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Remote Utilization Review Rn Jobs in Baltimore, MD

Pair Team

Medicare Nurse Practitioner (Remote)

Columbia, MD · Remote

$115K - $130K/yr

Partner with RNs, Community Health Workers, and clinical leadership to close care gaps and ensure ... Our team regularly reviews applications and will reach out to candidates whose qualifications align ...

Varsity Tutors

NCLEX-RN Tutor

Baltimore, MD · 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 ...

Varsity Tutors

NCLEX-RN Tutor

Laurel, MD · 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 ...

Varsity Tutors

NCLEX-RN Tutor

College Park, MD · 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 ...

Varsity Tutors

NCLEX-RN Tutor

Bowie, MD · 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 ...

J29 Inc.

Physician Auditor

Millersville, MD · On-site +1

$189K - $238K/yr

Remote Type: Part-Time *This position is contingent upon the successful award of the associated ... Minimum Requirements: * 10+ years clinical practice; experience in peer review, utilization review ...

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Remote Utilization Review Rn information

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$42

$68

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

As of Jun 16, 2026, the average hourly pay for remote utilization review rn in Baltimore, MD is $42.01, according to ZipRecruiter salary data. Most workers in this role earn between $33.22 and $48.27 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 the most commonly searched types of Utilization Review Rn jobs in Baltimore, MD? The most popular types of Utilization Review Rn jobs in Baltimore, MD are:
What are popular job titles related to Remote Utilization Review Rn jobs in Baltimore, MD? For Remote Utilization Review Rn jobs in Baltimore, MD, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in Baltimore, MD look for? The top searched job categories for Remote Utilization Review Rn jobs in Baltimore, MD are:
What cities near Baltimore, MD are hiring for Remote Utilization Review Rn jobs? Cities near Baltimore, MD with the most Remote Utilization Review Rn job openings:
Remote Utilization Review Rn jobs near you

Registered Nurse for Homecare

Greater Baltimore Homecare LLC

Baltimore, MD • Remote

Per diem

Posted 1 hour ago

Be an early applicant

Job description

Company Description

Greater Baltimore Homecare LLC is a leading homecare agency specializing in personalized in-home caregiving services in the Greater Baltimore area. We are committed to empowering individuals who require support with daily activities, healthcare, and companionship to maintain their independence and enhance their overall quality of life within the comfort of their own homes. We offer a comprehensive range of services that include personal care, medical support, meal preparation, housekeeping, and emotional assistance. Our team is dedicated to delivering compassionate and tailored care to make a positive impact in the lives of those we serve throughout the Greater Baltimore region.

Role Description

This is a part-time hybrid role for a Registered Nurse located in Baltimore, MD, with flexibility for some remote work. The Registered Nurse will be responsible for assessing patients' health conditions, developing care plans, administering medications, monitoring vital signs, and collaborating with healthcare professionals and family members to ensure excellent patient care and quality of life. Additionally, the Registered Nurse will be responsible for maintaining accurate patient records and documentation.

Qualifications

  • Active Maryland Registered Nurse license
  • 2+ years of nursing experience, preferably in a homecare or community healthcare setting
  • Strong clinical skills and knowledge of nursing care procedures and protocols
  • Excellent communication and interpersonal skills
  • Ability to work independently and as part of a team
  • Strong critical thinking and problem-solving skills
  • Experience with electronic medical records is a plus
  • Bachelor's degree in Nursing is preferred