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Remote Utilization Review Rn Jobs in Braintree, MA

Varsity Tutors

NCLEX-RN Tutor

Cambridge, MA · 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 ...

Varsity Tutors

NCLEX-RN Tutor

Newton, MA · 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 ...

Varsity Tutors

NCLEX-RN Tutor

Boston, MA · 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 ...

Varsity Tutors

NCLEX-RN Tutor

Waltham, MA · 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 ...

Varsity Tutors

NCLEX-RN Tutor

Somerville, MA · 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 ...

Varsity Tutors

NCLEX-RN Tutor

Quincy, MA · 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 ...

Varsity Tutors

NCLEX-RN Tutor

Lynn, MA · 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 ...

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All JobsUtilization Review Rn JobsRemote Utilization Review Rn JobsRemote Utilization Review Rn Jobs in Braintree, MA

Remote Utilization Review Rn information

See Braintree, MA salary details

$21

$42

$70

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

As of Jul 14, 2026, the average hourly pay for remote utilization review rn in Braintree, MA is $42.98, according to ZipRecruiter salary data. Most workers in this role earn between $33.94 and $49.38 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 Braintree, MA? For Remote Utilization Review Rn jobs in Braintree, MA, the most frequently searched job titles are:
What cities near Braintree, MA are hiring for Remote Utilization Review Rn jobs? Cities near Braintree, MA 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 Braintree, MA as of July 2026, with employment types broken down into 89% Full Time, 8% Part Time, and 3% Contract. Highlights an 40% Physical, 3% Hybrid, and 57% Remote job distribution, with an average salary of $89,393 per year, or $43 per hour.

Telephonic Nurse Care Associate

Advanced Monitored Caregiving Inc.

Boston, MA • Remote

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

At AMC Health, we are transforming healthcare through advanced remote patient monitoring and virtual care solutions that help patients manage chronic conditions safely at home. Our care teams play a critical role in improving outcomes, enhancing patient engagement, and reducing avoidable hospitalizations.

We are seeking a Telephonic Nurse Care Associate (LPN/LVN) who is passionate about patient engagement, chronic care support, and using technology to improve healthcare delivery.

What You’ll Do

  • Conduct telephonic clinical outreach to patients enrolled in Remote Patient Monitoring (RPM) and chronic care programs.
  • Review biometric alerts and identify out-of-range readings; escalate clinical concerns according to protocols.
  • Provide patient education and coaching to support adherence to care plans and lifestyle recommendations.
  • Accurately document patient encounters in EMR/RPM systems in compliance with clinical and regulatory standards.
  • Collaborate with clinical management, RN Care Managers, providers, and interdisciplinary care teams to coordinate patient care.
  • Support patient engagement initiatives designed to improve monitoring compliance and clinical outcomes.

What You Bring

  • Active LPN/LVN license in good standing.
  • 5+ years of clinical experience, including 3+ years in care coordination, telehealth, home care, or chronic disease management.
  • Experience supporting patients with conditions such as CHF, COPD, diabetes, or hypertension preferred.
  • Strong telephonic communication, patient education, and motivational interviewing skills.
  • Experience using EMR/EHR systems and comfort working in a technology-enabled care environment.
  • Ability to work independently in a structured remote clinical workflow.

Why AMC Health

  • Fully remote clinical role supporting patients nationwide
  • Opportunity to work at the forefront of virtual care innovation
  • Collaborative interdisciplinary care teams
  • Meaningful work improving patient outcomes every day
  • Growth opportunities within expanding virtual care programs

Work Environment Requirements

  • Private, secure, distraction-free home workspace
  • Reliable high-speed internet connectivity
  • Ability to work schedules aligned with assigned patient populations or client time zones

Apply