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Remote Utilization Review Rn Jobs in Durham, NC (NOW HIRING)

Red Oak Recovery Center

Clinical Director

Durham, NC · Remote

$90K - $100K/yr

Participate in utilization review meetings, representing patient needs in both clinical and ... Student Loan Repayment - Available for nurses and therapists. * Retirement Benefits - 401(k) plan ...

Duke University

MEDICAL RECORDS CODER II

Durham, NC · Remote

$18 - $24.25/hr

This position is 100% remote. All Duke University remote workers must reside in one of the ... Coordinate/review the work of subordinate employees and assist with the training and continuing ...

Duke Health

MEDICAL RECORDS CODER II

Durham, NC · Remote

$18 - $24.25/hr

This position is 100% remote. All Duke University remote workers must reside in one of the ... Coordinate/review the work of subordinate employees and assist with the training and continuing ...

Duke University

MEDICAL RECORDS CODER II

Durham, NC · Remote

$18 - $24.25/hr

This position is 100% remote. All Duke University remote workers must reside in one of the ... Coordinate/review the work of subordinate employees and assist with the training and continuing ...

Duke Health

MEDICAL RECORDS CODER II

Durham, NC · Remote

$18 - $24.25/hr

This position is 100% remote. All Duke University remote workers must reside in one of the ... Coordinate/review the work of subordinate employees and assist with the training and continuing ...

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All JobsUtilization Review Rn JobsRemote Utilization Review Rn JobsRemote Utilization Review Rn Jobs in Durham, NC

Remote Utilization Review Rn information

See Durham, NC salary details

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$40

$66

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

As of Aug 8, 2026, the average hourly pay for remote utilization review rn in Durham, NC is $40.82, according to ZipRecruiter salary data. Most workers in this role earn between $32.26 and $46.88 per hour, depending on experience, location, and employer.

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 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 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 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 Durham, NC? For Remote Utilization Review Rn jobs in Durham, NC, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in Durham, NC look for? The top searched job categories for Remote Utilization Review Rn jobs in Durham, NC are:
What cities near Durham, NC are hiring for Remote Utilization Review Rn jobs? Cities near Durham, NC 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 Durham, NC as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $84,909 per year, or $40.8 per hour.

Clinical Director

Red Oak Recovery Center

Durham, NC • Remote

$90K - $100K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 19 days ago

Job description

Red Oak Recovery Center is a clinician-run treatment program with campuses established to serve the needs of our clients. Our Red Oak campuses offer a unique blend of clinical rehabilitation, 12 step addiction recovery, proven addiction therapy services, family counseling, and experiential and adventure therapy for men. The Willows at Red Oak offers a sanctuary for women to focus on healing and help prepare them for fulfilling, post-treatment lives.

We are seeking a Clinical Director to add to our dynamic team. This position will support our facility in Durham, NC. The Clinical Director oversees all aspects of clinical programming, ensuring the delivery of high-quality behavioral health services. This role involves supervising clinical staff, managing patient care, and ensuring compliance with regulatory standards. The Clinical Director works closely with interdisciplinary teams to develop and implement treatment programs that align with best practices in addiction recovery.

This is a dually licensed position that requires full LCMHC/LCSW/LMFT supervision licensure and full LCAS.

This position requires onsite employment at our facility in Durham, NC.

Responsibilities
  • Provide leadership and supervision to therapists, counselors, and BHTs, ensuring clinical excellence and adherence to treatment protocols
  • Develop and implement clinical programming, ensuring alignment with state and federal regulations, industry standards, and organizational goals
  • Oversee admissions, discharges, and extensions of treatment, ensuring decisions align with patient needs and clinical best practices
  • Ensure all treatment schedules, staff schedules, and group therapy offerings are maintained and delivered effectively
  • Conduct staff meetings, case reviews, and clinical supervision to support professional development and ensure high standards of patient care
  • Carries a case load pending census
  • Provide direct clinical supervision to therapists and counselors working toward licensure
  • Ensure ongoing training and professional development opportunities for clinical staff, enhancing knowledge in addiction treatment and evidence-based practices
  • Monitor staff performance and provide feedback, coaching, and corrective actions as necessary
  • Ensure compliance with HIPAA, state and federal regulations, and accreditation requirements
  • Conduct regular audits of patient records, documentation, and treatment plans to maintain quality and compliance
  • Participate in utilization review meetings, representing patient needs in both clinical and financial considerations
  • Develop and implement policies and procedures to improve clinical operations and enhance patient outcomes
  • Mediate patient and family concerns regarding treatment delivery, ensuring a patient-centered approach
  • Collaborate with medical staff, case management, and social services to ensure comprehensive and coordinated care
  • Stay current with emerging trends in addiction treatment and integrate new research into clinical programming

Qualifications
  • Full supervision licensure (LCMHC, LCSW, LMFT) required upon hire
  • Full LCAS licensure required upon hire
  • CPR certification required (training will be provided)
  • Three years of experience in managing clinical programs preferred


We’re officially a Great Place to Work®! We’ve always believed that supporting our team is just as important as supporting our patients. Now, we’re proud to share that we’ve earned Great Place to Work® Certification - based entirely on feedback from our own employees. This certification reflects the culture we’ve worked hard to build - one rooted in trust, inclusion, and purpose-driven leadership.

At Bradford Health Services, we are committed to providing exceptional care to our patients while fostering a supportive and rewarding workplace for our employees. We believe that taking care of our team allows them to take better care of others, which is why we offer a comprehensive benefits package designed to support their well-being.


  • Medical Coverage – Three new BCBSAL medical plans with better rates, improved co-pays, and enhanced prescription benefits.

  • Expanded Coverage – Options for domestic partners and a wider network of in-network providers.

  • Mental Health Support – Improved access to services and a new Employee Assistance Program (EAP) featuring digital wellness tools like Cognitive Behavioral Therapy (CBT) modules and wellness coaching.

  • Voluntary Coverages – Pet insurance, home and auto insurance, family legal services, and more.

  • Student Loan Repayment – Available for nurses and therapists.

  • Retirement Benefits – 401(k) plan through Voya to help employees plan for the future.

  • Generous PTO – A robust paid time off policy to support work-life balance.

  • Voluntary Benefits for Part-Time Employees – Dental, vision, life, accident insurance, and telehealth options for those working 20 hours or more per week.


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