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Remote Utilization Review Rn Jobs in New Market, MD

Bcbsa

Director, Trade Client Relations

Gaithersburg, MD · Remote

$155K - $175K/yr

Analytics Team - Collaborate on drug trends and utilization data to inform clinical policy ... Clinical Team - Liaise with Clinical team to review clinical data and policy requirements as needed

Varsity Tutors

NCLEX-PN Tutor

Rockville, MD · Remote

$18 - $40/hr

... RN scope questions, pharmacology calculations, and managing anxiety with the adaptive testing format. Adapts instruction using NCLEX-PN specific practice question banks, content review focused on ...

Archesys Inc

AWS Cloud Solutions Architect

Baltimore, MD · Remote

$64.50 - $88.50/hr

This is a remote position. Residency Requirement: Candidates MUST have lived in the U.S. for at ... Review solution designs, code, infrastructure, and deployment strategies. * Establish reusable ...

Varsity Tutors

NCLEX Tutor

Rockville, MD · Remote

$25 - $40/hr

Adapts instruction using NCLEX review resources, practice question banks, and clinical scenario analysis to support nursing graduates preparing for first-time licensure as registered nurses or ...

STG International

Cardiologist - PRN

Rockville, MD · Remote

$360K - $407K/yr

The position is open to candidates nationwide and is fully remote. Job Specific Duties and ... nurses and physicians as well as Reviewing Medical Officers (RMOs) in accordance with the FOH ECG ...

Bertelsmann-Jobs

Credit Card Associate

Westminster, MD · On-site +1

$38K - $40K/yr

Review and process credit-held orders throughout the day. * Process manual credit card payments ... Remote position with potential hybrid work opportunities. * Collaborative and supportive team ...

Emmes

Study Start-Up Associate II

Rockville, MD · Remote

$34.25 - $46.75/hr

Overview Study Start-Up Associate II US Remote Emmes Group: Building a better future for us all ... Assists in review of the regulatory documents for completeness. * Assists with translations ...

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All JobsUtilization Review Rn JobsRemote Utilization Review Rn JobsRemote Utilization Review Rn Jobs in New Market, MD

Remote Utilization Review Rn information

See New Market, MD salary details

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$65

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

As of Aug 10, 2026, the average hourly pay for remote utilization review rn in New Market, MD is $40.13, according to ZipRecruiter salary data. Most workers in this role earn between $31.73 and $46.11 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 job categories do people searching Remote Utilization Review Rn jobs in New Market, MD look for? The top searched job categories for Remote Utilization Review Rn jobs in New Market, MD are:
What cities near New Market, MD are hiring for Remote Utilization Review Rn jobs? Cities near New Market, MD 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 Market, MD as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 15% Part Time, and 3% Contract. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $83,467 per year, or $40.1 per hour.

Licensed Clinical Social Worker - Remote

BetterHelp

Germantown, MD • Remote

$55 - $70/hr

Full-time

Re-posted 21 days ago

BetterHelp rating

7.5

Company rating: 7.5 out of 10

Based on 11 frontline employees who took The Breakroom Quiz

Job description

Private practice with no doors and no overhead.

BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead. You provide the expertise. We handle the rest.

Why Join BetterHelp

  • $1,000 first client bonus*— Earn more when you see your first insurance client within 30 days of applying.
  • New increased hourly compensation: Therapists can earn between $55-$70 per hour (up to 57% more for insurance sessions).
  • $650 Health Benefit Stipend: Eligibility for the Health Benefit Stipend requires a continuous commitment of 30 hours a week
  • No insurance headaches: No clawbacks. No payment delays. We handle everything — you get paid weekly for every session.
  • Increase Caseloads: 70% of clients use insurance, helping you build and sustain a strong caseload.

Additional Benefits

  • Work from the comfort of home (fully remote)
  • Flexible schedule – you set your own hours.
  • Free access to 390+ CEU courses
  • Free BetterHelp membership for self-care
  • Insurance + cash-pay clients available
  • Additional bonuses & incentives for high performers
  • Zero overhead: No fees are collected from the therapist, ever.
  • Autonomy over clinical decisions
  • Access and connect with our community of over 30,000 therapists

We're Looking For

  • LCSW, LPC, LMFT, LMHC, Licensed Professional Counselor, or Psychologist / PsyD
  • Experienced Mental Health Therapist or Counselor with a passion for helping adults, couples, or teens.

Requirements:

  • 3+ years of mental health counseling experience
  • Master's or Doctorate in Counseling, Psychology, Social Work, or Marriage & Family Therapy
  • Fully independent license (LCSW, LPC, LMFT, LMHC, etc.) and can provide therapy without supervision.
  • A private and professional environment for conducting sessions.
  • Excellent written communication.
  • Must have professional liability insurance.
  • Reliable Internet connection.
  • Currently residing in the US.

NOTE: Unfortunately, if you are an intern or if you require supervision to provide therapy services, you cannot be a provider on BetterHelp at this time. Also, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor).

What BetterHelp employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

BetterHelp logo

About BetterHelp

Sourced by ZipRecruiter

* We help people change their lives. BetterHelp is the world's largest therapy service. We set out on a mission to provide everyone with easy, affordable, and private access to professional counseling: anytime, anywhere. To date, our network of over 20,000 licensed, accredited, and board-certified therapists have assisted more than 1,000,000 people. Every month, our secure website and mobile app facilitate over 5,000,000 messages, chats, voice calls, and video sessions that help people face life's challenges. * We're taking mental healthcare to the next level. We combine clinical care, cutting-edge technology and data-driven product development to constantly learn, iterate, and improve. We are relentless in our pursuit of better, always questioning the status quo and discovering new ways to get things done and serve our members. * We are a community that grows together - both professionally and personally. Even with our exponential growth, our team is kept agile and nimble, allowing you to have a huge impact and carve your own path from day one. We invest in our team's well-being and professional development because we know that business and individual growth go hand-in-hand. You will move fast, remain flexible, and be challenged every day. Join us!

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

San Francisco, CA, US

Year founded

2013

Social media

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