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Remote Utilization Review Rn Jobs in Lombard, IL

Care Transformation RN

Chicago, IL · Remote

$41.14 - $67.88/hr

Job Summary and Responsibilities Thiis is a remote position requring travel to support enterprise ... Serve as a Virtual RN (VIC RN) for 50% of the role, providing direct patient care during ...

This is a remote position. ESSENTIAL FUNCTIONS &RESPONSIBILITIES: * Responsible for directing a ... May perform daily, weekly, monthly reviews of various reports, invoices, logs and expenses * May be ...

This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Responsible for directing a ... May perform daily, weekly, monthly reviews of various reports, invoices, logs and expenses * May be ...

CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse ... A cost containment background, such as utilization review or managed care is helpful. * Strong ...

NCLEX-RN Tutor

Naperville, IL · Remote

$18 - $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 ...

NCLEX-RN Tutor

Chicago, IL · Remote

$18 - $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 ...

NCLEX-RN Tutor

Oak Lawn, IL · Remote

$18 - $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 ...

NCLEX-RN Tutor

Schaumburg, IL · Remote

$18 - $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 ...

NCLEX-RN Tutor

Wheaton, IL · Remote

$18 - $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 ...

NCLEX-RN Tutor

Highland Park, IL · Remote

$18 - $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 ...

NCLEX-RN Tutor

Skokie, IL · Remote

$18 - $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 ...

NCLEX-RN Tutor

Lake Forest, IL · Remote

$18 - $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 ...

NCLEX-RN Tutor

Des Plaines, IL · Remote

$18 - $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 ...

Showing results 21-40

Remote Utilization Review Rn information

See Lombard, IL salary details

$21

$41

$67

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

As of Aug 7, 2026, the average hourly pay for remote utilization review rn in Lombard, IL is $41.61, according to ZipRecruiter salary data. Most workers in this role earn between $32.88 and $47.79 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 Lombard, IL? For Remote Utilization Review Rn jobs in Lombard, IL, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in Lombard, IL look for? The top searched job categories for Remote Utilization Review Rn jobs in Lombard, IL are:
What cities near Lombard, IL are hiring for Remote Utilization Review Rn jobs? Cities near Lombard, IL with the most Remote Utilization Review Rn job openings:
Infographic showing various Remote Utilization Review Rn job openings in Lombard, IL as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 14% Part Time, 1% Temporary, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $86,547 per year, or $41.6 per hour.

Care Transformation RN

CommonSpirit Health

Chicago, IL • Remote

$41.14 - $67.88/hr

Full-time

Posted 10 days ago


CommonSpirit Health rating

7.0

Company rating: 7.0 out of 10

Based on 530 frontline employees who took The Breakroom Quiz

416th of 887 rated healthcare providers


Job description


Job Summary and Responsibilities

Thiis is a remote position requring travel to support enterprise wide Virtual Health Services

As our Virtual Integrated Care Professional, you will deliver comprehensive, coordinated health services remotely, leveraging technology to connect with patients and facilitate seamless care across various disciplines.
Every day you will engage patients through telehealth and other digital tools to conduct assessments, provide education, manage chronic conditions, and coordinate care plans with multidisciplinary teams.
To be successful in this role, you must possess strong communication and clinical assessment skills, comfort and proficiency with virtual healthcare technologies, an ability to work autonomously and collaboratively, and a commitment to patient-centered, integrated care.

  • Serve as a Virtual RN (VIC RN) for 50% of the role, providing direct patient care during implementations including travel
  • Virtually collaborate with interdisciplinary teams, assess patient status, and develop comprehensive care plans
  • Respond to patient issues, educate patients/families, and advocate for their needs while using technology effectively
  • Coach and mentor bedside nurses, focusing on quality, cost containment, and compliance with standards
  • Dedicate 50% to Care Transformation: orienting/mentoring VIC RNs, leading simulations and education, and monitoring workflows/technology
  • Act as a program leader, providing leadership support, troubleshooting barriers, and guiding staff adjustment based on census
Job Requirements

Required Education and Experience

  • Bachelors of Nursing and 5 years of overall acute care nursing experience
  • 3 years of nursing preceptor experience
  • 2 years in a nursing leadership role
  • Basic Life Support - CPR
  • Virtual care and critical care experience is preferred

#LI-CSH

#LI-REMOTE

Where You'll Work

Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system.

Qualifications:

Required Education and Experience

  • Bachelors of Nursing and 5 years of overall acute care nursing experience
  • 3 years of nursing preceptor experience
  • 2 years in a nursing leadership role
  • Basic Life Support - CPR
  • Virtual care and critical care experience is preferred

#LI-CSH

#LI-REMOTE

Employment Type: Full Time

What CommonSpirit Health employees say

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