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Remote Utilization Review Rn Jobs in Chicago, IL

Current RN Licensure in state of operation * 3 or more years of recent clinical experience ... Strong cost containment background, such as utilization review or managed care helpful

This is a remote position. ESSENTIAL FUNCTIONS &RESPONSIBILITIES: * Responsible for directing a ... May perform daily, weekly, monthly reviews of various reports, invoices, logs and expenses * May be ...

This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Responsible for directing a ... May perform daily, weekly, monthly reviews of various reports, invoices, logs and expenses * May be ...

Occupational Health Nurse

IL · On-site +1

$72K - $99K/yr

Remote Description: Essential Duties and Responsibilities: Maintain any current occupational health ... partners Review job placement results and follow appropriate process to store and facilitate ...

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 ...

NCLEX-RN Tutor

Naperville, IL · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

NCLEX-RN Tutor

Skokie, IL · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

NCLEX-RN Tutor

Lake Forest, IL · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

NCLEX-RN Tutor

Des Plaines, IL · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

NCLEX-RN Tutor

Buffalo Grove, IL · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

NCLEX-RN Tutor

Oak Lawn, IL · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

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Showing results 1-20

Remote Utilization Review Rn information

See Chicago, IL salary details

$22

$43

$71

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

As of Jul 11, 2026, the average hourly pay for remote utilization review rn in Chicago, IL is $43.59, according to ZipRecruiter salary data. Most workers in this role earn between $34.47 and $50.05 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Remote Utilization Review RN, and why are they important?

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 the most commonly searched types of Utilization Review Rn jobs in Chicago, IL? The most popular types of Utilization Review Rn jobs in Chicago, IL are:
What cities near Chicago, IL are hiring for Remote Utilization Review Rn jobs? Cities near Chicago, IL with the most Remote Utilization Review Rn job openings:
Infographic showing various Remote Utilization Review Rn job openings in Chicago, IL as of July 2026, with employment types broken down into 89% Full Time, 9% Part Time, and 2% Contract. Highlights an 40% Physical, 3% Hybrid, and 57% Remote job distribution, with an average salary of $90,669 per year, or $43.6 per hour.
Occupational Health Nurse - Remote

Occupational Health Nurse - Remote

DivIHN Integration Inc

Deerfield, IL • Remote

$73K - $100K/yr

Contractor

PTO

Posted 29 days ago


Job description

DivIHN (pronounced “divine”) is a CMMI ML3-certified Technology and Talent solutions firm. Driven by a unique Purpose, Culture, and Value Delivery Model, we enable meaningful connections between talented professionals and forward-thinking organizations. Since our formation in 2002, organizations across commercial and public sectors have been trusting us to help build their teams with exceptional temporary and permanent talent.

Visit us at https://divihn.com/find-a-job/ to learn more and view our open positions.

 
Please apply or call one of us to learn more

For further inquiries regarding the following opportunity, please contact our Talent Specialist, Hema at (630) 847-0275 or Sri at (630) 847-0953
 
Title: Occupational Health Nurse - Remote
Duration: 12 Months
Location: Remote
 
Part-time (to cover PTO)
 
Only W2 candidates are eligible for this position. Third-party or C2C candidates will not be considered.
 
Description:
 
Essential Duties and Responsibilities:
• Maintain any current occupational health wellness program in the absence of the occupational health nurse. If applicable the OH & Safety Manager will educate and set expectations and needs prior to absence
• Maintains system that facilitates immediate care of employees with injury and illness.
• Collaborate with EHS professionals and management on investigation, root cause analysis and proper communication to EHS partners
• Review job placement results and follow appropriate process to store and facilitate follow up as needed
• Maintains documentation system for occupational health record keeping and confidentiality. Responsible for OH reporting ( i.e.., OSHA, Worker’s Compensation, DOT , etc )
• Maintains an effective case management program including coordination with other health care professionals, human resources, department managers, and insurance carrier representatives or TPA to facilitate timely return to work and appropriate utilization of benefits. Incorporates knowledge of applicable state and federal regulations (i.e., FMLA, ADA and state-specific workers compensation laws).
• Maintains working relationships with appropriate community agencies and health consultants to achieve program support and optimum health care for employees.
Responsible for maintaining a high level of expertise through participation in continuing education for professional growth.
• Partner and actively participate in efforts to prevent and address OH issues as well as determining strategies to reduce those risk through the accident investigation process.
• Actively supports EHS team initiatives by providing OH perspective. Contributes to new hire orientation, required EHS training and health promotion programming.
• Responsible for all aspects of the random drug and alcohol testing program, including follow-up with outcomes.
• Applies ergonomic principles effectively: Aligns medical activities (e.g. first-aid) with ergonomic risk assessments and reduction control measures for employees experiencing potentially work-related musculoskeletal symptoms.
• Assures compliance with applicable health and safety regulations and DOT Compliance.
 
Qualifications:
• Critical thinking and decision making skills
• Proficient in computer program use
• Advanced communication, interpersonal and presentation skills
• Ability to work effectively with other disciplines and subordinates
• Ability to manage and communicate occupational health programs
 
Education and/or Experience:
• BSN or equivalent degree required
• Registered nurse with current license to practice required
• Minimum of 5 years of OH program management experience
• Experience with WC laws in all applicable states
• Experience in OSHA recordkeeping criteria
• Certification in Occupational Health preferred
• Certification in Case Management preferred

About us:
DivIHN, the 'IT Asset Performance Services' organization, provides Professional Consulting, Custom Projects, and Professional Resource Augmentation services to clients in the Mid-West and beyond. The strategic characteristics of the organization are Standardization, Specialization, and Collaboration.

DivIHN is an equal opportunity employer. DivIHN does not and shall not discriminate against any employee or qualified applicant on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status.