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Remote Utilization Review Rn Jobs in Ohio (NOW HIRING)

Imh

$41.20 - $62.17/hr

Demonstrated experience in case management, utilization review, value-based care, and/or discharge ... If applying for a remote or hybrid role, this includes remote work expectations related to ...

Imh

RN Care Manager PRN

Cleveland, OH · Remote

$41.20 - $62.17/hr

Demonstrated experience in case management, utilization review, value-based care, and/or discharge ... If applying for a remote or hybrid role, this includes remote work expectations related to ...

New

Imh

$41.20 - $62.17/hr

Demonstrated experience in case management, utilization review, value-based care, and/or discharge ... If applying for a remote or hybrid role, this includes remote work expectations related to ...

ProMedica

The Virtual Registered Nurse (ViRN) provides remote and bedside patient management in the inpatient setting. This role requires collaboration with providers, patients, and families to ensure ...

Varsity Tutors

NCLEX-RN Tutor

Cincinnati, OH · 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

Cleveland, OH · 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 ...

Medpace, Inc.

Clinical Data Coder

Cincinnati, OH · On-site +1

$18 - $22.75/hr

Produce coding reports for team review and utilization *Stable schedule with no weekends, no work on Medpace holidays, and flexible work schedule* Qualifications * BSN and RN with applicable ...

Varsity Tutors

NCLEX-RN Tutor

Columbus, OH · 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

Akron, OH · 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 ...

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All JobsUtilization Review Rn JobsRemote Utilization Review Rn JobsRemote Utilization Review Rn Jobs in Ohio

Remote Utilization Review Rn information

See Ohio salary details

$20

$40

$65

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

As of Aug 4, 2026, the average hourly pay for remote utilization review rn in Ohio is $40.20, according to ZipRecruiter salary data. Most workers in this role earn between $31.78 and $46.15 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a remote utilization review RN?

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 the most commonly searched types of Utilization Review Rn jobs in Ohio? The most popular types of Utilization Review Rn jobs in Ohio are:
What are popular job titles related to Remote Utilization Review Rn jobs in Ohio? For Remote Utilization Review Rn jobs in Ohio, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in Ohio look for? The top searched job categories for Remote Utilization Review Rn jobs in Ohio are:
What cities in Ohio are hiring for Remote Utilization Review Rn jobs? Cities in Ohio 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 Ohio as of July 2026, with employment types broken down into 76% Full Time, 8% Part Time, and 16% Contract. Highlights an 43% Physical, 3% Hybrid, and 54% Remote job distribution, with an average salary of $83,610 per year, or $40.2 per hour.

REMOTE MDS NURSE (RN) - WISCONSIN

Concept Rehab & Engage Consulting

Toledo, OH • Remote

Other

Posted 11 days ago

Job description

Description

 REMOTE MDS NURSE (RN) - WISCONSIN
Full-Time | Work From Home

Engage Consulting is seeking an experienced Registered Nurse (RN) with strong MDS, Case Mix, PDPM, Medicare, Medicaid, and Quality Measure experience to join our growing team.

This is a full-time remote opportunity for an RN who enjoys working independently while partnering with skilled nursing facilities to improve reimbursement, maintain regulatory compliance, and support quality resident care.


WHAT YOU'LL DO

Complete, review, and audit MDS assessments for accuracy and compliance with CMS and state regulations

Ensure timely completion of MDS assessments and supporting documentation

Analyze Case Mix and PDPM opportunities to maximize reimbursement

Review and improve Quality Measures through accurate assessments and clinical documentation

Partner with interdisciplinary teams to strengthen documentation and reimbursement outcomes

Provide education and support related to MDS processes, reimbursement, and regulatory requirements

Maintain accurate records while meeting deadlines in a remote work environment

Assist with compliance initiatives and reimbursement optimization


WHAT WE'RE LOOKING FOR

Active Wisconsin Registered Nurse (RN) license or active Nurse Licensure Compact (NLC) license

Recent MDS experience in a Skilled Nursing Facility (SNF)

Strong knowledge of PDPM, Medicare, Medicaid, and Case Mix reimbursement

Experience managing Quality Measures

Excellent communication, organization, and critical thinking skills

Ability to work independently in a remote setting

Experience with electronic medical records and MDS software


PREFERRED

RAC-CT Certification

Multi-facility MDS experience


WHY JOIN ENGAGE CONSULTING?

100% Remote Position

Full-Time Opportunity

Competitive Compensation

Flexible Work Environment

Supportive and Collaborative Team

Opportunity to work with skilled nursing facilities throughout Wisconsin

Make a meaningful impact on reimbursement, compliance, and resident outcomes

If you're an experienced MDS RN looking for a rewarding remote opportunity where your expertise makes a difference every day, we'd love to hear from you.


Apply today and join the Engage Consulting team!

Apply