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

As of Jul 17, 2026, the average hourly pay for remote utilization review rn in Schenectady, NY is $40.91, according to ZipRecruiter salary data. Most workers in this role earn between $32.31 and $46.97 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.
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Remote Utilization Review Rn jobs near you
Field Clinical Representative - Albany

Field Clinical Representative - Albany

Inspire Medical Systems Inc.

Albany, NY • Remote

$100K - $130K/yr

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 22 days ago

Job description

ABOUT INSPIRE MEDICAL SYSTEMS

Inspire is the first of its kind medical device designed to make a difference in the lives of those living with Obstructive Sleep Apnea (OSA). We are revolutionizing the sleep industry with our FDA-approved medical device, designed to reduce OSA severity for those who cannot tolerate or get consistent benefit from CPAP. Inspire Medical Systems is committed to enhancing patients' lives through sleep innovation. We are steadfast in our commitment to prioritize patient outcomes, act with integrity and lead with respect. With positive persistence at our core, we are committed to all those we serve.

WHY JOIN OUR FAST-GROWING TEAM

At Inspire, we value people – your diverse experiences, backgrounds, and thoughts. We elevate voices and encourage learning opportunities to build a professional network that grows into community. We embrace a people-first culture by offering excellent benefits, 401k matching, ESPP, flexible time off (FTO), and tuition reimbursement.

If you're passionate about making a difference in people's lives and want to work with innovative technology, come be a part of our great team!

ESSENTIAL JOB FUNCTIONS

The Field Clinical Representative provides technical and clinical expertise, educational and field support to ensure the safe adoption of the Inspire therapy and products. The FCR is responsible for working with customers, physicians, clinic staff and Inspire field staff to drive procedural and practice success.

OPPORTUNITIES YOU WILL HAVE IN THIS ROLE

  • Provide technical support during implant procedures and at device activation.
  • Maintain credentials enabling access to assigned hospitals and clinics.
  • Provide technical leadership and education in assigned region to account clinical staff.
  • Provide post-training follow up including procedural reviews, in servicing and support.
  • Assist customers in device troubleshooting.
  • Collaborate with sales personnel on appropriate training/support for targeted customers.
  • Proactively disseminate peer-reviewed scientific and clinical information to customers and assigned sales team as needed.
  • Provide technical expertise for assigned regional education and training activities.
  • Stay current on relevant scientific publications and clinical evidence.

WHAT YOU CAN BRING TO OUR GREAT TEAM

Required:

  • Bachelors' degree and 2+ years of related clinical, healthcare or medical device industry experience (OR) Bachelor's degree and 1+ years applicable Inspire experience (OR) an Associates' degree or Professional Certification and 5+ years of related clinical/healthcare or medical device industry experience.
  • Ability to communicate and collaborate effectively in a clinical setting.
  • Strong computer skills with MS office including PowerPoint and Excel.
  • Problem solving/trouble shooting skills.
  • Ability to travel (including overnights as needed) within territory.

Preferred:

  • Degree in Nursing, Engineering, Science or technical discipline.
  • Previous Operating Room (surgical) coverage with implantable devices.

#LI-Remote

The salary for this position will be offered at a level consistent with the experience and qualifications of the candidate. This information reflects the anticipated salary range for this position at the time of posting. The salary range may be modified in the future and actual compensation may vary from the posting based on various factors such as geographic location, work experience, education and/or skill level.

Salary
$100,000—$130,000 USD

BENEFITS AND OTHER COMPENSATION

Inspire offers a highly competitive benefits package including (general description of the benefits and other compensation offered):

  • Multiple health insurance plan options.
  • Employer contributions to Health Savings Account.
  • Dental, Vision, Life and Disability benefits.
  • 401k plan + employer match.
  • Identity Protection.
  • Flexible time off.
  • Tuition Reimbursement.
  • Employee Assistance program.
  • All employees have the opportunity to participate in the ownership and success of Inspire. Employees at all levels can participate through equity awards and the Employee Stock Purchase Program.

Inspire Medical Systems provides equal employment opportunity (EEO) to all employees and applicants without regard to race, color, religion, creed, sex, national origin, age, disability, marital status, familial status, sexual orientation, status regarding public assistance, membership or activity in a local commission, military or veteran status, genetic information, pregnancy or childbirth, or any other status protected by applicable federal, state, and local laws. This policy applies to all aspects of the employment relationship, including recruitment, hiring, compensation, promotion, transfer, disciplinary action, layoff, return from layoff, training, and social and recreational programs. Inspire Medical Systems complies with applicable laws governing non-discrimination in employment in every location in which Inspire Medical Systems has facilities. All such employment decisions will be made without unlawfully discriminating on any prohibited basis.
Inspire Medical Systems is an equal opportunity employer with recruitment efforts focused on ensuring a diverse workforce. Applicants with a disability that need accommodation to complete the Inspire Medical Systems application process should contact Human Resources at 844-672-4357 or email careers@inspiresleep(dot)com
Inspire Medical Systems participates in E-Verify.