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Remote Utilization Review Rn Jobs in Missouri (NOW HIRING)

Varsity Tutors

NCLEX-RN Tutor

Saint Louis, MO · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

Kansas City, MO · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

Columbia, MO · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Pharmacy Careers

Appeals Pharmacist (Remote)

Saint Louis, MO · On-site +1

$52 - $63.25/hr

Collaborate with physicians, nurses, and medical directors during case reviews. * Track, document ... Prior managed care or utilization management experience preferred - retail and hospital pharmacists ...

Pharmacy Careers

Appeals Pharmacist (Remote)

Springfield, MO · On-site +1

$48.25 - $58.75/hr

Collaborate with physicians, nurses, and medical directors during case reviews. * Track, document ... Prior managed care or utilization management experience preferred - retail and hospital pharmacists ...

Americare

Regional Nurse Consultant (RN)

Saint Louis, MO · On-site +1

$85K - $100K/yr

Support resident-at-risk reviews, discharges, and transfers as needed Training & Support * Deliver ... Current Registered Nurse (RN) license required Experience & Knowledge * Five (5) years of long-term ...

Far West Local Health District

$9.0K/mo

Opportunity to travel to our remote site to relieve and work on the frontline to join a truly ... Under the guidance of a Registered Nurse, provide safe, compassionate, person centred care in ...

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All JobsRemote Utilization Review Rn JobsRemote Utilization Review Rn Jobs in Missouri

Remote Utilization Review Rn information

See Missouri salary details

$20

$39

$64

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

As of Jun 29, 2026, the average hourly pay for remote utilization review rn in Missouri is $39.66, according to ZipRecruiter salary data. Most workers in this role earn between $31.35 and $45.53 per hour, depending on experience, location, and employer.

What is the meaning of the word remote?

In the context of a Remote Utilization Review RN job, 'remote' refers to working outside of a traditional office setting, often from home or another location of the employee's choice. This setup typically involves using digital tools and communication platforms to perform job duties without being physically present in an office environment.

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 meaning of remote in one word?

In the context of a Remote Utilization Review RN role, 'remote' means working from a location outside of a traditional office, typically from home, using digital communication tools. It emphasizes flexibility and virtual access to work systems without physical presence at a healthcare facility.

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.

How to make 2000 a week working from home?

A Remote Utilization Review RN can potentially earn $2,000 weekly by working full-time hours, often 40 hours per week, and gaining experience or certifications that allow for higher billing rates. Increasing income may involve taking on additional cases, specializing in high-demand areas, or working for agencies that offer competitive pay for remote utilization review roles.

What is remote job?

A remote Utilization Review RN job is a healthcare position where the nurse reviews patient cases and insurance claims from a location outside of a traditional office, often working from home. It requires strong communication skills, knowledge of medical documentation, and familiarity with electronic health record systems, with flexible schedules common in remote roles.

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 Missouri? For Remote Utilization Review Rn jobs in Missouri, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in Missouri look for? The top searched job categories for Remote Utilization Review Rn jobs in Missouri are:
What cities in Missouri are hiring for Remote Utilization Review Rn jobs? Cities in Missouri 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 Missouri as of June 2026, with employment types broken down into 2% Internship, 2% As Needed, 72% Full Time, 20% Part Time, and 4% Contract. Highlights an 100% Remote job distribution, with an average salary of $82,494 per year, or $39.7 per hour.
RN - Virtual Expert Care - FT

RN - Virtual Expert Care - FT

Saint Luke's Health System

Lees Summit, MO • On-site, Remote

Full-time

Posted 12 days ago

Key responsibilities

  • Assist the primary nurse in patient education and coordination of care.

  • Help provide communication with the care team and families.

  • Maintain inpatient nursing skills through bedside shift requirements.

Saint Luke's Health System (Kansas City) rating

7.1

Company rating: 7.1 out of 10

Based on 108 frontline employees who took The Breakroom Quiz

372nd of 877 rated healthcare providers

Job description

Job Description
We are hiring a Registered Nurse to join our Virtual Expert Care Department.
This is an onsite position at the Corporate Office.
This is full time position working 3x12 shifts - 08:45a - 9:15p.
The Virtual Expert Care Department is a collaborative team that will allow experienced nurses to work virtually with the patient and care team at the bedside. This team of virtual nurses helps improve hospital throughput, while enhancing the patient experience. Saint Luke's is leading the way in patient care by using advance technologies to provide services.
This position will provide you with the opportunity to:
  • Assist the primary nurse in patient education and coordination of care
  • Help provide communication with care team and families
  • This position has a bedside shift requirement allowing you to keep your inpatient nursing skills up to date
  • Use your years of experience to improve patient care and outcomes

To be successful, you will need to be flexible, adaptable, and positive. We are looking for energetic, team focused nursing professionals who are motivated by an environment where they can continuously learn and grow, support others in their growth, and work with cutting edge technology.
Candidates with 2+ years of inpatient nursing experience strongly preferred.
This is not a remote/work from home position. The Virtual Nurse positions will the located at Corporate office. In addition, this position has a bedside shift requirement.
Why Saint Luke's?
  • We value knowledge, experience, and expertise to improve patient outcomes and quality care.
  • The opportunity to make an impact on the health system and the healthcare industry.
  • Saint Luke's offers competitive salaries and benefits packages to all of their employees, click here to find out more.

Job Requirements
Applicable Experience:
3-5 years
Basic Life Support - American Heart Association or Red Cross, Registered Nurse (KS) - National Council of State Boards of Nursing (NURSYS), Registered Nurse (MO) - National Council of State Boards of Nursing (NURSYS)
Associate Degree
Job Details
Full Time
Swing (United States of America)
The best place to get care. The best place to give care. Saint Luke's 12,000 employees strive toward that vision every day. Our employees are proud to work for the only faith-based, nonprofit, locally owned health system in Kansas City. Joining Saint Luke's means joining a team of exceptional professionals who strive for excellence in patient care. Do the best work of your career within a highly diverse and inclusive workspace where all voices matter.
Join the Kansas City region's premiere provider of health services. Equal Opportunity Employer.

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