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Remote Utilization Review Rn Jobs in Andover, MA

NCLEX-RN Tutor

Lowell, MA · Remote

$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 ...

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 ...

NCLEX-RN Tutor

Boston, MA · Remote

$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 ...

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 ...

NCLEX-RN Tutor

Quincy, MA · Remote

$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 ...

NCLEX-RN Tutor

Newton, MA · Remote

$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 ...

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 ...

NCLEX-RN Tutor

Lynn, MA · Remote

$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 ...

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 ...

Showing results 21-40

Remote Utilization Review Rn information

See Andover, MA salary details

$21

$42

$69

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

As of Sep 12, 2026, the average hourly pay for remote utilization review rn in Andover, MA is $42.83, according to ZipRecruiter salary data. Most workers in this role earn between $33.85 and $49.18 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 cities near Andover, MA are hiring for Remote Utilization Review Rn jobs?

Cities near Andover, MA with the most Remote Utilization Review Rn job openings:

Infographic showing various Remote Utilization Review Rn job openings in Andover, MA as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 14% Part Time, 4% Contract, and 1% Nights. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $89,078 per year, or $42.8 per hour.

LPN Triage - Hybrid (remote/on-site) - Dermatology - Boston

Boston, MA • On-site, Remote

Tufts Medicine
Health Care and Social Assistance • 10K+ employees

$28 - $38.25/hr

Full-time

Posted 11 days ago


Tufts Medicine rating

7.8

Company rating: 7.8 out of 10

Based on 37 frontline employees who took The Breakroom Quiz


Job description

Job Profile Summary
This role focuses on providing professional and nonprofessional nursing care services in accordance with physician orders. In addition, this role focuses on performing the following duties: Functions as part of the health care team in providing safe and effective therapy for assigned patients under the direct supervision of a registered nurse. Participates in the implementation and evaluation of patient care. Requires an LPN license. A professional individual contributor role that may direct the work of other lower level professionals or manage processes and programs. The majority of time is spent overseeing the design, implementation or delivery of processes, programs and policies using specialized knowledge and skills typically acquired through advanced education. An entry level role that applies broad theoretical job knowledge typically obtained through advanced education. May require the following proficiency: work is closely supervised, problems faced are not typically difficult or complex, and explains facts, policies and practices related to job area.
Job Expectations
  • This is a remote position with the requirement to return to in-person work at the request of clinic leadership, with adequate notice provided.
  • Employee must maintain compliance with all remote work guidelines, including secure access to systems and protection of PHI.
  • Participation in virtual meetings, training, and performance improvement efforts is expected.
  • Initial training will take place in person to ensure adequate competency in all clinic functions.
  • Periodic in person presence may be required in order to stay proficient in supporting in person clinics in the event of recall. This will be at the discretion of Nursing and Department Leadership.
  • Staff may be required to return to on-site work if additional training or oversight of their duties is deemed necessary.

Job Overview
The LPN Outpatient works under the direction of the registered nurse and utilizes the nursing process in the planning, implementing and evaluation of nursing care to the patient. This role collaborates with other members of the team in providing health information within the framework of supportive and restorative care. The LPN Outpatient may collect data on the health status of the patient, in conjunction with other members of the health care team, for the identification of health goals. The LPN Outpatient assures care for patient and families that is reflective of the organization's core values. The Licensed Practical Nurse is knowledgeable about and supportive of the primary nursing model.
Job Description
Minimum Qualifications:
1. Massachusetts's Licensed Practical Nurse (LPN).
2. Experience is dependent upon unit requirements and needs.
3. Basic Life Support Certification.
Preferred Qualifications:
1. Cardiopulmonary Resuscitation (CPR) Instructor.
2. Graduation from an accredited practical nursing program.
Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned.
1. Applies the skill necessary to implement the medical/nursing plan of care, nursing interventions, medication administration, and procedures necessary for the care of the patient under the direction of the Registered Nurse.
2. Provides direct patient care within the primary nursing model to ensure continuity of care for all patients within their caseload in a safe efficient manner maintaining the patient's rights and dignity at all times.
3. Performs technical aspects of patient care (medications, treatments, etc.) safely, according to the established policies and procedures and Nurse Practice Act.
4. Assess and reassess pain. Utilizes appropriate pain management techniques. Documents pain management.
5. Communicates all changes in the patient's condition immediately to the Registered Nurse.
6. Bases all nursing interventions on pathophysiological and psychosocial rationale. Delivers care in a fiscally responsible manner.
7. Establishes a positive relationship with the patient and family. Introduces self to patients and families as the patient's nurse. Provides teaching and counseling for patients/families according to their needs and ability to understand. Documents teaching on the appropriate teaching tool.
8. Reviews/educates the discharged patient and family to ADL's, medications, treatments, and provides appropriate discharge instruction sheet(s).
9. Documents all nursing interventions and the patient's response in the medical record for all assigned patients.
10. Delegates responsibilities to others with an understanding of their roles, knowledge and capabilities.
11. Participates in performance improvement activities as requested, utilizing performance improvement principles to support and improve patient care.
12. Holds self accountable for professional practice and presents self in a calm and professional manner. Keeps current with changing practices and interventions in patient care through lifelong learning.
13. Maintains a collaborative work relationship with peers and colleagues in order to create a positive work environment.
14. Reports pertinent observations and reactions regarding patients to the appropriate person (i.e., physicians, clinical manager, or charge nurse) and records those observations accurately and concisely.
Physical Requirements:
1. Prolonged, extensive, or considerable standing/walking.
2. Lifts, positions, pushes and/or transfer patients and equipment.
3. Considerable reaching, stooping, bending, kneeling, crouching.
4. Frequent exposure to hazardous chemicals, sick patients, bodily substances, noise and possible exposure to radiation, lasers, electric shock, etc.
5. Regularly exposed to the risk of bloodborne diseases and other transmissible infections.
6. Contact with patients under wide variety of circumstances.
7. Subject to varying and unpredictable situations.
8. Handle emergency and crisis situations.
9. Subjected to irregular hours.
10. May have contact with hazardous materials.
Skills & Abilities:
1. Ability to effectively communicate with patients, families, physicians, and healthcare team.
2. Knowledge and application of the nursing process to implement a nursing plan of care.
3. Possesses and applies the skills and knowledge necessary to provide care to patients throughout the life span, with consideration of aging processes, human development stages and cultural patterns in each step of the care process.
4. Demonstrates the skills and knowledge to provide care to the age groups of the population served including: Knowledge of growth and development; Ability to interpret age specific data and response to care; and provide age-appropriate communication.
5. Demonstrates essential knowledge of pharmacology/medications in administering drugs and monitoring the patient's response.
At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day.
The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals.
Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth-one of the many ways we invest in you so you can thrive both at work and outside of it.
Pay Range:
$30.00 - $33.59
based on full-time equivalent

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