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Remote Utilization Review Rn Jobs in Prescott Valley, AZ

Remote Utilization Review Rn information

See Prescott Valley, AZ salary details

$20

$41

$67

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

As of Sep 1, 2026, the average hourly pay for remote utilization review rn in Prescott Valley, AZ is $41.40, according to ZipRecruiter salary data. Most workers in this role earn between $32.74 and $47.55 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 Prescott Valley, AZ?

For Remote Utilization Review Rn jobs in Prescott Valley, AZ, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Review Rn jobs in Prescott Valley, AZ look for?

The top searched job categories for Remote Utilization Review Rn jobs in Prescott Valley, AZ are:

What cities near Prescott Valley, AZ are hiring for Remote Utilization Review Rn jobs?

Cities near Prescott Valley, AZ with the most Remote Utilization Review Rn job openings:

Infographic showing various Remote Utilization Review Rn job openings in Prescott Valley, AZ as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 16% Part Time, 2% Contract, and 1% Nights. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $86,122 per year, or $41.4 per hour.

Pharmacist (Pharmacy Supervisor)

Prescott, AZ • On-site, Remote


Veterans Health Administration
Health Care and Social Assistance • 10K+ employees

8.1

Company rating: 8.1 out of 10

Based on 1,006 frontline employees who took The Breakroom Quiz

65th of 896 rated healthcare providers

People enjoy working here

Good employer

Recommended by students


$156K - $203K/yr

Full-time

Posted 4 days ago


Job description

Summary
The Pharmacy Supervisor is responsible for the professional and administrative management of Inpatient, Outpatient, and Community Care Network areas in pharmacy service, to include budgetary execution. This position performs patient care activities to include planning and implementation of Clinical Practice Guidelines of drug therapy pertinent to the specialized pharmacy service line.
Learn more about this agency
Duties
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Typical duties include but are not limited to:
Supervisory
  • Responsible for supervising multiple pharmacists and the Pharmacy Technician Supervisor.
  • Develops performance standards, assures that the program area is compliant with all regulatory and accrediting body requirements, designs and implements orientation and training programs for staff, and develops and maintains systems to monitor the performance of staff activities.
  • This position is a working supervisor, the majority of time requirements of the position are dedicated to routine pharmacist drug distribution functions, while providing direct supervision to other distributive pharmacy employees.

Dispensing/Drug Distribution
  • Assures the accuracy and appropriateness of drug dispensing and the compounding of medications based on patient history and medication profile review, good clinical practice, and other pertinent factors.
  • Processes all orders within areas of responsibility, including non-formulary medication orders, discharge consult processing for inpatients during tour of duty.
  • Dispenses prescriptions in an accurate and timely manner when assigned; selects, compounds, dispenses and fills a range of drugs including extemporaneous preparations, special formulations, ophthalmic (subconjunctival and intravitreal injections), narcotics, investigational drugs, oncolytic agents, etc., in both outpatient and inpatient areas.

Medication Management Program Coordination
  • Employs current VA, The Joint Commission (TJC), Drug Enforcement Agency (DEA), Food and Drug Administration (FDA), and other research accrediting bodies or authorities to meet standards and/or regulations set forth by these organizations regarding drug distribution, compounding of sterile products, security and inventory management system and procedures in a pharmacy setting.
  • Establishes policies and procedures regarding pharmacy management of medication therapy.
  • Provides leadership duties of Pharmacy Service professional staff (pharmacy technicians, trainees and pharmacists to provide effective operation of the Pharmacy as needed and assigned by the Service Chief or other Service Management.

Clinical Pharmacy Practice
  • Provides medication management of chronic and acute diseases including assessment and therapeutic monitoring, patient education and medication adherence enhancement.
  • Non-formulary and prior-authorization drug adjudication, assisting with conversion to formulary agents, poly-pharmacy medication review and complex-regimen medication reconciliation.
  • Reviews patient's being discharged to ascertain any medication issues requiring follow-up and coordinate with the provider, nurse/physician liaison and/or social worker as appropriate to arrange the appropriate follow-up.

Education
  • Assists in development of formal/informal programs to enhance pharmacist and technician understanding relating to acute care clinical pharmacy practice.
  • Participates in Pharmacy and Therapeutics Committee (P&T) functions and assignments as required, e.g., ADR monitoring, medication error reporting, Medication Utilization Evaluation activities, drug monographs/reviews, etc. Presenting information to committee as assigned.
  • Supervises and trains pharmacist, pharmacy students, and pharmacy technicians.
  • Contributes to pharmacy newsletters and other written educational materials as assigned.

Research
  • Will know and comply with investigational medication policy and procedures and monitor investigational medication prescriptions/orders for completeness, drug interactions, dosage, duration of therapy, and adherence to existing formulary requirements.
  • May participate in research activities in accordance with FDA guidelines and regulations and VHA policy.
  • Participates with clinical staff, faculty, and other health professionals to collect and analyze data related to ongoing clinical programs or therapies and presents program data either at national scientific or medical meetings or publishes program data in professionally representative publications as appropriate.

Quality Management
  • Contributing to criteria development, data collection and drug use evaluation and other quality improvement activities as assigned.
  • Develops and leads teams to improve pharmacy service's relationships with other health care providers within assigned clinical area(s) and all areas within the health care system.

Work Schedule: Monday - Friday, 7:00 A.M. - 3:30 P.M., or as required for Outpatient Pharmacy Operations
Telework: Not Available
Virtual: This is not a virtual position.
Functional Statement #: 000000
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
Requirements
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Conditions of employment
  • You must be a U.S. Citizen to apply for this job.
  • All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
  • Selective Service Registration is required for males born after 12/31/1959.
  • Must be proficient in written and spoken English.
  • Subject to background/security investigation.
  • Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
  • Must pass pre-employment physical examination.
  • Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
  • Complete all application requirements detailed in the "Required Documents" section of this announcement.

As a condition of employment for accepting this position, you will be required to serve a 1 or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider:
  • your performance and conduct;
  • the needs and interests of the agency;
  • whether your continued employment would advance organizational goals of the agency or the Government; and
  • whether your continued employment would advance the efficiency of the Federal service.

Upon completion of your trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.
Qualifications
30 Day Hiring Model
The Department of Veterans Affairs is implementing a streamlined 30-Day Hiring Model designed to accelerate hiring while maintaining the highest standards of merit-based selection. This improved process reduces traditional hiring timelines by integrating early coordination, faster assessments, and efficient pre-employment actions. Applicants can expect a more transparent, predictable, and efficient hiring journey from announcement to entry on duty.
What Applicants Can Expect
  • Expedited Candidate Review Once the announcement closes, Human Resources will quickly review applications, issue certificates of eligible candidates the day after the announcement closes and refer applicants for hiring manager consideration.
  • Quick Interviews & References

HR may arrange interviews and will request references within 3-5 days after being referred to the hiring manager.
  • Streamlined Pre-Employment Requirements: Following a tentative offer, applicants should be prepared to complete required steps, such as fingerprinting and background check, credentialing, and medical examination within 3 days of the offer.
  • Clear and Timely Communication: Applicants will receive clear communication at key milestones, including referral, tentative offer, and onboarding instructions.

After meeting pre-employment requirements, candidates will receive a final job offer and start date. Onboarding tasks may continue after starting, with HR ensuring timely completion for a smooth transition into VA service. If selected, applicants should be prepared to come onboard within 30 days of the announcement closing.
Basic Requirements:
  • Citizenship. Citizen of the United States. (Noncitizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, section A, paragraph 3g, this part.)
  • Education.
    • Graduate of an Accreditation Council for Pharmacy Education (ACPE) accredited College or School of Pharmacy with a baccalaureate degree in pharmacy (BS Pharmacy) and/or a Doctor of Pharmacy (Pharm.D.) degree. Verification of approved degree programs may be obtained from the Accreditation Council for Pharmacy Education, 20 North Clark Street, Suite 2500, Chicago, Illinois 60602-5109; phone: (312) 664-3575, or through their Web site at: http://www.acpe-accredit.org/. (NOTE: Prior to 2005 ACPE accredited both baccalaureate and Doctor of Pharmacy terminal degree program. Today the sole degree is Doctor of Pharmacy.)
    • Graduates of foreign pharmacy degree programs meet the educational requirement if the graduate is able to provide proof of achieving the Foreign Pharmacy Graduate Examination Commission (FPGEC) Certification, which includes passing the Foreign Pharmacy Graduate Equivalency Examination (FPGEE) and the Test of English as a Foreign Language Internet-Based Test (TOEFL iBT).
  • Licensure. Full, current and unrestricted license to practice pharmacy in a State, Territory, Commonwealth of the United States (i.e., Puerto Rico), or the District of Columbia. The pharmacist must maintain current registration if this is a requirement for maintaining full, current, and unrestricted licensure. A pharmacist who has, or has ever had, any license(s) revoked, suspended, denied, restricted, limited, or issued/placed in a probationary status may be appointed only in accordance with the provisions in VA Handbook 5005, Part II, Chapter 3, section B, paragraph 16. NOTE: Individuals who have or have had multiple licenses and had any such license revoked for professional misconduct, professional incompetence or substandard care, or who surrendered such license after receiving written notice of potential termination of such license by the State for professional misconduct, professional incompetence, or substandard care, are not eligible for appointment to the position unless such revoked or surrendered license is fully restored (38 U.S.C. § 7402(f)). Effective November 30, 1999, this is a requirement for employment. This requirement does not apply to licensed pharmacists on VA rolls as of that date, provided they maintain continuous appointment and are not disqualified for employment by any subsequent revocations or voluntary surrenders of State license, registration or certification.
    • Grandfathering Provision. All licensed pharmacists employed in VHA in this occupation on the effective date of this qualification standard are considered to have met all qualification requirements for the title, series and grade held, including positive education and licensure/certification/registration that are part of the basic requirements of the occupation. For employees who do not meet all the basic requirements required in this standard, but who met the qualifications applicable to the position at the time they were appointed to it, the following provisions apply: 3 (1) Employees grandfathered into the GS-660 occupational series may be reassigned, promoted up to and including the full performance (journey) level, or changed to lower grade within the occupation, but may not be promoted beyond the journey level or placed in supervisory or managerial positions. (2) Employees who are appointed on a temporary basis prior to the effective date of the qualification standard may not have their temporary appointment extended or be reappointed, on a temporary or permanent basis, until they fully meet the basic requirements of the standard. Employees initially grandfathered into this occupation, who subsequently obtain additional education and/or licensure/certification/registration, that meet all the basic requirements of this qualification standard must maintain the required credentials as a condition of employment in the occupation. (3) If a licensed pharmacist who was retained under this provision leaves the occupation, the employee loses protected status and must meet the full VA qualification standard requirements in effect at the time of reentry to the occupation.

Grade Determinations:
In addition to the Basic Requirements, to be qualified for a GS-13: One year of experience equivalent to the next lower grade level (GS-12) grade level.
Demonstrated Knowledge, Skills, and Abilities (KSAs). Candidates must demonstrate the KSAs below:
  1. Ability to effectively supervise subordinate staff.
  2. Ability to communicate orally and in writing to persuade and influence clinical and mana

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About Veterans Health Administration

Sourced by ZipRecruiter

The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, serving millions of Veterans each year. Located in Phoenix, AZ, and many other parts of the US, the VHA operates under the Department of Veteran Affairs, as suggested by their official website va.gov. The VHA is dedicated to providing the highest level of comprehensive care to its veterans. The organization offers a broad spectrum of medical, surgical, and rehabilitative care, including mental health services, research, and pharmacy benefits.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Phoenix, AZ, US


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Benefits

Hours and flexibility

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