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Remote Utilization Review Rn Jobs in Chesapeake, VA

Clinical Psychologist- Remote

Norfolk, VA ยท Remote

$66K - $82K/yr

Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...

Showing results 21-40

Remote Utilization Review Rn information

See Chesapeake, VA salary details

$20

$41

$67

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

As of Aug 20, 2026, the average hourly pay for remote utilization review rn in Chesapeake, VA is $41.06, according to ZipRecruiter salary data. Most workers in this role earn between $32.45 and $47.16 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 cities near Chesapeake, VA are hiring for Remote Utilization Review Rn jobs?

Cities near Chesapeake, VA with the most Remote Utilization Review Rn job openings:

Infographic showing various Remote Utilization Review Rn job openings in Chesapeake, VA as of August 2026, with employment types broken down into 77% Full Time, 13% Part Time, and 10% Contract. Highlights an 3% In-person, and 97% Remote job distribution, with an average salary of $85,413 per year, or $41.1 per hour.

Outpatient Therapist

Universal Mental Health Services LLC

Newport News, VA โ€ข Remote

$30 - $45/hr

Full-time

Re-posted 12 days ago


Job description

Definition of Service:
Outpatient Therapy provides clinical mental health services to children, adolescents, and adults
with identified mental health or substance abuse diagnosis. This service is designed to meet the
specific mental health needs of the identified client as they relate to their diagnosis and can be
provided in-office or other approved/appropriate settings. Outpatient therapy includes psycho-
educational activities/interventions designed to assist the client in the reduction of dysfunction.
Services are provided with client-centered and family-centered approaches and are delivered
through intensive, time-limited, goal specific interventions.
POSITION QUALIFICATIONS:
Master’s Degree from an accredited university in a clinical mental health discipline, such as:
Psychology, Counseling, Clinical Social Work, Psychiatric Nursing, and Marriage and Family
therapy, for example. The Master’s Degree must include clinical coursework in the foundations of
behavioral health and the provision of mental health services (i.e., individual, group and family
therapy, abnormal psychology, psychopathology, cognitive behavioral and psychodynamic
therapy, crisis counseling, assessment, child development, personality theory, psychotherapy lab,
clinical practicum). Other courses may count as determined by a review of the transcript/syllabi.
Must be a Licensed of Licensed Eligible (LMHP-R); Professional Counselor (LPC), Licensed
Clinical Social Worker (LCSW), or Licensed Marriage and Family Therapist (LMFT) in Virginia. At
least two (2) years verified experience in the mental health field. A valid Child Abuse, Criminal
History, and FBI clearances. Participation in and completion of all UMHS mandatory in-services.
PRIMARY DUTIES AND RESPONSIBILITIES:
 Collaborate with any other treatment providers and function as a liaison to placement
agencies, Wrap-Around services, schools, and foster homes to assure an integrated
approach to treatment is developed on behalf of the agency.
 Responsible for maintenance of clinical records including progress notes and other
documentation in accordance with accreditation and licensing standards, managed care
expectations, and agency policy and procedures.
 Provide appropriate individual and family counseling services to assigned caseload on a
daily basis.
 Completes all clinical documentation (Assessments, progress notes, Treatment Plans, etc.
per company policy.
 Apply patient documentation and record keeping guidelines set by the state, managed
care and agency policies.
 Therapists must be able to identify problems, secure relevant data to identify possible
causes, generate alternative courses of action, possible consequences, reach conclusions
and solutions based on thorough analysis and reasoning.
 Therapists must demonstrate abilities to set goals, assign priorities, anticipate problems,
establish limits, achieve results and complete multiple tasks within a timeline.
 Provides quality individual, couples, family and/or group therapy, which are focused on
the patients identified diagnosis and needs. Provides crisis intervention to new and
current patients as needed.
 Provides clinical/therapeutic services to a diverse client population. Accepts and treats all
patients as identified or assigned willingly and with professionalism. Applies brief
therapeutic intervention models as appropriate.
 Conducts comprehensive assessments, diagnoses, formulates and monitors individualized
treatment plans and treatment interventions which are in accordance with the
departments Provision of Care and the agency's policies.
 Provides case management and utilization review services for patients in his/her
assigned caseload. Provides education to patients and family as needed.
 Makes appropriate referrals to services within the agency or outside if needed. Serves as a
liaison with these referral sources in coordination with other staff to ensure continuity of
care in discharge planning.
 Actively participates in clinical supervision and peer review activities. Provides
consultation with other professionals, including ongoing clinical team treatment staffing.
 Provides community education and outreach, including referral development and
marketing efforts to generate new business. Willingly accepts this as a necessary part of
their job above and beyond caseload requirements.
 Must be able to maintain a minimum weekly caseload of (10) clients per week for
part time position; (30) clients per week for full time (to include children, adolescents,
and adults).
 Other duties as assigned.
QUALIFICATIONS:
 Must hold a Master’s degree in a Clinical Mental Health Counseling field (e.g.: Social Work,
Psychology, Counseling)
 Minimum requirements: Resident in Counseling, Supervisee in Social Work
 Licensed preferred. (LPC, LCSW, LMFT, LSATP)

This is a remote position.