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Remote Utilization Review Rn Jobs in West Virginia

Corvel

Telephonic Case Manager I

Charleston, WV · Remote

$63K - $95K/yr

Current RN Licensure in state of operation * 3 or more years of recent clinical experience ... Strong cost containment background, such as utilization review or managed care helpful

Noor Locum

CRNA

Princeton, WV · Remote

CRNA Locum Opportunity | Kansas Noor Locums is seeking CRNAs for ongoing coverage in Kansas with a ... Weekdays (M-F): 7a-3p + remote call 3p-7a (1st & 2nd call rotation) * Weekend 24-hour call: 7a-7a ...

Harris

$10/hr

Remote Join our mission to help transform healthcare delivery from reactive, episodic care to ... Current COMPACT license to practice as an RN/ LVN/LPN held in current state of residence with no ...

Ourhrconnect

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 ...

CSAA

Lead operational governance activities across assigned Clubs, including creative review oversight ... Track and monitor Club marketing funding utilization to ensure compliance with Producer Agreements

AmeriSave Mortgage Corp.

$60K - $120K/yr

Review loan application package for completeness and accuracy, reconcile application against system ... Utilization of AUSSIE and company procedures * Establish an ongoing relationship by delivering best ...

GDIT

Nurse Analyst/Investigator

WV · Remote

$93K - $126K/yr

Skills: Analytical Thinking, Clinical Review, Fraud Prevention, Medicare, Microsoft Excel ... Remote Work Location: Any Location / Remote Additional Work Locations: Total Rewards at GDIT: Our ...

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Remote Utilization Review Rn information

See West Virginia salary details

$16

$32

$53

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

As of Jul 27, 2026, the average hourly pay for remote utilization review rn in West Virginia is $32.73, according to ZipRecruiter salary data. Most workers in this role earn between $25.87 and $37.60 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 West Virginia? For Remote Utilization Review Rn jobs in West Virginia, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in West Virginia look for? The top searched job categories for Remote Utilization Review Rn jobs in West Virginia are:
What cities in West Virginia are hiring for Remote Utilization Review Rn jobs? Cities in West Virginia 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 West Virginia as of July 2026, with employment types broken down into 82% Full Time, 14% Part Time, and 4% Contract. Highlights an 51% Physical, 4% Hybrid, and 45% Remote job distribution, with an average salary of $68,085 per year, or $32.7 per hour.
Healthcare Staffing Sales

Healthcare Staffing Sales

Anderson Recruiting & Consulting

Charleston, WV • Remote

$49K - $64K/yr

Full-time, Contractor

Posted 26 days ago

Job description

healthcare Staffing Sales - Remote US

Our client is expanding their Science and Healthcare Practice and is looking for proven sales talent with experience selling RN Case Managers and Utilization Review RN's. They focus solely on Contract and Contract to Hire business nationally. They sell to Hospitals, Health Insurance Companies, Home Health, Nursing Facilities, along with many other Providers and Programs. Target is to average over 30% GM per placement on $1M+ in GM per year.

Offering a solid base salary + uncapped commissions, excellent benefits package with a lot of additional perks. Excellent leadership/training and growth opportunities.

For additional information/consideration, please apply.

#LI - CA1