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Remote Utilization Review Rn Jobs in New Haven, CT

Adjunct Nursing - MSN NP

Waterbury, CT · Remote

$113K - $156K/yr

Review and revise courses as assigned. * Respond to all students' communications within two ... Maintain RN/APRN state licensure as required. * Other duties as assigned by the Dean/Assistant Dean ...

NCLEX-RN Tutor

Bridgeport, CT · 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 ...

NCLEX-RN Tutor

New Haven, CT · 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 ...

Clinical Team Specialist - RN (Per Diem/Remote) At Elara Caring, we care where you are and believe ... Reviews and approves plan of care and evaluates proposed changes to the plan of care for clinical ...

Clinical Team Specialist - RN (Per Diem/Remote) At Elara Caring, we care where you are and believe ... Reviews and approves plan of care and evaluates proposed changes to the plan of care for clinical ...

Clinical Team Specialist - RN (Per Diem/Remote) At Elara Caring, we care where you are and believe ... Reviews and approves plan of care and evaluates proposed changes to the plan of care for clinical ...

Clinical Team Specialist - RN (Per Diem/Remote) At Elara Caring, we care where you are and believe ... Reviews and approves plan of care and evaluates proposed changes to the plan of care for clinical ...

Clinical Team Specialist - RN (Per Diem/Remote) At Elara Caring, we care where you are and believe ... Reviews and approves plan of care and evaluates proposed changes to the plan of care for clinical ...

Clinical Team Specialist - RN (Per Diem/Remote) At Elara Caring, we care where you are and believe ... Reviews and approves plan of care and evaluates proposed changes to the plan of care for clinical ...

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Showing results 1-20

Remote Utilization Review Rn information

See New Haven, CT salary details

$21

$42

$69

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

As of Sep 8, 2026, the average hourly pay for remote utilization review rn in New Haven, CT is $42.52, according to ZipRecruiter salary data. Most workers in this role earn between $33.61 and $48.85 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 New Haven, CT?

For Remote Utilization Review Rn jobs in New Haven, CT, the most frequently searched job titles are:

What cities near New Haven, CT are hiring for Remote Utilization Review Rn jobs?

Cities near New Haven, CT with the most Remote Utilization Review Rn job openings:

Infographic showing various Remote Utilization Review Rn job openings in New Haven, CT as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 19% Part Time, 2% Contract, and 1% Nights. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $88,424 per year, or $42.5 per hour.

Registered Nurse I (Virtual) - Virtual Nursing

Saint Francis Health System

New Haven, CT • On-site, Remote

Full-time

Re-posted 8 days ago


Key responsibilities

  • Performs patient assessments, documentation, and care planning using the nursing process via a secure virtual link.

  • Evaluates and monitors patient status remotely, addressing problems and progress toward goals through telemedicine technology.

  • Collaborates with other healthcare professionals, educates patients and families, and supports discharge planning in a virtual environment.


Saint Francis Health System (Oklahoma) rating

6.9

Company rating: 6.9 out of 10

Based on 120 frontline employees who took The Breakroom Quiz

453rd of 898 rated healthcare providers


Job description

Current Saint Francis Employees - Please click HERE to login and apply.
Full Time
Nights
Shift: 7p - 7a, rot wknds
Minimum of 5 years bedside experience preferred.
Critical Care RN experience required
Virtual Nurse works from an on-site office location (not a remote position)
Will perform admit, discharge, chart review and other patient care duties via a secure link to patient rooms.
#RNSIND
Job Summary: The Registered Nurse I (Virtual) assesses, plans, implements and evaluates nursing care, utilizing the nursing process in accordance with hospital standards and unit policies/procedures for the purpose of monitoring and evaluating patient functional status. This position will assume accountability for patient care outcomes through the assimilation and application of evidence based practice to design, implement, and evaluate patient plans of care in a virtual environment setting.
Minimum Education: Has completed the basic professional curricula of a school of nursing as approved and verified by a state board of nursing and holds or is entitled to hold a diploma or degree therefrom.
Licensure, Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License.
Work Experience: Minimum 5 years of registered nurse experience in acute care setting.
Knowledge, Skills and Abilities: Demonstrated ability to use information technology to communicate, manage knowledge, mitigate error, and support decision-making. Working knowledge of general disease state management processes, bio-psychosocial model, and clinical pathways. Ability to receive and understand information relayed through oral or electronic communication. Exceptional and effective interpersonal, written, and oral communication skills. Ability to organize and prioritize work in an effective and efficient manner. Ability to be detail oriented as required in the examination of clinical and numerical data. Ability to demonstrate comfort and ease of familiarity with tele/virtual monitoring equipment. Demonstrates a high degree of professional competence and autonomy.
Essential Functions and Responsibilities: Utilizes the nursing process to care for patients. Assesses, organizes, and completes patient care with consideration for patient, age, cultural and psychosocial factors. Documents steps of the nursing process. Utilizes proper medical terminology. Addresses problems and progress toward goals. Facilitates patient discharge through timely, appropriate referrals and utilization of patient education resources, suitable to patient age and cultural/psychosocial factors. Collaborates with other disciplines as appropriate. Supports unit/hospital goals through PI and educational activities as evidenced by attending in-services, meeting unit education standards, and completing variance reports. Works to prevent patient problems from occurring by: direct observation via telemedicine technology, proactive surveillance of adverse physiological trends, assurance of appropriate prophylactic strategies, and medical chart review. Virtually evaluates patients, educates the patient and families on disease process and procedures and re-evaluates patients as appropriate. Performs the responsibilities of clinician, educator, consultant/collaborator and navigator during virtual appointments. Coaches and mentors nurses on the floor around the care of the patients. Maintains knowledge of rapidly changing technology and equipment used in patient care setting.
Decision Making: Independent judgment in making decisions from many diversified alternatives that are subject to general review in final stages only.
Working Relationship: Coordinates activities of others (does not supervise). Leads others in same work performed (does not supervise). Has input on performance evaluations but does not prepare or give. Works directly with patients and/or customers. Works with internal customers via telephone or face to face interaction. Works with external customers via telephone or face to face interaction. Works with other healthcare professionals and staff. Works frequently with individuals at Director level or above.
Special Job Dimensions: None.
Supplemental Information: This document generally describes the essential functions of the job and the physical demands required to perform the job. This compilation of essential functions and physical demands is not all inclusive nor does it prohibit the assignment of additional duties.
Virtual Nursing - Yale Campus
Location:
Tulsa, Oklahoma 74136
Under the Oklahoma Medical Marijuana Use and Patient Protection Act (OMMA), a safety sensitive position is defined as any job that includes tasks or duties that the employer believes could affect the safety and health of the employee performing the task or others. This position has been identified as a safety sensitive position. This statute allows employers to lawfully refuse to hire applicants for safety-sensitive jobs or to discipline or discharge employees who work in safety-sensitive jobs if they test positive for marijuana, even if they have a valid license to use medical marijuana.
EOE Protected Veterans/Disability

What Saint Francis Health System (Oklahoma) employees say

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About Saint Francis Health System

Sourced by ZipRecruiter

Saint Francis Health System is an integrated, medically based, not-for-profit health system. Our team of over 10,500 physicians and staff members makes us one of Tulsa's largest employers. As a Catholic organization, Saint Francis is true to its mission and values. We believe that healthcare is a basic human right, and that each patient should be treated with dignity and integrity. We foster a collaborative workplace where each person is valued and appreciated for his/her contribution.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Tulsa, OK, US

Year founded

1960

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