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Remote Utilization Review Rn Jobs in Dubuque, IA

Professional Staff - Imagine working with a team that includes ERISA attorneys, MDs, PharmDs, RNs and Health Coaches; where member service is delivered by licensed agents and the average tenure of ...

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Remote Utilization Review Rn information

See Dubuque, IA salary details

$20

$39

$65

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 Dubuque, IA is $39.87, according to ZipRecruiter salary data. Most workers in this role earn between $31.49 and $45.77 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 Dubuque, IA?

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

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

The top searched job categories for Remote Utilization Review Rn jobs in Dubuque, IA are:

What cities near Dubuque, IA are hiring for Remote Utilization Review Rn jobs?

Cities near Dubuque, IA with the most Remote Utilization Review Rn job openings:

Infographic showing various Remote Utilization Review Rn job openings in Dubuque, IA as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 14% Part Time, 4% Contract, and 1% Nights. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $82,932 per year, or $39.9 per hour.

LPN or RN - Internal Medicine (Remote + Onsite Flex)

Medical Associates

Dubuque, IA • On-site, Remote

$25.75 - $35/hr

Full-time

Medical, Dental, Life, Retirement, PTO

Posted 11 days ago


Job description

Description
The Internal Medicine department at Medical Associates is looking for an LPN or RN to help support our providers' fast-paced practices as a Remote Triage Nurse!
Skills/Experience that Ideal Candidates have:
  • Hardworking
  • Self-motivated
  • Efficient time management skills
  • Willingness to jump in
  • Commitment to excellent patient care

Schedule: Between the hours of 8am - 5pm, schedule flexibility is required. 4 days per week, no weekends, no holidays!
Location: Potential to work from Home 75-100% of the time! Only onsite as needed.
Benefits Package includes:
  • Single or Family Health Insurance with discounted premium rates for wellness program participation.
  • 401k with immediate matching (50% on the dollar up to 7% of pay + additional annual Profit Sharing)
  • Flexible Paid Time Off Program (24 days off/year)
  • Medical and Dependent Care Flex Spending Accounts
  • Life insurance, Long Term Disability Coverage, Short Term Disability Coverage, Dental Insurance, etc.

Job Duties:
  • Collect pertinent patient health care data, diagnostic testing, treatments, and review medical records and confer with physician/mid-level providers to ensure patient needs are met. May include general office duties such as obtaining and updating patient demographic and insurance information, accepting payment and co pays, scheduling and coordinating multiple appointment and creating lab orders.
  • Collaborate with health care team according to plan of care.
  • Communicate effectively with patients, co-workers, and others. Promote patient wellness and provide patient education.
  • Document care provided, including but not limited to: interventions, medication, patient education, and assist with integrity of medical record.
  • Facilitate reimbursement of services provided, including but not limited to: charge tickets, referrals, and insurance requirements.
  • Maintain an office environment that is safe, neat, organized, and supplied with necessary equipment, instruments, supplies, and educational materials. Ensure equipment is functioning safely and properly. Perform cleaning and maintenance of equipment according to guidelines.
  • Demonstrate flexibility in performing other additional duties of patient care. Provide input for devising systems to improve quality and efficiency of patient care and workflow. Participate in required meetings.
  • Complete all other assigned projects and duties.

Knowledge, Skills and Abilities:
Experience - From three months to one year of similar or related experience.
Education - Equivalent to a two-year college degree or completion of a specialized course of study or certification at a business or trade school.
Interpersonal Skills - A significant level of trust and diplomacy is required, in addition to normal courtesy and tact. Work involves extensive personal contact with others and/or is usually of a personal or sensitive nature. Work may involve motivating or influencing others. Outside contacts become important and fostering sound relationships with other entities (companies and/or individuals) becomes necessary.
Other Skills - Valid LPN or RN licensure required. Keyboarding skills and use of electronic equipment. Use personal protection safety equipment including gloves, lab coats, gowns, goggles, and face masks/shields. BLS required biannually.
Medical Associates Clinic & Health Plans is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, pregnancy, age, national origin, marital status, parental status, disability, veteran status, or other distinguishing characteristics of diversity and inclusion, or any other protected status.
Physical Aspects:
Stooping - Bending body downward and forward by bending spine at the waist. This factor is important if it occurs to a considerable degree and requires full use of the lower extremities and back muscles.
Kneeling - Bending legs at knee to come to a rest on knee or knees.
Crouching - Bending the body downward and forward by bending leg and spine.
Reaching - Extending hand(s) and arm(s) in any direction.
Standing - Particularly for sustained periods of time.
Walking - Moving about on foot to accomplish tasks, particularly for long distances.
Pushing - Using upper extremities to press against something with steady force in order to thrust forward, downward or outward.
Pulling - Using upper extremities to exert force in order to draw, drag, haul or tug objects in a sustained motion.
Lifting - Raising objects from a lower to a higher position or moving objects horizontally from position-to-position. This factor is important if it occurs to a considerable degree and requires the substantial use of the upper extremities and back muscles.
Fingering - Picking, pinching, typing or otherwise working, primarily with fingers rather than with the whole hand or arm as in handling.
Grasping - Applying pressure to an object with the fingers and palm.
Feeling - Perceiving attributes of objects, such as size, shape, temperature or texture by touching with skin, particularly that of fingertips.
Talking - Expressing or exchanging ideas by means of the spoken word. Those activities in which they must convey detailed or important spoken instructions to other workers accurately, loudly or quickly.
Hearing - Perceiving the nature of sound with or without correction. Ability to receive detailed information through oral communication and to make fine discriminations in sound, such as when making fine adjustments on machined parts.
Vision - 20 / 40 or better in the best eye with or without correction.
Repetitive Motions - Substantial movements (motions) of the wrists, hands and/or fingers.
Sedentary Work - Exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.
Light Work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. If the use of arm and/or leg controls requires exertion of forces greater than that for Sedentary Work and the worker sits most of the time, the job is rated for Light Work.
Medium Work - Exerting up to 50 pounds of force occasionally, and/or up to 20 pounds of force frequently, and/or 10 pounds force constantly to move objects.
Medium/Heavy Work - Exerting up to 75 pounds of force occasionally, and/or up to 35 pounds of force frequently, and/or up to 15 pounds of force constantly to move objects.
Heavy Work - Exerting up to 100 pounds of force occasionally, and/or up to 50 pounds of force frequently, and/or up to 20 pounds of force constantly to move objects.
Environmental Conditions:
Both Inside & Outside Environmental Conditions - Activities occur inside and outside.
Medical Associates Clinic & Health Plans is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, pregnancy, age, national origin, marital status, parental status, disability, veteran status, or other distinguishing characteristics of diversity and inclusion, or any other protected status.Please view Equal Employment Opportunity Posters provided by OFCCP https://www.eeoc.gov/poster