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Remote Utilization Review Rn Jobs in Cranston, RI

NCLEX-PN Tutor

Providence, RI ยท Remote

$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 ...

Solution Route Planner

Providence, RI ยท On-site +1

$69K - $82K/yr

Review routes for max cube utilization and potential route reductions * Plan backhauls in the most ... Remote UNFI is an Equal Opportunity employer committed to creating an inclusive and respectful ...

... remote work is possible, on site is preferred * PHD with 5+ years of experience or Nurses with 10+ years of experience is required * The Medical Writer has to review the post market surveillance data ...

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Remote Utilization Review Rn information

See Cranston, RI salary details

$20

$41

$67

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

As of Jun 13, 2026, the average hourly pay for remote utilization review rn in Cranston, RI is $41.35, according to ZipRecruiter salary data. Most workers in this role earn between $32.69 and $47.50 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 Cranston, RI? For Remote Utilization Review Rn jobs in Cranston, RI, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in Cranston, RI look for? The top searched job categories for Remote Utilization Review Rn jobs in Cranston, RI are:
What cities near Cranston, RI are hiring for Remote Utilization Review Rn jobs? Cities near Cranston, RI with the most Remote Utilization Review Rn job openings:
1099 Telemedicine Nurse Practitioner | Flexible Schedule

1099 Telemedicine Nurse Practitioner | Flexible Schedule

Allara

Providence, RI โ€ข Remote

$104K - $143K/yr

Contractor

Posted 8 days ago


Job description

Allara is a comprehensive womenโ€™s health provider that specializes in expert, longitudinal care that supports women through every life stage. Trusted by over 60,000 women nationwide, Allara makes expert healthcare accessible by connecting patients with multidisciplinary care teams that have a deep understanding of hormonal, metabolic, and reproductive care. Allara provides ongoing support for hormonal conditions like PCOS, chronic conditions like insulin resistance, and life stages like perimenopause, helping patients see improved health outcomes. As one of the fastest-growing womenโ€™s health platforms in the U.S., Allara is bridging long-overlooked gaps in healthcare for women.

The Opportunity

We're hiring board-certified Nurse Practitioners who want to focus on what matters most: delivering exceptional care to women with complex hormonal and metabolic conditions. To learn more about our mission and clinical approach, visit allarahealth.com.

Location: Fully remote within the U.S.

Your Impact

  • Conduct thorough patient assessments and develop personalized treatment plans via video visits

  • Collaborate with a multidisciplinary care team to deliver the highest standards of care

  • Complete required trainings and uphold Allara's clinical policies, standards, and best practices

  • Educate patients on preventive care and wellness using evidence-based strategies

  • Maintain accurate, up-to-date patient records and complete charting in a timely manner

  • Respond to patient questions and administrative messages with clarity and care

  • Dedicate a minimum of 10 patient-facing hours per week, including consultations and medical guidance, with prescribing when clinically appropriate

Required Qualifications

  • Board Certification: Active national board certification as a WHNP, FNP, or similar

  • Experience: Minimum of 2 years of consecutive clinical experience as a Nurse Practitioner, with a focus on chronic and complex women's health conditions including PCOS, Endometriosis, Hypothyroidism, Hashimoto's, Metabolic Syndrome, Menopause, Fertility, Postpartum, PMDD, and Obesity

  • Clinical Independence: Proven ability to function as an autonomous provider with strong diagnostic judgment and critical thinking skills

  • Communication: Exceptional written and verbal communication, with an emphasis on compassion and clarity

  • Webside Manner: A natural ability to build trust and connection with patients in a virtual setting

  • Evidence-Based Practice: A genuine commitment to delivering care rooted in current clinical research

  • Technical Proficiency: Comfortable working across multiple platforms including EMR systems, text expanders, Gmail, Google Calendar, Zoom, and scheduling tools

  • Telemedicine Experience: Prior telehealth experience is a plus

  • State License Requirements and Hiring Considerations: An active, unrestricted, and unencumbered professional license in at least one U.S. state is required

A note on state licensing: All active and pending licenses held at the time of application are collected and reviewed during our process. Hiring decisions reflect current state-level needs, which evolve over time. Applicants may not move forward immediately if there is no active need in their licensed states. We regularly revisit candidates as needs expand and when experience, licensure, and role requirements align.

What Allara Offers

  • 1099 Contract: The flexibility and autonomy of an independent contractor arrangement

  • Competitive Compensation: Per-visit rates plus additional pay for charting, administrative tasks, and other patient-related work

  • Fully Remote: Work from anywhere in the U.S.

  • Flexible Scheduling: Set hours that fit your life, not the other way around

  • Malpractice Insurance: Comprehensive coverage provided at no cost to you

  • Mission-Driven Work: Help transform the standard of care for women living with conditions that have historically been underdiagnosed and undertreated

  • Collaborative Provider Network: Connect with and learn from a community of skilled, like-minded Allara clinicians

  • Inclusive Culture: Join a supportive, diverse team that values innovation, equity, and belonging

#LI-JB1

At Allara, we believe in celebrating everything that makes us human and are proud to be an equal-opportunity workplace. We embrace diversity and are committed to building a team that represents a variety of backgrounds, perspectives, and skills. We believe that the more inclusive we are, the better we can serve our members. Weโ€™re an Equal Opportunity Employer and do not discriminate against candidates or patients based on race, color, gender, sexual orientation, gender identity or expression, age, religion, disability, national origin, protected veteran status, or any other status protected by applicable federal, state, or local law.