ZipRecruiter

Log In

2

Remote Utilization Review Rn Jobs in Rochester Hills, MI

Henry Ford Health

Inpatient Complex Coder

Troy, MI · Remote

$20.50 - $25/hr

You'll review, analyze, and code diagnostic and procedural information from patient medical records ... notes, nursing documentation, and discharge summaries--to identify all diagnostic and operative ...

Trinityhealth

Specialist Charge -RIO (Remote)

Livonia, MI · Remote

$24.53 - $36.80/hr

Purpose Work Remote Position (Pay Range: $24.5303-$36.7954) Responsible for the data capture ... Assist Nurse Auditor and/or other stakeholders with denial related charge reviews, including ...

previous page

Showing results 41-60

All JobsUtilization Review Rn JobsRemote Utilization Review Rn JobsRemote Utilization Review Rn Jobs in Rochester Hills, MI

Remote Utilization Review Rn information

See Rochester Hills, MI salary details

$19

$38

$63

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

As of Sep 4, 2026, the average hourly pay for remote utilization review rn in Rochester Hills, MI is $38.92, according to ZipRecruiter salary data. Most workers in this role earn between $30.77 and $44.71 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 Rochester Hills, MI?

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

What job categories do people searching Remote Utilization Review Rn jobs in Rochester Hills, MI look for?

The top searched job categories for Remote Utilization Review Rn jobs in Rochester Hills, MI are:

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

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

Remote Utilization Review Rn jobs near you
Infographic showing various Remote Utilization Review Rn job openings in Rochester Hills, MI as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 16% Part Time, 1% Temporary, 2% Contract, and 1% Nights. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $80,950 per year, or $38.9 per hour.

Licensed Clinical Social Worker, Remote

SalvoHealth

Detroit, MI • Remote

Full-time

Re-posted 11 days ago

Job description

Salvo Health is looking for an experienced Lincensed Clinical Social Worker to play an integral role on our care team. 
 
This role will work directly with patients virtually, offering personalized psychosocial support and counseling to patients to reduce symptoms and improve quality of life. The LCSW will empower patients with the knowledge and tools to make lasting behavioral changes that will improve clinical outcomes and overall wellness. You'll serve as one of our patients' primary success partners, with responsibilities including: addressing member health questions, providing relevant educational resources, and fostering positive member accountability.  If you have a passion for patient empowerment through a holistic-based approach to medicine, come join our team!
 
 
Responsibilities:
  • Provide case consultation and collaborate with interdisciplinary care teams.
  • Conduct case management, including assessing patient needs, coordinating care, and connecting patients with community resources.
  • Lead group sessions focused on psychoeducation, stress management, mindfulness, and meditation.
  • Conduct one-on-one patient visits to provide emotional support, stress management techniques, psychoeducation, and coping strategies.
  • Document patient encounters and coordinating follow-up care to support positive health outcomes.
Requirements:
  • LCSW license with licensure to practice in GA, FL, and MI (also open to PA, NY, OH)
  • 2+ years experience as a an LCSW
  • Bachelor's and Master's degrees required 
  • Experience communicating with patients asynchronously preferred
  • Experience with GI conditions or weight management a plus
  • Proficiency in using telehealth platforms and electronic health record (EHR) systems
  • Passion for working with clients to facilitate behavior change by helping them set health goals to effectively manage chronic disease
  • Experience working with patients in a clinic setting preferred
  • Demonstrates a willingness to go above and beyond normal responsibilities to provide the best care possible
  • Excellent interpersonal communication and problem-solving skills
  • Exceptional organizational skills
  • Experience and ability to thrive in a fast-paced, high-growth environment
  • Strong personal computing skills - remote work experience preferred
  • Passion for and commitment to functional medicine approaches

Salvo Health is taking a new approach to help millions of Americans facing chronic health conditions, centered on chronic gut health and metabolic conditions from IBS to obesity. We bring multidisciplinary virtual care to patients at community specialty care practices, particularly GI and hepatology brick & mortar clinics around the US.  We assign each patient a "whole patient" care team and offer daily access to app-based care, using Remote Patient Monitoring ("RPM") and Chronic Care Management ("CCM") to bill. These services are covered by most patient's insurance, both Medicare and commercial.

Salvo represents a major step forward to go beyond episodic appointments to continuous care, and deliver interdisciplinary wraparound care in partnership with the patient's existing specialist.  Salvo customers include over 700 GI physicians who have contracted to bring Salvo to their patients; three of the four largest independent GI practices in the US have chosen Salvo.  
Salvo has raised a Series A investment round from leading healthcare investors who backed innovators such as Livongo, Ro, Brightline, Tia, and others. Salvo care includes a team for each patient of registered dietitians, nurses, and therapist/social workers, for a personalized, multi-month journey to better health.
Salvo offers a competitive salary and health benefits, a remote work environment, flexible time-off, a larger sense of mission, and professional development and entrepreneurial opportunities. At Salvo, you will work alongside a bunch of super talented and friendly people, in a culture of constant innovation, marked by relentless curiosity and a sense of empathy.
Salvo is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
apply for this job

Apply