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Remote Utilization Review Rn Jobs in Carlsbad, CA

Accounting Manager

San Diego, CA · Remote

$105K - $130K/yr

San Diego, CA or Remote Compensation Range $105,000-$130,000 Position Summary We are looking for an ... Meet set annual billable utilization rate. * Meet set annual client retention rate. * Manage set ...

Remote/Virtual Hours: Estimated 10-16 hours per month Role: Clinical Specialist About IQVIA IQVIA ... This position involves reviewing scales administered by raters to confirm standardized assessment ...

Remote/Virtual Hours: Estimated 10-16 hours per month Role: Clinical Specialist About IQVIA IQVIA ... This position involves reviewing scales administered by raters to confirm standardized assessment ...

Showing results 41-60

Remote Utilization Review Rn information

See Carlsbad, CA salary details

$22

$43

$71

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

As of Sep 3, 2026, the average hourly pay for remote utilization review rn in Carlsbad, CA is $43.86, according to ZipRecruiter salary data. Most workers in this role earn between $34.66 and $50.38 per hour, depending on experience, location, and employer.

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 are the key skills and qualifications needed to thrive as a remote utilization review RN?

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 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 Carlsbad, CA?

For Remote Utilization Review Rn jobs in Carlsbad, CA, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Review Rn jobs in Carlsbad, CA look for?

The top searched job categories for Remote Utilization Review Rn jobs in Carlsbad, CA are:

What cities near Carlsbad, CA are hiring for Remote Utilization Review Rn jobs?

Cities near Carlsbad, CA with the most Remote Utilization Review Rn job openings:

Infographic showing various Remote Utilization Review Rn job openings in Carlsbad, CA as of August 2026, with employment types broken down into 1% As Needed, 85% Full Time, 11% Part Time, 2% Contract, and 1% Nights. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $91,232 per year, or $43.9 per hour.

Clinical Account Representative, CardioMEMS - Riverside, CA

Abbott

San Diego, CA • Remote

Full-time

Medical, Retirement, PTO

Re-posted 23 days ago


Abbott rating

7.8

Company rating: 7.8 out of 10

Based on 138 frontline employees who took The Breakroom Quiz

169th of 545 rated manufacturers


Job description

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 115,000 colleagues serve people in more than 160 countries.JOB DESCRIPTION:
Job Title

Clinical Account Representative, CardioMEMS - San Diego, CA

Working at Abbott

At Abbott, you can do work that matters, grow, and learn, care for yourself and family, be your true self and live a full life. You'll also have access to:

  • Career development with an international company where you can grow the career you dream of.

  • Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year

  • An excellent retirement savings plan with high employer contribution

  • Tuition reimbursement, the Freedom 2 Save student debt program and FreeU education benefit - an affordable and convenient path to getting a bachelor's degree.

  • A company recognized as a great place to work in dozens of countries around the world and named one of the most admired companies in the world by Fortune.

  • A company that is recognized as one of the best big companies to work for as well as a best place to work for diversity, working mothers, female executives, and scientists.

Heart Failure

In Abbott's Heart Failure (HF) business, we're developing solutions to diagnose, monitor and manage heart failure, allowing people to restore their health and get on with their lives.

The Clinical Account Representative (CAR) supports the growth of CardioMEMS by driving utilization, supporting key accounts, and delivering education and technical support. This is a sales-forward role focused on account development, workflow optimization, and expanding access to the therapy. The CAR operates at the intersection of clinical expertise, relationship management, and commercial execution, ensuring that CardioMEMS is successfully integrated into heart failure care pathways and delivers measurable patient and economic value.

The ideal candidate would be based in the Riverside area, with travel to San Diego and Orange County.

WHAT YOU'LL DO

1. Sales & Customer Engagement

  • Serve as the primary point of contact for highvolume, established accounts, ensuring seamless onboarding and patient monitoring workflows.

  • Achieve assigned sales and utilization targets within defined accounts.

  • Execute actionable quarterly business plans with clear activity goals and growth drivers.

  • Conduct routine account checkins to review program performance, identify barriers, and uncover new opportunities.

  • Deliver product demonstrations and participate in educational meetings to drive adoption and expand utilization.

  • Provide competitive insights, including customer feedback and market intelligence.

  • Provide coverage for Territory Managers during PTO, meetings, and peak demand periods.

2. Account Management

  • Maintain CRM documentation for key accounts, including activity notes, opportunities, and followups.

  • Build and sustain strong relationships with physicians, APPs, HF clinics, and administrators.

  • Conduct quarterly account reviews in collaboration with Territory Manager to support program health, patient volume trends, and operational needs.

  • Support the execution of workflow optimizations to improve patient identification, onboarding, and monitoring processes.

3. Technical & Clinical Support

  • Provide technical troubleshooting for remote monitoring issues and workflow challenges, escalating as needed.

  • Offer procedural case support occasionally for broader territory, focusing on priority accounts.

  • Support training and education for new clinical staff, HF clinics, and administrators.

  • Participate in product inservices and support clinical data collection as needed.

  • Continue developing strong product, HF, and CardioMEMS competency.

4. Compliance & Collaboration

  • Adhere to all FDA, regulatory, and company quality requirements.

  • Maintain accurate documentation of sales activities, account plans, expenses, and clinical interactions.

  • Collaborate effectively with Territory Managers, Marketing, Professional Education, Clinical Specialists, and sales leadership.

  • Maintain professional, compliant, and positive communication with all hospital and internal stakeholders.

EDUCATION AND EXPERIENCE YOU'LL BRING

Required

  • Bachelor's degree (Business, Life Sciences, Engineering, or related).

  • Experience: 2-4 years in medical device or healthcare (inside or field).

  • Demonstrates consultative selling skills, including uncovering needs, asking strategic questions, and positioning solutions that drive utilization growth.

  • Track record of 100% to goal in the most recent performance year.

  • Account-facing experience with clinicians and administrators (e.g., HF clinics, service line leaders).

  • Proficiency with CRM (Salesforce preferred), Excel/analytics, and PowerPoint.

  • Comfortable delivering clinical/technical presentations to audiences of 10-50 stakeholders.

Preferred

  • Knowledge of reimbursement landscape and payment pathways (highly preferred).

  • Experience at top MedTech organizations (highly preferred).

  • 1-2 years of commercial experience.

  • Experience in Cardiology/HF/EP/Structural Heart or remote monitoring.

  • Prior involvement in value analysis or committeebased selling.

  • Familiarity with Cath lab/OR workflows; basic procedural support experience.

Apply Now

Learn more about our health and wellness benefits, which provide the security to help you and your family live full lives: www.abbottbenefits.com

Follow your career aspirations to Abbott for diverse opportunities with a company that can help you build your future and live your best life. Abbott is an Equal Opportunity Employer, committed to employee diversity.

Connect with us at www.abbott.com, on Facebook at www.facebook.com/Abbott, and on Twitter @AbbottNews.

The base pay for this position is

$68,000.00 - $136,000.00

In specific locations, the pay range may vary from the range posted.

JOB FAMILY:Support ServicesDIVISION:HF Heart FailureLOCATION:United States > California : RemoteADDITIONAL LOCATIONS:WORK SHIFT:StandardTRAVEL:Yes, 25 % of the TimeMEDICAL SURVEILLANCE:Not ApplicableSIGNIFICANT WORK ACTIVITIES:Continuous standing for prolonged periods (more than 2 consecutive hours in an 8 hour day), Continuous walking for prolonged periods (more than 2 hours at a time in an 8 hour day), Driving a personal auto or company car or truck, or a powered piece of material handling equipmentAbbott is an Equal Opportunity Employer of Minorities/Women/Individuals with Disabilities/Protected Veterans.EEO is the Law link - English: http://webstorage.abbott.com/common/External/EEO_English.pdfEEO is the Law link - Espanol: http://webstorage.abbott.com/common/External/EEO_Spanish.pdf

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