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Remote Utilization Review Rn Jobs in Reston, VA (NOW HIRING)

V-Tech Solutions Inc.

RN Care Manager

Washington, DC · Remote

$36.32 - $46/hr

The RN Care Manager assesses member needs, develops and monitors individualized care plans ... Identify gaps in care and address over- or under-utilization of services * Document care management ...

Central Intelligence Agency

Registered Nurse

Washington, DC · On-site

$103K - $112K/yr

Learn more about this agency Duties Help As a Registered Nurse for CIA, you will have diverse and ... Review our benefits Eligibility for benefits depends on the type of position you hold and whether ...

QTC

Registered Nurse

Mclean, VA

Provide support with chart reviews/documentation, scheduling and confirming appointments, answering ... Passing the NCLEX-RN (National Council Licensure Examination for Registered Nurses) * State nursing ...

Varsity Tutors

NCLEX-RN Tutor

Rockville, MD · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

Leesburg, VA · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

Fairfax, VA · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

Alexandria, VA · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

Washington, DC · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

College Park, MD · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

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All JobsUtilization Review Rn JobsRemote Utilization Review Rn JobsRemote Utilization Review Rn Jobs in Reston, VA

Remote Utilization Review Rn information

See Reston, VA salary details

$22

$43

$71

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

As of Sep 3, 2026, the average hourly pay for remote utilization review rn in Reston, VA is $43.99, according to ZipRecruiter salary data. Most workers in this role earn between $34.76 and $50.53 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 Reston, VA?

For Remote Utilization Review Rn jobs in Reston, VA, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Review Rn jobs in Reston, VA look for?

The top searched job categories for Remote Utilization Review Rn jobs in Reston, VA are:

What cities near Reston, VA are hiring for Remote Utilization Review Rn jobs?

Cities near Reston, VA with the most Remote Utilization Review Rn job openings:

Remote Utilization Review Rn jobs near you
Infographic showing various Remote Utilization Review Rn job openings in Reston, VA as of August 2026, with employment types broken down into 80% Full Time, and 20% Contract. Highlights an 100% Remote job distribution, with an average salary of $91,496 per year, or $44 per hour.

RN Care Manager

V-Tech Solutions Inc.

Washington, DC • Remote

$36.32 - $46/hr

Contractor

Re-posted 5 days ago

Job description

Position Summary

V- Tech Solutions is seeking a Registered Nurse (RN) Care Manager to provide comprehensive care coordination services for children and young adults with special healthcare needs. The RN Care Manager assesses member needs, develops and monitors individualized care plans, coordinates services, and collaborates with families, providers, and community partners to improve health outcomes and quality of life.

Key Responsibilities:
  • Manage a caseload of members with high-complexity medical and behavioral health needs
  • Conduct health assessments, outreach, and community or home visits
  • Develop, implement, and monitor individualized care plans based on acuity
  •  Coordinate care with physicians, specialists, caregivers, and multidisciplinary teams
  • Support hospital discharge planning and transitions of care
  •  Educate members and caregivers on conditions, medications, and self-management. Identify gaps in care and address over- or under-utilization of services
  • Document care management activities accurately and timely per  policy
Education & Experience
  •  Associate's Degree in Nursing required (Bachelor's Degree preferred)
  • Minimum 2 years of experience in care management, discharge planning, home health, or managed care
  • At least 1 year of experience in a public or community health setting
Licensure & Certification:
  • Active Registered Nurse (RN) license in Washington, DC (required upon hire)
  • Certified Case Manager (CCM) preferred
Key Skills:
  • Care coordination and case management
  • Clinical assessment and care planning
  • Discharge planning and care transitions
  •  Knowledge of disease processes and standards of care
  •  Community resource navigation
  • Electronic health record documentation
  • Strong written, verbal, and interpersonal communication
  • Time management and organizational skills
  • Cultural competence and family-centered care
Work Environment

Hybrid position with office-based and community-based work.