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Remote Utilization Review Rn Jobs in Carlsbad, CA

Project Architect

Carlsbad, CA ยท On-site +1

$100K - $130K/yr

Review drawings for coordination across all disciplines * Prepare and edit architectural ... Hybrid schedule (in-office Monday-Wednesday; optional remote (Thursday-Friday) * Comprehensive ...

Executive Director, Managing Attorney

San Diego, CA ยท On-site +1

$195K - $351K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Reviews, analyzes, and interprets data to identify trends and evaluate operational staffing and ...

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 Aug 8, 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 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 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 Carlsbad, CA? For Remote Utilization Review Rn jobs in Carlsbad, CA, the most frequently searched job titles 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, 81% Full Time, 15% Part Time, and 3% Contract. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $91,232 per year, or $43.9 per hour.

Account Executive - TherOx (SS02) CA/NV/AZ/UT

Zoll Medical Corporation

San Diego, CA โ€ข Remote

Full-time

Re-posted 19 days ago


Job description

CMS

At ZOLL, we're passionate about improving patient outcomes and helping save lives. We provide innovative technologies that make a meaningful difference in people's lives. Our medical devices, software and related services are used worldwide to diagnose and treat patients suffering from serious cardiopulmonary and respiratory conditions.
ZOLL Cardiac Management Solutions offers a unique portfolio of novel technologies designed to deliver better insights and better outcomes. On any given day, clinicians utilize these ZOLL products for tens of thousands of cardiac patients around the world:

  • LifeVest, the world's first wearable defibrillator, has been trusted to protect more than 1M patients at risk of sudden cardiac death.
  • HFMS (Heart Failure Management system) is a non-invasive, patch-based device that monitors pulmonary fluid levels and has been shown to reduce heart failure readmissions rates by 38 percent.
  • TherOx Super Saturated Oxygen (SSO2) Therapy is the first FDA-approved therapy since the stent 20+ years ago to reduce infarct size in patients with the most severe heart attacks.


Heart disease is the leading cause of death for both men and women in the U.S. At ZOLL, your work will help to ensure cardiac patients get the life-saving therapy they need.
ZOLL has been Pittsburgh's Manufacturer of the Year, one of Western PA's Healthiest Employers, and even one of Pittsburgh's Coolest Offices. But it's our unique opportunity to impact people's lives that makes ZOLL the ideal place to build your career.
Job Type
Remote
Job Summary
Successful candidate will be responsible for meeting or exceeding company sales and profits through effective management of capital and disposable sales processes aimed at maximum product immersion within hospitals and Integrated Delivery Networks (IDNs). As a leader, this executive will create and manage business plans in hospitals and target accounts to proliferate Institutions of influence within the assigned geography. Works as an individual contributor leading and orchestrating plans within these specific targets. Collaborate with Marketing regarding effective utilization and execution of marketing collateral materials, sales plans, customer education and training programs.
Essential Functions

  • Build business relationships with key stakeholders across the hospital and IDN system, including physicians, nursing leadership, key administrators, and other personnel that may influence TherOx adoption within the healthcare system (cardiology)
  • Generate sales of the complete SS02 Therapy System including consoles and disposables and drive business to projected dollar and unit growth
  • Actively assist in planning and participation for events, trade shows, conferences, conventions, medical meetings, seminars, and workshops. Coordinate and plan participation in customer-specific events
  • Develop and execute tactical business plans in support of overarching strategic plans
  • Accountable for staying within approved spending budgets
  • Create the opportunity for cross over selling across ZOLL market segments (i.e. ACT / CMS /Respicardia /Itamar), to create incremental revenue and to strategically advance ZOLL's position in the market
  • Daily interaction with field based customers
  • Work as a team member to demonstrate and share bets practices of IDN proliferation strategies, onboarding medical centers of influence, business plan execution and KOL development
  • Comply with all policies and standards.
  • Any other job responsibilities as assigned by management and subject to modification.


Required/Preferred Education and Experience

  • Bachelor's Degree required
  • Master's Degree preferred
  • Minimum of 10 years of successful selling experience into the US healthcare markets; or equivalent combination of medical sales experience and cardiac nursing experience required
  • Extensive experience in selling into complex hospital systems and Integrated Delivery Network (IDN) hospitals preferred
  • Sales experience in emerging medical technology or a start-up environment preferred
  • Travel 50%+/Valid Driver's License/Credentialing required


Knowledge, Skills and Abilities

  • C-suite executive presence and capabilities
  • Experience in C-suite relationship building and partnership
  • Proven ability to build strong, lasting relationships in organizations (internal and external)
  • Track record of successful collaboration with marketing for product launches and improvement strategies
  • Demonstrated success selling systems, concepts and solutions at the administrative levels of a healthcare organization
  • Experience in communicating value benefits associated with hospital decision making
  • Advanced computer skills
  • Organization and Time Management skills


Preferred Languages

  • English - Advanced


Travel Requirements

  • 100% Daily travel in assigned territory and occasional US Travel for meetings or training


Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

  • Standing - Occasionally
  • Walking - Frequently
  • Sitting - Occasionally
  • Talking - Frequently
  • Hearing - Constantly


ZOLL is a fast-growing company that operates in more than 140 countries around the world. Our employees are inspired by a commitment to make a difference in patients' lives, and our culture values innovation, self-motivation and an entrepreneurial spirit. Join us in our efforts to improve outcomes for underserved patients suffering from critical cardiopulmonary conditions and help save more lives.

The "at plan" compensation (Base Salary + Variable Incentive Compensation) for this position is:

$270,000.00 which includes a base salary of $125,000.00 and commission in accordance with the company's sales compensation plan.

Details of ZOLL's comprehensive benefits plans can be found at www.zollbenefits.com.

Applications will be accepted on an ongoing basis until this position is filled. For fully remote positions, compensation will comply with all applicable federal, state, and local wage laws, including minimum wage requirements, based on the employee's primary work location.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, disability, or status as a protected veteran.

ADA: The employer will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990.