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Remote Utilization Review Rn Jobs in Roanoke, VA

NCLEX Tutor

Blacksburg, VA · Remote

$25 - $40/hr

Adapts instruction using NCLEX review resources, practice question banks, and clinical scenario analysis to support nursing graduates preparing for first-time licensure as registered nurses or ...

NCLEX Tutor

Salem, VA · Remote

$25 - $40/hr

Adapts instruction using NCLEX review resources, practice question banks, and clinical scenario analysis to support nursing graduates preparing for first-time licensure as registered nurses or ...

Certified Coder RMG

Newport, VA · Remote

$23 - $29.90/hr

FOR APPLICATION REVIEW - PROVIDE YOUR AAPC CERTIFICATION NUMBER ON YOUR APPLICATION OR RESUME This ... remote work eligible for candidates residing in the following states: FL, GA, ID, KS, KY, MS, NC ...

Coder RMG

Newport, VA · Remote

$23 - $29.90/hr

FOR APPLICATION REVIEW - PROVIDE YOUR AAPC CERTIFICATION NUMBER ON YOUR APPLICATION OR RESUME This ... remote work eligible for candidates residing in the following states: FL, GA, ID, KS, KY, MS, NC ...

Coder RMG

Newport, VA · Remote

$23 - $29.90/hr

FOR APPLICATION REVIEW - PROVIDE YOUR AAPC CERTIFICATION NUMBER ON YOUR APPLICATION OR RESUME This ... remote work eligible for candidates residing in the following states: FL, GA, ID, KS, KY, MS, NC ...

Utility Sales Support

VA · Remote

$17.75 - $23.25/hr

While this is a remote position, candidates must be located in the United States. You will be ... Must have knowledge and skill in utilization of computer databases; empower experience preferred

Showing results 21-36

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.

CLINICAL DIETITIAN (CAP I)

Carilion Clinic

Roanoke, VA • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 5 days ago


Carilion Clinic rating

6.8

Company rating: 6.8 out of 10

Based on 217 frontline employees who took The Breakroom Quiz

498th of 898 rated healthcare providers


Job description

Employment Status:Full timeShift:Day (United States of America)Facility:1906 Belleview Ave SE - RoanokeRequisition Number:R158030 CLINICAL DIETITIAN (CAP I) (Open) How You'll Help Transform Healthcare:Sign on Bonus Eligible: $15,000 per applicable guidelines (external applicants only)
We are seeking Registered Dietitians to join our growing nutrition team. Monday to Friday flexible schedule with 1-day/week remote work available. Weekend coverage 6-7 times per year (not applicable to prn positions).
Coverage areas available:
-Roanoke, VA
-Christiansburg, VA
-Tazewell, VA
-Some remote/virtual options available
Practice opportunities include:
-Inpatient clinical nutrition, including multiple service lines and ICU/critical care coverage
-Outpatient nutrition counseling
-Additional pediatric coverage options available if preferred
We are a Level 1 Trauma Center experiencing continued growth and expansion of services. Our team values collaboration, evidence-based practice, and professional development. Located in the beautiful Blue Ridge Mountains, we offer a supportive work environment. New graduates and experienced RDs are encouraged to apply.
Job description may include (based on position covered): The Clinical Dietitian plans and provides medical nutrition therapy and client education for inpatients and outpatients ranging from neonates to geriatrics. Conducts individualized nutrition assessment and evaluation and implements appropriate medical nutrition therapy approaches. Provides advanced and specialized nutrition support and communicates recommendations for changes in patient treatment plan to physicians and hospital staff, Documents recommendations and monitors changes and patient outcomes. Facilitates the development and implementation of policies, procedures, and protocols related to nutrition care. Evaluates and tracks data for outcomes and related performance improvement measures and makes recommendations to improve quality. Develops and oversees patient and staff educational materials regarding evidence-based medical nutrition therapy. Serves as the nutrition resource to the healthcare team.
  • Responds to inpatient consults and outpatient referrals and establishes appropriate plan of care.
  • Evaluates the nutritional status of inpatients and outpatients of all ages and recommends appropriate nutrition intervention based on the age-specific patient population. Applies knowledge of growth and development to appropriately assess patients of all ages.
  • Develops, implements, and documents in the medical record, the nutritional plan of care in collaboration with other health care providers with follow-up. Documents results of assessments, intervention recommendations and nutritional progress in the medical record.
  • Identifies and documents evidence-based criteria to support a physician's diagnosis of malnutrition. Coordinates documentation with Clinical Documentation Integrity medical coders to accurately reflect clinical care.
  • Calculates, evaluates, and documents the assessment of specialized and advanced enteral and parenteral nutrition support according to ASPEN guidelines.
  • Collaborates with inpatients and outpatients to identify individualized educational needs. Coordinates individual and group instructional activities.
  • Serves as the nutrition educator for individuals and groups; plans and provides presentations for the public, civic organizations, business and industry, and healthcare care providers (i.e., medical students, residents, physicians, nurses, and staff members) regarding nutrition topics. Conducts media interviews and writes articles for publication. May serve as clinical preceptor for dietetic interns.
  • Collaborates with physicians and other members of the healthcare team to develop and implement evidence-based nutrition protocols, as well as educational programs and materials to meet the needs of the target population. Actively participates in multidisciplinary team meetings established for inpatient units. Acts as a liaison between nutrition services and other departments.
  • Cooperates with management and staff to meet the goals and objectives of the department.
  • Develops and executes performance improvement and quality assurance projects with Director of Clinical Nutrition.
  • Monitors and reports quality and productivity on a regular and timely basis. Assists the Director of Clinical Nutrition in coordinating activities of flex resource staff.
What We Require:

Education: Bachelor of Science Degree in Nutrition or Dietetics or equivalent 4 years of experience required for anyone who graduated before January 1, 2024. Master's degree is required for new Registered Dietitians (RDs) who graduated after January 1, 2024.

Experience: Completion of an American Dietetic Association approved internship or clinical experience required.
Licensure/Certification: Registered Dietitian Nutritionist (R.D.N.); Certified Diabetes Educator (C.D.E.) desired for the Diabetes Education Program for Critical Care, Oncology and Trauma Services, Certified Nutrition Support Clinician (C.N.S.C.) preferred. Registration eligible to become an RDN required, must work under the supervision of an RDN, registration to be attained within 90 days of hire.
Other: Effective interpersonal, communication and teamwork skills required. Keyboarding skills required for automated computer systems, including electronic medical records. Must successfully complete orientation and competency for position.

This job description is only meant to be a representative summary of the major responsibilities and accountabilities performed by the incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.

Compensation Range:

$53,601.60 - $80,412.80

Employee pay is based on a variety of factors, including qualifications, credentials, education, and prior work experience. The compensation range does not include benefits or pension plan.

Recruiter:

TAMIKA RICKMAN

Recruiter Email:

tdrickman@carilionclinic.org

For more information, contact the HR Service Center at 1-800-599-2537.

Carilion Clinic is an Equal Opportunity Employer: We provide equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, national origin, age (40 or older), disability, genetic information, or veterans status. Carilion is a Drug-Free Workplace. For more information or for individuals with disabilities needing special assistance with our online application process contact Carilion HR Service Center at 800-599-2537, 8:00 a.m. to 4:30 p.m., Monday through Friday.

For more information on E-Verify: https://www.carilionclinic.org/eoe-e-verify-and-right-work-policies

Benefits, Pay and Well-beingat Carilion Clinic

Carilion understands the importance of prioritizing your well-being to help you develop and thrive. That's why we offer a well-rounded benefits package, and many perks and well-being resources to help you live a happy, healthy life - at work and when you're away.


When you make your tomorrow with us, we'll enhance your potential to realize the best in yourself.Below are benefits available to you when you join Carilion:


  • Comprehensive Medical, Dental, & Vision Benefits
  • Employer Funded Pension Plan, vested after five years (Voluntary 403B)
  • Paid Time Off (accrued from day one)
  • Onsite fitness studios and discounts to our Carilion Wellness centers
  • Access to our health and wellness app, Personify Health
  • Discounts on childcare
  • Continued education and training

What Carilion Clinic employees say

Pay

Benefits

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Workplace

Get the full story on Breakroom


Carilion Clinic logo

About Carilion Clinic

Sourced by ZipRecruiter

This is Carilion Clinic ... An organization where innovation happens, collaboration is expected and ideas are valued. A not-for-profit, mission-driven health system built on progress and partnerships. A courageous team that is always learning, never discouraged and forever curious. Headquartered in Roanoke, Va., you will find a robust system of award winning hospitals, Level 1 and 3 trauma centers, Level 3 NICU, Institute of Orthopedics and Neurosciences, multi-specialty physician practices, and The Virginia Tech Carilion School of Medicine and Research Institute. Carilion is where you can make your own path, make new discoveries and, most importantly, make a difference. Here, in a place where the air is clean, people are kind and life is good. Make your tomorrow with us.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Roanoke, VA, US

Year founded

1899