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Remote Utilization Review Rn Jobs in Crown Point, IN

Humana

Care Coordinator, RN Field Based

Crown Point, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

Gary, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

Hammond, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

Hammond, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

Hammond, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

Crown Point, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

Crown Point, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

Gary, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

Gary, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Belay Diagnostics

Account Manager

Chicago, IL · Remote

$90K/yr

Identify and address barriers to test utilization by working cross-functionally with Belay ... g. RN, Lab Tech, Clinical Coordinator) * Relevant experience working within or selling into ...

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All JobsUtilization Review Rn JobsRemote Utilization Review Rn JobsRemote Utilization Review Rn Jobs in Crown Point, IN

Remote Utilization Review Rn information

See Crown Point, IN salary details

$20

$40

$65

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

As of Sep 15, 2026, the average hourly pay for remote utilization review rn in Crown Point, IN is $40.12, according to ZipRecruiter salary data. Most workers in this role earn between $31.68 and $46.06 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 Crown Point, IN?

For Remote Utilization Review Rn jobs in Crown Point, IN, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Review Rn jobs in Crown Point, IN look for?

The top searched job categories for Remote Utilization Review Rn jobs in Crown Point, IN are:

What cities near Crown Point, IN are hiring for Remote Utilization Review Rn jobs?

Cities near Crown Point, IN with the most Remote Utilization Review Rn job openings:

Infographic showing various Remote Utilization Review Rn job openings in Crown Point, IN as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 18% Part Time, 2% Contract, and 1% Nights. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $83,447 per year, or $40.1 per hour.

Virtual Nurse Practitioner - Bilingual Spanish

Chicago, IL • Remote

Baba
See more jobs at Babaexternal

$113K - $143K/yr

Contractor

Posted 26 days ago

Job description

Telehealth Nurse Practitioner | Remote 1099 | Structured Intake & Care Navigation About Baba

Baba is rebuilding healthcare for older adults.

Navigating healthcare can be overwhelming. By 2030, over 65 million older adults will make up nearly a quarter of the U.S. population, creating one of the largest and most urgent challenges in healthcare. Baba makes it easier by pairing older adults with an expert advocate (usually a nurse or social worker) who coordinates their care. Baba's insurance-covered advocates have supported thousands of families by writing insurance appeals, researching specialists, getting medical equipment and cheaper medications, and scheduling appointments.

Baba is backed by top tier investors and supports thousands of families across assisted living, nursing homes, and at-home settings. www.callbaba.com

About the Role

As an Intake Consultations Nurse Practitioner at Baba, you’ll perform brief, structured telehealth visits that establish medical necessity for our care navigation programs. These intake visits are the cornerstone of Baba’s service— identifying high-risk conditions, unmet social needs, and confirming eligibility for ongoing care navigation services.

You’ll work with our care advocates and clinical operations team to ensure patients are enrolled safely, compliantly, and compassionately into the right level of support. This is a remote, 1099 (contractor) position, suitable for physicians seeking flexible, high-impact telehealth work.

What You’ll Do

  • Conduct initiating visits. Perform telehealth-based E/M or Annual Wellness Visits (AWVs) to establish medical necessity for care navigation services and identify high-risk conditions or unmet social needs.

  • Document findings in Baba’s platform, ensuring accurate coding and use of SDOH Z-codes, diagnoses, and risk factors.

  • Validate care plans. Develop and approve individualized care plans to ensure alignment with the patient’s medical treatment plan and documentation of continued medical necessity.

  • Collaborate with advocates and nurse care managers to finalize individualized care plans aligned with each patient’s medical and social needs.

What You Bring

  • Education: Completion of an accredited Nurse Practitioner program. (Required)

  • Licensure: Active Nurse Practitioner or APRN license, in good standing - licensed in multiple states. (Required)

  • Experience: 2+ years of experience in primary care, telehealth, or care management. (Required)

  • Familiarity with Medicare programs, including care navigation, incident-to requirements, and SDOH documentation.

  • Proficiency with EMRs, care management platforms, and telehealth workflows.

  • Bilingual Spanish required

Why Join Baba

  • Help shape a new model of integrated, tech-enabled care advocacy that unites clinical oversight with social support.

  • Work remotely and flexibly while ensuring patients receive high-quality care.

  • Join a mission-driven team building the care copilot that every patient deserves.