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Remote Utilization Review Rn Jobs in Rochester, MN

MDS Solutions

REMOTE MDS Coordinator

Rochester, MN · Remote

$33.50 - $42.75/hr

Review and verify MDS documentation and charting requirements to support the clinical services ... Nursing Experience in MDS Assessment: 3+ year * RN required * RAC-CT preferred * Thorough ...

MDS Solutions

REMOTE MDS Coordinator

Rochester, MN · On-site +1

$33.50 - $42.75/hr

Review and verify MDS documentation and charting requirements to support the clinical services ... Nursing Experience in MDS Assessment: 3+ year * RN required * RAC-CT preferred * Thorough ...

MDS Solutions

REMOTE MDS Coordinator

Rochester, MN · Remote

$33.50 - $42.75/hr

Review and verify MDS documentation and charting requirements to support the clinical services ... Nursing Experience in MDS Assessment: 3+ year * RN required * RAC-CT preferred * Thorough ...

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 ...

Apply Early

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 ...

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 ...

Apply Early

Pride Health

IT Application Analyst

Rochester, MN · Remote

$51.77/hr

Remote (U.S.) Job Type: 12-Month Contract Start Date: Immediate Job Summary IT Application Analyst ... This applies to direct care staff (Examples: RN, LPN, Nurse Aides, Therapists) referred to Kentucky ...

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 and identifying potential ...

Enara Health

Remote Nutrition Specialist

Rochester, MN · Remote

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

Apply Early

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 and identifying potential ...

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 Jul 7, 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, 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 Rochester, MN? For Remote Utilization Review Rn jobs in Rochester, MN, the most frequently searched job titles are:
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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:
Remote Utilization Review Rn jobs near you

REMOTE MDS Coordinator

MDS Solutions

Rochester, MN • Remote

$33.50 - $42.75/hr

Full-time

Medical, Life, Retirement, PTO

Posted 6 days ago

Job description

MDS Solutions, a division of Key Rehabilitation, is looking for fun, energetic, and self-driven team members to join our remote MDS consulting group.  The role of the Remote MDS Coordinator is to work with our contract partners to plan, organize, and coordinate the completion of the Minimum Data Set (MDS) in accordance with current Federal and State Regulations. If you are looking for something that is flexible and collaborative, come join us!  We thrive on Quality Resident Care.

What do we offer you?

  • Creative, fun, and flexible working environment
  • The following benefits:
  • Competitive salaries and bonuses.
  • Comprehensive health and life insurance.
  • 401K with discretionary match
  • Mileage and licensure reimbursements.
  • Flexible Spending Account and HSA
  • Reasonable working hours.
  • CE opportunities.
  • Paid sick, holiday, and vacation leave.
  • Promotion/Transfer/Advancement opportunities.
  • Meaningful work and job satisfaction.

  • MDS scheduling and coordinating to ensure timeliness of assigned sections of MDS per RAI guidelines, including coordinating care plan development and completion with the interdisciplinary team.
  • Provide Medicare, Medicaid (case mix), and Managed Care oversight to ensure appropriate clinical services are provided and appropriate reimbursement is received for each resident.
  • Develop an individualized, comprehensive resident care plan in collaboration with the interdisciplinary team to ensure care area triggers are addressed.
  • Ensure care plans are reviewed quarterly and updated as needed to reflect current resident status with individualized problems, goals, and interventions.
  • Review and verify MDS documentation and charting requirements to support the clinical services provided for each resident.
  • Ensure timely submission of all Minimum Data Sets to the state data base and ensures that the necessary follow-up action is taken.
  • Promote highest degree of quality care through QI/QM data with facility team and identify trends to assist facility in advancing facility processes, improve resident outcomes, and optimize reimbursement.

  • Nursing Experience in MDS Assessment: 3+ year
  • RN required 
  • RAC-CT preferred
  • Thorough understanding of PDPM requirements
  • Able to negotiate through EMR and possess strong computer skills
  • Promotes and demonstrates excellence in customer service

Apply