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Remote Utilization Review Rn Jobs in Indiana, PA

Associate's degree in Nursing with an active RN license. * Required Work Experience : 5 years ... Sound clinical review judgement. Independent thinking and strong organizational skills. * Required ...

Lead operational governance activities across assigned Clubs, including creative review oversight ... Track and monitor Club marketing funding utilization to ensure compliance with Producer Agreements

Radiology - Teleradiology Physician

Indiana, PA · On-site +1

$292K - $365K/yr

Participate in peer review and continuous quality improvement activities * Utilize PACS, RIS, and ... imaging utilization and evidence-based practices Practice Setting * Fully remote or hybrid ...

Teleradiologist - Pennsylvania

Indiana, PA · On-site +1

$292K - $365K/yr

Participate in peer review and continuous quality improvement activities * Utilize PACS, RIS, and ... imaging utilization and evidence-based practices Practice Setting * Fully remote or hybrid ...

Principal Electrical Engineer II

Home, PA · On-site +1

$124K - $151K/yr

A remote work option is available with some additional travel to Florham Parkn and across the ... Independently Develop/Review/Approve Electrical System Design documents including One Line/Three ...

Remote Utilization Review Rn information

See Indiana, PA salary details

$19

$38

$63

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

As of Aug 4, 2026, the average hourly pay for remote utilization review rn in Indiana, PA is $38.64, according to ZipRecruiter salary data. Most workers in this role earn between $30.53 and $44.38 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 are popular job titles related to Remote Utilization Review Rn jobs in Indiana, PA? For Remote Utilization Review Rn jobs in Indiana, PA, the most frequently searched job titles are:
What cities near Indiana, PA are hiring for Remote Utilization Review Rn jobs? Cities near Indiana, PA with the most Remote Utilization Review Rn job openings:
Infographic showing various Remote Utilization Review Rn job openings in Indiana, PA as of July 2026, with employment types broken down into 73% Full Time, 10% Part Time, and 17% Contract. Highlights an 43% Physical, 3% Hybrid, and 54% Remote job distribution, with an average salary of $80,378 per year, or $38.6 per hour.

Registered Nurse - RN - Senior LIFE Johnstown

Senior LIFE

Johnstown, PA • Remote

Full-time

Medical, Life, Retirement, PTO

Re-posted 12 days ago


Job description

Registered Nurse (RN)

 

“When the work that you do matters, it matters where you work”

Senior LIFE is expanding our RN Home Care/Center team! Become a part of an amazing group of healthcare professionals in the community where you live, work and love!

Our RNs work as an extension of our Clinic Team but with the autonomy and flexibility of providing that care in the home and community settings. We serve the senior population of Johnstown and a limited surrounding area so you won’t spend all of your time in a car.  You will be doing what you do best in providing the care to enable our participants to live their best lives exactly where they most want to be – at home!

If you want to make a difference, provide meaningful one-on-one care, and develop relationships with participants, their families and your fellow team members, then being a Senior LIFE Home Care RN is your perfect fit! Mission driven Senior LIFE has been at the forefront of health care for more than 15 years and is committed to following the highest clinical standards to enable our participants and staff thrive.

Supported by a team of dedicated professionals our Home Care RNs enjoy:

Full-Time

Monday- Friday, Daylight

Flexibility in scheduling and remote hours

Minimal On Call Rotation

Technology to keep you mobile

Comprehensive medical benefits

Paid time off (PTO)

Paid Holidays Off

401(k)

Your patients, your schedule!

EOE