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Remote Utilization Review Rn Jobs in Baltimore, MD

Varsity Tutors

NCLEX-RN Tutor

Bowie, MD · Remote

$18 - $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 ...

Comfort Home Care LLC

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Registered Nurse Home Care (PRN)

Columbia, MD · Remote

... reviewing the Medication Administration Records (MARs), at least monthly. * Maintaining nursing ... Must have an active registered nurse license issued by the Maryland Board of Nursing. * Must have ...

Comfort Home Care LLC

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Registered Nurse Home Care (PRN)

Columbia, MD · Remote

... reviewing the Medication Administration Records (MARs), at least monthly. * Maintaining nursing ... Must have an active registered nurse license issued by the Maryland Board of Nursing. * Must have ...

Cinqcare

Registered Nurse

Laurel, MD · Remote

Deploys Remote Patient Monitoring and Patient Self Reporting for High-Risk Chronic Conditions ... The RN will establish the business strategy and roadmap: (1) improve outcomes for Grace at Home ...

Cogency

Nurse Consultant - Part Time

Baltimore, MD · On-site +1

Review and analyze medical and other technical records * Perform comprehensive review of literature ... Current RN Licensure in Maryland * Current provider card in Basic Life Support (BLS) * Strong ...

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 ...

CINQCARE

Registered Nurse (0767)

Baltimore, MD · Remote

$84K - $106K/yr

Deploys Remote Patient Monitoring and Patient Self Reporting for High-Risk Chronic Conditions ... The RN will establish the business strategy and roadmap: (1) improve outcomes for Grace at Home ...

Pharmacy Careers

Appeals Pharmacist (Remote)

Pasadena, MD · On-site +1

$58.25 - $70.75/hr

Collaborate with physicians, nurses, and medical directors during case reviews. * Track, document ... Prior managed care or utilization management experience preferred - retail and hospital pharmacists ...

Pharmacy Careers

Appeals Pharmacist (Remote)

Silver Spring, MD · On-site +1

$59 - $72/hr

Collaborate with physicians, nurses, and medical directors during case reviews. * Track, document ... Prior managed care or utilization management experience preferred - retail and hospital pharmacists ...

Devoted Health

Post-Acute UM Supervisor

Nottingham, MD · On-site +1

$95K - $120K/yr

... RN license with a minimum of 4 years of clinical experience * At least 3 years of utilization ... Remote Salary Ragne: $95,000-$120,000 The pay range listed for this position is the range the ...

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Remote Utilization Review Rn information

See Baltimore, MD salary details

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$42

$68

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

As of Jul 7, 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 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 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
Infographic showing various Remote Utilization Review Rn job openings in Baltimore, MD as of July 2026, with employment types broken down into 86% Full Time, and 14% Contract. Highlights an 100% Remote job distribution, with an average salary of $87,387 per year, or $42 per hour.
NCLEX-RN Tutor

NCLEX-RN Tutor

Varsity Tutors

Bowie, MD • Remote

$18 - $40/hr

Part-time

Posted 4 days ago

Varsity Tutors rating

5.7

Company rating: 5.7 out of 10

Based on 16 frontline employees who took The Breakroom Quiz

13th of 21 rated private schools and tutoring

Job description

About the Job
The Varsity Tutors Live Learning Platform has thousands of students looking for online NCLEX-RN tutors nationally. As a tutor on the Varsity Tutors Platform, you'll have the flexibility to set your own schedule, earn competitive rates, and make a real impact on students' academic success and understanding. All from the comfort of your home.
Why Join Our Platform?
  • Earn incrementally higher pay for each session with the same student, reaching up to $40/hour.
  • Get paid up to twice per week, ensuring fast and reliable compensation for the tutoring sessions you conduct and invoice.
  • Set your own hours and tutor as much as you'd like.
  • Tutor remotely using our purpose-built Live Learning Platform. No commuting required.
  • Get matched with students best-suited to your teaching style and expertise.
  • Our AI-powered Tutor Copilot enhances your sessions with real-time instructional support, lesson generation, and engagement features, helping you save prep time and focus on impactful teaching.
  • We handle the logistics—you just invoice for your tutoring sessions, and we take care of payments.

What We Look For In a NCLEX-RN Tutor
  • Advanced Test Mastery: Deep knowledge of NCLEX-RN content areas including management of care, safety and infection control, health promotion, psychosocial integrity, pharmacological and parenteral therapies, reduction of risk potential, and physiological adaptation. Ability to explain clinical judgment measurement model, computerized adaptive testing, and Next Generation item types while preparing registered nursing graduates for licensure.
  • Strategic Test-Taking & Problem-Solving: Skilled at teaching the clinical judgment model including recognizing cues, analyzing cues, prioritizing hypotheses, and evaluating outcomes for NCLEX-RN. Guides students through delegation and supervision questions, medication safety scenarios, interpreting diagnostic results, and prioritizing patient care using evidence-based frameworks. Emphasizes developing systematic approaches to case study and select-all-that-apply item formats.
  • Curriculum Awareness & Adaptive Instruction: Familiar with NCLEX-RN test plan and common challenges such as pharmacology dosage calculations, prioritization and delegation questions, and Next Generation NCLEX case study formats. 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 licensure.
  • Effective Teaching Methods: Ability to identify concepts students commonly struggle with, explain material using multiple approaches, and adapt instruction to meet individual learning needs and styles.
  • Strong communication skills and a friendly, engaging teaching style.
  • Ability to adapt to different learning styles and student needs.

Ways To Connect With Students
  • 1-on-1 Online Tutoring - Provide personalized instruction to individual students.
  • Instant Tutoring - Accept on-demand tutoring requests whenever you're available.

About Varsity Tutors And 1-on-1 Online Tutoring
Our mission is to transform the way people learn by leveraging advanced technology, AI, and the latest in learning science to create personalized learning experiences. Through 1-on-1 Online Tutoring, students receive customized instruction that helps them achieve their learning goals. Our platform is designed to match students with the right tutors, fostering better outcomes and a passion for learning.
Please note: Varsity Tutors does not contract in: Alaska, California, Colorado, Delaware, Hawaii, Maine, New Hampshire, North Dakota, Vermont, West Virginia or Puerto Rico.

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