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Remote Utilization Review Rn Jobs in Huntington, WV

Clinical Nurse Educator II

Ashland, KY · On-site +1

$34.50 - $47/hr

... (RN) Cost Center 85610 Department Name Org Development & Culture Facility Name King's Daughters Medical Ctr Leader Name xxxxx Employee Number xxxxx UK KING'S DAUGHTERS PERFORMANCE REVIEW Evaluation ...

... clinical review, payer integrity, utilization management, or a relevant area An equivalent ... Certifications & Licensures Maintains active RN licensure Working Conditions A. Lifting, pushing ...

Ensures professional interactions, maintains equipment, and communicates with the RN to review and carry out delegated care tasks. Promotes patient safety and contributes to efficient emergency care ...

Ensures professional interactions, maintains equipment, and communicates with the RN to review and carry out delegated care tasks. Promotes patient safety and contributes to efficient emergency care ...

... remote patient safety monitoring program. Essential Functions • Recognizes and practices within scope of certification and competency, seeking assistance from supervising RN or LPN as needed. • ...

... remote patient safety monitoring program. Essential Functions • Recognizes and practices within scope of certification and competency, seeking assistance from supervising RN or LPN as needed. • ...

Scheduler Associate

Ashland, KY · On-site +1

$16.50 - $21.25/hr

Ensures optimal utilization of resources and supports seamless surgical operations. Essential ... • Reviews and verifies surgery schedules, ensuring correct patient, procedure, time, site ...

Scheduler Associate

Ashland, KY · On-site +1

$16.50 - $21.25/hr

Ensures optimal utilization of resources and supports seamless surgical operations. Essential ... • Reviews and verifies surgery schedules, ensuring correct patient, procedure, time, site ...

Anesthesiologist _ E

Ashland, KY · On-site +1

$351K/yr

Actively participate in the maintenance of quality improvement initiatives, peer review processes ... Work effectively within a multi-disciplinary care team, including nursing, allied health, and ...

Anesthesiologist _ E

Ashland, KY · On-site +1

$351K/yr

Actively participate in the maintenance of quality improvement initiatives, peer review processes ... Work effectively within a multi-disciplinary care team, including nursing, allied health, and ...

Actively participate in the maintenance of quality improvement initiatives, peer review processes ... Work effectively within a multi-disciplinary care team, including nursing, allied health, and ...

Anesthesiologist _ E

Ashland, KY · On-site +1

$351K/yr

Actively participate in the maintenance of quality improvement initiatives, peer review processes ... Work effectively within a multi-disciplinary care team, including nursing, allied health, and ...

Anesthesiologist _ E

Ashland, KY · On-site +1

$351K/yr

Actively participate in the maintenance of quality improvement initiatives, peer review processes ... Work effectively within a multi-disciplinary care team, including nursing, allied health, and ...

Remote Utilization Review Rn information

See Huntington, WV salary details

$20

$41

$67

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

As of Jul 27, 2026, the average hourly pay for remote utilization review rn in Huntington, WV is $41.08, according to ZipRecruiter salary data. Most workers in this role earn between $32.45 and $47.16 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Remote Utilization Review RN, and why are they important?

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 are popular job titles related to Remote Utilization Review Rn jobs in Huntington, WV? For Remote Utilization Review Rn jobs in Huntington, WV, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in Huntington, WV look for? The top searched job categories for Remote Utilization Review Rn jobs in Huntington, WV are:
What cities near Huntington, WV are hiring for Remote Utilization Review Rn jobs? Cities near Huntington, WV with the most Remote Utilization Review Rn job openings:
Infographic showing various Remote Utilization Review Rn job openings in Huntington, WV as of July 2026, with employment types broken down into 72% Full Time, 11% Part Time, and 17% Contract. Highlights an 43% Physical, 3% Hybrid, and 54% Remote job distribution, with an average salary of $85,453 per year, or $41.1 per hour.
Virtual Integrated Care Coordinator (RN)

Virtual Integrated Care Coordinator (RN)

Marshall Health Network

Huntington, WV • On-site, Remote

Part-time

Posted 23 days ago


Job description

Cabell Huntington Hospital is seeking a casual, as needed Virtual Integrated Care Coordinator (RN) for our CHH Virtual Integrated Care Department.
This job is responsible for supporting and driving the plan of care and providing comprehensive remote oversight of the care of patients on a unit. The virtual model will include collaboration between the direct care team and virtual care members where the Virtual RN will anticipate and direct the care of the patient through evaluating health promotion, risk reduction and advanced clinical decision-making.
Virtual RN assumes accountability for patient care outcomes through the assimilation and application of evidence-based practice to design, implement and evaluate care. This is accomplished through coordinating, delegating and supervising the care provided by the unit-based direct care team.
Work requires a high degree of professional competence and autonomy will be demonstrated in performing the roles of 1) clinician, 2) educator, 3) consultant/collaborator, 4) leader.
  • Performs related duties as required.
  • Must be able to complete duties at the bedside if needed.

This is not a remote/work from home position.
  • Associate's Degree in Nursing required, Bachelor's Degree preferred.
  • Active WV RN license required.
  • AHA BLS required.
  • Specialty Certifications preferred.
  • 5 years of position-related experience required, 10+ years preferred:

The kind of position-related experience includes: minimum of 5 years of RN Charge nurse experience, virtual nursing experience, documenting in Cerner Inpatient Medical Record, Emergency Room, Adult Critical Care, or Adult Medical/Surgical experience, demonstrates critical thinking and clinical judgment. Must be fluent in Microsoft Office including but not limited to Teams and Excel.

Marshall Health Network logo

About Marshall Health Network

Sourced by ZipRecruiter

Marshall Health Network, Inc. is a West Virginia-based not-for-profit academic health system that includes the Marshall Health physician practice; Cabell Huntington Hospital, St. Mary’s Medical Center, Hoops Family Children’s Hospital, HIMG and Rivers Health. We are committed to improving the health and well-being of over one million children and adults in 38 counties in West Virginia, southern Ohio and eastern Kentucky through understanding, respecting and meeting their needs. Introducing Marshall Health Network Marshall Health Network is an academic health system with a visionary approach to healthcare. By aligning our goals under the Marshall Health Network banner, we are able to address healthcare disparities and public health issues while ensuring the latest medical research and clinical trials are available to our patients. We strive for consistency, clarity and character in healthcare. Compassion, quality and collaboration are key. That’s the Power of We.

Industry

Outpatient health care

Company size

11 - 50 Employees

Headquarters location

Huntington, WV, US

Year founded

2024