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Remote Utilization Review Rn Jobs in Rochester, MN

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 ...

Minimum 1 year of experience in clinical nutrition as a Registered Dietitian , specifically working ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...

Minimum 1 year of experience in clinical nutrition as a Registered Dietitian , specifically working ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...

Minimum 1 year of experience in clinical nutrition as a Registered Dietitian , specifically working ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...

Senior Accountant

Rochester, MN · Remote

$72K - $90K/yr

We currently operate four nurse-managed clinics, two mobile medical units, and two victim advocacy ... We are searching for a Full-time Remote Senior Accountant to join our Rochester, MN team. The ...

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 Aug 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 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 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 Rochester, MN?

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

What cities near Rochester, MN are hiring for Remote Utilization Review Rn jobs?

Cities near Rochester, MN with the most Remote Utilization Review Rn job openings:

Infographic showing various Remote Utilization Review Rn job openings in Rochester, MN as of August 2026, with employment types broken down into 14% As Needed, and 86% Full Time. Highlights an 100% Remote job distribution, with an average salary of $89,397 per year, or $43 per hour.

$65K - $95K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 27 days ago


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Job description

We are seeking an MDS Nurse to join our clinical team and float between our Minnesota Skilled Nursing Facilities. The MDS Nurse is responsible for planning and organizing the MDS/RAI process in coordination with the RAI/PPS Coordinator.  This position assures compliance with all State and Federal MDS transmission requirements. The MDS Nurse is responsible for collaborating with Clinical and Administrative staff regarding issues relative to the Resident Assessment Instrument (RAI) process.

Compensation: $65,000-$95,000 (Based on years of experience) 

Schedule: Monday-Friday *Hours will vary (PRN/On Call status) *Remote or Onsite 

Locations:

Rochester Homestead Rehab & Living Center- 1900 Ballington Blvd NW, Rochester, MN 55901

Anoka Homestead Rehab & Living Center- 3000 N 4th Ave, Anoka, MN 55303

*Potential for remote work in Florida and Colorado

(Applicant must be willing to travel to MN sites on an as needed basis)

Employer/Employee Benefits:

  • Medical, Dental and Vision insurance
  • Health Savings Account (HSA)
  • Flexible Saving Account (FSA) 
  • 403(b) - with discretionary contribution 
  • Paid Vacation/Sick Time

Benefits with minimal to no cost to employees: 

  • Scholarships
  • Employee Assistance Program (EAP)
  • Wellness program
  • Life insurance (with an option to purchase additional)
  • Short term disability 
  • Loan program
  • Ministry Program
  • NetSpend – Get paid early: Tap into 50% of your earnings before payday

Essentials:

Assessment and Documentation:
• Complete assigned MDS assessments and Care Area Assessments (CAAs) accurately and within regulatory timeframes using the RAI manual.
• Complete nursing sections of the MDS and ensure timely completion of interdisciplinary sections in collaboration with other departments.
• Use direct observation, clinical interviews, chart audits, and staff communication to support accurate documentation.
• Follow and update the facility’s MDS schedule and tracking systems under the direction of the MDS Coordinator.


Regulatory Compliance and Data Integrity:
• Ensure assessments are completed and submitted per federal and state regulations and organizational policies.
• Review validation reports and correct error or inconsistencies as needed.
• Track assessment completion and submission status; notify the MDS Coordinator of the delays or problems.
• Assist with identifying documentation gaps or inaccuracies that impact Quality Reporting Program (QRP) scores.

Collaboration and Support:
• Collaborate with the interdisciplinary team as need to clarify clinical details and support accurate documentation.
• Notify the MDS Coordinator of significant findings, challenges, or issues related to assessments or resident status.
• Provide support in the absence of the MDS Coordinator, including participation in meetings and managing assessment processes.

Education and Training:
• Complete assigned trainings and certifications (e.g., MDS Essentials, Medicare Basics, ICD-10-CM, RAC-CT).
• Attend required in-services, meetings, and educational sessions relevant to the MDS role.
• Participate in training and educational efforts related to MDS/RAI processes as directed.


Professionalism and Collaboration:
• Demonstrate sound judgement, independence, and prioritization in managing responsibilities.
• Build strong working relationships across disciplines with external partners (e.g., hospitals, payers).
• Represent the MDS role professionally and collaboratively within the organization.
• Actively

Required Qualifications

Licensure: Active and unencumbered license as a Licensed Practical Nurse (LPN) or Registered Nurse (RN). Ability and willingness to obtain licensure in Colorado, Florida, and Minnesota.

Willingness to travel between Minnesota locations as needed

Experience: Minimum of two (2) years of nursing experience in a skilled nursing facility (SNF). At least one (1) year of experience working directly with MDS is strongly preferred.

Certifications: Resident Assessment Coordinator – Certified (RAC-CT) certification required or must be obtained within six (6) months of hire.


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