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Remote Utilization Review Rn Jobs in Detroit, MI

Varsity Tutors

NCLEX-RN Tutor

Ann Arbor, MI · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

Detroit, MI · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Elara Caring

Senior Compliance Auditor - RN

Detroit, MI · Remote

Senior Compliance Auditor - RN (Remote) At Elara Caring, we care where you are and believe the best ... Provide secondary review/oversight of PCS policy development, revisions and reviews for new and ...

New

Elara Caring

Senior Compliance Auditor - RN

Detroit, MI · Remote

Senior Compliance Auditor - RN (Remote) At Elara Caring, we care where you are and believe the best ... Provide secondary review/oversight of PCS policy development, revisions and reviews for new and ...

New

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All JobsUtilization Review Rn JobsRemote Utilization Review Rn JobsRemote Utilization Review Rn Jobs in Detroit, MI

Remote Utilization Review Rn information

See Detroit, MI salary details

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

As of Aug 23, 2026, the average hourly pay for remote utilization review rn in Detroit, MI is $41.86, according to ZipRecruiter salary data. Most workers in this role earn between $33.08 and $48.08 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 Detroit, MI?

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

What job categories do people searching Remote Utilization Review Rn jobs in Detroit, MI look for?

The top searched job categories for Remote Utilization Review Rn jobs in Detroit, MI are:

What cities near Detroit, MI are hiring for Remote Utilization Review Rn jobs?

Cities near Detroit, MI 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 Detroit, MI as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 13% Part Time, 3% Contract, and 1% Nights. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $87,064 per year, or $41.9 per hour.

Registered Nurse- After Hours- 7 days on 7 days off 5pm-8am

Inhouse Hospice Llc

Franklin, MI • Remote

$93K/yr

Full-time

Dental, Vision, Retirement, PTO

Re-posted 12 days ago

Job description

Benefits:
  • 401(k)
  • Dental insurance
  • Free uniforms
  • Paid time off
  • Vision insurance

Job Title

Registered Nurse - After Hours
Job Description Summary
Reports to: Clinical Manager or Director of Clinical Services (if Clinical Manager is not yet established)
The Registered After-Hours Nurse is responsible for providing direct patient care during evening and designated coverage hours. Responsibilities include rapid response to patient, family, facility, and caregiver need, in alignment with the hospice plan of care and organizational standards.
Roles & Responsibilities
Provides direct patient care as permitted by the State Nurse Practice Act, including specialized duties related to end-of-life care.
Responds promptly to patient, family, and facility requests occurring primarily during evening or after-hours periods.
Coordinates with the Director of Clinical Services (DCS) or RN Case Managers regarding needed nursing services during coverage hours.
          a. Immediately notifies DCS or Administration of any service concerns or issues.
Contacts the Hospice Medical Director for physician orders related to medications, treatments, or symptom changes.
When required, performs pronouncement of death.
          a. Provides support, empathy, and guidance to families and facilities at the time of death.
          b. Completes all required documentation for death visits.
Documents all occurrences such as falls, medication errors, infections, and complaints with the EMR.
Implements nursing interventions in alignment with current standards, the comprehensive assessment, and the established plan of care.
Provides accurate, timely documentation to reflect care provided and changes in condition.
Educates patients and families/caregivers regarding diagnosis, symptom management, and care strategies appropriate to their needs.
Coordinates with the interdisciplinary group and reports identified need that may require involvement from other disciplines such as hospice aide, OT, PT, SW, ST, Dietician, or Director of Clinical Services.
Uses and prepares equipment and supplies properly, following aseptic technique.
Provides appropriate pain and symptom management and evaluates patient responses to interventions and medications.
Participates in personal and professional development and takes part in quality assessment and performance improvement (QAPI) activities.
Performs additional duties as assigned by the RN, including:
             a. Assisting with processing and completing assigned clinical audits.
             b. Completing after-hours admissions when required.
Qualifications
Graduate of an accredited Registered Nurse or vocational nursing program
Three years of nursing experience preferred; hospice or medical-surgical experience strongly preferred. 
Currently licensed as Registered Nurse in the state. 
Complies with accepted professional nursing standards and practices. 
Demonstrates strong verbal and written communication and organizational skills. 
Must be a licensed driver with a reliable automobile that is insured according to the state and organizational requirements. 
Possesses and maintains current CPR certification. 
Understands hospice philosophy and the unique needs of the terminally ill. 

This is a remote position.