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Remote Utilization Review Rn Jobs in Muscle Shoals, AL

Remote Utilization Review Rn information

See Muscle Shoals, AL salary details

$18

$37

$60

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

As of May 29, 2026, the average hourly pay for remote utilization review rn in Muscle Shoals, AL is $37.20, according to ZipRecruiter salary data. Most workers in this role earn between $29.42 and $42.74 per hour, depending on experience, location, and employer.

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 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 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 popular job titles related to Remote Utilization Review Rn jobs in Muscle Shoals, AL? For Remote Utilization Review Rn jobs in Muscle Shoals, AL, the most frequently searched job titles are:
What cities near Muscle Shoals, AL are hiring for Remote Utilization Review Rn jobs? Cities near Muscle Shoals, AL with the most Remote Utilization Review Rn job openings:

Remote Registered Nurse Chronic Care Management

Vitability Health

Florence, AL • On-site, Remote

$31/hr

Full-time

Life, PTO

Posted 22 days ago


Job description

) Chronic Care Manager (RN)
Vitability Health of New Jersey
Remote Position
Our Mission
At Vitability Health of New Jersey, we believe great care goes beyond checklists and charts-it's about relationships, trust, and walking alongside patients as they navigate life with chronic conditions. Our mission is to improve quality of life through thoughtful, personalized care that meets patients where they are and supports them every step of the way.
About the Role
We are looking for a compassionate and experienced Chronic Care Manager (RN) who is passionate about caring for patients over the long term. In this role, you will build meaningful relationships with patients, help them better understand and manage their health, and serve as a steady, trusted presence in their care journey.
This position is ideal for a nurse who values connection, collaboration, and purpose-and who enjoys using clinical expertise to make a real difference, all while working remotely.
What You'll Do
  • Provide ongoing chronic care management to a caseload of patients living with multiple chronic conditions
  • Develop and maintain personalized care plans that reflect each patient's goals, challenges, and needs
  • Conduct comprehensive assessments to understand medical, social, and lifestyle factors affecting health
  • Monitor patient progress, identify changes early, and adjust care plans to support better outcomes
  • Educate and encourage patients and their families on disease management, medications, and healthy lifestyle choices
  • Use telehealth and remote monitoring to stay connected with patients between visits
  • Partner with Care Navigators (social workers) by delegating tasks and supporting their work to ensure seamless, high-quality care
  • Collaborate with providers and interdisciplinary team members to promote continuity and alignment across care
  • Support medication reconciliation and help patients feel confident in understanding their treatment plans
  • Assist with coordinating appointments, tests, and follow-ups to reduce barriers to care
  • Help patients access community resources and support services that enhance overall well-being
  • Work proactively to reduce hospital readmissions and emergency department visits through consistent engagement
  • Maintain clear, timely, and compliant documentation in the EHR in accordance with HIPAA and CMS guidelines
  • Track patient outcomes and quality measures to help strengthen and grow our care management programs
  • Stay informed on best practices and evolving standards in chronic care management
What We're Looking For
  • Active Registered Nurse (RN) license in New Jersey or a valid Compact RN License
  • Experience in Chronic Care Management (CCM)
  • Required acute care nursing experience
  • A caring, patient-centered approach with a genuine desire to support patients over time
  • Strong communication and organizational skills
  • Ability to lead and collaborate with care coordinators in a supportive, team-oriented way
  • Comfort using EHR systems, telehealth platforms, and remote patient monitoring tools
  • Ability to work independently while staying connected to a collaborative care team
    Love this direction. This is exactly where you win great nurses back to meaningful work.
    Why Vitability Health
    At Vitability Health, we care deeply about our patients-and just as deeply about the people who care for them. We've intentionally built a work environment that values balance, trust, and sustainability, so our nurses can do their best work without sacrificing their well-being.
    Here's what you can expect:
    • Fully Remote Work
      Work from the comfort of your home-no commute, no traffic, and no unnecessary stress. We believe great care can happen anywhere.
    • True Work/Life Balance
      This role follows a strict 9:00-5:00 schedule with no nights, weekends, and very limited on-call expectations. When your workday ends, your time is yours.
    • Paid Holidays Off
      We observe major holidays so you can rest, recharge, and spend meaningful time with family and loved ones.
    • Paid Time Off (PTO)
      PTO is available because rest isn't a luxury-it's essential to providing great care.
    • Monthly Work Flexibility
      We understand life happens. Our team is supported with built-in flexibility each month to attend appointments, family needs, or personal responsibilities without guilt.
    • Purpose-Driven Work
      Build long-term relationships with patients and see the impact of your care over time-no rushed encounters, no revolving doors.
    • Supportive, Team-Oriented Culture
      You'll be part of a collaborative care team that values communication, respect, and shared success.
    • A Sustainable Nursing Career
      This role is designed for nurses who want to continue making a difference-without burnout, physical strain, or emotional exhaustion.