ZipRecruiter

Log In

2

Remote Utilization Review Rn Jobs in Rio Rancho, NM

Varsity Tutors

NCLEX-PN Tutor

Albuquerque, NM · Remote

$18 - $40/hr

... RN scope questions, pharmacology calculations, and managing anxiety with the adaptive testing format. Adapts instruction using NCLEX-PN specific practice question banks, content review focused on ...

Intercare Therapy

Behavior Analyst

Albuquerque, NM · Remote

$45/hr

Starting at $45  This is a full time hourly remote position. Hours will be scheduled based on ... Supervise and train Registered Behavior Technicians (RBTs) and other support staff * Collect and ...

Intercare Therapy

Behavior Analyst

Albuquerque, NM · Remote

$45/hr

Starting at $45  This is a full time hourly remote position. Hours will be scheduled based on ... Supervise and train Registered Behavior Technicians (RBTs) and other support staff * Collect and ...

Magellan Health, Inc.

Care Coordinator - NM

Albuquerque, NM · On-site +1

$17.50 - $23.75/hr

This position is remote within New Mexico. Coordinates care of individual clients with application ... RN - Registered Nurse, State and/or Compact State Licensure - Care MgmtCare Mgmt Salary Range ...

New

next page

Showing results 1-20

All JobsUtilization Review Rn JobsRemote Utilization Review Rn JobsRemote Utilization Review Rn Jobs in Rio Rancho, NM

Remote Utilization Review Rn information

See Rio Rancho, NM salary details

$20

$40

$65

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

As of Jul 12, 2026, the average hourly pay for remote utilization review rn in Rio Rancho, NM is $40.01, according to ZipRecruiter salary data. Most workers in this role earn between $31.63 and $45.96 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 Rio Rancho, NM? For Remote Utilization Review Rn jobs in Rio Rancho, NM, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in Rio Rancho, NM look for? The top searched job categories for Remote Utilization Review Rn jobs in Rio Rancho, NM are:
What cities near Rio Rancho, NM are hiring for Remote Utilization Review Rn jobs? Cities near Rio Rancho, NM 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 Rio Rancho, NM as of July 2026, with employment types broken down into 86% Full Time, 11% Part Time, and 3% Contract. Highlights an 40% Physical, 4% Hybrid, and 56% Remote job distribution, with an average salary of $83,222 per year, or $40 per hour.
Remote BCBA - Board Certified Behavior Analyst (BCBA)

Remote BCBA - Board Certified Behavior Analyst (BCBA)

Intercare Therapy

Albuquerque, NM • Remote

$45/hr

Full-time

Re-posted 18 days ago

Intercare Therapy rating

7.1

Company rating: 7.1 out of 10

Based on 14 frontline employees who took The Breakroom Quiz

Job description

Overview & Requirements
Hourly Compensation: Starting at $45

This is a full-time remote position with hourly pay. Your working hours will be arranged according to client needs and your availability. A minimum of five weekdays is required, with at least two time slots available (8am-12pm, 12pm-3pm, or 3pm-7pm). Your caseload will be coordinated with Regional Clinical Directors and/or the Senior Managing Director of ABA Client Intake, Admissions, and Planning.

Qualifications:
  • Master’s degree in Applied Behavior Analysis, Psychology, Education, or a related discipline
  • Active BCBA certification from the Behavior Analyst Certification Board (BACB)
  • State licensure as a behavior analyst (if required in your state)
  • At least 2 years of experience delivering ABA therapy to individuals with autism
  • Familiarity with various assessment tools and ABA techniques
  • Exceptional communication and interpersonal skills
  • Strong organizational and time management skills
About Us:
Our organization is a prominent provider of Applied Behavior Analysis (ABA) services, focused on enhancing the lives of individuals with autism spectrum disorders and other developmental challenges. We are dedicated to offering high-quality, evidence-based interventions through a team of qualified professionals.

Position Summary:
We are looking for a dedicated and experienced Board-Certified Behavior Analyst (BCBA) to join our team in a full-time remote capacity. In this position, you will be tasked with designing, implementing, and supervising behavior analytic services for clients with autism and related conditions. Occasional travel to client sites, supervision locations, and team meetings may be required.

Reports To: Regional Clinical Director

Main Responsibilities:
  • Conduct assessments and create personalized treatment plans
  • Implement and oversee ABA therapy programs
  • Provide remote supervision and consultation to clients and their families
  • Train and supervise Registered Behavior Technicians (RBTs) and other support personnel
  • Collect and analyze data to track client progress
  • Collaborate with families, caregivers, and other professionals
  • Maintain accurate and timely documentation
  • Engage in team meetings and case reviews
  • Stay updated on the latest research and best practices in ABA therapy
  • Ensure adherence to ethical standards and regulatory guidelines
  • Travel to client homes, schools, or clinical sites as necessary (approximately 20-30% travel required)
  • Ability to work independently as well as part of a team
  • Proficient in using electronic health record systems

What Intercare Therapy employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom