Rn jobs in Connecticut are:
What cities in Connecticut are hiring for Remote Utilization Review Rn jobs? Cities in Connecticut with the most Remote Utilization Review Rn job openings:
Remote Utilization Review Rn jobs near you

Clinical Diabetes Specialist - New Haven/White Plains

Sequel Med Tech

New Haven, CT • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 5 days ago

Job description

About Sequel
Sequel, headquartered in Manchester, New Hampshire, is a company developing the next generation of transformative drug-delivery advancements starting with diabetes. Sequel's approach is to look at diabetes management holistically to advance systems that make living with diabetes simpler and easier for all. Sequel's flagship product, the twiist Automated Insulin Delivery (AID) System, launched in July 2025 for people with type 1 diabetes providing them with personalized diabetes management.
Job Overview
As a Clinical Diabetes Specialist (CDS) you will partner with a Territory Business Leader (TBL) to successfully launch a new innovative insulin pump and future Sequel products. Your primary responsibility is to deliver unparalleled clinical education and product training for people with diabetes and healthcare providers to drive product adoption and support persistent use. In partnership with the TBL, you will formulate territory strategies and initiatives to meet/exceed territory goals.
As a Senior Clinical Diabetes Specialist, you will additionally take on a leadership role within the team by mentoring junior staff, assisting with field sales training, and participating on internal advisory boards.
Territory includes White Plains NY, Bridgeport, Stamford, Danbury and New Haven CT.
Job Responsibilities and Essential Duties
  • Develop effective territory planning and strategies with TBL to meet/exceed territory goals.
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  • Execute clinical selling strategies within assigned accounts.
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  • Assess referrals for product use in people with diabetes to confirm criteria are met for product utilization.
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  • Facilitate product education and training for users of Sequel products.
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  • Drive healthcare provider adoption and confidence in Sequel products by promoting the clinical benefits of automated insulin delivery with Sequel products and conducting impactful product demonstrations.
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  • Certify healthcare providers to conduct product training for people with diabetes.
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  • Facilitate virtual product training and other educational webinars.
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  • Communicate user feedback cross-functionally to solve problems and improve product development.
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  • Collaborate with customer care and sales support to optimize the user experience.
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  • Consistently exhibit a high level of proficiency and expertise in discussing and demonstrating Sequel products, as well as expertise in diabetes and therapeutic options for diabetes care.
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  • Participate in conventions, educational forums, and meetings to increase product awareness.
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  • Manage all leads and opportunities in customer relations database daily and submit product training documentation as required.
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  • Maintain a high profile with state and local patient advocacy groups and professional diabetes organizations, such as local chapters of ADA (American Diabetes Association), ADCES (Association of Diabetes Care and Education Specialists), and Breakthrough T1D (formerly known as Juvenile Diabetes Research Foundation).
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The Senior Clinical Diabetes Specialist will have the following additional responsibilities:
  • Assist with field sales and clinical training.
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  • Participate in advisory boards with cross-functional departments.
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  • Mentor junior staff.
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  • As needed, lead weekly team calls, regional and/or area calls and/or meetings.
    • >

Minimum Requirements
  • A valid professional license in one or more of the following fields: RN, RD, PA, NP, Pharmacist.
    • >

  • Certified Diabetes Care and Education Specialist (CDCES) is preferred.
    • >

  • 2+ years of experience coordinating and conducting diabetes education with strong experience in the technical use of diabetes technology preferred.
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For the Senior CDS role:
  • Certified Diabetes Care and Education Specialist (CDCES) certification required.
    • >

  • 4+ years of clinical diabetes education experience.
    • >

  • Experience coordinating and conducting diabetes device education in the medical device industry preferred.
    • >

Required Knowledge, Skills and Abilities
  • Demonstrated history of high performance in previous roles.
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  • Excellent presentation skills and ability to respond to questions from patients and healthcare providers in real time.
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  • Strong data analysis, evaluation and problem-solving skills.
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  • Knowledge of diabetes products and therapies.
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  • Candidate must live within the assigned geography.
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  • Excellent communication and presentation skills
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  • Ability to function in a fast-paced start-up environment.
    • >

  • Valid driver's license required.
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  • Ability to carry and transport professional samples and literature.
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  • Ability to commute and spend extended periods of time driving each day, which may include overnight travel. Most territory travel will be by car.
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Additional requirements for the Senior CDS role:
  • Demonstrated history of top-tier success (top 25%) and meeting clinical metrics the medical device industry
    • >

  • Served in developmental and leadership roles such as field sales trainer, mentor new of hires, field advisory board/marketing or clinical input committee programs
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  • Experience representing organization at industry conferences/conventions (i.e. ADA, ADCES)
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  • Demonstrated career progression/promotions into roles with increased responsibility
    • >

  • Strategic problem solver
    • >

  • Demonstrated success in sales, or in partnership with sales (P-Club, COE).
    • >

$141,000 - $161,000 a year
The total base salary and target incentive compensation for this position is $141,000 - $161,000 annually (based on the achievement of goals). Base pay varies based on job-related knowledge, skills, and experience. Sequel offers a comprehensive benefits package, PTO, a car allowance and gas reimbursement, and significant opportunities for career growth and advancement.
Sequel Med Tech provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
At Sequel, we believe that when you thrive, we thrive. That's why our benefits package is designed to support you from day one. You'll be automatically enrolled in our 401k plan, featuring a 6% company match and 100% immediate vesting. We're committed to your well-being and understand the unique needs of employees and families living with diabetes, so we offer capped out-of-pocket insulin costs and GLP-1 coverage across all plans. You'll have access to a variety of Meritain health insurance plans to suit your needs and can also take advantage of Flexible Spending Accounts (FSAs) or Health Savings Account (HSA). Our comprehensive benefits package includes vision and dental coverage, plus voluntary options such as long-term disability, accident, critical illness, hospital indemnity, and even discounts for pet care. In addition, we provide employer-paid short-term disability and life insurance for extra peace of mind.
We know the importance of taking time to rest and recharge. That's why Sequel offers flexible PTO, generous paid holidays, and Flex Time options to help you balance work and life when you need it most. Our team enjoys a culture built on hard work, fun, and genuine support. At Sequel, you're not just starting a job, you're building a rewarding career and a brighter future. Join us, and let's thrive together!
Environmental/Safety/Physical Work Conditions
Ensures environmental consciousness and safe practices are exhibited in decisions
Use of computer and telephone equipment and other related office accessories/devices to complete assignments
May work extended hours during peak business cycles
Physical requirements such as lifting specific weights
Some travelling is expected

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