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Remote Utilization Review Rn Jobs in Roanoke, VA

NCLEX-RN Tutor

Salem, 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 ...

NCLEX-RN Tutor

Blacksburg, 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 ...

NCLEX-PN Tutor

Salem, VA · 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 ...

NCLEX-PN Tutor

Blacksburg, VA · 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 ...

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Remote Utilization Review Rn information

See Roanoke, VA salary details

$20

$40

$66

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 Roanoke, VA is $40.94, according to ZipRecruiter salary data. Most workers in this role earn between $32.36 and $47.02 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 Roanoke, VA?

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

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

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

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

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

Infographic showing various Remote Utilization Review Rn job openings in Roanoke, VA as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $85,161 per year, or $40.9 per hour.

Remote Collaborative Practice Nurse / RN Sr

The US Oncology Network

Roanoke, VA • On-site, Remote

Full-time

Re-posted 5 days ago


US Oncology rating

7.1

Company rating: 7.1 out of 10

Based on 109 frontline employees who took The Breakroom Quiz

378th of 898 rated healthcare providers


Job description

Overview

Blue Ridge Cancer Care is seeking an experienced and highly motivated Collaborative Practice Nurse (CPN) to support oncology patients across the continuum of care. The CPN serves as a clinical resource and care coordinator, partnering closely with providers, nursing teams, and interdisciplinary staff to improve patient outcomes, enhance the patient experience, and support value-based care initiatives.
This role focuses on proactive patient management, care coordination, symptom assessment, patient education, and navigation of complex clinical needs. The ideal candidate is a strong communicator, critical thinker, and patient advocate who thrives in a collaborative environment and is passionate about delivering high-quality oncology care.
Work Location Options
This position offers flexibility to meet both organizational and employee needs:
Fully Remote: Candidates may work remotely from anywhere within the United States.
Hybrid: Candidates who prefer a combination of remote and on-site work may choose a hybrid schedule based on business needs and location.


Responsibilities

Respond promptly to patient inquiries via calls, portal messages, and emails, ensuring timely communication and intervention.

  • Utilize open-ended questions and computerized algorithms/pathways to assess and manage a wide range of patient symptoms and side effects, documenting all interventions thoroughly to maintain comprehensive medical records.

  • Determine the urgency of patient symptoms/side effects, aggressively managing them to prevent unnecessary emergency department and hospital utilization.

  • Collaborate with physicians through electronic communication, face-to-face meetings, or phone calls for cases requiring emergency care that cannot be addressed independently through standard protocols.

  • Coordinate with providers to facilitate outpatient clinic visits for patients when appropriate, ensuring continuity of care.

  • Prepare, organize, and lead Patient Care Conferences (huddles), communicating interventional outcomes to the full care team efficiently.

  • Perform assessments for patient risk stratification, basic psychosocial assessments, and provide emotional support, delegating or making referrals for further screening and support as needed.

  • Develop and implement nursing diagnoses and corresponding action plans, supporting oral chemotherapy education, adherence, and side effect monitoring.

  • Engage in survivorship and advance care planning visits, making necessary referrals to support patient needs.

  • Participate in research, quality, and performance improvement initiatives, including reporting on navigation metrics, while supporting patient advocacy and empowerment.

  • Serve as a mentor/preceptor, providing guidance to less experienced nurses and performing other duties as required.

  • Identify potential and real gaps in care delivery, seeking opportunities to address and close these gaps.

  • Stay informed on practice operations guidelines, healthcare economics, value-based care, and quality programs, with travel to outlying clinics as needed based on care team requests.


Qualifications
    • Bachelor’s prepared Registered Nurse (BSN) preferred, Oncology Certification (OCN) a plus, Nurse Navigator Certification a plus

    • 5 (five) years work experience as a Registered Nurse. Oncology experience preferred.

    Critical Skills:

    • Demonstrated leadership, interpersonal, collaboration, communication, and active listening skills  

    • Ability to apply the full nursing process in day-to-day clinical operations, including assessment, analysis and nursing diagnosis, care planning, implementation and outcomes evaluation

    • Ability to assess health disparities, identify needs of populations and cultures found within the general facility service area, describe a patient navigation process to address those needs, and document outcomes

    • Highly adaptable due to shifting priorities around value-based care/quality program requirements; ability to prioritize and re-prioritize quickly

    • Strong organizational, critical thinking, and follow-through skills

    • Ability to apply and/or oversee care coordination in conjunction with the multidisciplinary team

    • Strong verbal and written communication skills

    • Ability to problem-solving cross-functionally or independently, and know when to pull in leaders or other care team members to come up with a solution

    • Thrives in a team environment; embraces teamwork, but also enjoys and is successful at working independently

    Additional Knowledge/Skills

    • Working computer, Microsoft, and internet skills, including an electronic EMR system

    • Basic knowledge of local community resources

    PHYSICAL DEMANDS:

    The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range.

    -Required to lift and assist patients as requested.

    WORK ENVIRONMENT:

    The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology/hematology clinic environment may occur.

    Salary Scale:  The general pay scale for this position at BRCC is $62,933.07 - $96,824.00. The actual hiring rate is dependent on many factors, including but not limited to prior work experience, education, job/position responsibilities, location, work performance, etc. 

Qualifications:
    • Bachelor’s prepared Registered Nurse (BSN) preferred, Oncology Certification (OCN) a plus, Nurse Navigator Certification a plus

    • 5 (five) years work experience as a Registered Nurse. Oncology experience preferred.

    Critical Skills:

    • Demonstrated leadership, interpersonal, collaboration, communication, and active listening skills  

    • Ability to apply the full nursing process in day-to-day clinical operations, including assessment, analysis and nursing diagnosis, care planning, implementation and outcomes evaluation

    • Ability to assess health disparities, identify needs of populations and cultures found within the general facility service area, describe a patient navigation process to address those needs, and document outcomes

    • Highly adaptable due to shifting priorities around value-based care/quality program requirements; ability to prioritize and re-prioritize quickly

    • Strong organizational, critical thinking, and follow-through skills

    • Ability to apply and/or oversee care coordination in conjunction with the multidisciplinary team

    • Strong verbal and written communication skills

    • Ability to problem-solving cross-functionally or independently, and know when to pull in leaders or other care team members to come up with a solution

    • Thrives in a team environment; embraces teamwork, but also enjoys and is successful at working independently

    Additional Knowledge/Skills

    • Working computer, Microsoft, and internet skills, including an electronic EMR system

    • Basic knowledge of local community resources

    PHYSICAL DEMANDS:

    The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range.

    -Required to lift and assist patients as requested.

    WORK ENVIRONMENT:

    The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology/hematology clinic environment may occur.

    Salary Scale:  The general pay scale for this position at BRCC is $62,933.07 - $96,824.00. The actual hiring rate is dependent on many factors, including but not limited to prior work experience, education, job/position responsibilities, location, work performance, etc. 

Education:UNAVAILABLEEmployment Type: FULL_TIME

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