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Remote Utilization Review Rn Jobs in Laurel, MD (NOW HIRING)

Pair Team

Medicare Nurse Practitioner (Remote)

Columbia, MD · Remote

$115K - $130K/yr

Partner with RNs, Community Health Workers, and clinical leadership to close care gaps and ensure ... Our team regularly reviews applications and will reach out to candidates whose qualifications align ...

Varsity Tutors

NCLEX-RN Tutor

Baltimore, MD · Remote

$40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

Alexandria, VA · Remote

$40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

Laurel, MD · Remote

$40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

Washington, DC · Remote

$40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

College Park, MD · Remote

$40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

Rockville, MD · Remote

$40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

Bowie, MD · Remote

$40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

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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 Jun 10, 2026, the average hourly pay for remote utilization review rn in Laurel, MD is $41.92, according to ZipRecruiter salary data. Most workers in this role earn between $33.12 and $48.12 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.
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Remote Utilization Review Rn jobs near you
Remote Clinical Support Nurse (RN or LPN)

Remote Clinical Support Nurse (RN or LPN)

HealthDrive

Columbia, MD • Remote

Full-time

Posted 5 days ago

Job description

We are seeking a highly skilled RN or LPN to serve as the remote support hub for our in-house Nurse Practitioners (NPs) practicing in Skilled Nursing Facilities (SNFs) as a Clinical Support Nurse.

Your mission is to fundamentally improve NP efficiency and patient outcomes by owning a powerful combination of clinical, data, and communication tasks. You won't just be handling logistics; you'll be performing clinical triage, educating families, managing critical program data, and coordinating complex care. By serving as a trusted clinical extension of our NPs, you will allow them to focus their time on top-of-license medical decision-making. 

HealthDrive delivers on-site dentistry, optometry, podiatry, audiology, behavioral health, and primary care services to residents in long-term care, skilled nursing, and assisted living facilities. Each specialty offered by HealthDrive is one that directly impacts the quality of daily life for the deserving residents we serve. HealthDrive connects patients in need of vital healthcare to doctors committed to dignity and excellence.


As the central point of contact, you will:

  • Serve as the Clinical Communication Hub:
    • Act as the first line of response for our NPs, skillfully managing and triaging facility communications (e.g., medication refusals, lab delays, pharmacy questions).
    • Conduct structured telephonic or message-based triage for acute, non-emergency symptoms, escalating to the NP with clear clinical recommendations.
    • Act as a key contact for families, providing care plan education and clarification on the NP's behalf to ensure understanding and alignment.
  • Own the End-to-End Specialist Referral Process:
    • Manage the full specialist referral lifecycle, from initiating specialist outreach to tracking referral status and ensuring a closed loop.
    • Compile and send all requested clinical documentation to specialist offices.
    • Coordinate patient transportation with facility staff, ensuring no logistical details are missed.
  • Drive Clinical Data & Quality Insights:
    • Proactively locate and synthesize critical patient information from Health Information Exchanges (HIE) as requested by NPs.
    • Support program-specific tracking (e.g., Chronic Care Management (CCM) enrollment, consents, and time).
    • Perform data abstraction from the EHR to support quality dashboards and reports that are shared with leadership.

Why You'll Love This Role:

  • High Visibility & Strategic Impact: You'll have the unique opportunity to report directly to the Chief Innovation Officer. This role isn't just a support function; you'll be a key partner in building, refining, and scaling this program, with a direct line to company leadership.
  • True Work-Life Balance: This is a fully remote, Work-From-Home position with the flexibility to manage your own schedule and day.
  • Be a Pioneer: You get to be on the ground floor of a high-impact program. You'll help create the playbook, refine workflows, and have a tangible impact on the program's success as it scales.
  • Meaningful Growth: We are committed to your professional development, with opportunities to expand your licensure and grow alongside the program.

Must-Haves:

  • Active, unencumbered RN or LPN license in Maryland
  • Minimum of 2 years of direct nursing experience in a Skilled Nursing Facility (SNF) or Assisted Living Facility (ALF)
  • Exceptional organizational skills and meticulous attention to detail
  • Strong, professional communication skills (both written and verbal)
  • A self-starting mindset with the proven ability to work independently, manage priorities, and solve problems in a remote setting

Preferred:

  • Active licensure in Maryland (MD) 
  • High proficiency with Electronic Health Records (EHR) and HIE systems

Apply