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Remote Utilization Review Rn Jobs in Columbus, OH

Sedgwick

Field Case Manager - Vocational

Dublin, OH · On-site +1

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

ABB

EL Services Application Engineer

OH · Remote

... utilization and automation equipment and systems. In this role you will identify and propose value ... The work model for the role is: remote (#Li-Remote) supporting the North Region central district ...

micro1 AI

Pharmacovigilance Expert

Columbus, OH · Remote

$70 - $80/hr

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...

micro1 AI

Clinical Pharmacy Technicians

Columbus, OH · Remote

$70 - $80/hr

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...

Varsity Tutors

NCLEX Tutor

Columbus, 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 ...

Huntington

Commercial Portfolio Manager- Senior

Columbus, OH · On-site +1

$70K - $140K/yr

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 ...

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Remote Utilization Review Rn information

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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 Columbus, OH is $40.84, according to ZipRecruiter salary data. Most workers in this role earn between $32.26 and $46.92 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 Columbus, OH?

The most popular types of Utilization Review Rn jobs in Columbus, OH are:

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For Remote Utilization Review Rn jobs in Columbus, OH, the most frequently searched job titles are:

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Remote Utilization Review Rn jobs near you
Infographic showing various Remote Utilization Review Rn job openings in Columbus, OH as of August 2026, with employment types broken down into 79% Full Time, 14% Part Time, and 7% Contract. Highlights an 100% Remote job distribution, with an average salary of $84,947 per year, or $40.8 per hour.

Senior Applications Analyst - Digital Payments

FIRST MERCHANTS

Columbus, OH • On-site, Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 21 days ago

First Merchants Bank rating

7.8

Company rating: 7.8 out of 10

Based on 22 frontline employees who took The Breakroom Quiz

88th of 171 rated banks

Job description

First Merchants Bank is seeking a Senior Applications Analyst to join our team. This position can be remote within our operational footprint. The Senior Applications Analyst will be responsible for eliciting needs of the stakeholders, analyzing business requirements, identifying business opportunities, preparing documentation, and evaluating risk for assigned applications. Ensure assigned applications work reliably for the business and are kept current per the vendor requirements; maintain, troubleshoot, and support systems daily.

As part of this role, duties and responsibilities include: 

  • Ensure the assigned applications are fully utilizing the feature/functionality and that processes are efficient. Perform business process review and analyses in order to drive efficiency and utilization gains throughout the department. Actively seek ways to improve the client experience.
  • Responsible for evaluating product offerings and potential enhancements and identifying the feasibility, business value proposition, and/or the benefits to be gained. Make a recommendation to team with rationale and obtain a supported team decision.
  • Lead and/or participate on projects as needed (system upgrades, bank integrations, etc.). Collaborate with other departments to lead and facilitate the implementation and fulfill the initiative purpose and goal through standard best practice project management techniques.
  • Maintain and manage reporting systems to provide actionable information to drive business decisions.
  • Maintain Disaster Recovery plans and models.
  • Ensure all application changes follow the standard process while keeping exceptions to a minimum and only with special approval.

In order to be successful in this position, we require the following: 

  • High school diploma or equivalent (GED). 
  • A minimum of three (3) years of application/business/systems analyst experience in a financial industry environment. 

The following would be a plus: 

  • Bachelor’s degree in business, operations or a related field
  • Direct Banking experience, including exposure to and understanding of bank structure/operations
  • For Enterprise Applications:
    • Technical certifications in Microsoft, CompTIA, and/or Cisco
    • Foxtrot Certification
    • Knowledge of SQL, SAS Visual Analytics, SSRS, or other reporting technology
  • For Deposit Applications:
    • Payment Certifications (AAP, NCP, and/or APRP)
    • Knowledge of SQL

First Merchants offers the following:

  • Base Pay PLUS Bonuses
  • Medical, Dental and Vision Insurance
  • 401k
  • Health Savings and Flexible Spending Accounts
  • Vacation/Sick Time
  • Paid Holidays
  • Paid Parental Leave
  • Tuition Reimbursement
  • Additional Benefits

A little about us:

First Merchants is guided by a genuine philosophy of being a meaningful place to work and having a prosperous impact across all walks of life throughout the communities we serve, including consumers, businesses and other organizations. Our Vision, Mission and Team statement reflect and reinforce that authentic service philosophy.

Our Vision is:

To enhance the financial wellness of the diverse communities we serve.

Our Mission is:

To be the most responsive, knowledgeable, and high-performing financial organization for our clients, teammates, and shareholders.

Our Team:

"We are a collection of dynamic colleagues with diverse experiences and perspectives who share a passion for positively impacting lives. We are genuinely committed to attracting and engaging teammates of diverse backgrounds. We believe in the power of inclusion and belonging."

Apply today to begin your career with us!

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