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Remote Utilization Review Rn Jobs in Rochester, MN

DataAnnotation

Registered Nurse - AI Trainer

Rochester, MN · Remote

$50 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

PRIDE Healthcare

Inpatient CDI Specialist

Rochester, MN · Remote

$50 - $60/hr

Review inpatient medical records concurrently and retrospectively to ensure accurate clinical ... Registered Nurse * Registered Respiratory Therapist Company Description Pride Health offers ...

DataAnnotation

RN - AI Trainer

Rochester, MN · Remote

$50 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

Scribe-X

Remote Medical Scribe

Rochester, MN · Remote

$14 - $17/hr

Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a ... Review completed charts with the provider between patients or at the completion of shift * Update ...

Ngalame Empower Psychiatry

Be Seen First

PMHNP-Remote, Part time/Full Time

Rochester, MN · Remote

$72K - $160K/yr

Valid and unrestricted APRN License in MN * Graduation from an accredited PMHNP program with a Masters/DNP degree * Must hold an Active DEA in the state of MN * Autonomous Practice PMHNP * Experience ...

Ngalame Empower Psychiatry

Be Seen First

PMHNP-Remote, Part time/Full Time

Rochester, MN · Remote

$72K - $160K/yr

Valid and unrestricted APRN License in MN * Graduation from an accredited PMHNP program with a Masters/DNP degree * Must hold an Active DEA in the state of MN * Autonomous Practice PMHNP * Experience ...

Enara Health

Remote Nutrition Specialist

Rochester, MN · Remote

$26 - $36/hr

Minimum 1 year of experience in clinical nutrition as a Registered Dietitian , specifically working ... reviewing applications, analyzing resumes, or assessing responses. These tools assist our ...

Enara Health

Remote Nutrition Specialist

Rochester, MN · On-site +1

$26 - $36/hr

Minimum 1 year of experience in clinical nutrition as a Registered Dietitian , specifically working ... reviewing applications, analyzing resumes, or assessing responses. These tools assist our ...

City of Rochester

Energy Market Analyst

Rochester, MN · On-site +1

$103K - $151K/yr

This position may be eligible for remote work up to two days a week after the initial 6-month ... Understand and review MISO settlement statements with Manager Perform other duties as assigned or ...

Apex Systems

Data Engineer x2

Rochester, MN · Remote

$116K - $139K/yr

Rochester, Minnesota (Remote) Role Overview We are seeking a Data Engineer to gain access to data ... Perform periodic data quality reviews for internal and external data. * Complete final ...

All JobsUtilization Review Rn JobsRemote Utilization Review Rn JobsRemote Utilization Review Rn Jobs in Rochester, MN

Remote Utilization Review Rn information

See Rochester, MN salary details

$21

$42

$70

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

As of Jun 16, 2026, the average hourly pay for remote utilization review rn in Rochester, MN is $42.98, according to ZipRecruiter salary data. Most workers in this role earn between $33.94 and $49.38 per hour, depending on experience, location, and employer.

What is the meaning of the word remote?

In the context of a Remote Utilization Review RN job, 'remote' refers to working outside of a traditional office setting, often from home or another location of the employee's choice. This setup typically involves using digital tools and communication platforms to perform job duties without being physically present in an office environment.

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 meaning of remote in one word?

In the context of a Remote Utilization Review RN role, 'remote' means working from a location outside of a traditional office, typically from home, using digital communication tools. It emphasizes flexibility and virtual access to work systems without physical presence at a healthcare facility.

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.

How to make 2000 a week working from home?

A Remote Utilization Review RN can potentially earn $2,000 weekly by working full-time hours, often 40 hours per week, and gaining experience or certifications that allow for higher billing rates. Increasing income may involve taking on additional cases, specializing in high-demand areas, or working for agencies that offer competitive pay for remote utilization review roles.

What is remote job?

A remote Utilization Review RN job is a healthcare position where the nurse reviews patient cases and insurance claims from a location outside of a traditional office, often working from home. It requires strong communication skills, knowledge of medical documentation, and familiarity with electronic health record systems, with flexible schedules common in remote roles.

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.
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Remote Utilization Review Rn jobs near you
PRN Remote MDS Coordinator Minnesota

PRN Remote MDS Coordinator Minnesota

Eden Senior Care

Rochester, MN • Remote

$36 - $43/hr

Part-time

Posted 27 days ago

Job description

Eden Senior Care, founded in 2016, is a growing Healthcare Management company focused on managing and operating Skilled Nursing, Rehabilitation, and Assisted Living communities in Minnesota, Wisconsin, Ohio, Pennsylvania and Illinois. Our mission with each community is to support their success by providing strong leadership, corporate support, and the resources and tools to realize their goals. Eden promotes and encourages the success of each of its employees and values the individual experience of its guests and their families.


Position: PRN Remote MDS Coordinator Minnesota

We are seeking a PRN Remote MDS Coordinator to support our six Minnesota facilities. This is an as‑needed remote position, ideal for an experienced MDS professional well‑versed in clinical reimbursement processes. While the role is primarily remote, any on‑site availability would be a valued plus, though not required.

Preferably located in the Minnesota area. Candidates must hold a Minnesota RN license, as Minnesota is not part of the Nurse Licensure Compact.


Qualifications:

  • Must have an active RN license in Minnesota
  • Active RN license in Illinois and Wisconsin is a plus
  • Minimum 3 years of MDS experience preferred
  • Strong knowledge of ICD-10 coding, RAI Manual, and Medicare Chapter 8 guidelines
  • Proficient in PointClickCare (PCC)
  • Strong organizational, written, and verbal communication skills
  • Experience with Excel, Microsoft Teams, and Zoom is a plus

Key Responsibilities:

  • MDS scheduling, setup, and completion
  • Manage new admission authorizations, updates, and communication with families, insurance providers, and case managers
  • Perform ICD-10 coding for new admissions and ongoing updates for LTC residents
  • Participate in the development and review of resident care plans
  • Attend and communicate with families and residents regarding care plans, insurance, and discharge needs
  • Educate the Interdisciplinary Team (IDT) on MDS requirements and skilled care services
  • Ensure proper documentation through staff education and audits
  • Support Quality Measures and the QAPI process
  • Conduct chart reviews and audits as needed
  • Assist the IDT during survey processes

Keywords:

MDS, Reimbursement, RAI, Minimum Data Set, Medicare, Insurance, Medicaid, RNAC, AANAC, RAC-CT, RNAC-CE