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Remote Utilization Review Rn Jobs in Grand Rapids, MI

RN Field Case Manager

Grand Rapids, MI ยท On-site +1

$74K - $95K/yr

... remote work environment that allows face to face interaction with injured workers and medical ... RN licensure required. Valid driver's license required. High speed internet required. Employment ...

RN Field Case Manager

Grand Rapids, MI ยท On-site +1

$74K - $95K/yr

... remote work environment that allows face to face interaction with injured workers and medical ... RN licensure required. Valid driver's license required. High speed internet required. Employment ...

Suitability Review Specialist

Wyoming, MI ยท Remote

$73K - $122K/yr

The Specialist serves as a trusted resource to registered representatives, field agents, and ... Referenced Salary Location USA, Massachusetts - Full Time Remote Working Arrangement Remote Salary ...

This is a REMOTE position and will require travel to our hospitals. POSITION OVERVIEW: The Director ... Monitor platform utilization and adoption trends, identifying opportunities to improve ...

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...

... with remote support provided from home. Please note that occasional on-site attendance may be ... Reviews, evaluates, maps, and classifies impressions of ictal, interictal, and paroxysmal events ...

Remote Utilization Review Rn information

See Grand Rapids, MI salary details

$20

$40

$66

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

As of Aug 13, 2026, the average hourly pay for remote utilization review rn in Grand Rapids, MI is $40.61, according to ZipRecruiter salary data. Most workers in this role earn between $32.07 and $46.63 per hour, depending on experience, location, and employer.

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 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 Grand Rapids, MI are hiring for Remote Utilization Review Rn jobs?

Cities near Grand Rapids, MI with the most Remote Utilization Review Rn job openings:

Infographic showing various Remote Utilization Review Rn job openings in Grand Rapids, MI as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 15% Part Time, 1% Temporary, and 3% Contract. Highlights an 87% Physical, 4% Hybrid, and 9% Remote job distribution, with an average salary of $84,465 per year, or $40.6 per hour.

Director of Nursing

CURE International Children's Hospitals

Grand Rapids, MI โ€ข Remote

Full-time

Posted 3 days ago

New


Job description

This is a remote position that will travel, ideally located in one of our hospital countries.

POSITION OVERVIEW:

The Network Director of Nursing is a key clinical leader at CURE International, responsible for driving operational excellence, patient safety, and workforce development across our network of pediatric surgical hospitals. This role ensures that nursing services are standardized, data-informed, spiritually grounded, and responsive to the needs of children and families across diverse cultural and clinical settings.
Focused on six strategic domains (leadership; training and capacity building; patient safety and quality assurance; EMR utilization and data integrity; workforce planning and staffing; and patient flow optimization), the Director will drive system-wide nursing excellence. This leader will be an advocate for nurses, a steward of quality care, and a trusted partner to hospital and ministry leadership.

Why CURE?

Every year, thousands of children suffering from treatable disabilities receive life-changing surgery and compassionate care through our hospitals. As the Network Director of Nursing, you'll help shape the quality of care delivered across an entire network of hospitals, equipping nursing leaders, strengthening healthcare systems, and creating lasting impact for children and families around the world.

When you join CURE, you'll find:

  • A mission-driven organization where faith and healthcare come together to transform lives.
  • The opportunity to influence nursing practice across multiple countries.
  • Meaningful work alongside passionate healthcare professionals committed to excellence.
  • A collaborative leadership culture focused on innovation, continuous improvement, and servant leadership.
  • The chance to invest in the development of future nursing leaders while improving care for thousands of children each year.

Key Responsibilities

  • Provide strategic nursing leadership by mentoring and supporting nursing leaders across CURE's global hospital network while driving consistency, accountability, and clinical excellence.
  • Champion quality and patient safety by leading nursing best practices, standardizing care, and partnering with hospitals to improve clinical outcomes.
  • Develop and strengthen the nursing workforce through leadership coaching, competency development, mentorship programs, and succession planning.
  • Drive operational excellence by improving nursing workflows, supporting workforce planning, optimizing patient flow, and leveraging clinical data to enhance decision-making.
  • Collaborate across the organization with medical, quality, HR, IT, and hospital leadership teams to advance CURE's mission and strengthen healthcare delivery across the network.

Required Qualifications

  • Master’s degree in Nursing, Nursing Administration, or related field (MSN, MHA).
  • Minimum of 10 years of progressive nursing experience, including at least 5 years in a senior leadership or multi-site role.
  • International leadership experience in cross-cultural or resource-limited healthcare settings required.
  • Proven ability to drive operational and clinical change at scale.
  • Experience leading end-user implementation of EMR/EHR systems.
  • Demonstrated expertise in deploying patient safety and quality accreditation frameworks.
  • Registered Nurse (RN) with active, unrestricted license in country of residence, and eligibility for licensure or registration in country of assignment.
  • English fluency required, French proficiency desirable.

Preferred Qualifications

  • Doctorate in Nursing Practice (DNP) or PhD in Nursing Leadership.
  • Background in global health, pediatric surgical care, or resource-limited settings strongly preferred.
  • Specialty or leadership certifications preferred (e.g., NEA-BC, CPHQ, CPNP).
  • Operational and systems thinker with strong implementation ability.
  • Skilled at cross-cultural communication and navigating diverse healthcare contexts.
  • High emotional intelligence and demonstrated ability to lead change.
  • Strong understanding of clinical quality improvement, nursing informatics, and safety frameworks.

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