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Remote Utilization Review Rn Jobs in Mount Holly, NJ

PONOS MGMT INC

New Jersey-RN Case Manager

Burlington, NJ · Remote

$45 - $60/hr

In this role, the nurse manages a complex caseload of members and provides both remote support and ... Participate in interdisciplinary team meetings and case reviews to align on care strategies and ...

PONOS MGMT INC

New Jersey-RN Case Manager

Camden, NJ · Remote

$45 - $60/hr

In this role, the nurse manages a complex caseload of members and provides both remote support and ... Participate in interdisciplinary team meetings and case reviews to align on care strategies and ...

YO AI Labs

Hospitalist Physician - Remote

Philadelphia, PA · Remote

$70 - $100/hr

Remote Job Overview We are seeking experienced Hospitalist Physicians to contribute their medical ... Experience with utilization review, medical coding, or healthcare quality assurance. * Familiarity ...

Varsity Tutors

NCLEX-RN Tutor

Trenton, NJ · Remote

$40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

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All JobsUtilization Review Rn JobsRemote Utilization Review Rn JobsRemote Utilization Review Rn Jobs in Mount Holly, NJ

Remote Utilization Review Rn information

See Mount Holly, NJ salary details

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$42

$69

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

As of Sep 14, 2026, the average hourly pay for remote utilization review rn in Mount Holly, NJ is $42.88, according to ZipRecruiter salary data. Most workers in this role earn between $33.89 and $49.23 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 Mount Holly, NJ?

For Remote Utilization Review Rn jobs in Mount Holly, NJ, the most frequently searched job titles are:

What cities near Mount Holly, NJ are hiring for Remote Utilization Review Rn jobs?

Cities near Mount Holly, NJ 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 Mount Holly, NJ 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 $89,192 per year, or $42.9 per hour.

Fully Remote Registered Nurse (RN) Care Manager

Philadelphia, PA • On-site, Remote

The CKHobbie Group
Recruiting and Staffing Services • 11 - 50 employees
Learn more about The CKHobbie Groupexternal

Full-time

Re-posted 5 days ago

Key responsibilities

  • Conduct comprehensive assessments of members' medical, behavioral, functional, and social needs to inform care planning.

  • Develop and implement individualized, patient-centered care plans that address members' health conditions and personal goals.

  • Collaborate with an interdisciplinary care team and connect members with appropriate community-based resources to overcome barriers to care.

Job description


Seeking a compassionate and driven Registered Nurse (RN) Care Manager to join our team in a role designed for nurses who are ready to expand their impact beyond the traditional clinical setting. This position offers the opportunity to work closely with individuals who have complex medical, behavioral, and social needs, helping them navigate the healthcare system while improving their overall well-being. As an RN Care Manager, you will play a vital role in delivering holistic, patient-centered care that addresses not only physical health, but also the underlying factors that influence long-term outcomes.
In this role, you will engage members both over the phone and through occasional in-person visits in community or hospital settings. You will conduct comprehensive assessments that evaluate medical, behavioral, functional, and social determinants of health, and use this information to develop individualized care plans that align with each member's unique needs, goals, and preferences. By applying active listening and motivational interviewing techniques, you will help members better understand their health conditions, identify personal goals, and take meaningful steps toward positive behavior change.
The RN Care Manager serves as both an advocate and an educator, guiding members through complex healthcare decisions and ensuring they have access to the right resources at the right time. You will help members overcome barriers to care by identifying challenges, offering practical solutions, and connecting them with appropriate community-based services. In cases where urgent or high-risk situations arise, you will use your clinical judgment to escalate concerns appropriately and ensure members receive timely interventions.
Collaboration is a key component of this position. You will work alongside an interdisciplinary care team, presenting complex cases and contributing valuable clinical insight to support care planning and decision-making. Simultaneously, you will operate with a high level of autonomy, managing your own caseload in a structured virtual environment while meeting established performance goals. This balance of independence and collaboration allows you to fully utilize your clinical expertise while continuing to grow professionally.
This role is well-suited for nurses who are passionate about making a meaningful difference in patients' lives and who are seeking a more flexible and strategic approach to care delivery. It offers the opportunity to build strong, lasting relationships with members, develop expertise in case management and population health, and play a direct role in improving healthcare outcomes on a broader scale. Candidates must hold an active, unrestricted RN license in Pennsylvania, have either an associate's or bachelor's degree in nursing, and reside in the Philadelphia region. A strong passion for working with complex populations, along with the ability to work independently in a home-based setting with occasional travel, is essential.
Preferred candidates will have prior experience in case management, care coordination, or managed care environments, particularly with high-risk or medically complex populations. Additional qualifications such as a Certified Case Manager (CCM) credential, experience with utilization review or risk management, technical proficiency with Microsoft Office applications, and bilingual capabilities are considered valuable assets.

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