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Remote Utilization Review Rn Jobs in Alton, IL (NOW HIRING)

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Remote Utilization Review Rn information

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

As of Aug 7, 2026, the average hourly pay for remote utilization review rn in Alton, IL is $40.66, according to ZipRecruiter salary data. Most workers in this role earn between $32.12 and $46.68 per hour, depending on experience, location, and employer.

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 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 Alton, IL? For Remote Utilization Review Rn jobs in Alton, IL, the most frequently searched job titles are:
What cities near Alton, IL are hiring for Remote Utilization Review Rn jobs? Cities near Alton, IL with the most Remote Utilization Review Rn job openings:
Infographic showing various Remote Utilization Review Rn job openings in Alton, IL as of August 2026, with employment types broken down into 57% Full Time, 14% Part Time, and 29% Contract. Highlights an 100% Remote job distribution, with an average salary of $84,570 per year, or $40.7 per hour.

Clinical Diagnostic Liaison (CDL) - MO/KS/AR

Amplity Health

Saint Louis, MO • Remote

$170K - $180K/yr

Full-time

Posted 16 days ago


Job description

Join Amplity, the full-service go-to partner of biopharma companies that delivers flexible + specialized medical + commercial services. No matter where a drug is in its lifecycle, we scale with ease to maximize resources + improve impact for all our clients. Through strategic partnerships + deep therapeutic expertise, Amplity transforms how breakthrough treatments reach the people who need them.

Role Profile - Clinical Diagnostic Liaison (CDL)

The Clinical Diagnostics Liaison (CDL) is a field-based professional within the Medical Affairs organization, serving as part of a clinically focused team. The CDL plays a critical role in delivering disease-state education, increasing awareness of the company and its clinical programs, and driving patient identification efforts within the medical community.

CDLs provide clinical and disease awareness support for a rare disease program by engaging healthcare providers in meaningful, compliant clinical exchange. Key responsibilities include calling on targeted healthcare professionals with the objective of directly engaging providers and staff, communicating relevant disease-state information, and facilitating early diagnosis and identification of appropriate patients for clinical trial consideration.

The CDL is responsible for accurately capturing and maintaining interactions and insights within the company's CRM system. CDLs will interact with the multidisciplinary team, mapping patient journeys, and activating referral pathways to clinical trial sites.

This role requires a highly credible and professional individual with strong clinical knowledge, exceptional communication skills, and a highly proactive, results-driven approach. The ideal candidate brings an assertive, opportunity-seeking "hunter" mentality-demonstrating persistence, strategic outreach, and a strong sense of ownership in identifying new provider relationships, uncovering undiagnosed or misdiagnosed patient populations, and accelerating patient identification efforts. This individual must be comfortable operating compliantly within a matrix structure. Position is remote and will require 75% travel including overnight business travel.

Employees can expect to be paid a salary of approximately $170K - $180K. The salary range displayed may vary based on market data/ranges, an applicant's skills, prior relevant experience, certain degrees, certifications, and other relevant factors.

Essential Duties/Responsibilities: Clinical Diagnostic Liaison

  • Maintain comprehensive clinical knowledge of assigned therapeutic areas, and evolving clinical landscape related to our client's clinical trial
  • Perform duties around territory management and upkeep of CRM system, ensuring data accuracy
  • Increase disease awareness related to targeted physicians/staff and accurately document findings appropriately in the CRM
  • Provide physician and staff insights for use during planning and strategy meetings
  • Collaborate with field and internal cross-functional teams
  • Establish and coordinate a health care partnership with relevant stakeholders
  • Self-directed territory management and travel to ensure that targets are reached in an efficient manner

Experience:

The successful candidate will demonstrate the following skills and experiences:

  • Bachelor's degree required, Advanced degree or clinical license preferred RN, PharmD, PhD, PA, MSN, DNP
  • Pharma field experience required
  • Rare disease experience preferred
  • Strong clinical communication, learning acumen, relationship building and presentation skills
  • High EQ with strong resilience and soft skills
  • Experience developing and activating referral networks for clinical trial recruitment preferred

Credentialing Requirements:

As a representative of a pharmaceutical company, you may be required to submit and maintain credentials, such as training, vaccinations, and other job-related documentation to gain access to hospitals or healthcare providers. It is the Company's expectation that you comply with the requirements outlined by the facilities on your call plans.

Additionally, certain geographic jurisdictions or hospital systems have requirements to apply for and obtain a representative license. At this time, representatives working in the District of Columbia, City of Chicago, State of Nevada, State of Oregon, or those associated with Jackson Memorial Health in Miami-Dade County Florida may be required to obtain specific licenses. This list may be subject to change, including the potential for additions or modifications. In the event of any significant changes, you will be notified accordingly.

EPIIC Values:

All positions at Amplity have a responsibility to demonstrate our EPIIC Values in order to uphold our high-service standards.

Excellence: We set high standards. We are solutions-focused and achieve outstanding results with a professional and positive attitude.

Passion: We love what we do. Our energy inspires, engages, and motivates others.

Innovation: Our ideas set us apart. We are curious and bold and challenge traditional ways of working.

Integrity: We are open, honest, and transparent. We do the right thing with courage and understanding.

Collaboration: We are better together. We actively seek the participation of others to achieve greater outcomes.

About Us

Amplity powers biopharma innovation through expert-led teams that deliver. Whether you knew us in the 80's as Physician Detailing Inc., or in the 00's as part of Publicis Health , the companies that came together in 2019 to form Amplity have delivered contract medical, commercial + communications excellence for 40+ years.

Our people-driven, tech-enabled DNA fuels everything we do.Our professionals understand the pharmaceutical industry from the inside out. With a deep grasp on product lifecycles, marketing hurdles, operational nuances + the complex needs of providers and patients, we help our clients launch products + operate smoothly with precision - across all business shapes, sizes + specialties.

We are on a mission to improve patient outcomes through executional excellence - enabling our partners in pharma to thrive in turn. At Amplity, we are allies in excellence. And we do it quicker, better, nicer than anyone else.

Our Diversity Policy

We encourage and support equal employment opportunities for all associates and applicants for employment without regard to sex, race, color, religion, national origin, age, disability, marital status, sexual orientation or veteran status. Employment decisions are evaluated on the basis of an individual's skills, knowledge, abilities, job performance and other qualifications. In addition, Amplity Health maintains policies and procedures designed to comply with applicable federal, state and local laws governing non-discrimination in employment in every location in which Amplity Health has facilities.