Remote/Virtual Hours: Estimated 10-16 hours per month Role: Clinical Specialist About IQVIA IQVIA ... This position involves reviewing scales administered by raters to confirm standardized assessment ...
New
Remote/Virtual Hours: Estimated 10-16 hours per month Role: Clinical Specialist About IQVIA IQVIA ... This position involves reviewing scales administered by raters to confirm standardized assessment ...
New
Remote/Virtual Hours: Estimated 10-16 hours per month Role: Clinical Specialist About IQVIA IQVIA ... This position involves reviewing scales administered by raters to confirm standardized assessment ...
New
Remote/Virtual Hours: Estimated 10-16 hours per month Role: Clinical Specialist About IQVIA IQVIA ... This position involves reviewing scales administered by raters to confirm standardized assessment ...
New
Surgical Account Manager (Cleveland OH)
Cleveland, OH · On-site +1
Medical
Dental
Vision
Life
Retirement
PTO
While this is a remote position not located at a physical Medtronic site, the candidate hired will ... Drive adoption and utilization of all Surgical Center of Technology (COT) products, including:
Surgical Account Manager (Cleveland OH)
Cleveland, OH · On-site +1
Medical
Dental
Vision
Life
Retirement
PTO
While this is a remote position not located at a physical Medtronic site, the candidate hired will ... Drive adoption and utilization of all Surgical Center of Technology (COT) products, including:
NCLEX Tutor
Cleveland, OH · Remote
$25 - $40/hr
Adapts instruction using NCLEX review resources, practice question banks, and clinical scenario analysis to support nursing graduates preparing for first-time licensure as registered nurses or ...
NCLEX Tutor
Cleveland, OH · Remote
$25 - $40/hr
Adapts instruction using NCLEX review resources, practice question banks, and clinical scenario analysis to support nursing graduates preparing for first-time licensure as registered nurses or ...
NCLEX Tutor
Akron, OH · Remote
$25 - $40/hr
Adapts instruction using NCLEX review resources, practice question banks, and clinical scenario analysis to support nursing graduates preparing for first-time licensure as registered nurses or ...
NCLEX Tutor
Akron, OH · Remote
$25 - $40/hr
Adapts instruction using NCLEX review resources, practice question banks, and clinical scenario analysis to support nursing graduates preparing for first-time licensure as registered nurses or ...
Clinical Diagnostic Liaison (CDL) - Ohio
Cleveland, OH · Remote
$170K - $180K/yr
Position is remote and will require 75% travel including overnight business travel. Employees can ... Bachelor's degree required, Advanced degree or clinical license preferred RN, PharmD, PhD, PA, MSN ...
Clinical Diagnostic Liaison (CDL) - Ohio
Cleveland, OH · Remote
$170K - $180K/yr
Position is remote and will require 75% travel including overnight business travel. Employees can ... Bachelor's degree required, Advanced degree or clinical license preferred RN, PharmD, PhD, PA, MSN ...
Commercial Portfolio Manager- Senior
Cleveland, OH · On-site +1
$70K - $140K/yr
Medical
Life
Retirement
PTO
Conduct portfolio reviews with senior management and analyze existing portfolio to identify trends ... Understanding and utilization of credit skills for credit decision making, monitoring, and managing ...
Commercial Portfolio Manager- Senior
Cleveland, OH · On-site +1
$70K - $140K/yr
Medical
Life
Retirement
PTO
Conduct portfolio reviews with senior management and analyze existing portfolio to identify trends ... Understanding and utilization of credit skills for credit decision making, monitoring, and managing ...
Commercial Portfolio Manager- Senior
Akron, OH · On-site +1
$70K - $140K/yr
Medical
Life
Retirement
PTO
Conduct portfolio reviews with senior management and analyze existing portfolio to identify trends ... Understanding and utilization of credit skills for credit decision making, monitoring, and managing ...
Commercial Portfolio Manager- Senior
Akron, OH · On-site +1
$70K - $140K/yr
Medical
Life
Retirement
PTO
Conduct portfolio reviews with senior management and analyze existing portfolio to identify trends ... Understanding and utilization of credit skills for credit decision making, monitoring, and managing ...
Commercial Portfolio Manager- Senior
Cleveland, OH · On-site +1
$70K - $140K/yr
Medical
Life
Retirement
PTO
Conduct portfolio reviews with senior management and analyze existing portfolio to identify trends ... Understanding and utilization of credit skills for credit decision making, monitoring, and managing ...
Commercial Portfolio Manager- Senior
Cleveland, OH · On-site +1
$70K - $140K/yr
Medical
Life
Retirement
PTO
Conduct portfolio reviews with senior management and analyze existing portfolio to identify trends ... Understanding and utilization of credit skills for credit decision making, monitoring, and managing ...
HIM Business Analyst Hybrid
Cleveland, OH · On-site +1
A Brief Overview Provides review and integration of systems affecting Health Information System ... Registered Health Information Administration (RHIA) (Preferred) Physical Demands * Standing ...
HIM Business Analyst Hybrid
Cleveland, OH · On-site +1
A Brief Overview Provides review and integration of systems affecting Health Information System ... Registered Health Information Administration (RHIA) (Preferred) Physical Demands * Standing ...
Remote, must be located in EST Who We Are: Tuesday Health is a value-based palliative care provider ... avoidable utilization, and support holistic outcomes including appropriate and timely hospice ...
Quick apply
Remote, must be located in EST Who We Are: Tuesday Health is a value-based palliative care provider ... avoidable utilization, and support holistic outcomes including appropriate and timely hospice ...
Reviews moderately complex medical records to identify sequence, code diagnoses and procedures ... Registered Health Information Technologist (RHIT) (Required Upon Hire) or * Registered Health ...
Reviews moderately complex medical records to identify sequence, code diagnoses and procedures ... Registered Health Information Technologist (RHIT) (Required Upon Hire) or * Registered Health ...
Reviews moderately complex medical records to identify sequence, code diagnoses and procedures ... Registered Health Information Technologist (RHIT) (Required Upon Hire) or * Registered Health ...
Reviews moderately complex medical records to identify sequence, code diagnoses and procedures ... Registered Health Information Technologist (RHIT) (Required Upon Hire) or * Registered Health ...
Reviews moderately complex medical records to identify sequence, code diagnoses and procedures ... Registered Health Information Technologist (RHIT) (Required Upon Hire) or * Registered Health ...
Reviews moderately complex medical records to identify sequence, code diagnoses and procedures ... Registered Health Information Technologist (RHIT) (Required Upon Hire) or * Registered Health ...
Temporary AML IT Audit Consultant
Cleveland, OH · Remote
$89/hr
Remote Employment Type: Temporary RSM is seeking an experienced IT Audit professional to support a ... Review technical documentation, system configurations, data flows, reports, and application ...
New
Temporary AML IT Audit Consultant
Cleveland, OH · Remote
$89/hr
Remote Employment Type: Temporary RSM is seeking an experienced IT Audit professional to support a ... Review technical documentation, system configurations, data flows, reports, and application ...
New
Temporary AML IT Audit Consultant
Cleveland, OH · Remote
$89/hr
Remote Employment Type: Temporary RSM is seeking an experienced IT Audit professional to support a ... Review technical documentation, system configurations, data flows, reports, and application ...
New
Temporary AML IT Audit Consultant
Cleveland, OH · Remote
$89/hr
Remote Employment Type: Temporary RSM is seeking an experienced IT Audit professional to support a ... Review technical documentation, system configurations, data flows, reports, and application ...
New
Temporary AML IT Audit Consultant
Cleveland, OH · Remote
$89/hr
Remote Employment Type: Temporary RSM is seeking an experienced IT Audit professional to support a ... Review technical documentation, system configurations, data flows, reports, and application ...
New
Temporary AML IT Audit Consultant
Cleveland, OH · Remote
$89/hr
Remote Employment Type: Temporary RSM is seeking an experienced IT Audit professional to support a ... Review technical documentation, system configurations, data flows, reports, and application ...
New
Temporary AML IT Audit Consultant
Cleveland, OH · Remote
$89/hr
Remote Employment Type: Temporary RSM is seeking an experienced IT Audit professional to support a ... Review technical documentation, system configurations, data flows, reports, and application ...
Temporary AML IT Audit Consultant
Cleveland, OH · Remote
$89/hr
Remote Employment Type: Temporary RSM is seeking an experienced IT Audit professional to support a ... Review technical documentation, system configurations, data flows, reports, and application ...
Temporary AML IT Audit Consultant
Cleveland, OH · Remote
$89/hr
Remote Employment Type: Temporary RSM is seeking an experienced IT Audit professional to support a ... Review technical documentation, system configurations, data flows, reports, and application ...
New
Temporary AML IT Audit Consultant
Cleveland, OH · Remote
$89/hr
Remote Employment Type: Temporary RSM is seeking an experienced IT Audit professional to support a ... Review technical documentation, system configurations, data flows, reports, and application ...
New
Regional Business Director - Ohio Valley (OH, IN, KY, WV, VA)
Cleveland, OH · On-site +1
$225K - $245K/yr
Continuously review, evaluate, and recommend improvements to the organization to enable higher ... utilization of tools and resources for flawless execution of strategic direction. This includes:
Regional Business Director - Ohio Valley (OH, IN, KY, WV, VA)
Cleveland, OH · On-site +1
$225K - $245K/yr
Continuously review, evaluate, and recommend improvements to the organization to enable higher ... utilization of tools and resources for flawless execution of strategic direction. This includes:
Remote Utilization Review Rn information
See Cleveland, OH salary details
$21.24 - $25.54
2% of jobs
$25.54 - $29.83
9% of jobs
$32.77 is the 25th percentile. Wages below this are outliers.
$29.83 - $34.13
21% of jobs
The median wage is $37.61 / hr.
$34.13 - $38.42
23% of jobs
$38.42 - $42.72
13% of jobs
$46.06 is the 75th percentile. Wages above this are outliers.
$42.72 - $47.02
10% of jobs
$47.02 - $51.31
8% of jobs
$51.31 - $55.61
5% of jobs
$55.61 - $59.90
5% of jobs
$59.90 - $64.20
2% of jobs
$64.20 - $68.50
2% of jobs
$21
$41
$68
How much do remote utilization review rn jobs pay per hour?
As of Aug 14, 2026, the average hourly pay for remote utilization review rn in Cleveland, OH is $41.98, according to ZipRecruiter salary data. Most workers in this role earn between $33.17 and $48.22 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?
| Aspect | Remote Utilization Review Rn | Remote Case Manager Rn |
|---|---|---|
| Certifications | RN license, Utilization Review certification (e.g., URAC) | RN license, Case Management certification (e.g., CCM) |
| Work Environment | Reviewing medical records, insurance policies, telehealth platforms | Coordinating patient care, discharge planning, telehealth |
| Employer & Industry | Insurance companies, healthcare organizations | Hospitals, 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 are popular job titles related to Remote Utilization Review Rn jobs in Cleveland, OH?
For Remote Utilization Review Rn jobs in Cleveland, OH, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in Cleveland, OH look for?
The top searched job categories for Remote Utilization Review Rn jobs in Cleveland, OH are:
- Utilization Review
- Aetna Utilization Review Nurse
- Remote Weekend Utilization Review
- Cigna Utilization Review Remote
- Weekend Utilization Review
- Cigna Utilization Review Nurse
- Volunteer Navihealth Utilization Review
- Case Manager Utilization Review Nurse
- Therapy Utilization Review
- From Home Anthem Utilization Review Nurse
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:
IQVIA rating
8.1
Based on 53 frontline employees who took The Breakroom Quiz
61st of 223 rated it services
Job description
Clinical Trial Psych Rater - Hungarian Speaking
Location: Remote/Virtual
Hours: Estimated 10-16 hours per month
Role: Clinical Specialist
About IQVIA
IQVIA is a global leader in advanced analytics, technology solutions, and clinical research services, dedicated to driving healthcare forward. We partner with the world's leading pharmaceutical, biotechnology, and medical device companies to improve patient outcomes and accelerate innovation. Our team combines deep scientific expertise with cutting-edge technology to deliver high-quality data and insights that shape the future of clinical trials.
Position Overview
The Clinical Specialist plays a key role in ensuring the integrity and reliability of clinical trial data. This position involves reviewing scales administered by raters to confirm standardized assessment practices. Responsibilities include evaluating assessment quality, engaging in live discussions with raters to provide guidance on methodology and scoring techniques, and supporting rater performance through functional assessments (e.g., mock interviews). Additional tasks may include assisting with communication materials and documentation.
Key Responsibilities
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Participate in all required orientation, training, and calibration activities.
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Review case data and prepare for rater discussions, ensuring all relevant documents and scale items are available.
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Conduct live interactions with raters to provide feedback and guidance on assessment methodology and scoring.
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Complete assigned tasks and rater interactions according to schedule.
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Submit all required documentation accurately and on time.
Required Qualifications
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Education: Master's degree (MA/MS) in Psychology, Counseling, Psychiatric Nursing, or Social Work (or equivalent). MD, DO, or PhD preferred.
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Experience:
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Minimum 3 years administering psychiatric assessments, rating scales, and/or structured clinical interviews (specifically SCID-5; PANSS; CGI)
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Minimum 3 years of clinical experience with psychiatric populations.
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Minimum 3 years administering scales in clinical research trials (excluding graduate/doctoral research).
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Experience in CNS trials preferred.
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Skills:
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Strong interpersonal and communication skills for professional interaction at all levels.
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Excellent organizational skills, attention to detail, time management, and problem-solving ability.
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Proficiency with Windows and Microsoft Office applications.
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Language Requirement
Current openings require fluency in English and native-level proficiency in Hungarian.
#LI-DNP #LI-Remote #LI-HCPN
IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide. Learn more at https://jobs.iqvia.com
IQVIA is committed to integrity in our hiring process and maintains a zero tolerance policy for candidate fraud. All information and credentials submitted in your application must be truthful and complete. Any false statements, misrepresentations, or material omissions during the recruitment process will result in immediate disqualification of your application, or termination of employment if discovered later, in accordance with applicable law. We appreciate your honesty and professionalism.
About IQVIA
Sourced by ZipRecruiter
At IQVIA, we are passionate about helping customers and partners improve results and patient outcomes. Everything we do contributes to this vision for creating a healthier world. In today’s healthcare environment, it’s not only about how much data, information, and technology you have at your fingertips – it’s what you do with it. IQVIA is focused on making intelligent connections for customers across the entire healthcare ecosystem to help you drive healthcare forward. Whether that means partnering with novel technology companies to boost patient engagement, leveraging AI & machine learning to accelerate results, or using decentralized trials to reach the right patients wherever they are – we are always looking for smarter ways to move you forward.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Durham, NC, US