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Remote Utilization Review Rn Jobs in Jeffersonville, IN

Humana

Care Coordinator, RN Field Based

Clarksville, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

New Albany, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

Corydon, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

New Albany, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

New Albany, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

Corydon, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

Clarksville, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

Clarksville, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

Corydon, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

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Remote Utilization Review Rn information

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

As of Aug 9, 2026, the average hourly pay for remote utilization review rn in Jeffersonville, IN is $40.53, according to ZipRecruiter salary data. Most workers in this role earn between $32.02 and $46.54 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 Jeffersonville, IN? For Remote Utilization Review Rn jobs in Jeffersonville, IN, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in Jeffersonville, IN look for? The top searched job categories for Remote Utilization Review Rn jobs in Jeffersonville, IN are:
What cities near Jeffersonville, IN are hiring for Remote Utilization Review Rn jobs? Cities near Jeffersonville, IN with the most Remote Utilization Review Rn job openings:
Remote Utilization Review Rn jobs near you
Infographic showing various Remote Utilization Review Rn job openings in Jeffersonville, IN as of August 2026, with employment types broken down into 1% As Needed, 67% Full Time, 20% Part Time, and 12% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $84,310 per year, or $40.5 per hour.

Remote Oncology Certified Registered Nurse (OCN - RN) Case Manager

PharmaCord LLC

Jeffersonville, IN • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 10 days ago

PharmaCord rating

7.0

Company rating: 7.0 out of 10

Based on 12 frontline employees who took The Breakroom Quiz

261st of 485 rated business services

Job description

Valeris is a fully integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain. Formed by the merger of PharmaCord and Mercalis, Valeris™ revolutionizes the path from life sciences innovation to real-life impact to build a world in which every patient gets the care they need. Valeris works on behalf of life sciences companies to improve the patient experience so that patients can access and adhere to critical medications. Backed by proven industry expertise, a deep commitment to patient care, the latest technology, and exceptionally talented team members, Valeris provides the data and strategic insights, patient support services and healthcare provider engagement tools to help life sciences companies successfully commercialize new products. Valeris provides commercialization solutions to more than 500 life sciences customers and has provided access and affordability support to millions of patients. The company is headquartered in Morrisville, North Carolina and Jeffersonville, Indiana. To learn more about Valeris, please visit www.valeris.com.
As an Oncology Registered Nurse (RN) Case Manager you are responsible for contact with program patients and assessing any barriers that may be present for successful initiation and completion of therapy. The Oncology Registered Nurse (RN) Case Manager will play an active role with each patient from the first point of patient program enrollment and throughout treatment to facilitate a timely and successful patient experience.
Key Responsibilities:
The responsibilities include, but are not limited to the following:
  • Serve as a consistent resource throughout the continuum of program services, which includes identifying barriers to therapy and helping the patient understand and navigate such barriers.
  • Serve as an educator who possesses knowledge and practical experience about clinical treatments and the strong emotions and financial implications associated with a new diagnosis, living with a chronic medical condition or life-threatening condition.
  • Have primary goals that include:
    • Enable patients by providing them with information and education about:
      • their prescribed therapy and course of treatment, fairly balanced with benefits and known side effects per manufacturer product information
      • proper administration and dosing of prescribed therapy
      • calling and working with the patient's insurance payer to determine coverage benefits, anticipated out-of-pocket costs associated with their therapy and resources for financial assistance, where applicable based upon needs communicated by the patient
      • support to help better manage the stress involved in their diagnosis.
    • Empower the patient to participate in their personal care process by triaging the patient to support for other non-program needs such as social or other intervention programs.
  • Reporting of Adverse Events/ Product Complaint received in accordance with SOP and good manufacturer practices
  • Other duties as assigned by management
  • Utilize Valeris' values as the driving force behind the team's success
  • On time adherence to training deadlines for all corporate policies and procedures
  • Ensure all SOPs are followed with consistency
  • Perform additional tasks or projects as assigned

Qualifications:
Successful candidates possess the following personal attributes:
  • Clinical nursing experience with demonstrated competence in educating and managing patients with a new diagnosis or chronic medical condition
  • Knowledge about clinical aspects of the relevant disease state, including protocol therapy and common prescribing algorithms
  • General computer skills
  • Able to adapt to changing work assignments
  • Be service oriented and anticipate, recognize and meet the needs of others
  • Excellent interpersonal skills required, with specific ability to communicate effectively with patients, family members, and physicians
  • Ability to multitask effectively
  • Ability to recognize emotions and their effects
  • Sureness about self-worth and capabilities
  • Manage disruptive impulses
  • Maintain standards of honesty and integrity
  • Take responsibility for performance
  • Be adaptable and handle change with flexibility
  • Be innovative and open to new ideas
  • Achievement driven; constantly striving to improve or to meet a standard of excellence
  • Align with the goals of the group or organization and communicate effectively within the group
  • Ready to take initiative and act on opportunities
  • Be optimistic and pursue goals persistently despite obstacles and setbacks
  • Registered Nurse licensed in the state of Indiana or Kentucky.
  • 2-3 years of oncology nursing experience.
  • Oncology certified through accredited program.
  • Oncology clinical nursing experience with demonstrated competence in educating and managing patients with a cancer diagnosis strongly preferred.
  • Knowledge about clinical aspects of oncology including protocol therapy strongly preferred.
  • Nurseline triage, Call Center Utilization Management, Call Center Case Management, a plus.
  • Case management or Clinical Trial Nurse experience, a plus.
  • Bachelor's degree preferred.

Physical Demands & Work Environment:
  • While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to sit for long periods of time, use hands to type, handle or feel; and reach with hands and arms. Prefer candidates who can type at least 35 words per minute with 97% accuracy.
  • Although very minimal, flexibility to travel as needed is preferred.
  • This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, etc.

Why Work for Valeris:
We're committed to supporting the well-being and success of our team members. As part of our organization, full-time employees can expect:
  • Medical, dental, and vision plans, including HSA- and FSA-eligible options, with Valeris contributing toward premium costs
  • Additional health support, including telehealth and Employee Assistance Program (EAP) services
  • Company match on Health Savings Account contributions
  • Free Basic Life and AD&D coverage equal to your annual earnings, with a minimum of $50,000 and a maximum of $300,000
  • Company-paid Short-Term Disability coverage, with the option to purchase Long-Term Disability
  • 401(k) Retirement Savings Plan with 100% match on the first 5% you contribute, with immediate vesting
  • Paid Time Off (PTO) and Sick Leave to support work-life balance
  • Team members receive nine paid holidays plus two floating holidays
  • Opportunities for advancement in a company that supports personal and professional growth
  • A challenging, stimulating work environment that encourages new ideas
  • Work for a company that values diversity and makes deliberate efforts to create an inclusive workplace
  • A mission-driven, inclusive culture where your work makes a meaningful impact

Any offer of employment is contingent upon the successful completion of a background check and, depending on the position, a drug screen in accordance with company standards. Please note that this job description is not intended to be an exhaustive list of all duties, responsibilities, or activities associated with the position. Responsibilities and tasks may be modified at any time, with or without notice.
Our Commitment to Equal Opportunity
At Valeris, we don't just accept difference - we celebrate it, support it and we thrive on it for the benefit of our employees, our products and our community. Valeris is proud to be an equal opportunity employer.
Important Notice
Due to an increase in hiring scams, please be aware that if you are selected to move forward in our hiring process, a member of our Talent Acquisition team will contact you directly using an official @valeris.com and/or @echo.newtonsoftware.com email address regarding next steps in our interview process.
Please Note:
  • PharmaCord will never use Microsoft Teams to reach out to candidates for interview scheduling. However, video interviews are typically conducted via Microsoft Teams. Official meeting links will always be sent from an @valeris.com or @echo.newtonsoftware.com email address, or through our scheduling platform, Calendly.
  • We will never request your bank account information at any stage of the hiring process.
  • We will never send a check (electronic or physical) to purchase home office equipment.

If you receive any suspicious communication regarding employment with PharmaCord, please report it to our Talent Acquisition team immediately at careers@valeris.com

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