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Remote Utilization Review Rn Jobs in Livonia, MI

Elara Caring

Senior Compliance Auditor - RN

Detroit, MI · Remote

Senior Compliance Auditor - RN (Remote) At Elara Caring, we care where you are and believe the best ... Provide secondary review/oversight of PCS policy development, revisions and reviews for new and ...

Elara Caring

Senior Compliance Auditor - RN

Detroit, MI · Remote

Senior Compliance Auditor - RN (Remote) At Elara Caring, we care where you are and believe the best ... Provide secondary review/oversight of PCS policy development, revisions and reviews for new and ...

Belle, LLC

Nurse Practitioner: Remote Urgent Care

Detroit, MI · Remote

$109K - $151K/yr

As these issues arise, a team of remote nurses coordinate care with other healthcare providers ... Evaluate symptoms, review medical histories, and determine appropriate interventions. * Determine ...

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All JobsUtilization Review Rn JobsRemote Utilization Review Rn JobsRemote Utilization Review Rn Jobs in Livonia, MI

Remote Utilization Review Rn information

See Livonia, MI salary details

$20

$39

$64

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

As of Sep 4, 2026, the average hourly pay for remote utilization review rn in Livonia, MI is $39.57, according to ZipRecruiter salary data. Most workers in this role earn between $31.25 and $45.43 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 Livonia, MI?

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

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

The top searched job categories for Remote Utilization Review Rn jobs in Livonia, MI are:

What cities near Livonia, MI are hiring for Remote Utilization Review Rn jobs?

Cities near Livonia, MI 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 Livonia, MI as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 15% Part Time, 1% Temporary, and 2% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $82,302 per year, or $39.6 per hour.

Registered Nurse for Home Health Setting

T O N E HOME HEALTH SERVICES INC

Farmington Hills, MI • Remote

$90K - $125K/yr

Full-time

Medical, Dental, Vision, Retirement

Re-posted 21 days ago

Job description

The T.O.N.E. family is expanding - 

T.O.N.E - As a patient centric home health care agency which has been treating ongoing needs of homebound patients effectively for the past 16 years, we have received rave reviews for our services making us one of Michigan’s top home health care providers and the only home health agency in the country with 430+ 5 star google reviews from our patients and their caregivers. 

Our family is growing, and we are now open for full time RN/OT positions in Wayne, Oakland and Macomb counties. 

Why T.O.N.E.?

  • We are not just a home care agency. Every staff member at T.O.N.E is an ‘Agent for Preventing Hospitalization’. 

  • At T.O.N.E we use evidence-based care pathways and cutting-edge technology revolutionizing communication and patient care in the home health care industry. State of the art technology/equipment. Regular in-services. Opportunity for continuing education.

  • We are one unit: We at T.O.N.E are one unit, whether it is our relationship with our on-field staff; accommodating and understanding their schedule, or our commitment towards our patients, office staff and other external collaborators- anyone who joins our team in whichever capacity becomes part of the T.O.N.E family.

  • You would have the ability to choose your schedule and be a part of a company which is committed to providing the best for its patients.  

The T.O.N.E advantage 

  • Flexible schedules

  • A comprehensive onboarding program.

  • Paid time off (PTO) that grows with increased tenure

  • Sign-on and referral bonuses.

  • Ongoing training and support from field preceptors, supervisors and Director of Nursing.

  • Employee appreciation programs and rewards.

  • Health insurance plan

  • 401k package with employer match

Applicants must have:

  • In good standing, a license as a Registered Nurse / Occupational therapist issued by the state of Michigan.

  • Home health experience is preferred.

  • We are also open to part time and contingent positions. 

Interested candidates are requested to call us at 248-957-1163 for more information or email their resume to edith@tonehhs.com with the subject Application for RN/OT.

Company Description

T.O.N.E. Home Health Services, Inc. is a team of professionals who upholds their duty as home care providers with compassion. To promote effective care, we ensure that families and client are consulted in identifying the services they need. We also work closely with your primary Physician as we design your personalized care plan. Your loved one’s health conditions will define the type of services that will be provided. From there, a Registered Nurse acts as supervisor in carrying out the care plan.