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Remote Utilization Review Rn Jobs in Meridian, ID

Practice Liaison, Chronic Therapies

Boise, ID · Remote

$62K - $83K/yr

Participate in provider business reviews and performance discussions * Recommend process ... Clinical experience or exposure (RN, LPN, Pharmacy Technician, etc.) * Experience managing complex ...

RCM Solutions Architect

Boise, ID · Remote

$25 - $30/hr

Drive post-implementation reviews and optimization cycles with a standard of continuous improvement ... This is a remote position. At this time, we are only able to consider candidates who reside in ...

Showing results 41-48

Remote Utilization Review Rn information

See Meridian, ID salary details

$20

$40

$66

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

As of Aug 22, 2026, the average hourly pay for remote utilization review rn in Meridian, ID is $40.99, according to ZipRecruiter salary data. Most workers in this role earn between $32.40 and $47.07 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 Meridian, ID?

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

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

The top searched job categories for Remote Utilization Review Rn jobs in Meridian, ID are:

What cities near Meridian, ID are hiring for Remote Utilization Review Rn jobs?

Cities near Meridian, ID with the most Remote Utilization Review Rn job openings:

Infographic showing various Remote Utilization Review Rn job openings in Meridian, ID as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 14% Part Time, 2% Contract, and 1% Nights. Highlights an 88% Physical, 2% Hybrid, and 10% Remote job distribution, with an average salary of $85,257 per year, or $41 per hour.

LEAD DIAGNOSTIC RADIOLOGIC TECHNOLOGIST

Veterans Health Administration

Boise, ID • On-site, Remote

$83K - $107K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 8 days ago


Veterans Health Administration rating

8.1

Company rating: 8.1 out of 10

Based on 1,006 frontline employees who took The Breakroom Quiz

66th of 891 rated healthcare providers


Job description

Summary
This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application.
Learn more about this agency
Duties
Help
VA Careers - Diagnostic Radiologic Technologist: https://youtube.com/embed/I-4ku5UMvWM
Total Rewards of a Allied Health Professional
Duties:
-Works with management in a harmonious manner, supporting operations with a Team mentality that show cohesive team engagement and working towards positive goals.
-Reviews all diagnostic Ct studies for accuracy, completeness and technical quality.
-Coordinates the flow of patients through the CT department by efficient assignment of work and maximum utilization of staff and CT equipment. Expedites the examinations of acutely ill patients by communicating and working with CT staff, nursing and radiologists. Works with other services (OR, ER, ICU's) to meet the CT imaging needs of other services.
-Performs CT procedures when staffing levels require the incumbent to do so, to ensure that patient care is continued without delay or interruption.
-Oversees image transmission and acquisition process to ensure that all CT images are transmitted into PAC's system. Participates in process improvement activities, monitoring, reporting and planning.
-Practices hospital safety, infection control, universal precaution and oversees Ct safety in accordance with regulations and departmental guidelines.
-Assesses and reviews requisitions with clerical staff and technologists, interacts with requesting healthcare providers and radiologists regarding requests when necessary.
-Directly supervises CT radiologic technologists within the CT section.
-Oversees and coordinates student educational experience within the CT department as directed. ? Assists in initiating and implementing changes in methods of delivering patient care in CT.
-Implements departmental and medical center policy and procedures.
-Effectively communicates verbally and through example and attitude, the goals and mission of the service to employees under his/her supervision.
-Ensures division activities are carried out to meet the goals of the department in a timely manner.
-Coordinates the integration of the CT department with other aspects of overall patient care.
-Provides input about the evaluation of employees working in CT i.e. competency reviews, performance appraisals.
-Advises employees within the CT department of performance requirements. Notifies Chief Technologist if employees have inadequate performance or conduct.
-Resolves conflicts within his/her jurisdiction as appropriate; refers problems to the Chief Technologist only when necessary.
-Helps coordinate vacation and leave requests while maintaining adequate staffing levels
-Notifies Chief Technologist of overtime requirements.
-Coordinates shift coverage to ensure all tours are covered with adequate staffing. This may require cover some call and overtime shifts.
-The incumbent is responsible for the quality assurance of the image (positioning/label/technique/network information) prior to transmission to the PAC's (picture archiving) network. The incumbent assists CT Technologists in use of Telepacs system.
Work Schedule: M-F 8:00am - 4:30pm
Recruitment/Relocation Incentives (Sign-on Bonus): Authorized
EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact ELRSProgramSupport@va.gov, the EDRP Coordinator for questions/assistance. Learn more
Pay: Competitive salary and regular salary increases When setting pay, a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade).
Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)
Selected applicants may qualify for credit toward annual leave accrual, based on prior [work experience] or military service experience.
Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child.
Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66
Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA
Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)
Telework: Not available
Virtual: This is not a virtual position.
Functional Statement #: 0647 GS-10, Diagnostic Radiologic Technologist
Permanent Change of Station (PCS): Not Authorized
Requirements
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Conditions of employment
  • You must be a U.S. Citizen to apply for this job.
  • All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
  • Selective Service Registration is required for males born after 12/31/1959.
  • Must be proficient in written and spoken English.
  • Subject to background/security investigation.
  • Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
  • Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
  • Complete all application requirements detailed in the "Required Documents" section of this announcement.
  • Successfully pass the E-Verify employment verification check. To learn more about E-Verify, including your rights and responsibilities, visit e-verify.gov

As a condition of employment for accepting this position, you will be required to serve a 1 or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider:
  • your performance and conduct;
  • the needs and interests of the agency;
  • whether your continued employment would advance organizational goals of the agency or the Government; and
  • whether your continued employment would advance the efficiency of the Federal service.

Upon completion of your trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.
Qualifications
Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.
Basic Requirements:
  • United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
  • Certification. All applicants must be certified in general radiologic technology by the American Registry of Radiologic Technology, Radiography (ARRT) (R). Advanced ARRT certification is required for assignments that include computed tomography (CT), magnetic resonance imaging (MRI), [or Mammography (M) duties performed independently, as applicable]. Advanced certification indicates that the incumbent [can operate independently] and has demonstrated specific clinical competency in the appropriate specialty and taken and passed the designated examination. [In modalities that require advanced certification, to support their continued development, technologists who do not possess an advanced certification may be provided on the job training with oversight from a certified radiologic technologist.]
  • Education. Completion of a full-time training course of at least 24 months in duration (or the equivalent) in a post-high school diagnostic radiologic technology program, evidenced by a certificate or an associate degree, accredited by the Joint Review Committee on Education in Radiologic Technology (JRCERT) or from [other accrediting agencies as recognized by the Department of Education (DOE).] [NOTE: Assignment to the clinical program director requires meeting JRCERT minimum educational standards as noted in the assignment description.]
  • Credentialing Standards. Public Law 97-35, the Consumer-Patient Radiation Health and Safety Act of 1981, requires that persons who administer radiologic procedures meet the credentialing standards in 42 CFR Part 75, Standards for the Accreditation of Educational Programs and the Credentialing of Radiographic Personnel. Essentially, they must have successfully completed an educational program that meets or exceeds the standards described in that regulation and is accredited by an organization recognized by the U.S. Department of Education and be certified as radiographers in their field.
  • Exception for Non-Certified, Entry Level Candidates. Non-certified DRTs who otherwise meet the eligibility requirements for ARRT (R) certification may be given a temporary appointment as a graduate DRT under the authority of 38 U.S.C. § 7405(c)(2)(B). The appointing official may waive the requirement of certification for a period not to exceed two years for a DRT that provides care under the supervision of a certified DRT at or above the full performance level. This exception only applies at the GS-5 entry level technician. For grade levels above the entry level, the candidate must be certified. Temporary appointments of non-certified DRTs may not be extended beyond two years or converted to a new temporary appointment.

May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria).iv. Ability to perform general and specialized diagnostic radiologic procedures in advanced levels of complex treatment situations
Grade Determinations:
Lead Diagnostic Radiologic Technologist.
The incumbent] functions as a lead DRT for a group of DRTs [at the GS-9 level and below. The incumbent provides a full range of general radiologic imaging exams, has a broad knowledge of the different modalities within the diagnostic radiologic area, and is accountable to the next higher-level supervisor. The candidate must demonstrate all of the following technical KSAs and demonstrate the potential to acquire the assignment-specific KSAs designated by an asterisk (*):
i. Ability to provide feedback to supervisor on technical aspects of work.
ii. *Ability to resolve informal employee complaints.
iii. *Ability to monitor and report on the status and progress of work and make adjustments to accomplish the workload in accordance with established procedures.
Preferred Experience: 1 year at GS9 level in CT. Will be conducting interviews, ranking of resume and reference checks. Will be using scored from interview, resume and reference check.
Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.
Physical Requirements: See VA Directive and Handbook 5019
Education
Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.
Additional information
Receiving Service Credit for Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. Selected applicants may qualify for credit toward annual leave accrual, based on prior work experience or military service experience. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed.
During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions.
This job opportunity announcement may be used to fill additional vacancies.
This position is in the Excepted Service and does not confer competitive status.
VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.
If you are unable to apply online or need an alternate method to submit d

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About Veterans Health Administration

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The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, serving millions of Veterans each year. Located in Phoenix, AZ, and many other parts of the US, the VHA operates under the Department of Veteran Affairs, as suggested by their official website va.gov. The VHA is dedicated to providing the highest level of comprehensive care to its veterans. The organization offers a broad spectrum of medical, surgical, and rehabilitative care, including mental health services, research, and pharmacy benefits.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Phoenix, AZ, US