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Remote Utilization Review Rn Jobs in Raleigh, NC

Scribe-X

Medical Scribe (Remote)

Raleigh, NC · Remote

$14 - $17/hr

Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a ... Review completed charts with the provider between patients or at the completion of shift * Update ...

LifeSource, Inc.

Be Seen First

Primary Care CNA/CMA Clinical Organizer- Remote

Raleigh, NC · Remote

Certified Nursing Assistant (CNA), Certified Medical Assistant (CMA), Certified Clinical Medical ... Reviewed provider appointments the day before visit to anticipate patient and provider needs.

New

Reparo Health

Supervising Psychiatrist (Remote)

Durham, NC · Remote

$500 - $3K/mo

Our team of skilled therapists and psychiatric nurse practitioners works collaboratively to meet ... Review and approve treatment plans, documentation, and medication management strategies. * Ensure ...

Reparo Health

Supervising Psychiatrist (Remote)

Durham, NC · Remote

$500 - $3K/mo

Our team of skilled therapists and psychiatric nurse practitioners works collaboratively to meet ... Review and approve treatment plans, documentation, and medication management strategies. * Ensure ...

Duke University

MEDICAL RECORDS CODER II

Durham, NC · Remote

$18 - $24.25/hr

This position is 100% remote. All Duke University remote workers must reside in one of the ... Coordinate/review the work of subordinate employees and assist with the training and continuing ...

Duke University

MEDICAL RECORDS CODER II

Durham, NC · Remote

$18 - $24.25/hr

This position is 100% remote. All Duke University remote workers must reside in one of the ... Coordinate/review the work of subordinate employees and assist with the training and continuing ...

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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 15, 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
Medical Scribe (Remote)

Medical Scribe (Remote)

Scribe-X

Raleigh, NC • Remote

$14 - $17/hr

Full-time

Medical, PTO

Posted 7 days ago

Scribe-X rating

5.9

Company rating: 5.9 out of 10

Based on 10 frontline employees who took The Breakroom Quiz

Job description

Description
Become a Medical Scribe First
Scribe-X offers unparalleled clinical experience and preparation for medical school. 
  • Receive extensive paid training that will help you master EMR systems and patient documentation procedures. 
  • Develop professional mentorships as you work one-on-one with providers.
  • Gain patient contact hours and letters of recommendation that will make your applications stand out. 
  • Work for a company that understands the med school application process and supports your healthcare goals. 

Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a medical scribe first!
 
Summary of Position Description:
The Scribe-X medical scribe is a critical member of the patient care team. Medical scribes will work side-by-side a healthcare provider to document patient encounters in real-time. Medical scribe training is provided to all scribes to assure they are prepared to support their assigned provider(s).
Scribe Pay Structure:
$11/hour – No scribe experience
$12/hour – 6+ months scribe experience
$14-17/hour – Lead scribe (1+ year scribe experience required)
         + $1/hour for fluent Spanish-speaking candidates   



Duties of a Medical Scribe
  • Perform chart preparation per clinic protocol
  • Accompany the provider in all scheduled patient visits
  • Document the patient history, physical exam, procedures, and patient plan, as performed by the provider
  • Remind provider of relevant quality metrics when appropriate, documenting to support quality metrics
  • Enter laboratory and radiographic studies, as ordered by the provider
  • Enter in medication orders, as dictated by the provider
  • Document and print instructions for the patient
  • Review completed charts with the provider between patients or at the completion of shift
  • Update provider preference and clinic preference documents as necessary


Education and Skills
  • Excellent verbal and written English skills
  • Strong computer skills with the ability to learn and navigate new software quickly
  • Healthcare track (e.g. pre-med, pre-PA, pre-nursing) is preferred
  • Bachelor’s degree strongly preferred with a GPA of 3.00 or greater
  • High School diploma or equivalent required
  • If no college degree, 3+ years of full time work experience strongly preferred
  • Most assignments require a typing speed of at least 60 WPM
  • Some assignments require a typing speed of at least 80 WPM
  • Full-time availability required, Monday-Friday.
  • Spanish-speakers are eligible for a higher pay.


Benefits
  • Opportunity for letters of recommendation from providers
  • Gain patient contact hours
  • Paid time-off on an accrual basis
  • Up to $150/month reimbursement for a healthcare plan
$200 REFERRAL BONUS IF YOUR FRIENDS JOIN SCRIBE-X!
     

What Scribe-X employees say

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