ZipRecruiter

Log In

2

Remote Utilization Review Rn Jobs in Pennsylvania

Merakey

LumiLink RN

Lafayette Hill, PA · Remote

The Remote LumiLink Registered Nurse is responsible for professionally answering LumiLink calls for health-related concerns for all contracted providers. This position is responsible for the ...

MVP Recovery

PRN Remote CRNP

Chester, PA · On-site +1

$90K - $121K/yr

Flexible | PRN Position Overview MVP Recovery is seeking a Certified Registered Nurse Practitioner (CRNP) to provide follow-up medication management appointments in a PRN, primarily remote capacity.

Varsity Tutors

NCLEX-RN Tutor

Pittsburgh, PA · 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

Allentown, PA · 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

Harrisburg, PA · 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

Erie, PA · 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

Reading, PA · 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

Chester, PA · 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

State College, PA · 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 ...

next page

Showing results 1-20

All 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 Jun 29, 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 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 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
RN-Virtual Inpatient Registered Nurse

RN-Virtual Inpatient Registered Nurse

Geisinger Health

Danville, PA • On-site, Remote

$30.40/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 5 days ago

Geisinger Health rating

6.8

Company rating: 6.8 out of 10

Based on 431 frontline employees who took The Breakroom Quiz

483rd of 877 rated healthcare providers

Job description

Location:
Work from home (Pennsylvania)
Shift:
Nights (United States of America)
Scheduled Weekly Hours:
36
Worker Type:
Regular
Exemption Status:
No
Job Summary:
Geisinger is proud to offer a full time Virtual Inpatient RN a $30.40 minimum hiring rate with increased rates for experienced individuals!
3 years of Med/Surg experience is strongly preferred!
This position has the capability to be remote (work from home) after the completion of ONSITE orientation in Danville, PA.
Job Duties:
Assesses plans, organizes, performs, and evaluates nursing activities to meet the needs of the patient. Promotes adaptive responses of patient and family to achieve the highest level of patient care, promote safety, and maximize patient satisfaction. Exhibits compassionate care during patient-nurse interactions. Coordinates patient care and interaction of staff. Meets the qualifications to provide care for patients in their assigned nursing unit.
  • Performs or in collaboration with bedside staff completes assessments as established by scope of practice and unit standards.
  • Addresses physical, psychological, social, cultural, and spiritual needs of patient and family throughout the continuum of care.
  • Acts as a liaison between hospital staff and patient/family to provide optimal care and additional monitoring for patients during routine care and emergent conditions.
  • Formulates, coordinates, and provides plan of care as established in unit standards including, patient and family education, family needs and discharge planning throughout hospitalization with members of the interdisciplinary team.
  • Provides remote care including, assessments, education, and care coordination according to policy and procedure.
  • Evaluates effectiveness of nursing interventions and revises plan of care in collaboration with the inpatient nurse based upon patient response to interventions.
  • Initiates collaboration with physicians, ancillary personnel, and other interdisciplinary team members and acts, to proactively resolve and facilitate patient needs.
  • Actively participates as a team member working toward team goals of the unit and organization and is accountable for unit and system specific metrics.
  • Actively participates in patient quality and safety education programs and other activities designed to improve departmental and organizational quality and safety.
  • Collects, monitors, and analyzes patient and family data for the purpose of assessment and care management.
  • Incorporates evidence-based practice in the development, implementation, and evaluation of nursing care provided.
  • Assumes responsibility for identifying processes or systems that could potentially lead to errors and adverse events and participate in problem solving as appropriate.

Work is typically performed in a clinical environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. Additional competencies and skills outlined in any department-specific orientation will be considered essential to the performance of the job related to that position.
Benefits of working at Geisinger:
  • Full benefits (health, dental and vision) starting on day one
  • Three medical plan choices, including an expanded network for out-of-area employees and dependents
  • Pre-tax savings plans with healthcare and dependent care flexible spending accounts (FSA) and a health savings account (HSA)
  • Company-paid life insurance, short-term disability, and long-term disability coverage
  • 401(k) plan that includes automatic Geisinger contributions
  • Generous paid time off (PTO) plan that allows you to accrue time quickly
  • Up to $5,000 in tuition reimbursement per calendar year
  • MyHealth Rewards wellness program to improve your health while earning a financial incentive
  • Family-friendly support including adoption and fertility assistance, parental leave pay, military leave pay and a free Care.com membership with discounted backup care for your loved ones
  • Employee Assistance Program (EAP): Referrals for childcare, eldercare, & pet care; Access free legal guidance, mental health visits, work-life support, digital self-help tools and more
  • Voluntary benefits including accident, critical illness, hospital indemnity insurance, identity theft protection, universal life and pet and legal insurance
  • The ability to work under a Temporary Practice Permit until you take NCLEX
  • Shared governance structure that empowers our nurses
  • Professional opportunities for growth and advancement
  • Support and mentorship from a full range of dedicated nursing leaders
  • Community involvement through our Employee Resource Groups
  • Employee referral incentive program
  • Geisinger values and prioritizes the safety and security of our staff by investing in a Strongline Alert Notification system worn by our staff, robust camera surveillance system, metal detectors at certain locations and security guards/K9 program on campus.

Join the Geisinger Family! Apply now! To learn more about Geisinger opportunities, please contact Courtney Sassaman, Recruiter, at cksassaman@geisinger.edu.
Position Details:
The Virtual Nurse Program offers flexible care for patients in healthcare's evolving landscape. This program empowers experienced nurses to offer remote, systemwide support, through a 24/7 virtual nurse center. Virtual registered nurses (VRNs) handle admissions, discharges and virtual rounds, for medical surgical units, which enables bedside nurses to prioritize hands-on patient care.
Schedule is .9 FTE (36 hours)/Nights (7pm-7am). Every other weekend/Every other holiday rotation.
Education:
Graduate from Specialty Training Program- (Required)
Experience:
Minimum of 3 years-Nursing (Required)
Certification(s) and License(s):
Basic Life Support Certification - Default Issuing BodyDefault Issuing Body, Licensed Registered Nurse (Pennsylvania) - RN_State of PennsylvaniaRN_State of Pennsylvania
Skills:
Clinical Skills, Communication, Computer Literacy, Mentoring Skills, Multitasking, Patient Safety, Teamwork
OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities.
  • KINDNESS: We strive to treat everyone as we would hope to be treated ourselves.
  • EXCELLENCE: We treasure colleagues who humbly strive for excellence.
  • LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow.
  • INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation.
  • SAFETY: We provide a safe environment for our patients and members and the Geisinger family.

We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality.
We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.

What Geisinger Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply