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Remote Utilization Review Rn Jobs in Birmingham, AL

NCLEX-RN Tutor

Birmingham, AL · 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 ...

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

RN - AI Trainer

Birmingham, AL · Remote

$50 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

Care Coordinator

Birmingham, AL · Remote

$18 - $24.25/hr

This remote role focuses on managing patients with two or more chronic conditions through ongoing ... utilization. Key Responsibilities · Provide CMS-compliant Chronic Care Management (CCM) services ...

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Showing results 1-20

Remote Utilization Review Rn information

See Birmingham, AL salary details

$20

$39

$64

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

As of Jul 13, 2026, the average hourly pay for remote utilization review rn in Birmingham, AL is $39.63, according to ZipRecruiter salary data. Most workers in this role earn between $31.30 and $45.53 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 cities near Birmingham, AL are hiring for Remote Utilization Review Rn jobs? Cities near Birmingham, AL with the most Remote Utilization Review Rn job openings:
Infographic showing various Remote Utilization Review Rn job openings in Birmingham, AL as of July 2026, with employment types broken down into 74% Full Time, 13% Part Time, and 13% Contract. Highlights an 100% Remote job distribution, with an average salary of $82,423 per year, or $39.6 per hour.
Remote Nurse Practitioner Contractor- Multi-State

Remote Nurse Practitioner Contractor- Multi-State

Perry Health Inc

Birmingham, AL • Remote

$30/hr

Full-time

Posted 20 days ago


Job description

Multi-State Nurse Practitioner (NP) – Contracted

Location: Remote — United States

THE HIGHLIGHTS

  • Anticipated Start Date: Summer 2026
  • Role Type: Contracted, 1099
  • Payment Terms: Net 30
  • Licensure: Candidate must hold valid, unencumbered nurse practitioner licensure with prioritization in the following states: AL, UT, IA, IL, IN, MI, GA, FL.
  • Schedule: 1099 flexibility | set your own hours | ideally provide 15-20+ hours of weekly availability
  • Current Demand: Monday–Friday, 9 a.m.–9 p.m. ET
  • Requirement: Provide availability for the next two months by the 15th of each month.
  • Compensation: $30.00 per completed consult + $30.00/hour for non-clinical time (see Compensation & Payment Terms below).
  • Remote Requirements: Must reside in the United States with consistent access to a clean, quiet workspace; solid internet connection; and proficient technical experience.
OUR MISSION

Perry Health is rethinking chronic care through a fully remote, continuous care model. We provide expert diabetes education and clinical management for Medicare patients, delivered by a comprehensive team of specialized Registered Nurses, Registered Dietitians, and Accountability Coaches.

Our model integrates high-level clinical expertise with real-time data from cellular-connected glucometers and advanced CGM management. By bridging the gap between physician visits with proactive, data-driven support, we deliver life-changing outcomes for our members.

ABOUT THE ROLE

We are seeking an experienced Nurse Practitioner (NP) passionate about remote care delivery. In this role, you will lead diabetes education and management by conducting phone visits for initial member consultations. You will be responsible for evaluating diagnoses, medications, and lab results to assess member acuity and validate candidacy and continuation in our clinical program. Additionally, you will be identifying and prescribing CGMs (Continuous Glucose Monitor) for applicable members.

KEY RESPONSIBILITIES
  • Provide call-based care to members in Perry Health's Remote Patient Monitoring (RPM) program.
  • Deliver swift, empathic care to members and assess their clinical competencies.
  • Evaluate medical history and data to determine member eligibility for the clinical program.
  • Serve as the primary clinical point of contact for practice-wide escalations.
  • Collaborate with the broader care team — including RNs, RDs, and Accountability Coaches — to reinforce clinical goals and SMART goal progression.
  • Adhere to Perry Health policies, procedures, and standard operating procedures to ensure ongoing clinical quality and compliance.
QUALIFICATIONS
  • Education: Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP) from an accredited institution; active certification as a Nurse Practitioner.
  • License: Valid, unencumbered state nurse practitioner license required. Multi-state licensure required.

Current priority need states are Alabama, Utah, and Iowa.

  • Experience: Minimum 3+ years of experience managing patients with diabetes.
  • Knowledge: Familiarity with continuous glucose monitors (CGMs) and behavior change theory is a plus.
  • Skills: Motivated learner, willing to acquire proficiency with the necessary technology (computers, software applications, phone systems); experience or training in Motivational Interviewing to support sustainable behavior change is a plus.
  • Traits: Creative thinking, an eye for detail, ability to work independently, a positive attitude, and the ability to excel in a fast-paced atmosphere while collaborating with diverse groups at all levels of the organization.
  • Language: Spanish-speaking highly preferred.
COMPENSATION & PAYMENT TERMS

Contractors are paid on a monthly basis following Net 30 payment terms.

Clinical Pay: $30.00 per completed consult. Consults are scheduled in 20-minute slots and require a minimum of 15 minutes of engagement time per member — inclusive of live conversation, chart review, and care coordination — for the visit to be billable. Payment is issued for completed, billable visits.

Non-Clinical Pay: $30.00/hour flat rate for required meetings and training.

OUR VALUES
  • Our patients are our purpose: We understand that the decisions we make have an impact on our patients' health. We are a healthcare company above all else. The choices we make are always in the best interest of our patients.
  • Bring your best self: The authenticity of our team drives our innovation. We show up for each other and our patients every day. Your teammates will count on you for motivation and support, and you should expect the same in return. Conversely, recognize when you are not at your best so you can seek support and take time to recharge.
  • Own your ideas and your results: Each member of the team contributes to the growth of Perry. Identify problems, seek solutions that maximize impact. Ownership is key; seek out support from team members, and take accountability for the results of your efforts.
  • Move fast, but with purpose: Consistent, rapid growth is expected. Set goals, work with purpose, assess, reassess, and pivot when necessary. Perfection should not impede progress. Ego should not prevent reevaluation. Each day will provide opportunities for learning and growth and will move us closer to our goals.
  • Good ideas come from anywhere: Ideas, good and bad, come from every level of the organization. Employees at all levels are empowered to share their ideas and feedback. The whole of Perry is greater than the sum of its parts. All ideas are considered, and when a decision is made we will move forward together.

Perry Health is proud to be an equal opportunity workplace, providing equal employment and advancement opportunities to all team members. We are building an environment where every Perry Health team member can thrive, feel a sense of belonging, and do the best work of their careers. We value diversity and recruit, hire, and promote individuals solely based on talent, qualifications, competence, and merit. We evaluate candidates without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics as required by law and as a matter of our company values.