ZipRecruiter

Log In

2

Remote Utilization Review Rn Jobs in Pennsylvania

The CKHobbie Group

$42 - $47/hr

This is a remote position. We are seeking a passionate and experienced HSS Clinical Coordinator RN to join our remote care coordination team. This is a high-impact, contract-to-hire opportunity ...

DaVita

RN - Palliative Care Clinician REMOTE

Bowers, PA · On-site +1

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Expert Clinical Review and Triage: Serve as the point of contact for incoming patient referrals to ... What We're Looking For Registered Nurse (RN) or Licensed Clinical Social Worker (LCSW) with an ...

previous pagenext page

Showing results 21-40

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

Remote Utilization Review Rn information

See Pennsylvania salary details

$21

$42

$69

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

As of Aug 19, 2026, the average hourly pay for remote utilization review rn in Pennsylvania is $42.38, according to ZipRecruiter salary data. Most workers in this role earn between $33.51 and $48.65 per hour, depending on experience, location, and employer.

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 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 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 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 popular job titles related to Remote Utilization Review Rn jobs in Pennsylvania?

For Remote Utilization Review Rn jobs in Pennsylvania, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Review Rn jobs in Pennsylvania look for?

The top searched job categories for Remote Utilization Review Rn jobs in Pennsylvania are:

What cities in Pennsylvania are hiring for Remote Utilization Review Rn jobs?

Cities in Pennsylvania 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 Pennsylvania as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 18% Part Time, 2% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $88,158 per year, or $42.4 per hour.

Oasis Reviewer, Remote

Penn Highlands Healthcare

Saint Marys, PA • On-site, Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 28 days ago

Penn Highlands Healthcare rating

5.5

Company rating: 5.5 out of 10

Based on 114 frontline employees who took The Breakroom Quiz

815th of 888 rated healthcare providers

Job description

Remote Position
AS AN OASIS REVIEWER you will be responsible to provide guidance, regulatory compliance and support for OASIS documentation accuracy in the electronic medical record and patient records.
Qualifications
  • Registered Nurse with current PA Nursing Licensure
  • A minimum 3-5 years of home health experience preferred.
  • Proven ability to work within an interdisciplinary setting.
  • Complies with and promotes accepted professional standards and best practices.
  • Has demonstrated critical thinking ability, problem-solving skills in an interdisciplinary setting.
  • Has effective communication skills.
  • Have a commitment to customer service
  • Have ability to pass PA Child Abuse History Clearance
  • Have ability to pass Criminal Background Check
  • Have ability to meet physical requirements of position
  • Be a team player

WHAT WE OFFER:
  • Professional Development
  • Supportive and Experienced Peers

BENEFITS:
  • Medical, Dental, and Vision
  • Paid Time Off
  • 401k retirement plan with company match
  • Travel reimbursement
  • 25% discount on services at all Penn Highlands Healthcare facilities
  • Fleet vehicles available for eligible employees
    • Fleet Vehicles are permitted to be used for work AND personal use
    • All fuel costs for a fleet vehicle (for work AND personal) are covered by PHH
  • Sign on Bonus of $15k
  • Flexible Scheduling
  • Day Shift 8AM - 5PM (we also have Evening and weekend only positions available and posted)
  • Multi-disciplinary team approach to patient care

What Penn Highlands Healthcare employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply