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Remote Utilization Review Rn Jobs in Hickory, NC

Utility Sales Support

NC · Remote

$17.75 - $23.25/hr

While this is a remote position, candidates must be located in the United States. You will be ... Must have knowledge and skill in utilization of computer databases; empower experience preferred

Utility Sales Support

NC · Remote

$17.75 - $23.25/hr

While this is a remote position, candidates must be located in the United States. You will be ... Must have knowledge and skill in utilization of computer databases; empower experience preferred

Utility Sales Support

Bessemer City, NC · Remote

$17.75 - $23.25/hr

While this is a remote position, candidates must be located in the United States. You will be ... Must have knowledge and skill in utilization of computer databases; empower experience preferred

Remote Utilization Review Rn information

See Hickory, NC salary details

$19

$37

$61

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

As of Aug 23, 2026, the average hourly pay for remote utilization review rn in Hickory, NC is $37.86, according to ZipRecruiter salary data. Most workers in this role earn between $29.90 and $43.46 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 Hickory, NC?

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

What cities near Hickory, NC are hiring for Remote Utilization Review Rn jobs?

Cities near Hickory, NC with the most Remote Utilization Review Rn job openings:

Infographic showing various Remote Utilization Review Rn job openings in Hickory, NC 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 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $78,741 per year, or $37.9 per hour.

Clinical Documentation Specialist

UNC Health Blue Ridge

Morganton, NC • Remote

Full-time

Medical

Re-posted 22 days ago


Job description

FULLY REMOTE POSITION

THE ORGANIZATION

At UNC Health Blue Ridge, we live our mission by enhancing the lives of every patient and resident we serve.   We believe our people are our greatest asset and strive to provide an environment where they can thrive.  

You’ll love working with us because:

  • We are a teaching hospital
  • We work together to ensure our patients receive outstanding, holistic care
  • Your expertise and ideas are valued
  • Your health and well-being matter
  • And much more

“I love working at UNC Health Blue Ridge because I know I am seen and valued.  I know this is where I belong and that allows me to give my very best to my patients and their families .” 

THE POSITION

Join our team as a Clinical Documentation Specialist, where you will play a crucial role in ensuring the accuracy and integrity of our clinical documentation processes. Your expertise will contribute to enhancing patient care, optimizing compliance, and improving operational efficiency. Be a part of an innovative healthcare environment that values precision, collaboration, and continuous improvement. Minimum 3 years acute-care hospital experience as Documentation Specialist or Inpatient Coder.  AHIMA credential of RHIT or RHIA or CCS or CDIP or ACDIS CCDS required within 24 months of hire; Licensed RN preferred but must have coding experience.       

  • Generous tuition assistance/reimbursement program
  • Competitive benefits package
  • $10,000.00 sign on bonus
  • Fully remote

THE LOCATION

You’ll love living here. 

  • Abundance of recreational activities in our backyard
  • Excellent public schools
  • High-quality health care
  • Lower cost of living
  • Moderate climate
  • Proximity to scenic attractions
  • Higher education facilities located nearby
  • Short drive to key cities such as Asheville, Charlotte, and Winston-Salem