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Remote Utilization Review Rn Jobs in Germantown, MD

Centerbrite

BCBA (Part-time) (Remote)

Fairfax, VA · Remote

$80 - $110/hr

BCBA (Board Certified Behavior Analyst) - Part-time $80110/hr Flexible Schedule Hybrid (Remote + In ... Own documentation quality , utilization reviews, and oversight of treatment plans * Supervise RBTs ...

Maryland Physicians Care

Medical Director

Linthicum, MD · On-site +1

$266K - $315K/yr

Round with concurrent review nurses on a regular basis to discuss inpatient members as determined ... Experience in utilization review and management practices, processes, and procedures. * Knowledge ...

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

Remote Utilization Review Rn information

See Germantown, MD salary details

$21

$42

$69

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 Germantown, MD is $42.73, according to ZipRecruiter salary data. Most workers in this role earn between $33.75 and $49.09 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 the most commonly searched types of Utilization Review Rn jobs in Germantown, MD?

The most popular types of Utilization Review Rn jobs in Germantown, MD are:

What are popular job titles related to Remote Utilization Review Rn jobs in Germantown, MD?

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

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

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

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

Cities near Germantown, 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 Germantown, MD as of August 2026, with employment types broken down into 1% As Needed, 71% Full Time, 25% Part Time, 2% Contract, and 1% Nights. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $88,871 per year, or $42.7 per hour.

RN's and Social Workers Health Care/Patient Lead Relations Liaison

Dusk to Dawn LLC

College Park, MD • Remote

$10/hr

Part-time

Re-posted 16 days ago

Job description

Patient Lead/Referral Liaison (RN’s and Social Worker’s) Recruitment

Dusk To Dawn, LLC (DTD)

Covering locations in the Baltimore & Washington, DC Metropolitan Area (Remote/Hybrid/Field-Based)


Join Our Growing Home Care Team


Dusk To Dawn, LLC is seeking experienced Registered Nurses (RN’s) and Social Workers with strong professional relationships throughout the healthcare community to serve as Patient Lead/Referral Liaisons.

This position is ideal for a healthcare professional who understands discharge planning and care transitions and has established connections with hospitals, rehabilitation facilities, skilled nursing facilities, assisted living communities, physician offices, case managers, and other healthcare providers.

Responsibilities

Develop and maintain referral relationships with:

Hospital discharge planners

Social workers and case managers

Rehabilitation centers

Skilled nursing facilities

Assisted living communities

Physician offices and specialty practices

Other healthcare organizations

Educate referral sources regarding Dusk To Dawn, LLC home care services.

Identify prospective patients requiring home healthcare or personal care services.

Coordinate referrals with the agency's intake/admissions team.

Maintain ongoing communication with referral partners to support continuity of care.

Represent the agency professionally within the healthcare community.


Qualification

Current RN license or degree in Social Work (preferred).

Existing professional network within the Baltimore and Washington, DC metropolitan healthcare market.

Knowledge of hospital discharge planning and post-acute care.

Excellent communication, relationship-building, and marketing skills.

Self-motivated with the ability to work independently.


Compensation

Base Pay: 10 hours weekly at $15.00 per hour

Commission: 15%–20% of the first month's patient service fees for each qualified patient referral that is admitted and begins services, based on experience, performance, and

referral volume.


Why Join Dusk To Dawn, LLC?

Competitive commission structure with uncapped earning potential.

Flexible, part-time schedule.

Opportunity to leverage your healthcare experience and professional network.

Make a meaningful difference by connecting patients and families with quality home care services.

Supportive leadership and opportunities to help grow a respected Maryland Residential Services Agency.

Qualified candidates with established referral relationships and a passion for improving patient access to home care are encouraged to apply.

Qualified candidates with residences in the District of Columbia, Maryland, and Northern Virginia (DMV) are preferred.