This is a remote role that requires an every Saturday and Sunday commitment. JOB SUMMARY: The ... This requirement will be lifted for LBH candidates employed as a Utilization Review Nurse, Clinical ...
This is a remote role that requires an every Saturday and Sunday commitment. JOB SUMMARY: The ... This requirement will be lifted for LBH candidates employed as a Utilization Review Nurse, Clinical ...
... RN-VA, DC and or MD. Experience: 3 years acute clinical experience, previous case management, discharge planning or utilization review experience. Preferred Qualifications: * Bachelor's degree in ...
... RN-VA, DC and or MD. Experience: 3 years acute clinical experience, previous case management, discharge planning or utilization review experience. Preferred Qualifications: * Bachelor's degree in ...
... RN-VA, DC and or MD. Experience: 3 years acute clinical experience, previous case management, discharge planning or utilization review experience. Preferred Qualifications: * Bachelor's degree in ...
... RN-VA, DC and or MD. Experience: 3 years acute clinical experience, previous case management, discharge planning or utilization review experience. Preferred Qualifications: * Bachelor's degree in ...
... RN-VA, DC and or MD. Experience: 3 years acute clinical experience, previous case management, discharge planning or utilization review experience. Preferred Qualifications: * Bachelor's degree in ...
... RN-VA, DC and or MD. Experience: 3 years acute clinical experience, previous case management, discharge planning or utilization review experience. Preferred Qualifications: * Bachelor's degree in ...
Senior Director, Complex Care Management and Utilization Management - 2947
Baltimore, MD · On-site +1
... locations * RN license preferred. * Certification in Case Management (CCM), Utilization Review ... Working conditions This job operates in a remote location from your home location. This role ...
Senior Director, Complex Care Management and Utilization Management - 2947
Baltimore, MD · On-site +1
... locations * RN license preferred. * Certification in Case Management (CCM), Utilization Review ... Working conditions This job operates in a remote location from your home location. This role ...
RN Admissions Coordinator - Long-Term Care & Rehabilitation (Remote)
Annapolis, MD · On-site +1
$85K/yr
Care Management / Utilization Management Salary: $85,000 Position Summary A managed care ... Review clinical documentation and assessments to determine appropriate placement based on member ...
RN Admissions Coordinator - Long-Term Care & Rehabilitation (Remote)
Annapolis, MD · On-site +1
$85K/yr
Care Management / Utilization Management Salary: $85,000 Position Summary A managed care ... Review clinical documentation and assessments to determine appropriate placement based on member ...
... RN - Registered Nurse in MD, VA or Washington, DC. Experience: 5 years' clinically related experience working in Discharge Coordination and/or Utilization Review. Preferred Qualifications:
... RN - Registered Nurse in MD, VA or Washington, DC. Experience: 5 years' clinically related experience working in Discharge Coordination and/or Utilization Review. Preferred Qualifications:
Medical Review Nurse III
Baltimore, MD · On-site +1
$80K - $95K/yr
... Determinations, utilization/practice guidelines, and clinical review judgment. Provides ... Registered Nurse, with a current unobstructed license to practice nursing in the United States.
Medical Review Nurse III
Baltimore, MD · On-site +1
$80K - $95K/yr
... Determinations, utilization/practice guidelines, and clinical review judgment. Provides ... Registered Nurse, with a current unobstructed license to practice nursing in the United States.
... Determinations, utilization/practice guidelines, and clinical review judgment. Provides ... Registered Nurse, with a current unobstructed license to practice nursing in the United States.
... Determinations, utilization/practice guidelines, and clinical review judgment. Provides ... Registered Nurse, with a current unobstructed license to practice nursing in the United States.
Experience: 5 years clinically related experience working in Care Management, Home Health, Discharge Coordination and/or Utilization Review. Licenses/Certifications Upon Hire Required: * RN - ...
Experience: 5 years clinically related experience working in Care Management, Home Health, Discharge Coordination and/or Utilization Review. Licenses/Certifications Upon Hire Required: * RN - ...
The Clinical Navigator (RN) conducts concurrent review of inpatient level of care, managing the ... Utilizing experience and skills in utilization management, the Clinical Navigator will leverage ...
The Clinical Navigator (RN) conducts concurrent review of inpatient level of care, managing the ... Utilizing experience and skills in utilization management, the Clinical Navigator will leverage ...
The Clinical Navigator (RN) conducts concurrent review of inpatient level of care, managing the ... Utilizing experience and skills in both care management and utilization management, the Clinical ...
The Clinical Navigator (RN) conducts concurrent review of inpatient level of care, managing the ... Utilizing experience and skills in both care management and utilization management, the Clinical ...
Three (3) years of clinically related experience working in Medical Review, Utilization Management, or other RN direct patient care or health insurance payor experience. Preferred Qualifications:
Three (3) years of clinically related experience working in Medical Review, Utilization Management, or other RN direct patient care or health insurance payor experience. Preferred Qualifications:
Participate in remote patient monitoring and support self-management skills. Population Health ... Develop population-based strategies to improve quality, reduce avoidable utilization, and enhance ...
Participate in remote patient monitoring and support self-management skills. Population Health ... Develop population-based strategies to improve quality, reduce avoidable utilization, and enhance ...
Telephonic Case Manager I
Nottingham, MD · Remote
$63K - $95K/yr
This is a remote role. This position requires a California RN Nursing License. ESSENTIAL FUNCTIONS ... Strong cost containment background, such as utilization review or managed care helpful
Quick apply
Telephonic Case Manager I
Nottingham, MD · Remote
$63K - $95K/yr
This is a remote role. This position requires a California RN Nursing License. ESSENTIAL FUNCTIONS ... Strong cost containment background, such as utilization review or managed care helpful
Telephonic Case Manager I
Nottingham, MD · Remote
$63K - $95K/yr
This is a remote role. This position requires a California RN Nursing License. ESSENTIAL FUNCTIONS ... Strong cost containment background, such as utilization review or managed care helpful
Telephonic Case Manager I
Nottingham, MD · Remote
$63K - $95K/yr
This is a remote role. This position requires a California RN Nursing License. ESSENTIAL FUNCTIONS ... Strong cost containment background, such as utilization review or managed care helpful
Three (3) years of clinically related experience working in Medical Review, Utilization Management, or other RN direct patient care or health insurance payor experience. Preferred Qualifications:
Three (3) years of clinically related experience working in Medical Review, Utilization Management, or other RN direct patient care or health insurance payor experience. Preferred Qualifications:
Three (3) years of clinically related experience working in Medical Review, Utilization Management, or other RN direct patient care or health insurance payor experience. Preferred Qualifications:
Three (3) years of clinically related experience working in Medical Review, Utilization Management, or other RN direct patient care or health insurance payor experience. Preferred Qualifications:
Clinical Quality Registered Nurse
Baltimore, MD · Remote
$80K - $85K/yr
Registered Nurse, Quality Assurance - In-Home Clinical Services The candidate must reside in the ... Hybrid role with a mix of remote chart review, virtual coaching, and field-based observation visits.
Clinical Quality Registered Nurse
Baltimore, MD · Remote
$80K - $85K/yr
Registered Nurse, Quality Assurance - In-Home Clinical Services The candidate must reside in the ... Hybrid role with a mix of remote chart review, virtual coaching, and field-based observation visits.
Registered Nurse, Quality Assurance -- In-Home Clinical Services The candidate must reside in the ... Hybrid role with a mix of remote chart review, virtual coaching, and field-based observation visits.
Quick apply
Registered Nurse, Quality Assurance -- In-Home Clinical Services The candidate must reside in the ... Hybrid role with a mix of remote chart review, virtual coaching, and field-based observation visits.
Remote Utilization Review Rn information
See Maryland salary details
$20.76 - $24.96
2% of jobs
$24.96 - $29.16
9% of jobs
$32.04 is the 25th percentile. Wages below this are outliers.
$29.16 - $33.36
21% of jobs
The median wage is $36.76 / hr.
$33.36 - $37.56
23% of jobs
$37.56 - $41.76
13% of jobs
$45.03 is the 75th percentile. Wages above this are outliers.
$41.76 - $45.96
10% of jobs
$45.96 - $50.16
8% of jobs
$50.16 - $54.36
5% of jobs
$54.36 - $58.56
5% of jobs
$58.56 - $62.76
2% of jobs
$62.76 - $66.96
2% of jobs
$20
$41
$66
How much do remote utilization review rn jobs pay per hour?
As of Jul 6, 2026, the average hourly pay for remote utilization review rn in Maryland is $41.04, according to ZipRecruiter salary data. Most workers in this role earn between $32.45 and $47.12 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?
| Aspect | Remote Utilization Review Rn | Remote Case Manager Rn |
|---|---|---|
| Certifications | RN license, Utilization Review certification (e.g., URAC) | RN license, Case Management certification (e.g., CCM) |
| Work Environment | Reviewing medical records, insurance policies, telehealth platforms | Coordinating patient care, discharge planning, telehealth |
| Employer & Industry | Insurance companies, healthcare organizations | Hospitals, 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 Maryland? For Remote Utilization Review Rn jobs in Maryland, the most frequently searched job titles are:
- Medical Claim Review Nurse
- Entry Level Utilization Management Nurse
- Remote Utilization Management Nurse
- Medical Review Nurse
- No Experience Hedis Review Nurse
- Remote Cvs Utilization Management Nurse
- Freelance Utilization Review Nurse
- Remote Prior Authorization Nurse
- Registered Nurse Utilization Review
- No Experience Utilization Management Nurse
What job categories do people searching Remote Utilization Review Rn jobs in Maryland look for? The top searched job categories for Remote Utilization Review Rn jobs in Maryland are:
- Online Utilization Review
- Remote Optum Utilization Review
- Free Utilization Review Training
- Flexible Cigna Utilization Review Nurse
- Entry Level Rn Utilization Review Nurse
- Weekend Utilization Review
- Remote Utilization Review
- Contract Utilization Review
- Volunteer Navihealth Utilization Review
- Aetna Utilization Review Nurse
What cities in Maryland are hiring for Remote Utilization Review Rn jobs? Cities in Maryland with the most Remote Utilization Review Rn job openings:
LifeBridge Health rating
6.2
Based on 77 frontline employees who took The Breakroom Quiz
691st of 877 rated healthcare providers
Job description
This is a remote role that requires an every Saturday and Sunday commitment.
JOB SUMMARY: The Inpatient Care Manager, in collaboration with the clinical team and medical provider, provides discharge planning coordination and intervention. The Care Manger strives to promote patient wellness, improved care outcomes, efficient utilization of health services and minimize denials of payment among a patient population with complex health needs.
REQUIREMENTS: Basic professional knowledge; equivalent to a Bachelor's degree; working knowledge of theory and practice within a specialized field. BSN required from CCNE accredited schools. This requirement will be lifted for LBH candidates employed as a Utilization Review Nurse, Clinical Care Coordinator, Patient Care Integrator or RN Case Manager.
What LifeBridge Health employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About LifeBridge Health
Sourced by ZipRecruiter
LifeBridge Health is a $2B, 13,000 team member healthcare system that Cares Bravely for over 1 million patients annually throughout Maryland. We are comprised of 5 main healthcare centers: Sinai Hospital, Northwest Hospital, Carroll Hospital, Levindale Hebrew Geriatric Center and Hospital, and Grace Medical Center as well as several specialty and primary care locations throughout Baltimore.
Industry
Health care and social assistance
Company size
5,001 - 10,000 Employees
Headquarters location
Baltimore, MD, US
Year founded
1988