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

LifeSource, Inc.

Be Seen First

Primary Care CNA/CMA Clinical Organizer- Remote

Raleigh, NC · Remote

Certified Nursing Assistant (CNA), Certified Medical Assistant (CMA), Certified Clinical Medical ... Reviewed provider appointments the day before visit to anticipate patient and provider needs.

New

Reparo Health

Supervising Psychiatrist (Remote)

Durham, NC · Remote

$500 - $3K/mo

Our team of skilled therapists and psychiatric nurse practitioners works collaboratively to meet ... Review and approve treatment plans, documentation, and medication management strategies. * Ensure ...

Reparo Health

Supervising Psychiatrist (Remote)

Durham, NC · Remote

$500 - $3K/mo

Our team of skilled therapists and psychiatric nurse practitioners works collaboratively to meet ... Review and approve treatment plans, documentation, and medication management strategies. * Ensure ...

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 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 ...

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

Remote Utilization Review Rn information

See Durham, NC salary details

$19

$38

$62

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

As of Jun 15, 2026, the average hourly pay for remote utilization review rn in Durham, NC is $38.31, according to ZipRecruiter salary data. Most workers in this role earn between $30.29 and $43.99 per hour, depending on experience, location, and employer.

What is the meaning of the word remote?

In the context of a Remote Utilization Review RN job, 'remote' refers to working outside of a traditional office setting, often from home or another location of the employee's choice. This setup typically involves using digital tools and communication platforms to perform job duties without being physically present in an office environment.

What are the key skills and qualifications needed to thrive as a Remote Utilization Review RN, and why are they important?

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 meaning of remote in one word?

In the context of a Remote Utilization Review RN role, 'remote' means working from a location outside of a traditional office, typically from home, using digital communication tools. It emphasizes flexibility and virtual access to work systems without physical presence at a healthcare facility.

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.

How to make 2000 a week working from home?

A Remote Utilization Review RN can potentially earn $2,000 weekly by working full-time hours, often 40 hours per week, and gaining experience or certifications that allow for higher billing rates. Increasing income may involve taking on additional cases, specializing in high-demand areas, or working for agencies that offer competitive pay for remote utilization review roles.

What is remote job?

A remote Utilization Review RN job is a healthcare position where the nurse reviews patient cases and insurance claims from a location outside of a traditional office, often working from home. It requires strong communication skills, knowledge of medical documentation, and familiarity with electronic health record systems, with flexible schedules common in remote roles.

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 June 2026, with employment types broken down into 77% Full Time, 17% Part Time, and 6% Contract. Highlights an 100% Remote job distribution, with an average salary of $79,685 per year, or $38.3 per hour.

Remote Board Certified Behavior Analyst (NJ LBA Required)

Social Circle ABA

Raleigh, NC • Remote

$55 - $65/hr

Part-time

Posted 3 days ago

Job description

Job Type: Full-Time / Part-Time (100% Remote) Salary: $55.00 - $65.00 per hour (Depending on experience and caseload availability)

About the Role: Are you an out-of-state BCBA looking to leverage your credentials for a high-paying, fully remote role? We are seeking dedicated, high-caliber Board Certified Behavior Analysts (BCBAs) to provide top-tier remote clinical oversight, programming, and telehealth supervision for our clients in the Passaic, New Jersey area.

Enjoy the complete flexibility of working 100% from home while earning a premium hourly rate that exceeds your local market standard.

Please Note: Because our clients are located in New Jersey, candidates MUST hold an active New Jersey Licensed Behavior Analyst (LBA) credential in good standing at the time of application.

Key Responsibilities:

  • Conduct remote clinical assessments, intake reviews, and design comprehensive, individualized behavior intervention plans (BIPs).

  • Provide high-quality remote supervision, mentorship, and support to our on-the-ground Registered Behavior Technicians (RBTs).

  • Review clinical data regularly through our practice management platform to modify programming and ensure steady client progress.

  • Conduct regular telehealth caregiver training and family collaboration sessions to promote generalization of skills.

  • Ensure all clinical documentation, progress notes, and authorization reports meet rigorous insurance billing requirements and compliance guidelines.

What We Offer:

  • Highly Competitive Premium Pay: $55.00 - $65.00 per hour—well above regional averages for remote roles.

  • 100% Remote Flexibility: Work from the comfort of your own home office with no commute or travel required.

  • Robust Operational Support: Dedicated administrative teams managing billing, scheduling, and onboarding workflows so you can focus strictly on clinical quality.

  • Consistent Hours: Stable caseloads with reliable weekly billable opportunities.

Requirements:

  • Current and unrestricted certification as a Board Certified Behavior Analyst (BCBA) by the BACB.

  • Active and valid License as a Behavior Analyst (LBA) in the State of New Jersey (Required).

  • Proven experience designing ABA programming and supervising RBTs/behavior technicians (telehealth supervision experience is a plus).

  • Strong tech-literacy and reliable high-speed internet access suitable for secure video conferencing.

  • Excellent communication skills and the ability to collaborate effectively with remote staff and families.

  • Commitment to maintaining the highest professional and ethical standards.