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

Wearlinq

Holter/Cardiac Technologist

Rockville, MD · On-site +1

$22/hr

... RN and LPNs with experience in ECG assessment, evaluation of arrhythmia and a thorough respect for accurate data processing and comprehensive reporting. * A minimum of 1+ years working in a remote ...

WearLinq

Holter/Cardiac Technologist

Rockville, MD · Remote

$22/hr

... RN and LPNs with experience in ECG assessment, evaluation of arrhythmia and a thorough respect for accurate data processing and comprehensive reporting. * A minimum of 1+ years working in a remote ...

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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 Jul 22, 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 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 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 July 2026, with employment types broken down into 74% Full Time, 9% Part Time, and 17% Contract. Highlights an 52% Physical, 3% Hybrid, and 45% Remote job distribution, with an average salary of $91,496 per year, or $44 per hour.
100% Virtual, Part Time, Overnight PMHNP-BC (Remote)

100% Virtual, Part Time, Overnight PMHNP-BC (Remote)

Mindoula Health

Silver Spring, MD • Remote

Part-time

Posted 5 days ago

New

Job description

Are you an experienced PMHNP looking for a part-time, 100% virtual opportunity? Mindoula is dedicated to transforming the behavioral health system. Our approach prioritizes individuals over diagnoses, focusing on holistic care for every person we serve.

We are seeking a dedicated and reliable PMHNP to join our clinical team in a part-time, W-2 capacity. This role offers the flexibility of remote overnight call coverage during the week (with the option to participate in onsite weekend or weekday call and rounding rotations if desired).

Position Overview

The PMHNP will provide virtual overnight weekday call coverage by telephone for one or more partner hospitals. Responsibilities include remote psychiatric consultation, patient assessments, and treatment recommendations in collaboration with onsite clinical teams. Candidates should be comfortable managing risk, exercising sound clinical judgment, and communicating effectively with multidisciplinary staff.

Schedule and Shift Requirements
  • Weekly Commitment: This role requires a minimum commitment of two (2) overnight weekday shifts per week.
  • Friday Rotation: As part of the weekly requirement, providers must work every other Friday as one of their required weekly shifts.
  • Overnight Weekday Call Guidelines:
    • Each hospital covered during an overnight weekday call shift counts as one call shift.
    • Covering two hospitals in the same evening counts as two shifts.
    • Providers may elect to schedule and work additional overnight call shifts beyond the required weekly minimum as shifts become available.
What We're Looking For
  • Board Certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC).
  • Active APRN license in Maryland with current CDS and DEA registrations.
  • Committed to providing compassionate, patient-centered care.
  • Prior experience providing psychiatric evaluation and treatment in inpatient or acute care settings is required.
  • Ability to work independently and communicate effectively with hospital-based clinical teams.
  • Reliable access to phone service and a secure, private environment for confidential calls.
Locations Served
  • TidalHealth Peninsula Regional Medical Center Salisbury, MD
  • MedStar St. Mary's Hospital Leonardtown, MD
  • MedStar Southern Maryland Hospital Center Clinton, MD
  • University of Maryland Capital Region Medical Center Largo, MD
  • Holy Cross Silver Spring Hospital Silver Spring, MD
  • Holy Cross Germantown Hospital Germantown, MD
Why Join Mindoula?

At Mindoula, we know the mental health system needs change (because we've experienced it ourselves). That's why we're building a future where mental health care is more human, holistic, and accessible. We partner with leading hospitals to deliver innovative psychiatric services with compassion at the core. We're more than a team - we're a mission-driven community of clinicians and advocates working to transform psychiatric care for good.

Apply now and become part of something meaningful. Help us reshape the future of psychiatry - one patient, one shift, one life at a time.