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Remote Utilization Review Rn Jobs in Ohio (NOW HIRING)

ViaQuest

Virtual DODD RN Trainer

Dublin, OH · On-site +1

Virtual DODD RN Trainer (Med Cert 1) Part Time Monday, Tuesday, and Friday 9-am-5pm OHIO RESIDENTS ... Flexible remote schedule. * Opportunity to impact the quality of care across Ohio. * Collaborative ...

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All 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 Jun 17, 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 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 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:
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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

REMOTE RN MDS CONSULTANT

Concept Rehab & Engage Consulting

Toledo, OH • Remote

$35.75 - $46.50/hr

Other

Posted 5 days ago

Job description

Description

 REMOTE RN MDS CONSULTANT-Full Time 



Engage Consulting is seeking an experienced Registered Nurse (RN) with strong MDS, Case Mix, and Quality Measure experience to join our team. This is a fully remote opportunity for a detail-oriented clinician who enjoys working independently while helping skilled nursing facilities maximize reimbursement, maintain compliance, and improve quality outcomes.


Responsibilities:

Complete, review, and oversee MDS assessments in accordance with federal and state regulations

Analyze and manage Case Mix opportunities to support accurate reimbursement

Monitor and improve Quality Measures through assessment accuracy and clinical documentation review

Collaborate with facility teams to ensure compliance and MDS completion timelines are met

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

Maintain accurate records and ensure assessment integrity


Qualifications:

Active Registered Nurse (RN) license in Wisconsin or active multi-state compact license

MDS experience in a skilled nursing facility setting

Case Mix Management experience required

Quality Measure management experience required

Exceptional attention to detail and organizational skills

Strong written and verbal communication skills

Ability to work independently in a remote environment

Preferred:

RAC-CT Certification preferred


Why Join Engage Consulting?

Fully remote position

Flexible work environment

Competitive compensation

Collaborative and supportive team culture

Opportunity to work with multiple skilled nursing facilities and make a meaningful impact on clinical and financial outcomes


If you are an experienced MDS professional who thrives in a remote setting and has a passion for accuracy, compliance, and quality care, we encourage you to apply.


Apply today to join the Engage Consulting team.

Apply