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Remote Utilization Review Rn Jobs in Carson, CA (NOW HIRING)

YO AI Labs

Hospitalist Physician - Remote

Los Angeles, CA · Remote

$70 - $100/hr

Remote Job Overview We are seeking experienced Hospitalist Physicians to contribute their medical ... Experience with utilization review, medical coding, or healthcare quality assurance. * Familiarity ...

Corvel

CA Medical Case Manager II

Los Angeles, CA · On-site +1

$32.18 - $48.68/hr

CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse ... A cost containment background, such as utilization review or managed care is helpful * Strong ...

Molina Healthcare

RN Care Manager - STARS

Long Beach, CA · Remote

$30.37 - $59.21/hr

This is a 100% remote role. Must be an RN and reside in California. Job Summary Provides support for care management/care coordination activities and collaborates with multidisciplinary team ...

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All JobsUtilization Review Rn JobsRemote Utilization Review Rn JobsRemote Utilization Review Rn Jobs in Carson, CA

Remote Utilization Review Rn information

See Carson, CA salary details

$22

$44

$72

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 Carson, CA is $44.22, according to ZipRecruiter salary data. Most workers in this role earn between $34.95 and $50.77 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 Carson, CA?

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

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

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

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

Cities near Carson, CA 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 Carson, CA as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 14% Part Time, 2% Contract, and 1% Nights. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $91,977 per year, or $44.2 per hour.

Hospitalist Physician - Remote

YO AI Labs

Los Angeles, CA • Remote

$70 - $100/hr

Full-time

Posted 13 days ago

Key responsibilities

  • Review medical records, including FHIR data and clinical notes, for AI training and quality evaluation.

  • Verify that clinical information, findings, and claims are supported by the available medical record.

  • Review inpatient documentation, including HPI, PMH, assessments, and treatment plans.

Job description

Hospitalist Physician

Job Type: Contractor
Location: Remote

Job Overview

We are seeking experienced Hospitalist Physicians to contribute their medical expertise to a project focused on inpatient care, clinical documentation, and medical record quality. In this role, you will review clinical records, evaluate documentation for accuracy and completeness, and apply your clinical expertise to support high-quality medical data and AI training.

The ideal candidate has recent inpatient or hospitalist experience, strong clinical documentation knowledge, and the ability to consistently apply established review standards.

Key Responsibilities
  • Review medical records, including FHIR data and clinical notes, for AI training and quality evaluation.
  • Verify that clinical information, findings, and claims are supported by the available medical record.
  • Review inpatient documentation, including History of Present Illness (HPI), Past Medical History (PMH), assessments, and treatment plans.
  • Evaluate clinical documentation for accuracy, completeness, and consistency.
  • Identify missing, incorrect, conflicting, or unsupported information in medical records.
  • Apply established rubrics, guidelines, and review criteria consistently across cases.
  • Provide clear and concise feedback on clinical documentation and data quality.
  • Support quality assurance processes by identifying potential issues and inconsistencies.
  • Communicate effectively with the project team regarding findings, questions, and complex cases.
  • Maintain high standards of accuracy, consistency, and attention to detail throughout the review process.
Required Qualifications
  • MD or DO degree.
  • Board certification in Internal Medicine, Pediatrics, or Hospital Medicine.
  • Current or recent inpatient/hospitalist experience within the last 2 years.
  • Strong understanding of inpatient documentation and hospital workflows.
  • Experience reviewing clinical notes and medical records.
  • Ability to interpret FHIR-based clinical data and structured medical records.
  • Strong understanding of HPI, PMH, assessments, plans, and other inpatient documentation.
  • Excellent attention to detail and ability to identify discrepancies in clinical information.
  • Ability to follow defined rubrics and quality standards consistently.
  • Strong written and verbal communication skills.
Preferred Qualifications
  • Experience with chart review or clinical documentation review.
  • Experience with clinical documentation improvement (CDI).
  • Experience with utilization review, medical coding, or healthcare quality assurance.
  • Familiarity with electronic health records and structured clinical data.
  • Experience working across multiple inpatient services or specialties.
  • Previous experience reviewing healthcare data for quality, accuracy, or compliance.
  • Comfortable working independently in a remote environment.
Core Skills
  • FHIR Records
  • History of Present Illness (HPI)
  • Past Medical History (PMH)
  • Clinical Documentation Review
  • Inpatient / Hospitalist Experience
  • Quality Assurance
  • Medical Record Review
  • Clinical Judgment
  • Healthcare Data Quality
  • Rubric-Based Evaluation
  • Attention to Detail
  • Written and Verbal Communication