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Remote Utilization Review Rn Jobs in Minneapolis, MN

Pharmacy Careers

Appeals Pharmacist (Remote)

Saint Paul, MN · On-site +1

$58 - $70.50/hr

Collaborate with physicians, nurses, and medical directors during case reviews. * Track, document ... Prior managed care or utilization management experience preferred - retail and hospital pharmacists ...

Pharmacy Careers

Appeals Pharmacist (Remote)

Minneapolis, MN · On-site +1

$57 - $69.25/hr

Collaborate with physicians, nurses, and medical directors during case reviews. * Track, document ... Prior managed care or utilization management experience preferred - retail and hospital pharmacists ...

Humana

RN Field Care Manager Nurse

Roseville, MN · On-site +1

Reviews, assesses, and completes medical complexity attestations and clinical oversight activities ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...

Humana

RN Field Care Manager Nurse

Roseville, MN · On-site +1

Reviews, assesses, and completes medical complexity attestations and clinical oversight activities ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...

Humana

RN Field Care Manager Nurse

Roseville, MN · On-site +1

Reviews, assesses, and completes medical complexity attestations and clinical oversight activities ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...

The Homestead at Rochester, Inc.

MDS Nurse (PRN)

Anoka, MN · On-site +1

$65K - $95K/yr

Remote or Onsite Locations: Rochester Homestead Rehab & Living Center- 1900 Ballington Blvd NW ... Active and unencumbered license as a Licensed Practical Nurse (LPN) or Registered Nurse (RN). ...

DataAnnotation

Registered Nurse

Minneapolis, MN · Remote

$40 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

DataAnnotation

Registered Nurse

Saint Paul, MN · Remote

$40 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

DataAnnotation

RN

Saint Paul, MN · Remote

$40 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

DataAnnotation

RN

Minneapolis, MN · Remote

$40 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

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All JobsRemote Utilization Review Rn JobsRemote Utilization Review Rn Jobs in Minneapolis, MN

Remote Utilization Review Rn information

See Minneapolis, MN salary details

$22

$44

$72

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

As of Jun 14, 2026, the average hourly pay for remote utilization review rn in Minneapolis, MN is $44.14, according to ZipRecruiter salary data. Most workers in this role earn between $34.86 and $50.67 per hour, depending on experience, location, and employer.

What is the meaning of the word remote?

In the context of a Remote Utilization Review RN job, 'remote' refers to working outside of a traditional office setting, often from home or another location of the employee's choice. This setup typically involves using digital tools and communication platforms to perform job duties without being physically present in an office environment.

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 meaning of remote in one word?

In the context of a Remote Utilization Review RN role, 'remote' means working from a location outside of a traditional office, typically from home, using digital communication tools. It emphasizes flexibility and virtual access to work systems without physical presence at a healthcare facility.

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.

How to make 2000 a week working from home?

A Remote Utilization Review RN can potentially earn $2,000 weekly by working full-time hours, often 40 hours per week, and gaining experience or certifications that allow for higher billing rates. Increasing income may involve taking on additional cases, specializing in high-demand areas, or working for agencies that offer competitive pay for remote utilization review roles.

What is remote job?

A remote Utilization Review RN job is a healthcare position where the nurse reviews patient cases and insurance claims from a location outside of a traditional office, often working from home. It requires strong communication skills, knowledge of medical documentation, and familiarity with electronic health record systems, with flexible schedules common in remote roles.

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 Minneapolis, MN? For Remote Utilization Review Rn jobs in Minneapolis, MN, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in Minneapolis, MN look for? The top searched job categories for Remote Utilization Review Rn jobs in Minneapolis, MN are:
What cities near Minneapolis, MN are hiring for Remote Utilization Review Rn jobs? Cities near Minneapolis, MN with the most Remote Utilization Review Rn job openings:
Remote Utilization Review Rn jobs near you
RN Supervisor Centralized Nursing Services Triage

RN Supervisor Centralized Nursing Services Triage

Allina Health

Minneapolis, MN • On-site, Remote

$46.42 - $64.22/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 5 days ago

Allina Health rating

7.7

Company rating: 7.7 out of 10

Based on 259 frontline employees who took The Breakroom Quiz

159th of 872 rated healthcare providers

Job description

Location Address:
2925 Chicago AveLoading DockMinneapolis, MN 55407-1321
Date Posted:
June 09, 2026
Department:
62000635 Allina Health Group Daytime RN Triage
Shift:
Evening/Night (United States of America)
Shift Length:
8 hour shift
Hours Per Week:
40
Union Contract:
Non-Union-NCT
Weekend Rotation:
Every 5th
Job Summary:
Allina Health is a not-for-profit health system that cares for individuals, families and communities throughout Minnesota and western Wisconsin. If you value putting patients first, consider a career at Allina Health. Our mission is to provide exceptional care as we prevent illness, restore health and provide comfort to all who entrust us with their care. This includes you and your loved ones. We are committed to providing whole person care, investing in your well-being, and enriching your career.
Key Position Details:
  • 1.0 FTE; Evening/Night; 8-hour shifts
  • Every fifth weekend on-call coverage
  • Remote position with occasional onsite requirements
  • This position will require cross-training in medication refills to provide operational support as needed.
  • Minimum 3 yrs experience prior leadership and/or triage experience preferred
  • Exempt, benefit-eligible position

Job Description:
Supervises patient care, clinical operations and works in partnership with site leadership to leverage the strengths and expertise of all to support exceptional clinical quality results. Participates in planning, implementing, coordinating and evaluating patient care activities, staff education and management activities.
Principle Responsibilities
  • Coordinates daily operations and staff
    • Supervises and understands the scope of practice of patient care delivery by staff.
    • Participates in daily huddles to ensure nursing and clinical staff have the equipment, tools and resources required for patient care and to accomplish clinical objectives.
    • Hires, manages, leads and engages staff to effectively drive performance to support patient care and clinical objectives.
    • Ensures effective orientation processes and clinical training to enable staff to operate at the top of their licensure or certification for optimal clinical outcomes.
    • Builds and retains engaged staff by utilizing employee engagement data, tools and methods.
    • Supports and manages staff volumes.
    • Participates in the development and management of the clinical operations budget and capital requests.
    • May manage a remote workforce.
  • Patient experience, clinical quality and safety
    • Partners with site leadership to develop, implement and evaluate patient care delivery processes.
    • Utilizes patient experience and feedback to inform improvements and immediate recovery as needed.
    • Empowers staff to resolve patient complaints and concerns and creates a culture of service recovery.
    • Supports an environment to achieve quality goals by identifying and removing barriers, communicating changes, and ensuring training and development of staff.
    • Ensures compliance with regulatory and safety requirements, integrity and confidentiality of patient information and data, and maintains a safe environment for staff and patients.
    • Partners with the safety lead to conduct or observe drills, evaluate staff preparedness and proactively address gaps.
  • Continuous process improvement
    • Utilizes process improvement methodologies to drive clinical outcomes.
    • Creates a culture of continuous process improvement by empowering staff to identify issues and develop solutions.
    • Participates and/or leads deployment of system-wide initiatives utilizing effective change management and performance management methodologies.
  • Other duties as assigned.

Required Qualifications
  • Associate degree Nursing or related field with a minimum of 3 year's of hospital or clinic Registered Nurse experience
  • Demonstrated leadership experience

Preferred Qualifications
  • Bachelor's degree in Nursing or related field with a minimum of 2 year's of hospital or clinic Registered Nurse experience
  • Project and initiative experience
  • 2+ years of supervisory experience

Licenses/Certifications
  • Licensed Registered Nurse - MN Board of Nursing required if working in MN upon hire
  • Licensed Registered Nurse - WI Dept of Safety & Professional Services required if working in WI upon hire
  • BLS Tier 1 - Basic Life Support - Multisource required by completion of orientation

Physical Demands
  • Medium Work*:
  • Lifting weight up to 32 lbs. occasionally (*Allina Safe Patient Moving Policy), up to 25 lbs. frequently

Pay Range
Pay Range: $46.42 to $64.22 per hour
The pay described reflects the base hiring pay range. Your starting rate would depend on a variety of factors including, but not limited to, your experience, education, and the union agreement (if applicable). Shift, weekend and/or other differentials may be available to increase your pay rate for certain shifts or work.
Benefit Summary
Allina Health believes the best way to provide safe and compassionate care for our patients is by nurturing the passion of those who care for them. That's why we devote extraordinary resources to help you grow and thrive - not only as a professional but also as a whole person. When you join our team, you have access to a wealth of valuable employee benefits that support the total well-being - mind, body, spirit and community - of you and your family members.
Allina Health is all in on your well-being. Because well-being means something different to everyone, our award-winning program provides you with the resources you need to help you navigate your personal journey. This includes well-being dollars, dedicated well-being navigators, and many programs, activities, articles, videos, personal coaching and tools to support you on your journey.
In addition, Allina Health offers employee resources groups (ERGs) -- voluntary, employee-led groups that serve as a resource for members and organizations by fostering a diverse, inclusive workplace aligned with the organization's mission, values, goals, business practices, and objectives. Allina Health also engages employees in various community involvement and volunteering events.
Benefits include:
  • Medical/Dental
  • PTO/Time Away
  • Retirement Savings Plans
  • Life Insurance
  • Short-term/Long-term Disability
  • Voluntary Benefits (vision, legal, critical illness)
  • Tuition Reimbursement or Continuing Medical Education as applicable
  • Student Loan Support Benefits to navigate the Federal Public Service Loan Forgiveness Program
  • Allina Health is a 501(c)(3) eligible employer

*Benefit eligibility/offerings are determined by FTE and if you are represented by a union.

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