ZipRecruiter

Log In

2

Remote Utilization Review Rn Jobs in Detroit, MI

Belle, LLC

Nurse Practitioner: Remote Urgent Care

Detroit, MI · Remote

$109K - $151K/yr

As these issues arise, a team of remote nurses coordinate care with other healthcare providers ... Evaluate symptoms, review medical histories, and determine appropriate interventions. * Determine ...

previous page

Showing results 41-60

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

$21

$41

$68

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.

Nurse Practitioner: Remote Urgent Care

Belle, LLC

Detroit, MI • Remote

$109K - $151K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 17 days ago

Job description

About Belle

Belle is a fast growing engagement company that is revolutionizing home healthcare - and it all begins with the feet. With 25M+ U.S. seniors no longer able to see or reach their feet, a lack of self care and mobility challenges cost the health insurance plans $38B+ in preventable medical spending every year.

Belle trains and manages a network of nail technicians or "Belle Technicians" who provide in-home foot care (aka medical pedicures). Belle uses cutting edge data science to identify those most in need on behalf of health plans and deploys its services accordingly. While in the home, Belle Technicians complete assessments and screenings, often being the first to identify emerging issues below and above the knee. As these issues arise, a team of remote nurses coordinate care with other healthcare providers - preventing serious and costly episodes.

Our mission: Bring Joy to Healthcare. Join us if our cause inspires you!

About this Role

Belle is seeking a compassionate and clinically skilled Nurse Practitioner (NP) to provide remote telehealth support for Medicare beneficiaries enrolled in our Chronic Care Management (CCM) program. This role focuses on responding to urgent clinical escalations from our nursing team, with the majority of calls involving poorly controlled hypertension, medication concerns, and other non-life-threatening acute issues.

As a Telehealth Provider, you will assess members remotely, determine the appropriate level of care, provide evidence-based treatment recommendations, and collaborate closely with nurses, Community Health Workers, primary care providers, and care coordinators to help keep members healthy and out of the emergency department whenever clinically appropriate.

This is a fully remote position supporting a fast-growing, mission-driven organization dedicated to bringing joy to healthcare.

Responsibilities
  • Conduct telehealth evaluations for Medicare beneficiaries experiencing urgent, non-emergent clinical concerns
  • Evaluate symptoms, review medical histories, and determine appropriate interventions.
  • Determine when escalation to the member's primary care provider, emergency department, or 911 is clinically indicated
  • Document all encounters accurately and timely in the electronic medical record.
  • Assist in reducing avoidable emergency department visits and hospitalizations through proactive clinical intervention.
  • Provide patient education on disease management, medications, lifestyle modifications, and symptom monitoring.
  • Promote medication adherence and self-management of chronic conditions.
  • Provide clinical guidance and education to nursing staff on appropriate escalation pathways.
  • Participate in clinical case reviews and quality improvement initiatives.

Requirements

  • Active, unrestricted Nurse Practitioner license.
  • National certification appropriate to specialty.
  • Minimum of 3 years of clinical practice experience, preferably in primary care, internal medicine, family medicine, geriatrics, urgent care, or chronic disease management.
  • Experience managing hypertension and common chronic conditions, including diabetes, heart failure, COPD, and chronic kidney disease.
  • Prior telehealth or virtual care experience.
  • Strong clinical assessment and decision-making skills.
  • Excellent verbal communication and patient education abilities.
  • Familiarity with eClinicalWorks (eCW) or similar EMRs.

Benefits

  • Competitive compensation based on experience
  • Health, Dental, and Vision Insurance Benefits
  • 401k
  • PTO, Sick, Wellness leave, and Paid Holidays
  • Opportunity for significant career growth and expansion of responsibilities
  • Ability to reshape an industry and protect lives

Apply