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Remote Utilization Review Rn Jobs in Minneapolis, MN

illumifin

Care Manager- LSW or RN

Eden Prairie, MN · On-site +1

$60K/yr

This position is responsible for gathering and reviewing requirements for the purpose of ... Minimum Qualifications * RN Nursing or Social Work license. * 3 years work experience with older ...

MatrixCare

Review Specialist, OASIS & 485

Bloomington, MN · Remote

$62K - $80K/yr

OASIS Review Coding Specialist This is a remote position that provides flexibility and control over ... Graduate of accredited school of professional nursing and BSN preferred. * 2 years of home health ...

ResMed

Review Specialist, OASIS & 485

Bloomington, MN · Remote

$62K - $80K/yr

OASIS Review Coding Specialist This is a remote position that provides flexibility and control over ... Graduate of accredited school of professional nursing and BSN preferred. * 2 years of home health ...

Resmed

Review Specialist, OASIS & 485

Bloomington, MN · Remote

$62K - $80K/yr

OASIS Review Coding Specialist This is a remote position that provides flexibility and control over ... Graduate of accredited school of professional nursing and BSN preferred. * 2 years of home health ...

Allianz

Counsel | Remote

Minneapolis, MN · On-site +1

Responsibilities includes preparation, review and negotiation of prospective reinsurance term ... Utilization of artificial intelligence tools and resources (e.g. generative Al). What you bring:

Scribe-X

Remote Medical Scribe

Minneapolis, MN · Remote

$14 - $17/hr

Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a ... Review completed charts with the provider between patients or at the completion of shift * Update ...

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Remote Utilization Review Rn information

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

As of Aug 17, 2026, the average hourly pay for remote utilization review rn in Minneapolis, MN is $44.13, 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 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 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
Infographic showing various Remote Utilization Review Rn job openings in Minneapolis, MN as of August 2026, with employment types broken down into 8% As Needed, 69% Full Time, 8% Part Time, and 15% Contract. Highlights an 100% Remote job distribution, with an average salary of $91,798 per year, or $44.1 per hour.

Remote BCBA/QSP Supervisor- $5,000 Hiring Bonus!

Fraser

Minneapolis, MN • On-site, Remote

$90K - $100K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 17 days ago

Fraser (Minnesota) rating

6.4

Company rating: 6.4 out of 10

Based on 24 frontline employees who took The Breakroom Quiz

88th of 242 rated social care providers

Job description

Who We're Looking For
We are currently hiring licensed professionals for a remote position in MN!
  • Licensed Mental Health Professionals (APRN, LMFT, LICSW, LPCC, LP)
  • Licensed Behavior Analysts (LBA); MN LBA required

Ideal candidates are approachable, energetic, detail oriented, collaborative, and adaptable-with a passion for leadership and a strong commitment to person-centered care.
The starting pay range for this role is $90,000- $100,000 annually dependent on qualifications.
*We are unable to hire individuals who reside in the following states at this time: Florida, New York, Massachusetts, California.
What You'll Do
  • Provide clinical supervision for a caseload of 8 children and direct oversight of 10 team members in the intensive ABA program.
  • Ensure individualized treatment plans are implemented with fidelity and align with best practices.
  • Maintain compliance with Fraser standards, licensure requirements, and ethical guidelines.
  • Foster a supportive team environment built on collaboration and open communication.

Fraser Offers:
  • $5,000 hiring bonus for external new hires!
  • $10,000 relocation package to come to MN
  • Schedule: Standard business hours- no nights or weekends!
  • UKG Wallet - Eligible employees can access earned wages before payday for added financial flexibility
  • Employee Referral Bonuses
  • Eligible for federal student loan forgiveness
  • Productivity incentives
  • Recertification fee reimbursement and MN license reimbursement
  • Certified BACB ACE provider offering 20+ CEUs annually
  • CEU events for ABA staff to network and learn from each other
  • Annual Fraser Conference for all clinical services
  • Career growth opportunities
  • Consistent salary regardless of client attendance
  • Multi-disciplinary team model for continued education and career growth

Benefits for Full-time Employees (30+ hours per week)
  • Life-Work Balance; 5 weeks of paid time off annually (18 days PTO + 9 Paid Holidays)
  • Medical, dental and vision insurance
  • Health Savings Account (HSA) and Flexible Spending Account (FSA)
  • Employee Assistance Plan (EAP)
  • Life, AD&D and Voluntary Life Insurance
  • Long-Term Disability, Voluntary Short-Term Disability, Accident Insurance, Critical Illness Insurance and Hospital Indemnity Insurance
  • Pet Insurance
  • 403(b) Retirement Plan with Company Match

Available Location and Schedule:
  • Monday- Friday 8a- 4:30pm

Requirements:
  • Licensed Behavior Analyst (LBA) OR Licensed Mental Health Professional (LMFT, LICSW, APRN, LP, or LPCC)
  • 1+ year with ABA supervisory experience preferred
  • 2,000 hours of supervised clinical experience and/or training in the examination and/or treatment of people with autism spectrum disorder (ASD) or a related condition
  • Valid Driver's License

Fraser is an Affirmative Action and Equal Opportunity Employer.
Diversity, Inclusion, and Belonging: Fraser values a diverse staff to ensure the best outcomes for our diverse client base. We are committed to anti-racism at Fraser. Our anti-racism committee assesses, develops, and implements numerous initiatives ranging from recruiting and retaining diverse staff to staff training and more.
If you are having trouble applying or have questions, please contact Fraser HR at careers@fraser.org. If you have successfully submitted your application, you will get a confirmation email. If you do not receive the confirmation email, please check your junk/spam folders, then contact us as we may not have received your application. Thank you for considering Fraser!
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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