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Remote Utilization Review Rn Jobs in Flint, MI (NOW HIRING)

COMPASSUS

Insurance Specialist

Flint, MI · Remote

$20 - $35/hr

Compassus This is a remote position for candidates located in the Central Time Zone. Position ... Reviews the insurance verification and completes the authorization process within established time ...

Hurley Medical Center

Inpatient Coder - Fully Remote

Flint, MI · On-site +1

$18.50 - $22.25/hr

Abstracts specific data elements after thorough review of each medical record. * Designates ... Certification through AHIMA in Registered Health Information (RHIA, RHIT) or as a Certified Coding ...

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

Remote Utilization Review Rn information

See Flint, MI salary details

$20

$41

$67

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

As of Aug 9, 2026, the average hourly pay for remote utilization review rn in Flint, MI is $41.13, according to ZipRecruiter salary data. Most workers in this role earn between $32.50 and $47.21 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 Flint, MI? For Remote Utilization Review Rn jobs in Flint, MI, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in Flint, MI look for? The top searched job categories for Remote Utilization Review Rn jobs in Flint, MI are:
What cities near Flint, MI are hiring for Remote Utilization Review Rn jobs? Cities near Flint, 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 Flint, MI as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 14% Part Time, and 3% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $85,550 per year, or $41.1 per hour.

Care Coordinator Registered Nurse - Remote in Michigan

McLaren

Flint, MI • On-site, Remote

Full-time

Re-posted 8 days ago

Job description

Department: Care Coordinator RN (Remote in Michigan)
Position Summary:
As an advocate for the patient, the RN care manager will assess, plan, implement, coordinate, monitor, and evaluate the options and services required to meet an individual's health needs, using clinical and community resources to promote quality, cost effective outcomes. Integrates evidenced based clinical guidelines, preventive guidelines, and protocols, in the development of individualized care plans that are patient centric. Provides targeted interventions to avoid hospitalization and emergency room visits.
Essential Functions and Responsibilities:
1. Provides telephonic and face-to-face comprehensive assessment and care management services to patients as part of an interdisciplinary team.
2. Uses multi-dimensional assessment skills, risk assessment and screening tools to target high risk and vulnerable populations.
3. Assesses over time the health care, educational, and psychosocial needs of the patient/caregiver. Uses standardized assessment tools such as depression screening, functionality, and health risk assessment.
4. Provides follow up with patient/family when patient transitions from one setting to another. Completes timely post-hospital follow up: Medication reconciliation, PCP or specialist follow-up appointment, assess symptoms, teach warning signs, review discharge instructions, coordination of care, and problem solve barriers.
5. Uses clinical judgment to determine level of care and collaborates with the PCP, patient and interdisciplinary team, including continuum of care settings and community.
Required:
  • RN with a valid unrestricted Michigan license.
  • Three (3) years clinical nursing experience serving chronically ill patients and extensive knowledge of issues associated with chronic care and geriatrics.

Preferred:
  • RN, BSN.
  • Three (3) years experience in a health plan or Physician Organization environment with care coordination, care management, and/or population health.
  • Telephonic care management experience.
  • Home care and/or hospice experience.
  • Complex Care Management course completion or CCM.
  • Behaviorial Health experience
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About McLaren

Sourced by ZipRecruiter

McLaren Group is globally renowned as one of the world’s most illustrious high-technology brands. Since the formation of McLaren Racing in 1963, McLaren has been pioneering and innovating in the competitive world of Formula 1, forging a formidable reputation which has seen the racing team win 20 World Championships and over 180 races. The Group has built on its successful racing expertise and diversified to include a global, high-performance sports car business, McLaren Automotive, and a game-changing technology and innovation business, McLaren Applied. Despite the broadening of the group’s business interests, McLaren’s goal remains singular: we exist to win in everything we do.

Industry

Automobile dealers and manufacturing

Company size

10,000+ Employees

Headquarters location

Woking, Surrey, GB

Social media

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