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Remote Utilization Review Rn Jobs in Medina, OH (NOW HIRING)

VOC Field Case Manager

Akron, OH · Remote

$73K - $75K/yr

... remote work environment that allows face to face interaction with injured workers and medical ... AND LICENSING RN licensure preferred; or Bachelor's degree in health or human services field ...

VOC Field Case Manager

Akron, OH · Remote

$73K - $75K/yr

... remote work environment that allows face to face interaction with injured workers and medical ... AND LICENSING RN licensure preferred; or Bachelor's degree in health or human services field ...

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...

Pharmacovigilance Expert

Akron, OH · Remote

$70 - $80/hr

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...

NCLEX Tutor

Cleveland, OH · Remote

$25 - $40/hr

Adapts instruction using NCLEX review resources, practice question banks, and clinical scenario analysis to support nursing graduates preparing for first-time licensure as registered nurses or ...

NCLEX Tutor

Akron, OH · Remote

$25 - $40/hr

Adapts instruction using NCLEX review resources, practice question banks, and clinical scenario analysis to support nursing graduates preparing for first-time licensure as registered nurses or ...

Remote/Virtual Hours: Estimated 10-16 hours per month Role: Clinical Specialist About IQVIA IQVIA ... This position involves reviewing scales administered by raters to confirm standardized assessment ...

Remote/Virtual Hours: Estimated 10-16 hours per month Role: Clinical Specialist About IQVIA IQVIA ... This position involves reviewing scales administered by raters to confirm standardized assessment ...

Remote Employment Type: Temporary RSM is seeking an experienced IT Audit professional to support a ... Review technical documentation, system configurations, data flows, reports, and application ...

Remote Employment Type: Temporary RSM is seeking an experienced IT Audit professional to support a ... Review technical documentation, system configurations, data flows, reports, and application ...

Showing results 41-60

Remote Utilization Review Rn information

See Medina, OH salary details

$19

$37

$61

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

As of Aug 21, 2026, the average hourly pay for remote utilization review rn in Medina, OH is $37.63, according to ZipRecruiter salary data. Most workers in this role earn between $29.76 and $43.22 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 Medina, OH?

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

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

The top searched job categories for Remote Utilization Review Rn jobs in Medina, OH are:

What cities near Medina, OH are hiring for Remote Utilization Review Rn jobs?

Cities near Medina, OH with the most Remote Utilization Review Rn job openings:

Infographic showing various Remote Utilization Review Rn job openings in Medina, OH as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 15% Part Time, 3% Contract, and 1% Nights. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $78,270 per year, or $37.6 per hour.

Autism Scholarship Program (ASP) Coordinator

Behavioral Health Works

Cleveland, OH • On-site, Remote

$60K - $72K/yr

Full-time

Medical, Dental, Vision, PTO

Posted 29 days ago


Behavioral Health Works rating

6.0

Company rating: 6.0 out of 10

Based on 5 frontline employees who took The Breakroom Quiz


Job description

Join the Illuminate Team!

Make a Difference for Ohio Families

Are you passionate about helping families navigate educational services for children with autism? We're looking for a highly organized, detail-oriented Autism Scholarship Program (ASP) Coordinator to oversee the administration of Ohio's Autism Scholarship Program while serving as a trusted resource for families, providers and internal teams.

In this role, you'll ensure students remain eligible for scholarship funding, coordinate documentation and compliance, manage scholarship records and collaborate with families, school districts and state agencies throughout the enrollment process.

If you thrive in a fast-paced environment, enjoy solving problems and have a passion for supporting children with autism, we'd love to hear from you.

Why You'll Love Working Here

  • 50% remote & flexible schedules
  • Competitive salary - $60,000 - $72,000 annually
  • Comprehensive health benefits package (medical, vision, dental, etc.)
  • Generous PTO + 7 paid holidays
  • Professional development support

What You'll Do

Scholarship Administration

  • Coordinate the Autism Scholarship Program (ASP) from referral through ongoing participation.
  • Verify student eligibility by reviewing evaluations, diagnoses, IEPs and other required documentation.
  • Monitor scholarship renewals and ensure all required documentation remains current.
  • Process new enrollments, renewals and scholarship changes through the Ohio Department of Education scholarship portal.
  • Maintain accurate scholarship records and documentation.

Family Support

  • Serve as the primary point of contact for families throughout the scholarship process.
  • Educate parents on eligibility requirements, deadlines and required documentation.
  • Guide families through the application and renewal process.
  • Respond to questions regarding scholarship status and program requirements.

Compliance & Documentation

  • Ensure all scholarship files comply with Ohio Department of Education requirements.
  • Monitor student records for compliance with scholarship regulations.
  • Maintain confidential student records in accordance with HIPAA, FERPA and company policies.
  • Track deadlines and proactively communicate missing documentation.

Collaboration

  • Partner with school districts, educational agencies, providers and internal clinical teams.
  • Coordinate with BCBAs and leadership to ensure students maintain scholarship eligibility.
  • Participate in multidisciplinary meetings as needed.
  • Assist with resolving scholarship-related issues or delays.

Financial & Data Management

  • Track scholarship authorizations and funding.
  • Coordinate with Finance to ensure accurate scholarship billing and payment processing.
  • Maintain reports on scholarship utilization, renewals and active participants.
  • Audit scholarship records to ensure accuracy and completeness.

Process Improvement

  • Identify opportunities to improve workflows and documentation.
  • Develop and maintain standard operating procedures.
  • Assist with special projects related to scholarship administration and compliance.

Qualifications

  • Bachelor's degree preferred in Education, Healthcare Administration, Business Administration, Social Work or a related field.
  • Experience working with the Ohio Autism Scholarship Program strongly preferred.
  • Experience with IEPs, ETRs or special education processes preferred.
  • Strong organizational and project management skills.
  • Excellent written and verbal communication skills.
  • Ability to manage multiple priorities while meeting strict deadlines.
  • High attention to detail and accuracy.
  • Proficiency with Microsoft Office, Google Workspace and web-based systems.
  • Ability to handle confidential information with professionalism.

Preferred Experience

  • Autism Scholarship Program (ASP)
  • Jon Peterson Special Needs Scholarship
  • ABA or behavioral health
  • Special education
  • Healthcare administration
  • Case management
  • Educational compliance
  • Family support services

Why Join Us?

  • Meaningful work that directly impacts children and families.
  • Collaborative and mission-driven team.
  • Opportunity to improve educational access for children with autism.
  • Professional growth and development.
  • Competitive compensation and benefits.

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