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Remote Utilization Review Rn Jobs in Oakland, CA

Star Nursing, Inc.

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RN Assessment Case Manager

Hayward, CA · Remote

$75/hr

Assessment RN / Case Manager Location ... Alameda County Hybrid Position, Remote and on-site monthly visits Conduct initial and monthly ...

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Vynca

Clinical Manager (RN)

San Mateo, CA · Remote

$90K - $125K/yr

This is a remote position with up to 25% travel required for trainings, meetings, and other ... performance reviews * Collaborate with Providers and multidisciplinary professional staff to ...

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Remote Utilization Review Rn information

See Oakland, CA salary details

$24

$48

$79

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 Oakland, CA is $48.56, according to ZipRecruiter salary data. Most workers in this role earn between $38.37 and $55.77 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 Oakland, CA? For Remote Utilization Review Rn jobs in Oakland, CA, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in Oakland, CA look for? The top searched job categories for Remote Utilization Review Rn jobs in Oakland, CA are:
What cities near Oakland, CA are hiring for Remote Utilization Review Rn jobs? Cities near Oakland, CA 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 Oakland, CA as of August 2026, with employment types broken down into 75% Full Time, and 25% Part Time. Highlights an 100% Remote job distribution, with an average salary of $101,004 per year, or $48.6 per hour.

RN Assessment Case Manager

Star Nursing, Inc.

Hayward, CA • Remote

$75/hr

Contractor

Posted 2 days ago

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Job description

We are seeking an RN Case Manager/Monthly Assessment Nurse to join our team! You will be responsible for the assessment, care plans, and documentation of assigned residents.

Position: Assessment RN / Case Manager
Location: Alameda County
Hybrid Position, Remote and on-site monthly visits

Conduct initial and monthly assessments on residents in assisted living facilities/Skilled Nursing facilities

Pay rate: $75/per assessment (20 mins)

This can be a part-time or full-time position, you may accept up to 60 residents per your caseload, work on your own time.

Responsibilities:

  • Visit- residents at a local assisted living facility, monthly
  • Monthly assessment, semi-annual comprehensive assessment with a care plan
  • Monitor and report changes in patient symptoms or behavior.
  • Communicate with collaborating physicians, administrators, Home Health agency, Hospice agency, POA, family members regarding patient care.
  • Educate patients about health maintenance and disease prevention
  • Facilitate referrals to other healthcare professionals and medical facilities
  • Maintain accurate patient medical records
  • Provide advice and emotional support to residents and their family members
  • You are in charge of your schedule, flexibility is welcome.

Qualifications:

  • Previous experience in nursing and/or case management fields
  • Familiarity with medical software, office suites/excel, word
  • Ability to build rapport with residents and referral sources
  • Strong problem solving, confidence in your nursing abilities

Requirements

  • Must have an active RN-nursing license in the state of CA- in good standing
  • Experience in Home Health, Geriatric, Long-term Care a plus
  • Current BLS
  • Current TB Skin test
  • Must have experience with office suites - Excel/Word/PDF
  • Two current references
  • Must be able to pass a background screening

Company Description

Star Nursing is a healthcare staffing agency with thousands of nationwide opportunities. Travel, direct hire, and temporary positions available, highest rates in the industry!