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Remote Utilization Review Rn Jobs in Santa Fe, NM

Licensed Registered Dietitian

Santa Fe, NM ยท Remote

$75K - $80K/yr

Collaborate with a multidisciplinary team of GI physicians, NP/PAs, and psychologists to ensure a ... Remote-first flexibility -- work from home anywhere within our accepted states * Growth:

Audit Senior

Santa Fe, NM ยท On-site +1

$70K - $100K/yr

Supervise, train, and mentor junior audit staff; review workpapers and provide constructive ... firm utilization and profitability goals. Qualifications * Bachelors degree in Accounting or ...

PROGRAM ANALYST

Santa Fe, NM ยท On-site +1

$62K - $81K/yr

Reviews, evaluates and analyzes obligations and expenditures. Prepares directorate or division ... Assists management in interpretation and utilization of reports and information provided. Develops ...

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Remote Utilization Review Rn information

See Santa Fe, NM salary details

$21

$41

$67

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

As of Aug 4, 2026, the average hourly pay for remote utilization review rn in Santa Fe, NM is $41.51, according to ZipRecruiter salary data. Most workers in this role earn between $32.79 and $47.64 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 Santa Fe, NM? For Remote Utilization Review Rn jobs in Santa Fe, NM, the most frequently searched job titles are:
What cities near Santa Fe, NM are hiring for Remote Utilization Review Rn jobs? Cities near Santa Fe, NM with the most Remote Utilization Review Rn job openings:
Infographic showing various Remote Utilization Review Rn job openings in Santa Fe, NM as of July 2026, with employment types broken down into 70% Full Time, 14% Part Time, and 16% Contract. Highlights an 43% Physical, 3% Hybrid, and 54% Remote job distribution, with an average salary of $86,331 per year, or $41.5 per hour.

GI Nurse Practitioner (Arizona, California,New Mexico, Nevada or Utah)

Oshi Health

Santa Fe, NM โ€ข Remote

$125K/yr

Full-time

Re-posted 6 days ago


Job description

GI Expert Nurse Practitioner — Clinical

Reports To: APP Pod Lead

Licenses Currently Held: New Mexico, Nevada, California, Utah or Arizona. Compact/MSL highly desired if applicable

Required Location: New Mexico, Nevada, California, Utah or Arizona

Employment Type: Full-Time

Role Overview

As a GI Expert Nurse Practitioner at Oshi Health, you'll deliver high-quality, virtual-first gastrointestinal care to adults with complex digestive conditions through our telemedicine platform. You'll work alongside a collaborative, multidisciplinary team of GI physicians, dietitians, and behavioral health specialists to provide coordinated, whole-person care that helps patients achieve lasting digestive health improvements. This role is at the heart of our mission — and your clinical expertise will directly change lives.

What You'll Do — Key Responsibilities
  • Deliver virtual patient care in alignment with Oshi's evidence-based care model, including assessment, diagnosis, and treatment planning for GI conditions with a focus on DGBIs, GERD, and IBD via video visits and chat messaging
  • Collaborate with a multidisciplinary team (GI physicians, dietitians, behavioral health specialists, and care coordinators) to implement coordinated, comprehensive care plans
  • Adhere to clinical protocols including ROME IV criteria and AGA and ACG guidelines to ensure high-quality, evidence-based care delivery
  • Document patient interactions accurately and timely within the EHR, maintaining thorough and compliant records
  • Allocate approximately 30 hours per week to direct patient care and 10 hours to documentation, meetings, and administrative responsibilities
  • This is not a traditional 9-5 role — scheduling includes a mix of early morning, evening, and weekend hours to meet patient access needs. Flexibility and willingness to work outside standard business hours is essential
  • Participate in quality improvement, clinical program development, and professional training to stay current in the field of gastrointestinal care
  • Pursue cross-licensure opportunities and maintain good standing with all relevant licenses and certifications
What We're Looking For — Qualifications & Requirements

Required

  • Current licensure as a Certified Registered Nurse Practitioner (CRNP) or Advanced Practice Registered Nurse (APRN) with a Master's or Doctoral degree in Nursing
  • Current certification by ANCC, AANP, or other qualifying agency as an Adult or Family Nurse Practitioner
  • Minimum of 3 years of experience in gastroenterology specialty in an outpatient setting
  • Ability to communicate and collaborate effectively with multidisciplinary care providers including physicians, psychologists, and registered dietitians

Preferred

  • Licensure in 2 additional states desired — candidates must be willing and able to obtain within 60 days of hire
  • Experience with or willingness to learn common administrative and clinical technologies (Zoom, Google Suite, Salesforce, Athena, or equivalent)
  • Prior experience with telehealth platforms
  • Comfort operating in an entrepreneurial or start-up environment with evolving workflows and ambiguity
Compensation & Benefits
  • Salary Range: Competitive, commensurate with experience, with annual bonus eligibility
  • Health Benefits: 90% employee premiums paid for medical, dental, and vision coverage
  • Time Off: 3 weeks paid PTO + 11 paid holidays + 1 floating holiday
  • Retirement: Eligibility to contribute to 401(k)
  • Work Style: Remote-first — work from home anywhere in the US
  • Growth: Advanced training by GI-specialized clinicians and professional development support as we scale
  • Licensure: Cross-licensure support and reimbursement opportunities
  • Life Concierge: Dedicated personal support through Overalls
About Oshi Health

Oshi Health is a virtual digestive health practice on a mission to transform GI care. We combine compassionate, multidisciplinary care with innovative technology to help people with chronic digestive conditions get the answers and relief they deserve. When you join Oshi, you're joining a team — and a mission — that's changing what great healthcare looks like.

Oshi Health is revolutionizing GI care with a digital clinic model that provides easy, convenient access to an integrated and multidisciplinary care team that takes a whole-person approach to diagnosing, managing, and treating digestive health conditions.

We take time to get to know each patient, develop a personalized, whole-person care plan that includes identification of symptom triggers and prescription of evidence-based interventions, including medications, dietary changes, and mental health support.

For Every Oshi Team Member We Want:

  • Genuine passion for improving patient lives and transforming GI care
  • Strong communication skills and emotional intelligence
  • Comfort in a fast-paced, remote-first, mission-driven environment
Compensation Range
$125,000—$125,000 USD

Note: This job description serves as a general overview and may be subject to change based on organizational needs and requirements.

Oshi Health is an equal opportunity employer that is committed to creating a diverse work environment. To do that, we champion a workplace where each and every person is treated with dignity and respect and is valued for their unique perspective and contributions.
Oshi Health's policy is to maintain a working environment that encourages mutual respect, promotes harmonious and congenial relationships between employees, and is free from all forms of discrimination and harassment of any employee (or applicant for employment or service provider) by anyone, including supervisors, co-workers, vendors, or clients. Harassment and discrimination in any manner or form is expressly prohibited. There is no tolerance for discrimination or unequal treatment of any kind on the basis of race, color, religion, creed, gender, sex, sexual orientation, gender identity or expression, pregnancy, sexual and reproductive health decisions, national origin, age, disability, genetic information, marital status or civil partnership/union status, familial status, military or veteran status, predisposition or carrier status, domestic violence victim status, alienage or citizenship status, unemployment status, sexual violence or stalking victim status, caregiver status, or any other characteristic protected by law.

This practice applies to all terms, conditions and privileges of employment including, but not limited to, recruitment, selection, promotion, demotion, transfer, layoff, rehire, termination of employment, development and training, compensation, benefits and retirement.

For more information, visit us at www.oshihealth.com

Oshi Health will never contact job candidates via text message or any other messaging platform including WhatsApp, Signal, and Telegram. All official correspondence will occur through email. We will never ask you to share bank account information, cash a check from us, or purchase software or equipment as part of your interview or hiring process. If you have concerns, please reach out to careers@oshihealth.com, and we'll confirm whether you're engaging with one of our Oshi teammates!