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Remote Utilization Review Rn Jobs in Boise, ID (NOW HIRING)

firsthand Health

Remote Triage Nurse

Boise, ID · On-site +1

$80K/yr

... are utilization. Together with our health plan partners, we are changing the way our society ... The Triage Nurse is a remote Registered Nurse who provides telephone and electronic triage support ...

firsthand Health

Remote Triage Nurse

Boise, ID · Remote

The Triage Nurse is a remote Registered Nurse who provides telephone and electronic triage support to firsthand individuals and staff, while also supporting outpatient care coordination. This is ...

Scribe-X

Remote Medical Scribe

Boise, ID · Remote

$14 - $17/hr

Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a ... Review completed charts with the provider between patients or at the completion of shift * Update ...

Scribe-X

Remote Medical Scribe

Boise, ID · Remote

$14 - $17/hr

Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a ... Review completed charts with the provider between patients or at the completion of shift * Update ...

Scribe-X

Medical Scribe (Remote)

Boise, ID · Remote

$14 - $17/hr

Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a ... Review completed charts with the provider between patients or at the completion of shift * Update ...

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Remote Utilization Review Rn information

See Boise, ID salary details

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

As of Jul 30, 2026, the average hourly pay for remote utilization review rn in Boise, ID is $40.24, according to ZipRecruiter salary data. Most workers in this role earn between $31.78 and $46.20 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 popular job titles related to Remote Utilization Review Rn jobs in Boise, ID? For Remote Utilization Review Rn jobs in Boise, ID, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in Boise, ID look for? The top searched job categories for Remote Utilization Review Rn jobs in Boise, ID are:
What cities near Boise, ID are hiring for Remote Utilization Review Rn jobs? Cities near Boise, ID 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 Boise, ID as of July 2026, with employment types broken down into 84% Full Time, 12% Part Time, and 4% Contract. Highlights an 51% Physical, 5% Hybrid, and 44% Remote job distribution, with an average salary of $83,704 per year, or $40.2 per hour.

Remote Case Management RN - California License

Vivo HealthStaff

Boise, ID • Remote

$43 - $48/hr

Contractor

Re-posted 12 days ago

Job description

Vivo HealthStaff is actively recruiting for a fully remote Case Manager position. This temporary 3-month contract role, with an option to extend, and focuses on health care management and coordination for members with complex and chronic care needs. Utilizing the nursing process, the Case Manager will interact effectively with members, caregivers, and interdisciplinary team participants, all while working remotely.

Job Description:

- Care Coordination: Serve as a remote resource for the member, their family, and their physician, ensuring access to appropriate care and facilitating referrals/authorizations.
- Comprehensive Assessments: Conduct thorough remote assessments, evaluating the member's health status, resource utilization, and treatment plans.
- Care Plan Implementation: Collaborate remotely with the member, PCP, and care team to implement a care plan, interfacing with various healthcare professionals.
- Education and Support: Provide remote education and self-management support tailored to the member's unique learning style.
- Problem Solving: Assist in resolving issues with providers, claims, or services from a remote setting.
- Care Coordination Efficiency: Work closely with delegated or contracted providers to ensure effective care coordination, remotely.
- Compliance: Maintain confidentiality of all PHI in compliance with state and federal law and company policy, while working remotely.

Supervisory Responsibilities:
- None.

Minimum Requirements:

Experience:
- 1-3 years of clinical experience, with 2 or more years in case management.
- Health Plan experience preferred.

Education/Licensure:
- Active, valid, and unrestricted California RN license.

Other Skills:
- Understanding of community resources, treatment options, home health, funding options, and special programs.
- Extensive knowledge of chronic condition management.
- Bilingual in Spanish preferred.
- Excellent verbal and written communication skills.
- Team player with effective relationship-building skills.
- Ability to work independently in a remote setting.
- Experience using standardized clinical guidelines.
- Strong organizational skills.
- Proficiency in PC-based software programs, including Word, Excel, and PowerPoint.

Vivo HealthStaff is a healthcare staffing and recruitment firm based in the San Francisco Bay Area, providing permanent and temporary opportunities to organizations across the United States.


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About Vivo HealthStaff

Sourced by ZipRecruiter

Vivo HealthStaff provides permanent recruitment services for both clinical and administrative positions in the healthcare sector. Over the past 2 years, our clients have seen a 98% retention rate with Vivo HealthStaff placements.

Industry

Health care and social assistance

Company size

11 - 50 Employees

Headquarters location

Dublin, CA, US

Year founded

2016

Social media

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