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Remote Utilization Review Rn Jobs in Frederick, MD

Varsity Tutors

NCLEX-RN Tutor

Rockville, MD · 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 ...

Varsity Tutors

NCLEX-RN Tutor

Leesburg, VA · 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 ...

VIVA USA INC

Case Manager

Charles Town, WV · On-site +1

$19 - $24.50/hr

Requires an RN with unrestricted active license in WV or a compact state Duties Through the use of ... data review, conducts comprehensive assessments of referred member's needs/eligibility and ...

Wearlinq

Holter/Cardiac Technologist

Rockville, MD · On-site +1

$22/hr

... RN and LPNs with experience in ECG assessment, evaluation of arrhythmia and a thorough respect for accurate data processing and comprehensive reporting. * A minimum of 1+ years working in a remote ...

WearLinq

Holter/Cardiac Technologist

Rockville, MD · On-site +1

$22/hr

... RN and LPNs with experience in ECG assessment, evaluation of arrhythmia and a thorough respect for accurate data processing and comprehensive reporting. * A minimum of 1+ years working in a remote ...

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Remote Utilization Review Rn information

See Frederick, MD salary details

$21

$42

$68

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

As of Sep 7, 2026, the average hourly pay for remote utilization review rn in Frederick, MD is $42.04, according to ZipRecruiter salary data. Most workers in this role earn between $33.22 and $48.27 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 Frederick, MD?

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

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

The top searched job categories for Remote Utilization Review Rn jobs in Frederick, MD are:

What cities near Frederick, MD are hiring for Remote Utilization Review Rn jobs?

Cities near Frederick, MD 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 Frederick, MD as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 19% Part Time, 2% Contract, and 1% Nights. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $87,442 per year, or $42 per hour.

Registered Nurse - Medical Case Reviewer - Rockville, MD

Prime Physicians

Rockville, MD • Remote

Contractor

Re-posted 10 days ago

Job description

Prime Physicians is a physician-led, The Joint Commission (TJC) Accredited, ISO 9001 certified and CMMI Level 3 appraised organization. Our commitment extends beyond traditional consulting and management services, offering comprehensive solutions to hospitals, health systems, and federal government agencies. At the heart of our operations is the ultimate goal to deliver high-quality patient care. Driven by a mission to catalyze healthcare transformation and innovation, we offer an array of services designed to redefine the healthcare landscape. From program and project management to strategic planning, we enhance operational efficiency and streamline business processes. With Prime Physicians, the future of patient care is in skilled and dedicated hands, leading the way towards a more efficient, effective, and compassionate healthcare system.

Job Title: Registered Nurse — Medical Case Reviewer
Specialty: General Nursing (acute care, pediatrics, or related preferred)
Place of Work: Remote (U.S. only)
Duration: 6 months contract with a possibility of 6 months extension
License/Certifications: Active, unrestricted U.S. RN license
Education: Nursing degree from accredited U.S. institution
Minimum Qualification/Experience: At least 5 years RN clinical experience
Responsibilities:

  • Perform detailed medical record abstraction and timeline development for HRSA program cases.
  • Review and organize patient records to identify significant diagnoses, treatments, and outcomes.
  • Draft clear, concise reports that support physicians and advanced practitioners in case evaluation.
  • Detect and document missing or inconsistent records requiring follow-up.
  • Maintain accuracy, clarity, and compliance with established standards and deadlines.
  • Protect patient confidentiality and ensure strict adherence to HIPAA and internal quality processes.

Prime Physicians is a physician-led, The Joint Commission (TJC) Accredited, ISO 9001 certified and CMMI Level 3 appraised organization. Our commitment extends beyond traditional consulting and management services, offering comprehensive solutions to hospitals, health systems, and federal government agencies. At the heart of our operations is the ultimate goal to deliver high-quality patient care. Driven by a mission to catalyze healthcare transformation and innovation, we offer an array of services designed to redefine the healthcare landscape. From program and project management to strategic planning, we enhance operational efficiency and streamline business processes. With Prime Physicians, the future of patient care is in skilled and dedicated hands, leading the way towards a more efficient, effective, and compassionate healthcare system.