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Remote Utilization Review Rn Jobs in Cleveland, OH

NCLEX-PN Tutor

Akron, OH · Remote

$18 - $40/hr

... RN scope questions, pharmacology calculations, and managing anxiety with the adaptive testing format. Adapts instruction using NCLEX-PN specific practice question banks, content review focused on ...

NCLEX-PN Tutor

Cleveland, OH · Remote

$18 - $40/hr

... RN scope questions, pharmacology calculations, and managing anxiety with the adaptive testing format. Adapts instruction using NCLEX-PN specific practice question banks, content review focused on ...

Coding Denial Specialist

Akron, OH · On-site +1

$18 - $23/hr

... 30pm Remote Summary: The Denial Coding Specialist supports the Revenue Recovery team by reviewing ... Registered Health Information Technician * Certified Coding Associate Full Time FTE: 1.000000 ...

Be Seen First

Employee will be responsible for review of medical-legal reports, making edits to improve format ... Note that the position is primarily remote / work from home, but will require significant in-person ...

VOC Field Case Manager

Akron, OH · Remote

$73K - $75K/yr

... remote work environment that allows face to face interaction with injured workers and medical ... AND LICENSING RN licensure preferred; or Bachelor's degree in health or human services field ...

Showing results 21-40

Remote Utilization Review Rn information

See Cleveland, OH salary details

$20

$41

$66

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

As of Aug 3, 2026, the average hourly pay for remote utilization review rn in Cleveland, OH is $41.02, according to ZipRecruiter salary data. Most workers in this role earn between $32.40 and $47.12 per hour, depending on experience, location, and employer.

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 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 Cleveland, OH? The most popular types of Utilization Review Rn jobs in Cleveland, OH are:
What cities near Cleveland, OH are hiring for Remote Utilization Review Rn jobs? Cities near Cleveland, OH with the most Remote Utilization Review Rn job openings:
Infographic showing various Remote Utilization Review Rn job openings in Cleveland, OH as of July 2026, with employment types broken down into 73% Full Time, 9% Part Time, 1% Temporary, and 17% Contract. Highlights an 43% Physical, 3% Hybrid, and 54% Remote job distribution, with an average salary of $85,293 per year, or $41 per hour.

Remote Psychiatrist Collaborative Physician (MD)

BetterHelp

Cleveland, OH • Remote

$25/hr

Full-time, Part-time, Contractor

Re-posted 19 days ago


BetterHelp rating

7.5

Company rating: 7.5 out of 10

Based on 11 frontline employees who took The Breakroom Quiz


Job description

UpLift & BetterHelp – Redefining Access to Mental Healthcare

At UpLift, we believe mental health is just as important as physical health — and we're rethinking the mental healthcare model. UpLift is a multi-sided marketplace, applying technology to empower patients to find Therapists and Psychiatric providers covered by their insurance plan.

While 1 in 5 Americans struggle with mental health issues, only 40% of this group received care in the last year. At the same time, only 30% of therapists accept insurance. UpLift acts as the bridge between patient, provider, and insurer — empowering patients to find the best care for their needs at a price they can afford.

Why Join UpLift

  • Flexible earnings model*: Compensation includes both patient care and collaboration activities. Physicians can earn $25 per assigned supervision slot (in capped states) and $30 per completed chart review. Total monthly earnings may vary based on state coverage and activity.
  • Expand access to care: Provide psychiatric services to individuals who otherwise may not have access to mental healthcare.
  • Collaborative model: Support and supervise Nurse Practitioners (NPs) through formal collaboration agreements, including chart reviews and consultation.
  • All-in-one virtual platform: Focus on your patients — UpLift handles credentialing, enrollment, and platform operations.
  • Work from anywhere: This role is 100% remote, with care delivered via UpLift's purpose-built telemedicine platform.
  • Flexible commitment: Part-time, 1099 contract position with autonomy over your clinical schedule.

What You'll Do

  • Conduct video consultations and communicate with patients via telemedicine.
  • Assess, diagnose, and treat patients, including prescribing medication when clinically appropriate.
  • Provide supervision and oversight to Nurse Practitioners (NPs) in states requiring collaborative agreements.
  • Complete required chart reviews and provide timely consultation support to NPs.
  • Maintain responsiveness for collaboration duties in accordance with state requirements and UpLift standards.
  • Coordinate care with UpLift's network of therapists and other providers to ensure high-quality outcomes.
  • Provide empathetic, evidence-based care while upholding UpLift's clinical and service standards.
  • Share product and workflow feedback with UpLift's engineering and operations teams to help improve care delivery.

Who We're Looking For

  • Board-certified Psychiatrist with active clinical experience.
  • Active and unrestricted medical license(s) in one or more of the following priority states: Virginia, Texas, Florida, Georgia, or North Carolina.
  • Multi-state licensure strongly preferred.
  • Experience supervising or collaborating with Psychiatric Nurse Practitioners (e.g. NPs) is preferred.
  • Comfortable prescribing medication when clinically appropriate and permitted by state law.
  • Skilled at using online tools and technology to deliver virtual care.
  • Strong communication skills and ability to provide timely consultation support.
  • Previous telemedicine experience is a plus.

Important to Know

  • This is a part-time, contract (1099) position — not a salaried employee role.
  • Physicians may set their own schedules for patient care; however, collaboration responsibilities require ongoing responsiveness.
  • Physicians may stop seeing patients at any time, but collaborative agreement responsibilities require a 120-day wind-down period to ensure continuity of care.
  • Compensation structure varies by state depending on collaboration requirements (capped vs. uncapped states).
  • UpLift will credential and enroll you with multiple health plans to expand access to insured patients.
  • All care is delivered remotely through UpLift's telehealth platform.
  • All clinical decisions are made independently by licensed providers in accordance with state telehealth laws and professional standards.

License/Certification: Medical License (Required)

Location: Ohio

Work Location: Remote

*Compensation is paid on a per-activity basis and is not a guaranteed hourly wage or salary amount. Actual earnings vary based on state-requirements, completed activities, patient care activity, and other operational factors.


What BetterHelp employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom


BetterHelp logo

About BetterHelp

Sourced by ZipRecruiter

* We help people change their lives. BetterHelp is the world's largest therapy service. We set out on a mission to provide everyone with easy, affordable, and private access to professional counseling: anytime, anywhere. To date, our network of over 20,000 licensed, accredited, and board-certified therapists have assisted more than 1,000,000 people. Every month, our secure website and mobile app facilitate over 5,000,000 messages, chats, voice calls, and video sessions that help people face life's challenges. * We're taking mental healthcare to the next level. We combine clinical care, cutting-edge technology and data-driven product development to constantly learn, iterate, and improve. We are relentless in our pursuit of better, always questioning the status quo and discovering new ways to get things done and serve our members. * We are a community that grows together - both professionally and personally. Even with our exponential growth, our team is kept agile and nimble, allowing you to have a huge impact and carve your own path from day one. We invest in our team's well-being and professional development because we know that business and individual growth go hand-in-hand. You will move fast, remain flexible, and be challenged every day. Join us!

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

San Francisco, CA, US

Year founded

2013

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