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Remote Utilization Review Rn Jobs in Santa Rosa, CA

ABB

Utility Sales Support

CA · Remote

$17.75 - $23.25/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

While this is a remote position, candidates must be located in the United States. You will be ... Must have knowledge and skill in utilization of computer databases; empower experience preferred

NorthBay Health

Physician, Endocrinology - Napa

Napa, CA · On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... nursing and multiple U.S. News and World Report high performing recognitions. We are committed to ... Remote Work Disclosure NorthBay Health is primarily an onsite organization due to the nature of ...

Medtronic

Principal EP Mapping Specialist - CAS

Santa Rosa, CA · On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

While this is a remote position not located at a physical Medtronic site, the candidate hired will ... Degree in nursing, cardiovascular, life sciences, or technical discipline with minimum of four ...

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All JobsUtilization Review Rn JobsRemote Utilization Review Rn JobsRemote Utilization Review Rn Jobs in Santa Rosa, CA

Remote Utilization Review Rn information

See Santa Rosa, CA salary details

$23

$46

$75

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

As of Aug 18, 2026, the average hourly pay for remote utilization review rn in Santa Rosa, CA is $46.23, according to ZipRecruiter salary data. Most workers in this role earn between $36.54 and $53.08 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 Santa Rosa, CA?

For Remote Utilization Review Rn jobs in Santa Rosa, CA, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Review Rn jobs in Santa Rosa, CA look for?

The top searched job categories for Remote Utilization Review Rn jobs in Santa Rosa, CA are:

What cities near Santa Rosa, CA are hiring for Remote Utilization Review Rn jobs?

Cities near Santa Rosa, CA 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 Santa Rosa, CA as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 14% Part Time, 5% Contract, and 1% Nights. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $96,155 per year, or $46.2 per hour.

Remote Telehealth Nurse Practitioner

Sato Inc

Bodega Bay, CA • Remote

Full-time

Re-posted 3 days ago

Job description

We are seeking a compassionate and experienced Nurse Practitioner to provide high-quality virtual care to patients through telehealth consultations. You will conduct assessments, diagnose and manage conditions, prescribe medications when appropriate, and deliver patient-centered care using our digital platform. This role is ideal for someone who is comfortable working independently, enjoys patient interaction, and is committed to improving access to healthcare.

Responsibilities

  • Conduct virtual patient evaluations, including medical history review and symptom assessment.
  • Diagnose and treat common acute and chronic conditions.
  • Provide patient education, follow-up care, and lifestyle guidance.
  • Prescribe medications in accordance with state and federal regulations.
  • Document all encounters accurately within the electronic health record system.
  • Collaborate with physicians and care teams when escalation is required.
  • Maintain strong communication with patients through messaging, video, and phone.

Requirements

  • Active and unrestricted Nurse Practitioner license in multiple states
  • National board certification (FNP, AGNP, or equivalent).
  • 2+ years of clinical experience preferred.
  • Strong communication skills and comfort with virtual care technology.
  • Reliable internet connection and a private workspace.

What We Offer

  • Flexible scheduling
  • Fully remote work
  • Competitive compensation
  • Supportive clinical and administrative team