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Remote Utilization Review Rn Jobs in Raleigh, NC

Pharmacy Careers

Appeals Pharmacist (Remote)

Raleigh, NC · On-site +1

$51 - $62.25/hr

Collaborate with physicians, nurses, and medical directors during case reviews. * Track, document ... Prior managed care or utilization management experience preferred - retail and hospital pharmacists ...

York Risk Services

RN Field Case Manager

Raleigh, NC · On-site +1

$75K - $96K/yr

... remote work environment that allows face to face interaction with injured workers and medical ... RN licensure required. Valid driver's license required. High speed internet required. Employment ...

Sedgwick

RN Field Case Manager

Raleigh, NC · On-site +1

$75K - $96K/yr

... remote work environment that allows face to face interaction with injured workers and medical ... RN licensure required. Valid driver's license required. High speed internet required. Employment ...

DataAnnotation

Registered Nurse - AI Trainer

Durham, NC · Remote

$50 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

DataAnnotation

Registered Nurse - AI Trainer

Raleigh, NC · Remote

$50 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

DataAnnotation

Registered Nurse - AI Trainer

Cary, NC · Remote

$50 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

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All JobsRemote Utilization Review Rn JobsRemote Utilization Review Rn Jobs in Raleigh, NC

Remote Utilization Review Rn information

See Raleigh, NC salary details

$20

$41

$67

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

As of Jun 19, 2026, the average hourly pay for remote utilization review rn in Raleigh, NC is $41.10, according to ZipRecruiter salary data. Most workers in this role earn between $32.50 and $47.21 per hour, depending on experience, location, and employer.

What is the meaning of the word remote?

In the context of a Remote Utilization Review RN job, 'remote' refers to working outside of a traditional office setting, often from home or another location of the employee's choice. This setup typically involves using digital tools and communication platforms to perform job duties without being physically present in an office environment.

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 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 meaning of remote in one word?

In the context of a Remote Utilization Review RN role, 'remote' means working from a location outside of a traditional office, typically from home, using digital communication tools. It emphasizes flexibility and virtual access to work systems without physical presence at a healthcare facility.

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.

How to make 2000 a week working from home?

A Remote Utilization Review RN can potentially earn $2,000 weekly by working full-time hours, often 40 hours per week, and gaining experience or certifications that allow for higher billing rates. Increasing income may involve taking on additional cases, specializing in high-demand areas, or working for agencies that offer competitive pay for remote utilization review roles.

What is remote job?

A remote Utilization Review RN job is a healthcare position where the nurse reviews patient cases and insurance claims from a location outside of a traditional office, often working from home. It requires strong communication skills, knowledge of medical documentation, and familiarity with electronic health record systems, with flexible schedules common in remote roles.

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 the most commonly searched types of Utilization Review Rn jobs in Raleigh, NC? The most popular types of Utilization Review Rn jobs in Raleigh, NC are:
What are popular job titles related to Remote Utilization Review Rn jobs in Raleigh, NC? For Remote Utilization Review Rn jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in Raleigh, NC look for? The top searched job categories for Remote Utilization Review Rn jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Remote Utilization Review Rn jobs? Cities near Raleigh, NC with the most Remote Utilization Review Rn job openings:
Remote Utilization Review Rn jobs near you
RN Nursing Coordinator - Imaging Support Services Hedrick

RN Nursing Coordinator - Imaging Support Services Hedrick

UNC Health

Chapel Hill, NC • Remote

Other

Posted 28 days ago

Job description

RN Nursing Coordinator - Imaging Support Services Hedrick

It's an exciting time to join the Interventional Radiology team at UNC Health! Our services are expanding to include a more inclusive offering of Pediatric Interventional Radiology (VIR) at both UNC Medical Center and UNC Hillsborough campuses.

We are seeking an experienced and passionate Registered Nurse to join our growing team as a Nursing Coordinator. In this role, you will work alongside three dedicated coordinators to manage and schedule Pediatric VIR procedures across both campuses.

The Nursing Coordinator plays a vital role in ensuring a seamless patient experience by receiving, verifying, and transcribing provider orders; obtaining prior approvals when needed; and coordinating procedure scheduling for pediatric patients requiring VIR services.

This position offers the opportunity to collaborate closely with providers, the VIR clinical team, patients, and families to deliver high-quality, compassionate care throughout every step of the process.

The ideal candidate will bring:

  • A minimum of five years of hospital nursing experience
  • Strong organizational and communication skills
  • The ability to work independently and take initiative in a fast-paced environment
  • Previous VIR experience preferred

This position is scheduled Monday through Friday from 7:30 a.m. to 4:00 p.m., with no weekends, holidays, or on-call responsibilities. Flexible scheduling options are available. Following six months of training and orientation, the role will transition to a fully remote position.

If you are passionate about procedural nursing and dedicated to creating exceptional patient care experiences, your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of communities across North Carolina.

Apply