ZipRecruiter

Log In

2

Remote Utilization Review Rn Jobs in Missouri (NOW HIRING)

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 ...

Mosaic Life Care

Remote - Inpatient Coder II

Saint Joseph, MO · On-site +1

$21 - $25.25/hr

Reviews and appeals coding denials. * Educates/Communicates with providers, querying providers to ... Registered Health Information Administrator (RHIA) - Preferred Upon Hire Or * Registered Health ...

Ourhrconnect

Coordinator, Medical Affairs

Louisiana, MO · On-site +1

Associate's degree in Nursing with an active RN license. * Required Work Experience : 5 years ... Sound clinical review judgement. Independent thinking and strong organizational skills. * Required ...

New

next page

Showing results 1-20

All JobsUtilization Review Rn 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 Jul 22, 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 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 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 July 2026, with employment types broken down into 90% Full Time, 7% Part Time, and 3% Contract. Highlights an 51% Physical, 4% Hybrid, and 45% Remote job distribution, with an average salary of $82,494 per year, or $39.7 per hour.
eAcute Registered Nurse - Virtual Care - Part Time - Day Shift

eAcute Registered Nurse - Virtual Care - Part Time - Day Shift

CoxHealth

Springfield, MO • On-site, Remote

Part-time

Medical, Dental, Vision, Retirement

Posted 8 days ago

CoxHealth rating

6.6

Company rating: 6.6 out of 10

Based on 232 frontline employees who took The Breakroom Quiz

573rd of 888 rated healthcare providers

Job description

Facility:
CoxHealth South: 3801 S National Ave, Springfield, Missouri, United States of America, 65807
Department:
1651 Virtual Care Command Center
Scheduled Weekly Hours:
24
Hours:
6:30 AM - 7:00 PM
Work Shift:
Day Shift (United States of America)
CoxHealth is a leading healthcare system serving 25 counties across southwest Missouri and northern Arkansas. The organization includes six hospitals, 5 ERs, and over 80 clinics. CoxHealth has earned the following honors for workplace excellence:
  • Named one of Modern Healthcare's Best Places to work five times.
  • Named one of America's Greatest Workplaces, Greatest Workplaces in Healthcare (2025, 2026), Greatest Workplaces for Women (2023, 2024), and Greatest Workplaces for Diversity (2024) by Newsweek and Plant-A Insights Group.
  • Acknowledged by Forbes as one of the Best Employers for New Grads.
  • Healthcare Innovation's Top Companies to Work for in Healthcare (2025).

Benefits
  • Medical, Vision, Dental, Retirement with Employer Match and more (20+ hrs/week)
  • For a comprehensive list of benefits, please click here: Benefits | CoxHealth

Job Description:
Overview of Unit/Department
**This position is not a remote position. This position will be located in our Virtual Care Command Center located at Cox South Hospital**
Expand your healthcare knowledge and experience while maintaining your skills at the bedside. Consider joining our team in a hybrid position in a cross training role which includes both bedside nursing shifts and an opportunity to grow new skills as a virtual nurse. Our Virtual Nursing Command Center is full of advanced technology that gives our patients an extra level of monitoring from admission to discharge. Our virtual nurses are centrally located in the Virtual Command Center at Cox South. They use this technology to support our bedside RNs with tasks to make lighten their workload as well as monitor patient's vital signs, assist with admissions and discharges, and collaborate with our virtual physicians, pharmacists, respiratory therapists, and Early Intervention Team! If you are on the search for a new way to expand your nursing knowledge come and give Virtual Nursing a go!
Additional Information About the Position for Qualified Candidates
• $1.00 Certification pay
• $1.00 BSN pay
• Career Ladder Bonus eligible up to $5,000
The eAcute Virtual Med-Surg nurse is a pivotal member of the healthcare team to assist with managing the care of the adult or geriatric patient experiencing general medical conditions or general surgical procedures. The virtual nurse will assist with tasks such completing the admission and discharge process, care plan development and maintenance, patient education, medication and discharge teaching, care coordination, mentoring of new nurses, and implementation of evidence-based care. The virtual eAcute nurse assists the primary bedside nurse with nursing tasks not required to be done in person as well as real-time quality and patient safety surveillance. The eAcute Virtual Med-Surg nurse maintains a wide array of medical care knowledge in order to care for a diverse group of patientsEducation:
• Required: Graduate of an accredited nursing program
Preferred: Bachelor's Degree in Nursing
Experience:
• Required: Minimum of two years previous nursing experience on inpatient nursing unit
Preferred: Charge nurse or preceptor experience and specialty nursing certification
Skills:
• Accountable and responsible for own safe clinical practice
• Basic computer skills and knowledge
• Excellent customer service skills
• Thrives in rapidly changing environment
• Self-motivated
• Excellent verbal and written communication skills
• Demonstrate effective leadership abilities
• Exhibits valuable time management skills
• Strong critical thinking/problem solving skills.
• Flexibility and ability to work in a multi-tasking environment.
Licensure/Certification/Registration:
• Required: RN license active in the state of Missouri

What CoxHealth employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply