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Remote Utilization Review Rn Jobs in Chicago, IL

Legal Nurse Consultant- Remote Hinshaw & Culbertson LLP, a national law firm, currently has an ... Review, summarize and analyze medical records and other pertinent health care and legal documents ...

Appeals Pharmacist (Remote)

Chicago, IL ยท On-site +1

$59 - $72/hr

Collaborate with physicians, nurses, and medical directors during case reviews. * Track, document ... Prior managed care or utilization management experience preferred - retail and hospital pharmacists ...

Appeals Pharmacist (Remote)

Chicago, IL ยท On-site +1

$58.25 - $70.75/hr

Collaborate with physicians, nurses, and medical directors during case reviews. * Track, document ... Prior managed care or utilization management experience preferred - retail and hospital pharmacists ...

Registered Nurse

Chicago, IL ยท Remote

$40 - $60/hr

MDs, PAs, and Nurses. Benefits ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...

RN

Joliet, IL ยท Remote

$40 - $60/hr

MDs, PAs, and Nurses. Benefits ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...

Registered Nurse

Aurora, IL ยท Remote

$40 - $60/hr

MDs, PAs, and Nurses. Benefits ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...

Registered Nurse

Elgin, IL ยท Remote

$40 - $60/hr

MDs, PAs, and Nurses. Benefits ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...

RN

Elgin, IL ยท Remote

$40 - $60/hr

MDs, PAs, and Nurses. Benefits ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...

RN

Aurora, IL ยท Remote

$40 - $60/hr

MDs, PAs, and Nurses. Benefits ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...

Registered Nurse

Joliet, IL ยท Remote

$40 - $60/hr

MDs, PAs, and Nurses. Benefits ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...

RN

Chicago, IL ยท Remote

$40 - $60/hr

MDs, PAs, and Nurses. Benefits ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...

RN

Naperville, IL ยท Remote

$40 - $60/hr

MDs, PAs, and Nurses. Benefits ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...

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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 May 29, 2026, the average hourly pay for remote utilization review rn in Chicago, IL is $43.56, according to ZipRecruiter salary data. Most workers in this role earn between $34.42 and $50.00 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 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 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 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:
Hormone Health Provider (Nurse Practitioner) (Remote)

Hormone Health Provider (Nurse Practitioner) (Remote)

Aligned Modern Health

Chicago, IL โ€ข Remote

$130K/yr

Full-time, Part-time

Medical, Dental, Vision, Retirement, PTO

Posted 13 days ago


Job description

Aligned Modern Health (AMH) is changing the face of healthcare and building the leading national brand in holistic medicine. Our unique, multi-disciplinary model offers patients evidence-based solutions to a host of health challenges including BHRT/hormone issues, thyroid, autoimmunity, stress and anxiety, GI distress, metabolic disorders, infertility, musculoskeletal pain, and more. We pride ourselves on outstanding clinical outcomes and a five-star patient experience. We have 16 clinics across the city of Chicago and surrounding suburbs, and we offer telehealth services for Functional Medicine and BHRT across 18 states and growing! To learn more about us, please visit our website at www.alignedmodernhealth.com.

We are seeking outstanding Nurse Practitioners to join our Hormone Health practice. We are looking to build up both our "virtual/remote" team and local team in the Chicago area and are looking for licensed NPs, ideally with experience practicing Bioidentical Hormone Replacement Therapy (BHRT), who want to be part of a dynamic organization committed to improving the healthcare landscape.

Our preference is to hire full-time providers but would consider part-time provider options on an individual basis (working additionally in a private practice doing similar work would not be permitted). Active IL APRN and IL DEA licenses are required to start. Providers based in AZ, CO, FL, IL, NC, OH, PA, TN, TX, and VA are preferred.

This position would focus mainly on thyroid conditions, hormone health (including lots of BHRT!) and some medication management. The heart of who we are and how we operate is patient first. For full-time providers, we have a starting base salary guarantee of $130K (depending on experience), as well as bonus/revenue share opportunity. We also have a robust benefits package including medical/dental/vision, 401-k, med mal, paid time off, holiday pay, and more! We manage all marketing, staffing, practice management, billing and reimbursement, as well as provide all necessary equipment.

Job Responsibilities:

  • This position focuses mainly on hormone health - including predominantly Bioidentical Hormone Replacement Therapy (BHRT), thyroid conditions, and some medication management
  • Conduct thorough patient assessments, including medical history, physical examinations, and diagnostic tests
  • Develop personalized treatment plans based on patients' needs and medical conditions
  • Prescribe nutraceuticals and/or medications and monitor their effectiveness
  • Collaborate with other healthcare professionals to coordinate patient care
  • Provide counseling and education to patients on disease prevention and healthy lifestyle choices
  • Maintain accurate and up-to-date patient records using electronic health record systems
  • Stay current with medical advancements, research, and clinical trials in the fields of functional, integrative and lifestyle medicine

Requirements:

  • NP/APRN with a concentration in Functional Medicine, Hormone Health, Anti-Aging or Lifestyle Medicine
  • Formal training and experience practicing Bioidentical Hormone Replacement Therapy (BHRT) strongly preferred
  • Providers based in AZ, CO, FL, IL, NC, OH, PA, TN, TX, and VA are preferred
  • Must have (or be able to obtain) an IL APRN and IL DEA licenses and any remote location determined
  • Ideally full-time, but must be able to work at least 16-20 hours per week (including 1-2 evening shifts)
  • Strong oral and written communication skills with the ability to collaborate and interact effectively with patients and other providers
  • Energetic and outgoing personality with a desire to help people
  • Patient first attitude and ability to consistently provide a 5-star level of service
  • Knowledge of HIPAA regulations and ability to maintain patient confidentiality

We offer competitive full-time employee compensation with additional benefits, including:

Blue Cross Blue Shield medical plans, as well as dental and vision insurance

Guaranteed paid time off (part-time providers are eligible for paid sick time only)

Malpractice insurance coverage

Reimbursement for outside CEUs/CMEs

Eligibility for short-term disability insurance and 401(k)

Unlimited opportunity to grow with one of Chicago's most exciting and fastest growing health and wellness companies.

Licensing Requirements: Active Illinois APRN license and IL DEA license required to start employment

Aligned Modern Health is an equal opportunity employer.