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Remote Utilization Review Rn Jobs in Birmingham, AL

NCLEX-RN Tutor

Birmingham, AL ยท 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 ...

Collaborate with a multidisciplinary team of GI physicians, NP/PAs, and psychologists to ensure a ... Remote-first flexibility -- work from home anywhere within our accepted states * Growth:

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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 Aug 3, 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 Patient Monitoring (RPM) Nurse

Medical Director Services PC

Birmingham, AL โ€ข Remote

Other

Re-posted yesterday


Job description

Remote Patient Monitoring (RPM) Nurse – Remote

Join Our Growing Clinical Team!

We are seeking compassionate, detail-oriented Registered Nurses (RNs) or Licensed Practical Nurses (LPNs) to join our Remote Patient Monitoring (RPM) team. This is a fully remote position where you will monitor patients' vital signs, identify clinical trends, and collaborate with providers to improve patient outcomes.

Responsibilities:

  • Monitor daily patient vital signs through our Remote Patient Monitoring platform.

  • Review blood pressure, pulse, oxygen saturation, weight, blood glucose, temperature, and other biometric data.

  • Identify abnormal trends and escalate clinically significant findings to the appropriate provider.

  • Communicate with patients by phone to assess symptoms, provide education, and encourage adherence to care plans.

  • Document all patient interactions and clinical interventions accurately in the electronic medical record.

  • Collaborate with nurse practitioners, physicians, and the clinical team to ensure timely follow-up.

  • Meet Medicare RPM documentation requirements while delivering high-quality patient care.

Qualifications:

  • Active RN or LPN license in good standing.

  • Strong assessment and critical thinking skills.

  • Excellent verbal and written communication skills.

  • Comfortable using electronic medical records and remote monitoring technology.

  • Ability to work independently while managing multiple patients efficiently.

  • Reliable high-speed internet and a quiet home office environment.

What We Offer:

  • 100% remote work

  • Flexible scheduling

  • Competitive compensation

  • Supportive clinical leadership

  • Opportunity to grow with a rapidly expanding healthcare organization

  • Meaningful work helping patients manage chronic conditions from the comfort of their homes

If you are passionate about preventive care, enjoy working with technology, and want to make a meaningful impact on patients' lives, we'd love to hear from you!


Medical Director Services PC was founded in 2016 when SNF’s were shifting a focus on value at the same time treating residents with higher level of acuity. MDS PC puts an emphasis on quality and customer service first. Another crucial focus is treating in place when possible and reducing unnecessary hospitalizations.