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Remote Utilization Review Rn Jobs in Franklin, IN

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Registered Nurse Clinical Auditor

Indianapolis, IN · Remote

$50K - $70K/yr

Remote with Occasional travel - Downtown Indianapolis, IN (Expenses are covered by client) We are seeking a detail-oriented Registered Nurse to support medical record reviews, billing compliance ...

Varsity Tutors

NCLEX-RN Tutor

Indianapolis, IN · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

IQVIA

Flex Nurse Educator

Indianapolis, IN · Remote

Deliver remote patient education, including medication administration training and adherence ... Active RN license in good standing (compact multi-state preferred); may be required to obtain ...

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Remote Utilization Review Rn information

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$39

$64

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

As of Aug 22, 2026, the average hourly pay for remote utilization review rn in Franklin, IN is $39.60, according to ZipRecruiter salary data. Most workers in this role earn between $31.30 and $45.48 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 Franklin, IN?

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

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

The top searched job categories for Remote Utilization Review Rn jobs in Franklin, IN are:

What cities near Franklin, IN are hiring for Remote Utilization Review Rn jobs?

Cities near Franklin, IN 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 Franklin, IN as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 15% Part Time, 3% Contract, and 1% Nights. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $82,365 per year, or $39.6 per hour.

Registered Nurse - Outpatient - Ambulatory Afterhours Triage - Fully Remote

Indiana University Health

Indianapolis, IN • On-site, Remote

Full-time

Posted 28 days ago

Indiana University Health rating

7.2

Company rating: 7.2 out of 10

Based on 465 frontline employees who took The Breakroom Quiz

345th of 891 rated healthcare providers

Job description


Eligibility for a $30,000 sign-on bonus may apply! - apply today to learn more!
Full-time positions are being offered with various scheduling options available, including 8-hour, 10-hour, and 12-hour shifts, as well as a Special Weekend Option.
Fully Remote Position. Candidates must live and maintain primary residency in Indiana to be considered for this opportunity.
As Indiana's most comprehensive healthcare system, IU Health is committed to delivering exceptional care 24 hours a day, 7 days a week, and is seeking experienced Registered Nurses to join our growing System Nursing Call Center (SNCC) team. In this role, you will provide after-hours telephone triage and clinical support to patients across the state of Indiana. Candidates must have a minimum of 3-4 years of inpatient or outpatient RN triage experience. Applicants from outside of IU Health are eligible for a $30,000 sign-on bonus, apply today to learn more!
This remote after-hours opportunity offers evening and overnight shifts during the week, as well as weekend day and overnight shift options. Ideal for experienced nurses who thrive in autonomous practice, the role combines symptom-based telephone triage and prescription refill management. Using clinical expertise and evidence-based protocols, nurses remotely assess patient needs, determine the appropriate level of care, provide patient education, and serve as a key liaison between patients and providers. During after-hours operations, nurses focus on urgent patient concerns when ambulatory clinics are closed, managing a diverse population of patients.
Initial onboarding and training is delivered through a hybrid model that combines onsite and virtual learning with experienced Clinical Coaches and Nurse Educators. Newly hired nurses should expect occasional travel to Indianapolis for required in-person training sessions during the onboarding period.
  • Requires an Associates of Nursing (ASN); Bachelors of Nursing (BSN) preferred.
  • Requires 3-4 years of relevant experience.
  • Requires that the RN has graduated from a nationally accredited nursing program.
  • Requires an active Registered Nurse (RN) license in the state of Indiana or an active Nurse Licensure Compact (NLC) RN license.
  • Requires basic life support (BLS) certification through the AHA annually.
  • Other advanced life support certifications may be required per unit/department specialty according to patient care policies.
  • Requires the ability to assess patients without face-to-face interaction.

Why Join IU Health?
At IU Health, you'll find more than a job, you will build a meaningful nursing career. We invest in our nurses through professional development, continuing education, collaborative leadership, and opportunities to expand clinical expertise while making a difference for patients across Indiana.
Are you an upcoming nurse graduate or recent nurse graduate? Please apply through our pipeline requisition here: https://iuhealth.org/applyrn. This pipeline requisition allows the IU Health Talent Acquisition team to pair upcoming & recent nurse graduates with the best opportunities available to them based on their unique skillset and interests. Thanks for your interest in joining the team!

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