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Remote Utilization Review Rn Jobs in Cloquet, MN

Essentia Health

Pharmacist Informaticist

Superior, WI · On-site +1

$133K - $170K/yr

Contribute to guideline development, medication utilization reviews, and other medication processes ... Collaboration and partnership with provider and nursing informaticist teams * Stay knowledgeable of ...

Essentia Health

Coding Quality Associate Analyst

Duluth, MN · On-site +1

$25.22 - $37.83/hr

This includes but is not limited to record reviews for APC, ICD-9-CM, ICD-10-CM, HCPCS, and CPT ... RHIA (Registered Health Information Administrator), RHIT (Registered Health Information technician ...

Essentia Health

Senior Inpatient Coder

Duluth, MN · Remote

$24.79 - $36.66/hr

Reviews Local Coverage Determination (LCD)/National Coverage Determination (NCD) policies for ICD ... Remote Shift Rotation: Day Rotation (United States of America) Shift Start Time: Days Shift End ...

Essentia Health

Senior Inpatient Coder

Duluth, MN · On-site +1

$24.79 - $36.66/hr

Reviews Local Coverage Determination (LCD)/National Coverage Determination (NCD) policies for ICD ... Remote Shift Rotation: Day Rotation (United States of America) Shift Start Time: Days Shift End ...

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Remote Utilization Review Rn information

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$40

$65

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

As of Jun 11, 2026, the average hourly pay for remote utilization review rn in Cloquet, MN is $40.33, according to ZipRecruiter salary data. Most workers in this role earn between $31.88 and $46.30 per hour, depending on experience, location, and employer.

What is the meaning of the word remote?

In the context of a Remote Utilization Review RN job, 'remote' refers to working outside of a traditional office setting, often from home or another location of the employee's choice. This setup typically involves using digital tools and communication platforms to perform job duties without being physically present in an office environment.

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 meaning of remote in one word?

In the context of a Remote Utilization Review RN role, 'remote' means working from a location outside of a traditional office, typically from home, using digital communication tools. It emphasizes flexibility and virtual access to work systems without physical presence at a healthcare facility.

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.

How to make 2000 a week working from home?

A Remote Utilization Review RN can potentially earn $2,000 weekly by working full-time hours, often 40 hours per week, and gaining experience or certifications that allow for higher billing rates. Increasing income may involve taking on additional cases, specializing in high-demand areas, or working for agencies that offer competitive pay for remote utilization review roles.

What is remote job?

A remote Utilization Review RN job is a healthcare position where the nurse reviews patient cases and insurance claims from a location outside of a traditional office, often working from home. It requires strong communication skills, knowledge of medical documentation, and familiarity with electronic health record systems, with flexible schedules common in remote roles.

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 popular job titles related to Remote Utilization Review Rn jobs in Cloquet, MN? For Remote Utilization Review Rn jobs in Cloquet, MN, the most frequently searched job titles are:
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Remote Utilization Review Rn jobs near you
Pharmacist Informaticist

Pharmacist Informaticist

Essentia Health

Superior, WI • On-site, Remote

$133K - $170K/yr

Full-time

Medical, Dental, Vision, Life, Retirement

Posted yesterday

Essentia Health rating

7.0

Company rating: 7.0 out of 10

Based on 205 frontline employees who took The Breakroom Quiz

404th of 870 rated healthcare providers

Job description

Building Location:Essentia Health Superior Belknap PharmacyDepartment:1006870 EH AMBULATORY PHARMACY - EH SSJob Description:The Pharmacist Informaticist will collaborate with clinical, operational, and Informational Systems (IS) teams to effectively support and deliver the highest quality information management, data analytics, clinical informatics, and business intelligence and support of change management for Essentia Health and the EPIC Community Connect partners. This position will provide clinical, analytical, operational, and technical expertise to promote best practices that embrace safe and cost-effective medication use.
Additional locations include Brainerd, MN, Detroit Lakes, MN and Fargo, ND.Education Qualifications:

Key Responsibilities:

  • Acts as primary pharmacy liaison with community connect sites
  • Support and maintain relationship and care quality for Essentia Health and the EPIC Community Connect program as it relates to pharmacy and medications
  • Collaborates with clinicians, leadership, pharmacy, community connect sites, and vendors to ensure quality patient care and effective system operations
  • Support clinical and operational medication-related electronic health record (EHR) needs across all care sites
  • Maintain a clinical practice on-site at an Essentia Health location
  • Develop, build, test, and implement medication-related clinical decision support tools within the EHR
  • Contribute to guideline development, medication utilization reviews, and other medication processes
  • Assist with quality assurance reviews and IS projects within EHR
  • Collaborates with Pharmacy, Quality, and Clinical Operations team to update clinical policies and processes and apply solutions to the EHR
  • Contribute to the Pharmacy & Therapeutics and formulary through material development and/or implementation of medication-related tools in the EHR
  • Active participation in various clinical and departmental meetings and forums to improve clinical programs, enhance processes, and share clinical information
  • Collaboration and partnership with provider and nursing informaticist teams
  • Stay knowledgeable of current and emerging clinical and operational trends related to medications and EHR
  • Continuously look for ways to streamline and improve workflow
  • Other duties as assigned

Required Qualifications/Education:

  • Graduation from an accredited School of Pharmacy

And one of the following:

  • PGY-2 in pharmacy informatics

OR

  • PGY-1 and 3 years of experience in clinical pharmacy with work in informatics

OR

  • 5 years of experience in clinical pharmacy with significant work in informatics

Preferred Qualifications:

  • Experience working with physicians and other health care professionals within an integrated health system
  • Experience with EHRs
  • EPIC EHR experience or willingness to be trained, data analytics, smart pumps, and automated dispensing systems
Licensure/CertificationQualifications:

Certification/Licensure Required:

  • Licensed as a Registered Pharmacist by the Board of Pharmacy of the state in which they will be working (Minnesota, Wisconsin, North Dakota)
FTE:1

Possible Remote/Hybrid Option:

HybridShift Rotation:Day Rotation (United States of America)Shift Start Time:Shift End Time:Weekends:Holidays:NoCall Obligation:NoUnion:Union Posting Deadline:

Compensation Range:

$133,120.00 - $170,289.60Employee Benefits at Essentia Health: At Essentia Health, we're committed to supporting your well-being, growth, and work-life balance. Our comprehensive benefits include medical, dental, vision, life, and disability insurance, along with supplemental options to fit your needs. We offer a 401(k) plan with employer contributions to help you plan for the future, and we invest in your professional development through training, tuition reimbursement, and educational programs. To help you thrive both at work and at home, we provide flexible scheduling, generous time off, and wellness resources focused on your physical, mental, and emotional health. Please note that benefit eligibility may vary. For full details, refer to your benefit summary or contact our HR Service Center at (218) 576-0000.

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About Essentia Health

Sourced by ZipRecruiter

Headquartered in Duluth, Minnesota, Essentia Health combines the strengths and talents of 13,500 employees, including 3,500 registered nurses & licensed practical nurses, who serve our patients and communities through the mission of being called to make a healthy difference in people's lives. Essentia Health, which includes many Catholic facilities, is guided by the values of Quality, Hospitality, Respect, Joy, Justice, Stewardship and Teamwork. The organization lives out its mission by having a patient-centered focus at 14 hospitals, 70 clinics, six long-term care facilities, three assisted living facilities, three independent living facilities, five ambulance services and one research institute.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Duluth, MN, US

Year founded

2004

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