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Remote Utilization Review Rn Jobs in Scottsdale, AZ

TEEMA Group

Medical Director

Phoenix, AZ · Remote

... remote administrative operations and 25% (1 day per week) to your own private practice or locum ... Duties & ResponsibilitiesClinical Governance & Utilization Review * Coverage Determinations:

Varsity Tutors

NCLEX-RN Tutor

Mesa, AZ · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

Scottsdale, AZ · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

Gilbert, AZ · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

Tempe, AZ · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

Glendale, AZ · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

Chandler, AZ · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

Phoenix, AZ · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Lincare

Medical Nutrition Spc - Remote

Phoenix, AZ · Remote

$29.25 - $39.25/hr

Conducts nutritional assessments by reviewing medical records, physician orders, and laboratory ... Collaborates remotely with physicians, nurses, case managers, and other healthcare professionals

HonorHealth

RN Clinical Documentation

Phoenix, AZ · On-site +1

$32.75 - $44/hr

Clinical Documentation Option to work fully remote or in-office near Deer Valley, AZ. Must reside ... years Utilization Review/Case Management Preferred * 7 years patient care in critical care or ...

Honorhealth

RN Clinical Documentation

Phoenix, AZ · Remote

$32.75 - $44/hr

Clinical Documentation Option to work fully remote or in-office near Deer Valley, AZ. Must reside ... years Utilization Review/Case Management Preferred * 7 years patient care in critical care or ...

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All JobsUtilization Review Rn JobsRemote Utilization Review Rn JobsRemote Utilization Review Rn Jobs in Scottsdale, AZ

Remote Utilization Review Rn information

See Scottsdale, AZ salary details

$21

$42

$69

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

As of Sep 2, 2026, the average hourly pay for remote utilization review rn in Scottsdale, AZ is $42.60, according to ZipRecruiter salary data. Most workers in this role earn between $33.65 and $48.94 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 Scottsdale, AZ?

For Remote Utilization Review Rn jobs in Scottsdale, AZ, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Review Rn jobs in Scottsdale, AZ look for?

The top searched job categories for Remote Utilization Review Rn jobs in Scottsdale, AZ are:

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Cities near Scottsdale, AZ 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 Scottsdale, AZ as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 14% Part Time, 1% Temporary, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $88,604 per year, or $42.6 per hour.

Bilingual Case Management Nurse

Valenz Health

Phoenix, AZ • Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 14 days ago

Job description

Vālenz Health® is the destination for employers, brokers, payers, and providers to reduce costs, improve quality, and elevate the healthcare experience. Through advanced technology and clinical expertise, Valenz creates a distinctly different approach to a complex healthcare system. With our solutions, we execute across the entire healthcare journey - from member experience to payment integrity, provider quality, and plan performance. With one of America's largest cost, quality and utilization datasets, we create greater transparency, flexibility, and cost containment - empowering members and employers with the information they need to make smarter, more cost-effective decisions.
About Our Opportunity
As a Bilingual Case Management Nurse, you'll play a key role in managing comprehensive, patient-centered care across diverse health needs. Drawing on your clinical expertise, you'll assess patient needs, develop individualized care plans, and collaborate with multidisciplinary teams to ensure seamless communication and continuity of care. You'll support patients in navigating the healthcare system, promote adherence to treatment plans, and serve as a trusted advocate by providing education, emotional support, and guidance throughout their journey. In this role, you'll also contribute to wellness initiatives, optimize resource utilization, and help ensure compliance with organizational and regulatory standards to drive quality outcomes.
Things You'll Do Here:
  • Coordinate and manage healthcare services to ensure comprehensive, patient-centered care and effective communication among providers.
  • Assess patients' medical needs and develop individualized care plans aligned with their conditions and health goals.
  • Advocate for patients by supporting their rights, preferences, and access to appropriate services throughout the healthcare system.
  • Monitor patient progress, adherence to care plans, and the effectiveness of interventions, adjusting as necessary.
  • Document assessments, care plans, and outcomes accurately and in a timely manner.
  • Generate reports on patient status, care outcomes, and resource utilization.
  • Educate patients on medications, treatment plans, and self-care practices.
  • Provide emotional support and counseling to patients and their families, addressing concerns and fostering trust.
  • Promote preventive care and wellness through health education and lifestyle guidance.
  • Ensure compliance with URAC standards, CMSA Standards of Practice, and all applicable federal, state, and local regulations, as well as Valenz policies.
  • Collaborate with internal teams to identify opportunities for health plan coverage savings when appropriate.
  • Perform other duties as assigned.
Reasonable accommodation may be made to enable individuals with disabilities to perform essential duties.
What You'll Bring to the Team:
  • Active, unrestricted Registered Nurse (RN) license in state of residence; Compact License (NLC) accepted if residing in a compact state.
  • 3+ years of nursing experience in an acute care setting
  • Ability to communicate fluently in both English and Spanish, verbally and in writing.
  • Proven ability to work in a deadline-driven environment with strong attention to detail and organizational skills.
  • Demonstrated critical thinking and sound judgment in complex situations, with appropriate escalation as needed.
  • Excellent communication and interpersonal skills, with a collaborative approach to care coordination.
A plus if you have:
  • Compact State Nursing License (if not already held).
  • Case management experience
  • Relevant certification (e.g., Certified Case Manager (CCM), Chronic Care Professional (CCP), or willingness to obtain CCM within 18 months of hire.

Where You'll Work:
This is a fully remote position, and we'll provide all the necessary equipment!
  • Work Environment: You'll need a quiet workspace that is free from distractions.
  • Technology: Reliable internet connection-if you can use streaming services, you're good to go!
  • Security: Adherence to company security protocols, including the use of VPNs, secure passwords, and company-approved devices/software.
  • Location: You must be US based, in a location where you can work effectively and comply with company policies such as HIPAA.

Why You'll Love Working Here
Our mission is to advance healthcare through technology and expertise to optimize cost, quality, access, and utilization for all. We bring that mission to life through our commitment to Collaboration, Performance, Transparency, and Trust-the core values that guide how we work with our members, our customers, and each other.
Benefits
  • Generously subsidized company-sponsored Medical, Dental, and Vision insurance, with access to services through our own products, Healthcare Blue Book and KISx Card
  • Spending account options: HSA, FSA, and DCFSA
  • 401K with company match and immediate vesting
  • Flexible working environment
  • Generous Paid Time Off to include vacation, sick leave, and paid holidays
  • Employee Assistance Program that includes professional counseling, referrals, and additional services
  • Paid maternity and paternity leave
  • Pet insurance
  • Employee discounts on phone plans, car rentals and computers
  • Community giveback opportunities, including paid time off for philanthropic endeavors

At Valenz, we celebrate, support, and thrive on inclusion, for the benefit of our associates, our partners, and our products. Valenz is committed to the principle of equal employment opportunity for all associates and to providing associates with a work environment free of discrimination and harassment. All employment decisions at Valenz are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion or belief, national, social, or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. We will not tolerate discrimination or harassment based on any of these characteristics.

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