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Remote Utilization Review Rn Jobs in Birmingham, AL

Varsity Tutors

NCLEX-RN Tutor

Birmingham, AL · 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 ...

Pharmacy Careers

Appeals Pharmacist (Remote)

Birmingham, AL · On-site +1

$49 - $59.75/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 ...

DataAnnotation

RN

Birmingham, AL · Remote

$40 - $60/hr

MDs, PAs, and Nurses. Benefits ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...

Perry Health Inc

1099 MD/DO - 2026

Birmingham, AL · Remote

$120/hr

Remote -- United States (Licensure required in at least 3 of: AL, GA, IL, IN, LA, MS, NC, OH, TN ... Collaborate with the broader care team -- including RNs, RDs, and Accountability Coaches -- to ...

Urology Centers of Alabama

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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Remote Utilization Review Rn information

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

As of May 28, 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 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 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 popular job titles related to Remote Utilization Review Rn jobs in Birmingham, AL? For Remote Utilization Review Rn jobs in Birmingham, AL, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in Birmingham, AL look for? The top searched job categories for Remote Utilization Review Rn jobs in Birmingham, AL are:
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:
Remote Utilization Review Rn jobs near you
RN Telephone Triage (Work from Home)

RN Telephone Triage (Work from Home)

AccessNurse

Birmingham, AL • Remote

Full-time, Part-time

PTO

Posted 19 days ago

Job description

Requirements
Qualifications / Experience
  • Current multi-state RN license with no restrictions; nurses currently holding a single-state RN license must obtain a multi-state license prior to being made a job offer
  • 2+ years of RN experience
  • Proficiency using computers and type a minimum of 25 wpm
  • Excellent listening and comprehension skills to determine key information by patient
Remote Workstation / HIPAA Requirements
  • Must have a high-speed internet connection
  • Workstation must be in a room where door can be locked
  • Desk should be large enough to hold 2 monitors, computer, accessories + hands-free headset
  • Ability to handle confidential information; HIPAA compliance is mandatory
Remote Training Schedule
Format: Virtual (Zoom)
Duration: 4 weeks
Attendance: 100% attendance required
  • Week 1: July 13th - July 17th M-F 9:00 am-5:00 pm EST
  • Week 2: July 20th - July 24th M-F 9:00 am-5:00 pm EST
  • Week 3: July 27th - July 31st M-F 2:00 pm-10:00 pm EST
  • Week 4: Shift days/times with a preceptor will be discussed with education manager

External Job Description and Responsibilities
Evenings, Weekend Only, Full-time & Part-time opportunities available (20hrs +)
Hiring for evenings and weekends (*weekends and holidays are required) Incentives for Bilingual Spanish Telephone Triage RNs!
Are you looking for an exciting way to utilize your nursing skills and expertise to deliver quality nursing care in a remote setting? AccessNurse, where technology meets compassionate care, is looking for professional nurses & offering flexibility, balance and a modern work environment.
AccessNurse-TeamHealth is the premier medical call center, delivering 24/7 telephone nurse triage, answering services and health information services to hospitals, physician offices, and insurance plans across the country. We serve more than 20,000 clinicians and practices along with healthcare systems, health plans, and federally qualified health centers across the country. From day one, you'll work from home using advanced evidence-based clinical decision tools to help patients get the right level of care at the right time.
Why Nurses Love This Role:
  • 100% remote- work from home
  • No bedside lifting or hospital burn out
  • The variety of scheduling options
  • Competitive Pay + excellent benefits
  • Supportive, collaborative team culture
  • Paid training & equipment is provided
  • Opportunities for bilingual pay incentive
As a Telephone Triage RN, you'll use clinical expertise and technology to guide patients across the lifespan & determine the best way to address their medical issues and concerns over the phone:
You will:
  • Assess symptoms using physician-developed clinical algorithms
  • Deliver & document health education to assist patients in managing their symptoms when indicated
  • Assist in getting patients to the appropriate level of care (e.g. home care, an office visit, emergency room)
  • Consult with physicians as needed

Other Considerations
Offerings
• Full-time opportunities available (26 hours+) 26 - 31 hours/week is eligible for 65% of PTO
• Additional pay incentives/shift differentials
• Hiring for afternoons, evenings, and weekends
• Remote work schedule
• Computer equipment provided
• Paid training provided
• Benefits package (full time employees)
• Career growth opportunities

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