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Remote Utilization Review Rn Jobs in New Haven, CT

Gateway Recruiting

Territory Manager

New Haven, CT · Remote

Conduct quarterly business reviews with key accounts to assess performance and identify growth ... Remote monitoring workflow development, Utilization ramp and adoption metrics * Strong executive ...

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Remote Utilization Review Rn information

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$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 job categories do people searching Remote Utilization Review Rn jobs in New Haven, CT look for?

The top searched job categories for Remote Utilization Review Rn jobs in New Haven, CT 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:

Remote Utilization Review Rn jobs near you
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.

Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) - Weekend Cont

LIGHT-TUNNEL BEHAVIORAL HEALTH SERV

New Haven, CT • Remote

$75 - $100/hr

Part-time

Posted 4 days ago

Job description

Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) – Weekend Contract

Location: New Haven, CT (Telehealth, in-person option available if preferred)
Schedule: Friday – Sat OR Fri  -- Sun (Flexible shift coverage)
Position Type: Contract / Per Diem
About the Role

We are seeking an experienced, board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP) for a dedicated weekend contract role (Friday through Saturday or Friday through Sunday). In this position, you will deliver high-quality psychiatric evaluations, medication management, and clinical oversight to an outpatient population. This position is ideal for an autonomous clinician looking for a structured weekend schedule within a supportive behavioral health setting.
Key Responsibilities

  • Conduct comprehensive psychiatric evaluations, diagnostic assessments, and risk reviews.
  • Formulate and execute evidence-based psychopharmacological treatment plans.
  • Provide ongoing medication management and monitor treatment efficacy and outcomes.
  • Maintain prompt, thorough, and compliant clinical documentation in the EMR.
  • Collaborate with the interdisciplinary clinical team to coordinate multidisciplinary care pathways.
Qualifications & Requirements

  • Active, unencumbered Connecticut APRN license with PMHNP board certification (PMHNP-BC).
  • Valid CT Controlled Substance Registration (CSR) and DEA license.
  • Minimum 1–2 years of clinical experience as a PMHNP in an outpatient behavioral health setting.
  • Strong diagnostic acumen, prescriptive practice skills, and independent clinical decision-making.
  • Proficiency with Electronic Medical Record (EMR) systems.
Preferred Qualifications (OPTIONAL)

  • Experience or clinical interest in interventional psychiatric modalities (e.g., Spravato®/esketamine protocols or TMS).
What We Offer

  • Highly competitive weekend contract rates.
  • Predictable, focused weekend schedule.
  • Efficient administrative and back-office clinical support.
To Apply:

Please submit your CV and a brief cover letter outlining your clinical experience and weekend availability.