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Remote Utilization Review Rn Jobs in Fort Wayne, IN

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Remote Utilization Review Rn information

See Fort Wayne, IN salary details

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$38

$63

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

As of Jul 11, 2026, the average hourly pay for remote utilization review rn in Fort Wayne, IN is $38.68, according to ZipRecruiter salary data. Most workers in this role earn between $30.58 and $44.42 per hour, depending on experience, location, and employer.

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 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 cities near Fort Wayne, IN are hiring for Remote Utilization Review Rn jobs? Cities near Fort Wayne, IN with the most Remote Utilization Review Rn job openings:
Infographic showing various Remote Utilization Review Rn job openings in Fort Wayne, IN as of July 2026, with employment types broken down into 86% Full Time, 11% Part Time, and 3% Contract. Highlights an 40% Physical, 2% Hybrid, and 58% Remote job distribution, with an average salary of $80,457 per year, or $38.7 per hour.
Sr Proj & Cont Strategist Ortho (Onsite & Remote)

Sr Proj & Cont Strategist Ortho (Onsite & Remote)

Parkview Health

Fort Wayne, IN • On-site, Remote

Full-time

Posted 25 days ago


Parkview Health rating

7.2

Company rating: 7.2 out of 10

Based on 273 frontline employees who took The Breakroom Quiz

327th of 881 rated healthcare providers


Job description

Summary
The Senior Project & Contract Analyst Ortho serves as the primary point of contact for all orthopedic contracting activities within Supply Chain. Performs the full scope of responsibilities associated with a Project & Contract Analyst while also leading communication and coordination between Supply Chain and the Orthopedic service line. Partners closely with orthopedic clinical leadership, executive leadership, and internal stakeholders to ensure alignment of contracting strategies, product standardization, and cost'effective decision'making. Provides subject'matter expertise, manages complex contracting initiatives, and supports onboarding and development of team members. Provides lead responsibilities related to all orthopedic related agreements. Serves as subject matter expert and leadership for all Project Contract Analysts with orthopedic involvement. Provides front facing end user and provider level support.
Orthopedic Contract Leadership: Serves as the primary liaison for all orthopedic contracts, including implants, instruments, biologics, equipment, and related services. Leads contract development, negotiation support, implementation, and ongoing contract management for orthopedic categories. Maintains strong relationships with orthopedic clinical and executive leaders to ensure contracting strategies align with clinical needs and organizational goals. Monitors contract performance, pricing accuracy, compliance, and vendor adherence to terms.
Project & Process Management: Performs all accountabilities of a Project & Contract Analyst, including data analysis, contract review, financial impact modeling, and project documentation. Leads and coordinates cross'functional projects related to orthopedic supply standardization, cost'reduction initiatives, and product conversions. Ensures timely communication of contract changes, product updates, and project milestones to stakeholders. Supports continuous improvement of Supply Chain contracting processes.
Vendor & Supplier Engagement: Acts as the primary Supply Chain contact for orthopedic suppliers and vendors. Facilitates communication, issue resolution, and contract'related inquiries. Supports vendor onboarding, performance reviews, and compliance monitoring.
Team Support & Development: Shares expertise in orthopedic contracting, analytics, and Supply Chain processes. Promotes a collaborative, learning'focused team environment.
Education
Bachelor's degree in Marketing, Accounting, Finance, Business, Nursing, or another healthcare'related field
Experience
Minimum of 7 to 10 years direct relevant experience, in a healthcare or business setting, in a similar contracting, analytics, or project management role
Other Qualifications
Strong project management and organizational skills with the ability to manage multiple priorities. Excellent verbal and written communication skills, including the ability to communicate effectively with clinical and executive leaders. Proficiency in Microsoft Office, including strong skills in Excel and Word. Ability and willingness to teach, mentor, and support others during onboarding and ongoing development. Strong analytical thinking, attention to detail, and problem'solving abilities. Ability to build and maintain effective working relationships across departments and with external partners.

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About Parkview Health

Sourced by ZipRecruiter

Parkview Health, headquartered in Fort Wayne, IN, US, operates within the healthcare industry providing a wide range of medical services and community wellness programs. These include primary care, specialty health services, emergency care, rehabilitation, and home health services among others. The non-profit health system was founded in 1878 and continues to serve its surrounding communities with a dedication to quality health and wellness.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Fort Wayne, IN, US

Year founded

1995