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Remote Utilization Review Rn Jobs in Nashua, NH (NOW HIRING)

Crossway Homecare

Registered Nurse

North Andover, MA · Remote

$40 - $42/hr

Registered Nurse (RN) Job Summary Provides professional services within the scope of nursing ... Performs physical examination and review of all body systems and documents such accordingly.

Varsity Tutors

NCLEX-RN Tutor

Waltham, MA · Remote

$18 - $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 ...

Varsity Tutors

NCLEX-RN Tutor

Lowell, MA · Remote

$18 - $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 ...

Varsity Tutors

NCLEX-RN Tutor

Lawrence, MA · Remote

$18 - $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 ...

Carease Health - MA

Nurse Practitioner

Reading, MA · On-site +1

$23K - $25K/yr

Utilize Remote Patient Monitoring (RPM), Chronic Care Management (CCM), and Collaborative Care ... care and Documentation review * Excellent communication, collaboration, and teamwork skills

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Remote Utilization Review Rn information

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$69

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

As of Aug 6, 2026, the average hourly pay for remote utilization review rn in Nashua, NH is $42.70, according to ZipRecruiter salary data. Most workers in this role earn between $33.75 and $49.04 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 Nashua, NH? For Remote Utilization Review Rn jobs in Nashua, NH, the most frequently searched job titles are:
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What cities near Nashua, NH are hiring for Remote Utilization Review Rn jobs? Cities near Nashua, NH 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 Nashua, NH as of August 2026, with employment types broken down into 4% As Needed, 78% Full Time, 11% Part Time, and 7% Contract. Highlights an 4% In-person, and 96% Remote job distribution, with an average salary of $88,810 per year, or $42.7 per hour.

Registered Nurse Care Coordinator -40hrs 8:00am - 4:30pm

Merrimack Health

Methuen, MA

Other

Re-posted 2 days ago

Job description

Position Summary:

The RN Care Coordinator is responsible for overseeing the appropriateness of care provided to members of health plans contracted by the hospital and being held accountable for appropriate financial and clinical outcomes of these patients. The RN Care Coordinator will be assigned to selected areas of the Hospital on a rotating basis to perform utilization reviews and other UM activities, as needed, to be based upon department staffing and coverage. The RN CC will support and coordinate the activities of the Social Workers assigned to the unit.  As this is an evolving position, duties and responsibilities may vary based on specific assignments.   

Essential Responsibilities 
• Utilizing InterQual® Level of Care Criteria, ensuring appropriate service assignment (inpatient vs observation) and collaborating with the attending MD to reduce the possibility of reimbursement denials
• Provides clinical information necessary for authorization to 3rd parties within one business day of request
• Communicates excess day and/or denial information to the team; resolves delays by negotiating with the team, ancillary services, 3rd parties
• Rounds with the care team and collaborates with the team to identify patients/families with complex discharge needs.  Determines appropriate            referrals.
• Ensures patients are discharged appropriately to alternative sites in a timely manner
Qualifications:
BSN preferred; Master’s degree preferred (Nursing Masters not required for this advanced degree)
Current Massachusetts Nursing license
Minimum 5 years clinical nursing experience
5 years case management experience in an acute care setting with discharge planning, continuing care, care management, and utilization review preferred.
Strong verbal and written communications skills
Proficiency with computers and an ability to learn new programs with ease. 

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