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Remote Utilization Review Rn Jobs in Carmel, IN (NOW HIRING)

Humana

Care Coordinator, RN Field Based

Speedway, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

Greenfield, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

Avon, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

Danville, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

Danville, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

Speedway, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

Avon, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

Clermont, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

Cumberland, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

Cumberland, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

Lawrence, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

Avon, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

Clermont, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

Cumberland, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

Danville, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

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Showing results 21-40

All JobsUtilization Review Rn JobsRemote Utilization Review Rn JobsRemote Utilization Review Rn Jobs in Carmel, IN

Remote Utilization Review Rn information

See Carmel, IN salary details

$21

$42

$68

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

As of Sep 15, 2026, the average hourly pay for remote utilization review rn in Carmel, IN is $42.22, according to ZipRecruiter salary data. Most workers in this role earn between $33.37 and $48.46 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 Carmel, IN?

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

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

The top searched job categories for Remote Utilization Review Rn jobs in Carmel, IN are:

What cities near Carmel, IN are hiring for Remote Utilization Review Rn jobs?

Cities near Carmel, IN with the most Remote Utilization Review Rn job openings:

Infographic showing various Remote Utilization Review Rn job openings in Carmel, IN as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 17% Part Time, 3% Contract, and 1% Nights. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $87,810 per year, or $42.2 per hour.

Remote Patient Monitoring LPN - Community ProCare at Home

Fishers, IN • On-site, Remote

Community Health Network
See more jobs at Community Health Networkexternal

$23.25 - $31.50/hr

Full-time

Posted 15 days ago

Community Health Network rating

7.6

Company rating: 7.6 out of 10

Based on 235 frontline employees who took The Breakroom Quiz

Job description

Join Community
Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, "community" is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and benefits initiatives. It means ensuring our dedicated caregivers can learn and grow to stay at the top of their fields and to better serve our patients. And above all, it means exceptional care, simply delivered - and we couldn't do it without you. The is a fully remote position.
Make a Difference
As a Remote Patient Monitoring LPN ( Post-Acute Care Coordinator LPN), you will support patients enrolled in a remote monitoring program by reviewing transmitted health data, providing patient outreach, and escalating concerns according to established clinical protocols. This role works closely with nursing leadership and care teams to promote early identification of health changes, improve chronic disease management, and enhance patient engagement-all in a remote, technology-enabled care model. Key responsibilities include:
  • Review and monitor patient-generated health data (e.g., blood pressure, weight, blood glucose, pulse oximetry) transmitted through remote monitoring platform. Review and respond to care path focused questionnaires submitted by patients.
  • Identify abnormal trends or readings and follow established clinical workflows for patient outreach and escalation
  • Outreach to possible Remote Patient Monitoring patients and obtain consent.
  • Conduct outbound phone calls or secure messages to patients to assess symptoms, reinforce education, and support adherence to care plans
  • Document patient interactions, clinical assessments, and interventions accurately in the electronic health record
  • Communicate effectively with providers and their triage team, pharmacy, and other care team members to coordinate follow-up care as needed
  • Educating patients on proper device usage, data transmission, and self-management strategies
  • Reinforcement of care path zones based on vital sign trends
  • Support quality, compliance, and safety initiatives related to remote patient monitoring services
  • Maintain patient confidentiality and comply with HIPAA and organizational policies

Exceptional Skills and Qualifications
  • Graduate of a recognized accredited school of practical nursing, or Graduate from a non-accredited school of practical nursing with three years related professional nursing experience required.
  • Licensed as an LPN by the Indiana Professional Licensing Agency required.
  • Previous nursing experience in ambulatory care, chronic disease management, telehealth or care coordination preferred but not required.
  • Current Indiana Driver's License with valid vehicle insurance

Why Community?
At Community Health Network, we build teams that deliver exceptional care through empathy, communication and collaboration. We consider ALL an integral part of the exceptional patient experience. We PRIIDE ourselves on not having employees but Caregivers. Join our Community as we make a difference in your community.
Caring people apply here.
Apply Today!

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