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Remote Utilization Review Rn Jobs in Gaithersburg, MD

Central Intelligence Agency

Registered Nurse

Washington, DC · On-site +1

$103K - $112K/yr

Learn more about this agency Duties Help As a Registered Nurse for CIA, you will have diverse and ... Review our benefits Eligibility for benefits depends on the type of position you hold and whether ...

QTC

Registered Nurse

Mclean, VA · On-site +1

Provide support with chart reviews/documentation, scheduling and confirming appointments, answering ... Passing the NCLEX-RN (National Council Licensure Examination for Registered Nurses) * State nursing ...

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 ...

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

College Park, 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

Washington, DC · 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

Laurel, 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

Fairfax, 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 ...

Cinqcare

Registered Nurse

Laurel, MD · Remote

Deploys Remote Patient Monitoring and Patient Self Reporting for High-Risk Chronic Conditions ... The RN will establish the business strategy and roadmap: (1) improve outcomes for Grace at Home ...

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All JobsUtilization Review Rn JobsRemote Utilization Review Rn JobsRemote Utilization Review Rn Jobs in Gaithersburg, MD

Remote Utilization Review Rn information

See Gaithersburg, MD salary details

$23

$45

$74

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 Gaithersburg, MD is $45.68, according to ZipRecruiter salary data. Most workers in this role earn between $36.11 and $52.45 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 Gaithersburg, MD?

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

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

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

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

Cities near Gaithersburg, 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 Gaithersburg, MD as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 16% Part Time, 3% Contract, and 1% Nights. Highlights an 87% Physical, 2% Hybrid, and 11% Remote job distribution, with an average salary of $95,022 per year, or $45.7 per hour.

Registered Nurse

Central Intelligence Agency

Washington, DC • On-site, Remote

$103K - $112K/yr

Full-time

Re-posted 8 days ago

Key responsibilities

  • Identify and assess occupational and non-occupational illnesses and injuries.

  • Respond to medical emergencies and provide emergency medical assessments and interventions.

  • Administer immunizations, conduct health education programs, and support OSHA mandated programs.

Job description

Summary
Occupational Health Nurses identify and assess occupational and non-occupational illness and injuries, respond to medical emergencies, and provide medical information to those traveling overseas.
Learn more about this agency
Duties
Help
As a Registered Nurse for CIA, you will have diverse and challenging opportunities for experienced nurses who enjoy a varied practice in travel medicine, OSHA programs, acute employee health care, case management and emergency preparedness. You will provide a range of services, such as identifying and assessing occupational and non-occupational illness and injuries.
You may administer a full range of immunizations and provide medical information to those traveling overseas. Utilizing your experience and education, you may respond to medical emergencies, provide emergency medical assessments and interventions independently, plus inspect and maintain emergency supplies and equipment. You may be involved in implementing health education programs to comply with federal regulations and to meet organizational needs. This entails conducting and supporting OSHA mandated programs, administering spirometry testing, hearing exams, etc., in addition to providing individual counseling to employees on disease prevention and health promotion.
Registered Nurses support clinical and non-clinical requirements as mission needs mandate and are expected to maintain required certifications along with knowledge, skills, and expertise through professional development activities. As part of our team, you will receive excellent benefits and a variety of medical and non-medical training will be provided.
Requirements
Help
Conditions of employment
  • You must be physically in the United States or one of its territories when you submit your resume via MyLINK.
  • You must be registered for the Selective Service, if applicable.
  • You must be a U.S. citizen and at least 18 years of age (dual-national US citizens are eligible).
  • You must be willing to move to the Washington, DC area.
  • You must successfully complete a thorough medical and psychological exam, a polygraph interview, and a comprehensive background investigation.
  • For further information, please visit: https://www.cia.gov/careers/how-we-hire/

Qualifications
Minimum Qualifications
Interested candidates should be passionate about the ideals of our American republic, committed to upholding the rule of law and the U.S. Constitution, and committed to improving the efficiency of the Federal government. Hiring decisions will not be based on race, sex, color, religion, or national origin.
  • Registered as an R.N. in good standing in one or more states
  • Five or more years nursing experience in one or more of the following areas:
    • Critical care
    • Case Management
    • Emergency nursing
    • Public health nursing
    • Occupational health nursing
  • Ability to meet the minimum requirements for joining CIA, including U.S. citizenship and a background investigation

Desired qualifications
  • Working knowledge of nursing principles, methods, ethics, techniques, and case management
  • Basic knowledge of applicable federal regulations and laws
  • Skills in one or more of the following areas:
    • Performing audiometry and/or spirometry and ergonomic worksite evaluations
    • Using standard screening and diagnostic instruments in primary care and occupational health setting
    • Writing and briefing techniques
    • Basic computer skills
  • Certifications in one or more of the following:
    • Basic Life Support for Healthcare Providers
    • Advanced Cardiac Life Support (ACLS)
    • Trauma Nurse Core Course (TNCC)

Education
  • Bachelor's degree in one of the following fields or related studies:
    • Nursing
    • Health-related area

Additional information
Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.
Benefits
Help
A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.
Review our benefits
Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.

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