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Remote Utilization Review Rn Jobs in Cottage Grove, MN

Resmed

Review Specialist, OASIS & 485

Bloomington, MN · Remote

$62K - $80K/yr

OASIS Review Coding Specialist This is a remote position that provides flexibility and control over ... Graduate of accredited school of professional nursing and BSN preferred. * 2 years of home health ...

ResMed

Review Specialist, OASIS & 485

Bloomington, MN · Remote

$62K - $80K/yr

OASIS Review Coding Specialist This is a remote position that provides flexibility and control over ... Graduate of accredited school of professional nursing and BSN preferred. * 2 years of home health ...

Scribe-X

Remote Medical Scribe

Saint Paul, MN · Remote

$14 - $17/hr

Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a ... Review completed charts with the provider between patients or at the completion of shift * Update ...

Scribe-X

Remote Medical Scribe

Minneapolis, MN · Remote

$14 - $17/hr

Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a ... Review completed charts with the provider between patients or at the completion of shift * Update ...

Allianz

Counsel | Remote

Minneapolis, MN · On-site +1

Responsibilities includes preparation, review and negotiation of prospective reinsurance term ... Utilization of artificial intelligence tools and resources (e.g. generative Al). What you bring:

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Remote Utilization Review Rn information

See Cottage Grove, MN salary details

$22

$44

$71

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

As of Sep 7, 2026, the average hourly pay for remote utilization review rn in Cottage Grove, MN is $44.07, according to ZipRecruiter salary data. Most workers in this role earn between $34.81 and $50.62 per hour, depending on experience, location, and employer.

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 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 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 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 popular job titles related to Remote Utilization Review Rn jobs in Cottage Grove, MN?

For Remote Utilization Review Rn jobs in Cottage Grove, MN, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Review Rn jobs in Cottage Grove, MN look for?

The top searched job categories for Remote Utilization Review Rn jobs in Cottage Grove, MN are:

What cities near Cottage Grove, MN are hiring for Remote Utilization Review Rn jobs?

Cities near Cottage Grove, MN with the most Remote Utilization Review Rn job openings:

Remote Utilization Review Rn jobs near you
Infographic showing various Remote Utilization Review Rn job openings in Cottage Grove, MN as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 17% Part Time, 2% Contract, and 1% Nights. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $91,658 per year, or $44.1 per hour.

Clinical Claims Care Coordinator RN

illumifin

Eden Prairie, MN • On-site, Remote

Full-time

Posted 21 days ago

Illumifin rating

8.1

Company rating: 8.1 out of 10

Based on 21 frontline employees who took The Breakroom Quiz

113th of 247 rated software companies

Job description

The nation's leading administrator of long term care insurance services is looking for YOU. This is your opportunity to join a company with a culture that promotes respect for people, integrity, learning and initiative.
WE ARE THE KIND OF EMPLOYER YOU DESERVE.
illumifin is a leading provider of business process outsourcing for the insurance industry, managing over 1.3 million long-term care policies for the nation's largest insurers. We also provide clients with unique risk management insight built upon our proprietary long term care databases.
This position manages the assessment process and coordinates follow-up on referred clients. The Clinical Claims Care Coordinator is the main contact person for the client and develops and manages the plan of care, assists clients with finding services and follows the client telephonically at regular intervals as directed. The position is work from home, but requires 2 weeks of training in our Waltham, MA office.
RESPONSIBILITIES
1. Reviews onsite assessments for consistency and quality and develops plan of care in collaboration with the field nurse.
2. Identifies and assesses clients' health care needs across a continuum of care.
3. Prepares a professional, objective report for the insurance customer summarizing information from the assessment using company formats. The report is based on the basic principles of case management and the Five Steps of the nursing process: assessment, diagnosis, planning, implementation and evaluation. Understands how the medical conditions, functional and cognitive deficits affect an individual's safety and how to incorporate this information into an individualized, comprehensive plan of care.
4. Makes the initial contact with the client/family/contact to set the expectations for the assessment process and evaluate need for immediate provider services.
5. Coordinates and implements home care services and community resources for clients across a continuum of care.
6. Provides ongoing regular evaluation of appropriateness of services as they relate to changing health conditions of clients. Updates the individualized plan of care on an ongoing basis to reflect changing client care needs.
7. Obtains information from physicians, family members, third-party payers, caregivers, or other health care providers (such as social worker, adult daycare worker, Medicare nurse) as needed to prepare a comprehensive plan of care and ongoing updates related to care coordination.
8. Other duties as assigned.
Minimum Qualifications
* Associate degree or diploma in Nursing or Bachelor's Degree in Social Work
* Registered Nurse: 2 years of geriatric experience required
* Current, valid and unrestricted Registered Nurse license.
* Must type at least 40 words per minute.
Preferred Qualifications
* Bachelor or Master's Degree in Nursing or Master's Degree in Social Work.
* Prior experience in home health care, geriatrics, assessments, knowledge of community resources, experience in various clinical areas, case management, insurance, and mental health
* Advanced practice or specialty certification in the areas of gerontology, case management, rehabilitation, community health, insurance, home health, and hospice and palliative care.

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