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Remote Utilization Review Rn Jobs in La Plata, MD

Koniag, Inc.

FinOps Specialist (REMOTE)

Washington, DC · On-site +1

... variances, utilization, forecast changes, material issues, and risks. * Monitor cloud budgets ... for review and disposition. * Participate in Agile or program-management ceremonies, including ...

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All JobsUtilization Review Rn JobsRemote Utilization Review Rn JobsRemote Utilization Review Rn Jobs in La Plata, MD

Remote Utilization Review Rn information

See La Plata, MD salary details

$21

$42

$69

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

As of Aug 18, 2026, the average hourly pay for remote utilization review rn in La Plata, MD is $42.39, according to ZipRecruiter salary data. Most workers in this role earn between $33.51 and $48.65 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 La Plata, MD?

For Remote Utilization Review Rn jobs in La Plata, MD, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Review Rn jobs in La Plata, MD look for?

The top searched job categories for Remote Utilization Review Rn jobs in La Plata, MD are:

What cities near La Plata, MD are hiring for Remote Utilization Review Rn jobs?

Cities near La Plata, MD 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 La Plata, MD as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 17% Part Time, 2% Contract, and 1% Nights. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $88,165 per year, or $42.4 per hour.

Medical/Health & Psychology Careers

Central Intelligence Agency

Washington, DC • On-site, Remote

$93K - $320K/yr

Full-time

Re-posted 21 days ago

Job description

Summary
We are an Agency where medical, health and psychology professionals help drive our mission. Few organizations can offer comparable experiences in such a wide range of disciplines. By coordinating and utilizing expertise within every field, we can advance the CIA mission.
Please visit cia.gov/careers, to view all job opportunities currently available.
Learn more about this agency
Duties
Help
There are seven occupations within CIA's Center for Global Health Services to include: Medical Officer (Physicians & Psychiatrists), Registered nurse, Physician Assistant/Nurse Practitioner, Preventative Health Officer, Clinical Psychologist, and Organizational Psychologist.
Requirements
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Conditions of employment
  • You must be a U.S. citizen and at least 18 years of age; dual-national US citizens are eligible.
  • You must be physically in the United States or one of its territories when you submit your resume.
  • You must be registered for the Selective Service, if applicable.
  • You must be willing to move to the Washington, DC area.
  • You must successfully complete a thorough medical and psychological exam, a polygraph interview, and a comprehensive background investigation.
  • For further information, please visit: https://www.cia.gov/careers/how-we-hire/

Qualifications
Interested candidates should be passionate about the ideals of our American republic, committed to upholding the rule of law and the U.S. Constitution, and committed to improving the efficiency of the Federal government. Hiring decisions will not be based on race, sex, color, religion, or national origin.
CIA has a variety of medical, health and psychology opportunities; all candidates should possess the following attributes:
  • Patriotism
  • Integrity
  • Excellent interpersonal skills
  • Excellent written and verbal communication skills
  • Critical thinking skills
  • Ability to multi-task
  • Ability to work within an interdisciplinary team
  • Sound time management
  • Initiative
  • Self-awareness

General Minimum Qualifications (dependent on position)
  • 5 years of relevant work experience, to include military service, civilian emergency medicine, or extensive experience practicing in remote or austere environments
  • Active unrestricted licensure in one or more states
  • Active board certification
  • Ability to meet the minimum requirements for joining CIA, including U.S. citizenship and a background investigation

Education
  • Educational requirements are job specific, please visit cia.gov/careers, for occupational requirements.

Additional information
Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.
Benefits
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