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Remote Utilization Review Rn Jobs in Raleigh, NC

Referral Allocation Coordinator

Durham, NC · Remote

$17.50 - $22.75/hr

... RN, or LPN. This is a night shift position that requires three to four 12-hour shifts and on-call ... Utilizes medical information from remote EMR access to obtain and review available medical records.

Referral Allocation Coordinator

Raleigh, NC · Remote

$17.50 - $22.75/hr

... RN, or LPN. This is a night shift position that requires three to four 12-hour shifts and on-call ... Utilizes medical information from remote EMR access to obtain and review available medical records.

Referral Allocation Coordinator

Chapel Hill, NC · Remote

$15.25 - $20/hr

... RN, or LPN. This is a night shift position that requires three to four 12-hour shifts and on-call ... Utilizes medical information from remote EMR access to obtain and review available medical records.

Referral Allocation Coordinator

Chapel Hill, NC · On-site +1

$15.25 - $20/hr

... RN, or LPN. This is a night shift position that requires three to four 12-hour shifts and on-call ... Utilizes medical information from remote EMR access to obtain and review available medical records.

RN - 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 ...

RN - 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 ...

RN - 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 ...

Clinical Director

Durham, NC · Remote

$90K - $100K/yr

Participate in utilization review meetings, representing patient needs in both clinical and ... Student Loan Repayment - Available for nurses and therapists. * Retirement Benefits - 401(k) plan ...

Bilingual Virtual Patient Navigator - Remote

Durham, NC · Remote

$19.25 - $26.25/hr

Our nurses will provide education about specific disease treatments and resources to empower ... Document review of prescriptions, case notes and appointment results. Adverse Event review and ...

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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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 Jul 14, 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 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 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 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 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:
Infographic showing various Remote Utilization Review Rn job openings in Raleigh, NC as of July 2026, with employment types broken down into 84% Full Time, 11% Part Time, 1% Temporary, and 4% Contract. Highlights an 40% Physical, 4% Hybrid, and 56% Remote job distribution, with an average salary of $85,486 per year, or $41.1 per hour.
Referral Allocation Coordinator

Referral Allocation Coordinator

HonorBridge

Durham, NC • Remote

$17.50 - $22.75/hr

Full-time, Other

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.


Job description

Are you looking to find a career in the medical field that is working to save a life every day or become part of someone's legacy? If so, HonorBridge is seeking a positive, energetic, and highly motivated individual to join our team.

HonorBridge is the largest Organ Procurement Organization in North Carolina. We partner with hospitals, transplant centers and other partners to coordinate the organ and tissue donation process. We are passionate about inspiring our community to register as organ and tissue donors and provide support to the families of those who give the gift of life.

Job Summary:

Due to growth, HonorBridge is recruiting a Referral Allocation Coordinator. In this role, you will facilitate organ donation in the HonorBridge service area by managing organ referrals and completing allocation for local organ donors. Responsibilities for this position include review and management of new and current organ referrals, completing allocation of all organs for transplant for local organ donors, collaborating with the AOC, activating organ staff for clinical activity as directed by the AOC, and completing OPTN required documentation.

The ideal candidate is passionate about our Mission, has an Associate's Degree with a concentration in healthcare field or related and/or possesses 2-3 years' experience in a clinical environment such as EMT, Paramedic, RN, or LPN.

This is a night shift position that requires three to four 12-hour shifts and on-call responsibilities to include weekends and holidays. This position will work primarily remotely from home. Only NC residents will be considered for the position. Reliable cell phone and Internet access is required. Periodic travel to an HonorBridge office for department and office meetings is also required.

What you will do:

  • Contributes to HonorBridge's Mission by being devoted to building connections that save and heal lives through organ and tissue donation.
  • Achieves job functions in alignment with HonorBridge values.
  • Trust – Honor the trust that people place in us.
  • Diversity, Equity & Inclusion – We work as one. We celebrate all.
  • Service – Commit to service excellence.
  • Innovation – Embrace the power of innovation.
  • Passion – Live our passion for healing lives.
  • Builds caring and compassionate relationships.
  • Consistently demonstrates effective communication.
  • Promotes teamwork to ensure success at HonorBridge.
  • Facilitates organ donation by serving as the referral and/or allocation coordinator on call.
  • Takes three to four 12-hour shifts of RAC call per week.
  • Completes initial evaluation of new organ referrals utilizing the potential donor's electronic medical record (EMR) when available.
  • Monitors current organ referrals to determine and evaluate changes in plan of care utilizing EMR review when available and communication with the hospital care team.
  • Works collaboratively with the AOC and activates staff as directed by the AOC for clinical activity.
  • Allocates all available organs deemed suitable for transplant for local organ donors.
  • Communicates information to HonorBridge staff, surgeons, transplant coordinators, and the AOC as needed.
  • Reviews and completes documentation accurately.
  • Reviews new and current active referrals and documents follow-up in HonorBridge' electronic donor chart
  • Completes DonorNet documentation as needed.
  • Initiates and manages organ offers for active donors, in accordance with Organ Procurement and Transplantation Network (OPTN) policies.
  • Completes UNOS required follow-up documentation (Donor Feedback) daily.
  • Completes follow-up for all organ donor cultures when Medical Records Coordinator is unavailable.
  • Maintains EMR access to all available hospitals.
  • Utilizes medical information from remote EMR access to obtain and review available medical records.
  • Maintains confidentiality of all patient and donor/recipient information
  • Participates in meetings as requested by the department manager.
  • Strives to establish and maintain ongoing relationships with all levels of HonorBridge staff and leadership, hospital personnel, transplant center personnel, and physicians on a continual basis.
  • Responds to administrative duties to include internal and external communication, process improvement projects and quality assurance tasks in a timely manner as defined by HonorBridge leadership.

Physical Requirements: Sitting, standing, occasional lifting up to thirty pounds, finger dexterity, hand –eye coordination, and visual acuity.

Work Environment: Full-time position working primarily remote from home with reliable cell phone and Internet access required, on-call responsibilities to include weekends, holidays. Individuals are required to have a private workspace to manage confidential information. The job duties for this primarily remote job include periodic travel to an HonorBridge office for department and office meetings.

What we are looking for:

  • Associate degree with a concentration in healthcare field or related and/or 2-3 years' experience in a clinical (or commensurate) environment such as EMT, Paramedic, RN, or LPN.
  • Licensure, Certification, and/or Registration: CPTC preferred.
  • Demonstrated interpersonal and communication skills.
  • Demonstrated knowledge of medical terminology
  • Ability to manage stress and function in high-pressure situations.
  • Direct clinical knowledge in organ donor management and/or recovery, experience in form completion and documentation, ability to use computers and cellular phones, commitment to organ and tissue donation.
  • Demonstrated knowledge of Microsoft Windows and Microsoft Office.

What's in it for you?

  • Medical, Dental, Vision insurance
  • Health Savings Account
  • Flexible Spending Accounts
  • A matching retirement plan,
  • Paid Sick and Vacation time.
  • Life Balance Account Reimbursement
  • Professional Development and Growth
  • A chance to save a life!
  • Plus, a lot more!