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Remote Utilization Review Rn Jobs in Irwin, PA (NOW HIRING)

NCLEX-PN Tutor

Pittsburgh, PA ยท Remote

$18 - $40/hr

... RN scope questions, pharmacology calculations, and managing anxiety with the adaptive testing format. Adapts instruction using NCLEX-PN specific practice question banks, content review focused on ...

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 ...

Pharmacovigilance Expert

Pittsburgh, PA ยท Remote

$70 - $80/hr

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 ...

NCLEX Tutor

Pittsburgh, PA ยท Remote

$25 - $40/hr

Adapts instruction using NCLEX review resources, practice question banks, and clinical scenario analysis to support nursing graduates preparing for first-time licensure as registered nurses or ...

Participate and provide leadership to Preferred Supplier performance review meetings. * Support JLL ... Location: Remote -Boston, MA, Hartford, CT, New York, NY, Pittsburgh, PA, Providence, RI ...

Showing results 41-60

Remote Utilization Review Rn information

See Irwin, PA salary details

$18

$36

$59

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

As of Aug 16, 2026, the average hourly pay for remote utilization review rn in Irwin, PA is $36.23, according to ZipRecruiter salary data. Most workers in this role earn between $28.65 and $41.63 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 Irwin, PA?

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

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

The top searched job categories for Remote Utilization Review Rn jobs in Irwin, PA are:

What cities near Irwin, PA are hiring for Remote Utilization Review Rn jobs?

Cities near Irwin, PA with the most Remote Utilization Review Rn job openings:

Infographic showing various Remote Utilization Review Rn job openings in Irwin, PA as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 17% Part Time, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $75,367 per year, or $36.2 per hour.

Psychiatric Provider -- PMHNP / PA-C

Altheda Medical Center

Mckeesrocks, PA โ€ข Remote

$120K - $135K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 5 days ago


Job description

Remote Psychiatric Provider — PMHNP / PA-C
Altheda Medical Center
Remote | United States | Full-Time | W-2 Employment

***This is a full-time W-2 employment position with comprehensive employer-paid benefits, not a 1099 contractor role.

About Altheda Medical Center
Altheda Medical Center is a growing multi-specialty outpatient medical center focused on providing accessible, high-quality, and coordinated care. Our services include primary care, psychiatry, urgent care, medical aesthetics, and specialty medical services.

We are building a psychiatry program that is integrated with the broader medical needs of our patients. Our goal is to provide thoughtful, timely, and patient-centered psychiatric care supported by a strong clinical and operational infrastructure.

We believe providers do their best work when they have the right systems behind them: reliable administrative support, thoughtful workflows, technology that reduces unnecessary burden, and a care model that prioritizes both patient experience and provider sustainability.

About the Role
We are seeking an experienced psychiatric provider, either a Psychiatric Mental Health Nurse Practitioner or Physician Assistant, to join our psychiatry team in a fully remote W-2 position.

This role is best suited for a provider who values clinical quality, patient continuity, strong documentation, schedule stability, and working within a supportive outpatient medical practice.

The provider will evaluate, diagnose, and manage patients with psychiatric and behavioral health needs, including medication management and longitudinal follow-up care.

Compensation
This is a full-time W-2 employment position with comprehensive employer-paid benefits, not a 1099 contractor role.

Base Salary: $120,000 annually
Estimated Annual Bonus Opportunity: Approximately $15,000
Projected Annual Cash Compensation: Approximately $135,000, with potential upside based on productivity, collections, and KPI performance
Estimated Total Position Value (including cost of benefits): $153,000 - $160,000

Our bonus structure is reviewed quarterly and is designed to recognize provider contribution, productivity, quality of care, documentation standards, and overall performance.

This role is structured as a total employment package. In addition to base salary and bonus opportunity, the position includes 100% employer-paid employee medical insurance, employer-sponsored dental and vision benefits, malpractice coverage, CME support, retirement match, PTO, and a fully remote Monday–Friday schedule.

Schedule:
  • Full-time schedule.
  • Monday through Friday.
  • Fully remote position.
  • No weekends.
  • No on-call requirement

Benefits:
Altheda offers a strong W-2 benefits package, including:
  • 100% employer-paid employee medical, dental, and vision insurance premium.
  • Malpractice insurance fully covered by Altheda.
  • Generous paid time off, including vacation days, sick days, and paid holidays.
  • PTO increases by 2 business days each year after the first year, up to the applicable company maximum (31 days).
  • CME support up to $1,000 annually upon request and approval.
  • 401K Retirement plan eligibility with employer match upon enrollment.
  • Quarterly performance-based bonus opportunity (distributed quarterly as opposed to annually).
  • Fully remote W-2 employment structure.
  • Monday–Friday schedule.
  • No weekends and no on-call requirement.
  • Administrative and operational support.
  • Scheduling support.
  • Support with prior authorizations and administrative workflows.
  • AI-assisted charting tools to support more efficient documentation and reduce administrative burden.
  • Long-term growth opportunities within a developing psychiatry department.

Providers remain responsible for reviewing, editing, and finalizing all clinical documentation.

Clinical Responsibilities:
Responsibilities include:
  • Conduct psychiatric evaluations and follow-up visits.
  • Provide medication management for patients with psychiatric and behavioral health conditions.
  • Develop and update treatment plans.
  • Provide patient education regarding diagnoses, medications, side effects, and treatment expectations.
  • Maintain timely, accurate, and clinically appropriate documentation.
  • Coordinate care with other providers when clinically appropriate.
  • Communicate clearly with patients, support staff, and the clinical team.
  • Follow company policies regarding prescribing, controlled substances, patient communication, documentation, and care continuity.
  • Support reliable follow-up access for established patients.
  • Manage a growing outpatient psychiatric patient panel responsibly and professionally.

Qualifications:
Qualified candidates should have:
  • Active and unrestricted Pennsylvania license.
  • Active DEA registration or eligibility to obtain DEA registration.
  • Experience in outpatient psychiatry or behavioral health medication management.
  • Strong clinical judgment.
  • Strong written and verbal communication skills.
  • Comfort practicing independently in a remote care environment.
  • Strong documentation habits.
  • Familiarity with EMRs, e-prescribing systems, and telehealth workflows.
  • Compassionate and professional approach to psychiatric care.
  • Ability to collaborate with administrative and clinical support teams.
  • Commitment to patient continuity and responsible follow-up care.

Ideal Candidate:
The ideal candidate is someone who:
  • Wants a stable W-2 remote psychiatry position.
  • Values patient continuity and long-term therapeutic trust.
  • Is comfortable managing and growing an outpatient psychiatric panel.
  • Communicates clearly and professionally with patients and staff.
  • Takes ownership of documentation, follow-up, and clinical responsibilities.
  • Appreciates structured support rather than working alone as an independent contractor.
  • Values quality care, operational consistency, and team-based workflows.
  • Is looking for long-term professional growth within a growing outpatient medical center.

Why Join Altheda?
At Altheda, we are building a psychiatry program with the support of a broader outpatient medical organization. Providers are not expected to operate in isolation. Our team provides administrative support, scheduling support, operational workflows, and technology tools designed to reduce unnecessary burden and support better patient care.

This role offers the opportunity to practice psychiatry remotely while being part of a collaborative, growing medical center. It is a strong fit for a provider who wants the stability of W-2 employment, the flexibility of remote work, and the support of an organization investing in long-term psychiatric care access.

Position Summary
Role: Remote Psychiatric Provider — PMHNP / PA-C
Employment Type: Full-Time W-2
Location: Remote
Schedule: Monday–Friday
Base Salary: $120,000 annually
Estimated Annual Bonus Opportunity: Approximately $15,000
Projected Annual Cash Compensation: Approximately $135,000, with potential upside based on productivity, collections, and KPI performance
Benefits: 100% employer-paid employee medical, dental and vision insurance premium, malpractice coverage, CME support, retirement match, PTO with annual growth, AI-assisted charting tools, and operational support
Estimated Total Position Value (including cost of benefits): $153,000 - $160,000

This is more than a remote psychiatry role. It is an opportunity to join a growing outpatient medical center that values clinical quality, provider support, patient continuity, and sustainable long-term care.