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Remote Utilization Review Rn Jobs in Monaca, PA (NOW HIRING)

ZOLL Medical

Patient Service Representative

Pittsburgh, PA · Remote

$16.25 - $20.75/hr

Preferred Candidates include (not limited to): RN, EMT, Paramedic, EMS, Firefighter, PA, LPN, MA ... All candidates reviewed on an individual basis. Summary Description: The Cardiac Management ...

Highmark Health

Intake Coordinator-3

Pittsburgh, PA · Remote

$17.25 - $23/hr

JOB SUMMARY This job captures all inbound inquires for utilization management review from providers ... Remote-based Teaches / trains others Occasionally Travel from the office to various work sites or ...

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Remote Utilization Review Rn information

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$19

$38

$63

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

As of Jun 13, 2026, the average hourly pay for remote utilization review rn in Monaca, PA is $38.73, according to ZipRecruiter salary data. Most workers in this role earn between $30.62 and $44.47 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 Monaca, PA? For Remote Utilization Review Rn jobs in Monaca, PA, the most frequently searched job titles are:
What cities near Monaca, PA are hiring for Remote Utilization Review Rn jobs? Cities near Monaca, PA with the most Remote Utilization Review Rn job openings:
Remote Utilization Review Rn jobs near you

US Based - Healthcare Business Development Professionals - Fully Remote

Transformational Health Network, Inc.

Pittsburgh, PA • Remote

Full-time

Posted 28 days ago

Job description

We understand that healthcare careers are more than jobs—they are a calling.

At Transformational Health Network, Inc. (TrHN), we partner with respected healthcare organizations to place highly skilled registered nurses, advanced practice providers, and physicians in roles where they can make a meaningful impact on patient care.

Our mission is to help healthcare professionals find positions that offer growth, flexibility, competitive compensation, and supportive clinical environments.

Healthcare Business Development Professionals – Fully Remote

Transformational Health Network (TrHN) is actively expanding and seeking experienced healthcare business development professionals who excel at opening new accounts, building strategic relationships, and driving revenue growth within the healthcare staffing and workforce solutions industry.

Current Target States

We are specifically seeking professionals currently residing in:

  • California

  • Texas

  • Arizona

  • Kentucky

  • Missouri

  • Oklahoma

  • Pennsylvania

  • Delaware

  • Florida

  • Georgia

Expansion planned for New York and Maine.

If you have a proven background in healthcare business development, healthcare staffing, physician recruiting, nursing recruitment, allied health staffing, or full-desk recruiting, and are seeking a fully remote opportunity with substantial earning potential, we would welcome the opportunity to speak with you.

Key Responsibilities

  • Develop and secure new healthcare client accounts

  • Build and maintain long-term client relationships

  • Generate new business opportunities through networking, referrals, and outreach

  • Collaborate with recruiting teams to deliver exceptional talent solutions

  • Manage the sales cycle from prospecting through account development

  • Work independently while contributing to the growth of a rapidly expanding organization

  • Help drive strategic growth initiatives and market expansion

What We Offer

  • 100% Remote Work Environment

  • Unlimited Growth Potential

  • Uncapped Commission Structure with Significant Earning Potential

  • Access to Greenhouse ATS/CRM Platform

  • Microsoft 365 and Microsoft Teams Collaboration Tools

  • Entrepreneurial Culture with Leadership Support

  • Opportunity to Make a Direct Impact on Company Growth

Who We're Looking For

Successful candidates are:

  • Self-motivated and results-driven

  • Entrepreneurial in mindset

  • Strong communicators and relationship builders

  • Experienced in healthcare staffing, recruiting, or business development

  • Comfortable working independently and managing their own pipeline

  • Passionate about helping healthcare organizations solve workforce challenges

At Transformational Health Network, we believe growth is driven by talented professionals who are committed to excellence, accountability, and building lasting partnerships.

We are seeking individuals who want more than just a job—we are looking for professionals interested in helping build a premier healthcare staffing organization while creating long-term financial success for themselves.

To learn more, please contact:

Dr. Richard Morfopoulos
CEO & Founder
Transformational Health Network

🌐 Transformational Health Network

Ready to take the next step in your healthcare career?

Apply today to be considered for this opportunity and others that match your background. Our recruiting team is here to support you throughout the process—from initial conversation to placement and beyond.