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Remote Utilization Review Rn Jobs in Prosser, WA

City of Pasco, WA

Senior Traffic Engineer

Pasco, WA · On-site +1

$119.75K - $143.75K/yr

Regular Full-Time Remote Employment: Flexible/Hybrid Job Number: 2720.098.2026 Department: Public ... Registered Professional Engineer of Washington State (PE) or able to obtain reciprocity within six ...

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Remote Utilization Review Rn information

See Prosser, WA salary details

$21

$41

$67

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

As of May 31, 2026, the average hourly pay for remote utilization review rn in Prosser, WA is $41.66, according to ZipRecruiter salary data. Most workers in this role earn between $32.93 and $47.84 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Remote Utilization Review RN, and why are they important?

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 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 cities near Prosser, WA are hiring for Remote Utilization Review Rn jobs? Cities near Prosser, WA with the most Remote Utilization Review Rn job openings:
Remote Utilization Review Rn jobs near you

Psychiatric Registered Nurse - Washington Based

Clarvida - Washington

Kennewick, WA • Remote

Full-time, Part-time

Medical, Dental, Vision, Retirement, PTO

Posted 6 days ago

Job description

Clarvida’s success is built on the strength of our people: individuals who bring the right skills and a deep commitment to our mission of improving lives and communities. Our employees are empowered to bring their full potential to the table, ensuring long-term success for our team and those we serve.  
 
Registered Nurse - Community Based Kennewick WA part time 20 hours week
In this integral part-time position, you will meet with clients, typically adults who have been discharged from state hospitals, or reside in assisted living facilities / adult family homes, and have difficult behaviors to manage.    
You will meet with your clients regularly to provide medical assessments and history information, to support the Nurse Practitioner’s goal directed plan of care.  You will complete medication reviews, establish priorities of client care, and link clients to medical providers and follow up on labs, refills, prescriptions, and prior authorizations. As part of the medical team, you will provide in-service training to staff regarding medical and psychiatric nursing issues and consult on the client’s treatment plan.  This position works weekdays with an occasional option to work evenings and weekends, and works on-call 1-4 times a year.
Perks of this role:  
  • $38-$50/hour
  • Flexible daytime/evening schedule with remote/community work
  • Productivity Incentives
  • New hire mentorship to aid in your transition and training
  • Reimbursement for annual licensure for fully licensed employees
  • Stability and growth working for a national company
   
What we’re looking for:  
  • Washington RN license, with 1 or more courses on psychiatric nursing and psychotropic medications
  • Preferably residing in county served
  • 1 or more years’ experience working with psychiatric client populations
  • Intermediate PC skills and strong clinical / communication skills
  • Ability to travel within the county/neighboring county to see patients (dependent on caseload).
  • Ability to pass state and federal background checks and have reliable transportation with active car insurance.
What we offer:    
Full Time Employees:   
  • Paid vacation days that increase with tenure 
  • Separate sick leave that rolls over each year 
  • up to 10 Paid holidays* 
  • Medical, Dental, Vision benefit plan options 
  • DailyPay- Access to your daily earnings without waiting for payday* 
  • Training, Development and Continuing Education Credits for licensure requirements 
All Employees:   
  • 401K 
  • Employee Assistance program  
  • Pet Insurance 
  • Perks @Clarvida- national discounts on shopping, travel, Verizon, and entertainment 
  • Mileage reimbursement* 
  • Company Cellphone 
 
*benefits may vary based on Position/State/County  
  
 
 
Application Deadline: Applications will be reviewed on a rolling basis until the position is filled. 
 
Learn more:  www.clarvida.com/mission-vision-and-values  
See other opportunities:  www.clarvida.com/working-at-clarvida  
 
Equal Opportunity Statement 
Clarvida is an equal opportunity employer committed to diversity and inclusion. All qualified applicants will receive consideration without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity, disability, veteran status, or any other protected category. 
 
"We encourage job seekers to be vigilant against fraudulent recruitment activities that are on the rise across the healthcare industry. Communication about legitimate Clarvida job opportunities will only come from an authorized Clarvida.com email address, from a notifications@jobvite.com  email, or a personal LinkedIn account that is associated with a Clarvida.com email address."