ZipRecruiter

Log In

2

Remote Utilization Review Rn Jobs in West Virginia

Encova Insurance

Collaboration Administrator

Charleston, WV · On-site +1

$55K - $88K/yr

Unique residence requirements are listed in each job posting, please review closely for details ... Our current policies are based on the laws in states in which we are registered for payroll. Our ...

Next Insurance

Claims Specialist

Charleston, WV · Remote

Remote ERGO NEXT's mission is to help entrepreneurs thrive. We're doing that by building the only ... Work with nurses, doctors, and attorneys on file reviews * Comply with all statutory and regulatory ...

previous page

Showing results 41-47

All JobsUtilization Review Rn JobsRemote Utilization Review Rn JobsRemote Utilization Review Rn Jobs in West Virginia

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 Aug 18, 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 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 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 August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 16% Part Time, 3% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $68,085 per year, or $32.7 per hour.

Collaboration Administrator

Encova Insurance

Charleston, WV • On-site, Remote

$55K - $88K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 7 days ago

Job description

The salary range for this job posting is $55,132.00 - $88,210.00 annually + bonus + benefits. Pay Type: Salary

The above represents the full salary range for this job requisition. Ultimately, in determining your pay and job title, we'll consider your location, education, experience, and other job-related factors, and will fall within the stated range. Your recruiter can share more information about the specific salary range during the hiring process.

Start your IT career with Encova Insurance as an End User Compute Collaboration Administrator. In this hybrid role based in Charleston, WV, your work will support our collaboration tools that keep our business connected. Working alongside technology professionals, you'll develop valuable technical skills while contributing to projects that support associates across the organization.

Are you a Referral?

If you know a current Encova Insurance associate and would like to apply as a referral, please encourage them to submit your referral information before you submit your application. You will receive an email with a direct URL link to the Job Posting of interest. Applying through this URL link will create your referral relationship for our Talent Acquisition Team.

Unique residence requirements are listed in each job posting, please review closely for details.

Encova is only able to employ associates who reside and work within specific U.S. states. Our current policies are based on the laws in states in which we are registered for payroll. Our current footprint includes:

Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nebraska, New Hampshire, New Jersey, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, West Virginia, Wisconsin.

The End User Compute CollaborationAdministratorprovides supportofthe Workplace Services footprint within the Encova enterprise.This is anentry leveltechnical role, servingas anadministratorto learn and supportcollaborationsystems.
TheCollaborationAdministratorwillsupport andmaintaincollaborationsystems and solutions.Responsible forbasic technical supportof teams/project.Key to the success of this role isto learn from and support team memberswithin the department, division, and company.
ESSENTIAL FUNCTIONS:
  • Learn and developa technical aptitude for technology, as it related tocollaborationenvironments
  • Learn and develop atechnical understanding of virtualization andcloud-basedcollaborationtechnologies
  • Build anoverall technical aptitude for technology and information technology principles
  • Assistothers intechnical projectteam(s)both local and remote
  • Developandprovidethe ability to serve asMicrosoft Teamsengineer, as it relates to theend userenvironment (other co-product owner isAD Governance, as it relates to theMicrosoft Tenantfootprint and larger scope).
  • Develop and provide support forMicrosoft Teamsphone system and endpoints
  • Develop and provide support for Genesys and WebRTC systems
  • Develop andprovidethe ability to serve asOpenTextXMediusfax systems
  • Executethe completion ofbasictasks and phases of projectsandclient-basedcollaboration systemsupport.
  • Ensurethat deployment standards are met byfollowingsolution/projectteamscope documentation.
  • Participate inknowledge transferfrom other workplace services associates to enhanceone'sabilities to complete technical tasks.
  • Develop an understanding oftechnical systems analysis and design
  • Providefeedback withconsulting support and technical topics
  • Assistintechnical activities leading to the resolution of businessapplicationand technical problems.
  • Abide bycurrentEncovadivision and department standards
  • Develop an understandingontheeffects of company decisions on the systems, includingnewproject charters.
  • Ability to be coached, mentored byteammembersto aid in career development.
  • Develop an understandinginprojecting software and hardware requirements and budgets, including review of contracts and associated assets.
OTHER FUNCTIONS:
  • Process Request, Incident and Problem tickets as well asparticipateinsupport activities
  • Complete basic tasks assigned by other teammembersthat are workingwith business stakeholders and product vendors to design integrations to desired systems.
  • Learn and supportnew tools, technologies, and processes to continuously improve software and software delivery.
  • Process and completebasicprojecttasks and providestatus updates
  • Adhere to Encova IT principles, High Availability, Least Privilege,Customer Service,etc.
  • Gainawareness of currenttechnologytrends and compliance regulations.
  • Engage in sharedknowledge and providedcross trainingsessionswith other members of the team.
  • Perform other duties as assigned.
KNOWLEDGE. SKILLS AND EXPERIENCE:
  • This individual will beanentry level administratoraround singledomainfocusas it relates toPhone systems, Faxing, Microsoft Teams, WebRTC,virtualization, cloud technologies, ITprocessesand regulatory compliance. They will be working proactively toparticipatein thesupport of customer facing solutionstoenable and protectour organizationand reputation.
  • 3years of IT experience preferred
  • Associatesdegree with a major in computer information systems or engineeringpreferred or equivalent work experience.
  • General understanding indeployment and implementation project teamsprocedures
  • Highly motivated and ambitious, excellent communication skills, creative & criticalthinker.
  • GeneralIT engineeringunderstanding, such as operating systems,Fax Solutions,servers, virtualization, cloud technologies (SaaS, IaaS, PaaS)
  • General understanding ofdesigning, testing, and deploying enterprise applications for production and other environments.
  • Basic understanding ofcollaboration products,Microsoft Teams,Genesysand WebRTC
  • Effective customer service skills, including active listening, conflict resolution, decision making, and negotiation
  • Effective verbal, phone, written, and interpersonal communication skills
  • Quick to adapt and eager to learn
  • Able to lift 40 pounds and perform physical tasks related to moving and installing technology related equipment
  • Ability to work overtime as needed
  • Basic technical, analytical, and troubleshooting skills
  • Industry and vendor certifications a plus
This position has been evaluated in accordance with the Americans with Disabilities Act. Encova Insurance makes every effort to reasonably accommodate disabilities to permit performance of the essential functions and candidates who need such accommodation are encouraged to seek it. This description reflects the nature and level of work performed by associates in this position. It is not an all-inclusive inventory of duties, responsibilities and qualifications required. It provides an accurate overview of the work and skills needed to perform this position. Because job content may change from time to time, Encova Insurance reserves the right to add and/or delete functions from this job as it deems necessary for business reasons.

Ready to join our team?
At Encova Insurance, we firmly believe that our associates drive our company's success by delivering unrivaled service to our customers. With success in mind, we make an ongoing effort to provide an environment that offers challenging, stimulating, and financially rewarding opportunities. Join us to discover a work experience where you can learn and grow to your fullest potential.

What you can expect from us

In addition to a competitive compensation package, we offer a comprehensive benefits package designed to support the well-being and growth of our associates. Available benefits (subject to any policy or plan changes) include, but are not limited to:

  • Health, Dental & Vision Insurance

  • Company-provided life and income protection plans

  • Eligibility to participate in a company incentive bonus program

  • 401(k) Retirement Plan - 100% company match up to 7% on annual salary

  • Paid Time Off, Paid Holidays, and Floating Holidays

  • Flexible Work Arrangements - Hybrid and remote depending on the role

We believe that happy, healthy associates are the foundation of great work. Join us and thrive both professionally and personally.

Encova Insurance is an EOE/E-Verify employer.

#LI-Hybrid#LI-LP1

Apply