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Remote Utilization Review Rn Jobs in Scranton, PA

Nomad offers Registered Nurses a hassle-free experience, industry-leading pay rates, full benefits ... Additional Confirmations Ability to float to Med Surg and remote Tele is required. * Travel ...

Patient Service Representative

Scranton, PA · Remote

$17.25 - $22/hr

Preferred Candidates include (not limited to): RN, EMT, Paramedic, EMS, Firefighter, PA, LPN, MA ... All candidates reviewed on an individual basis. Summary Description: The Cardiac Management ...

Patient Service Representative

Wilkes Barre, PA · Remote

$16.75 - $21.25/hr

Preferred Candidates include (not limited to): RN, EMT, Paramedic, EMS, Firefighter, PA, LPN, MA ... All candidates reviewed on an individual basis. Summary Description: The Cardiac Management ...

Remote Utilization Review Rn information

See Scranton, PA salary details

$21

$41

$68

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

As of Jun 13, 2026, the average hourly pay for remote utilization review rn in Scranton, PA is $41.85, according to ZipRecruiter salary data. Most workers in this role earn between $33.08 and $48.08 per hour, depending on experience, location, and employer.

What is the meaning of the word remote?

In the context of a Remote Utilization Review RN job, 'remote' refers to working outside of a traditional office setting, often from home or another location of the employee's choice. This setup typically involves using digital tools and communication platforms to perform job duties without being physically present in an office environment.

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 meaning of remote in one word?

In the context of a Remote Utilization Review RN role, 'remote' means working from a location outside of a traditional office, typically from home, using digital communication tools. It emphasizes flexibility and virtual access to work systems without physical presence at a healthcare facility.

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.

How to make 2000 a week working from home?

A Remote Utilization Review RN can potentially earn $2,000 weekly by working full-time hours, often 40 hours per week, and gaining experience or certifications that allow for higher billing rates. Increasing income may involve taking on additional cases, specializing in high-demand areas, or working for agencies that offer competitive pay for remote utilization review roles.

What is remote job?

A remote Utilization Review RN job is a healthcare position where the nurse reviews patient cases and insurance claims from a location outside of a traditional office, often working from home. It requires strong communication skills, knowledge of medical documentation, and familiarity with electronic health record systems, with flexible schedules common in remote roles.

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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What job categories do people searching Remote Utilization Review Rn jobs in Scranton, PA look for? The top searched job categories for Remote Utilization Review Rn jobs in Scranton, PA are:
What cities near Scranton, PA are hiring for Remote Utilization Review Rn jobs? Cities near Scranton, PA with the most Remote Utilization Review Rn job openings:
Infographic showing various Remote Utilization Review Rn job openings in Scranton, PA as of June 2026, with employment types broken down into 75% Full Time, and 25% Contract. Highlights an 100% Remote job distribution, with an average salary of $87,057 per year, or $41.9 per hour.

Care Coordinator - RN or LPN (not a remote position)

The Wright Center Medical Group

Scranton, PA • On-site, Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 15 days ago


Job description

Job Type
Full-time
Description
Care for and strengthen our community by joining The Wright Center!
We welcome and invite you to join The Wright Center for Community Health and transform your career in a dynamic, mission-driven environment committed to improving the health and welfare of our community. We offer unparalleled opportunities for RNs or LPNs eager to make a significant impact on community health while blossoming career paths driven by life-long learning.
At The Wright Center, you'll be a key player in our dedicated clinical care team. While the role is primarily desk-oriented, you'll engage in essential remote coordination via telephone with external agencies, ensuring seamless patient care management. This is your chance to thrive in a fast-paced, outpatient care setting, where your multitasking skills and clinical expertise will shine!
Embrace a fulfilling career where your contributions drive meaningful change and enhance the well-being of our community. Come be a part of something bigger - where your role matters and every day brings new opportunities to excel!
Here are some of the main functions of our Care Coordinators:
  • Oversee care for patients transitioning from healthcare facilities, including follow-up calls and coordination with the Primary Care Provider-Team.
  • Coordinate care for at least 30 high-risk and rising-risk patients, including using risk stratification tools and managing registries.
  • Arrange follow-up visits, and manage patient data on symptoms, medication, and support.
  • Handle various clinical tasks including drawing up medications for clinicians to administer, and monitoring devices such as Ambulatory Blood Pressure, Continuous Glucose Monitoring, Retinavue for diabetic patients, while ensuring HIPAA confidentiality and pursuing ongoing professional development.
  • Handling incoming phone calls from patients, creating orders, delivering test results via telephone, medication refills, scheduling appointments, calling outside medical facilities for scheduling of specialty appointments and test orders.
  • An eligible candidate should have the following minimum qualifications:
    • An active RN or LPN license
    • Basic Life Support (BLS) certification required

At The Wright Center, we offer awesome benefits!
  • Medical, dental, and vision coverage offered on day one
  • Significant employer contribution to medical plan options
  • 100% paid dental and vision coverage
  • Up to 3 weeks PTO
  • Up to 11 paid holidays per fiscal year
  • 8% employer contribution to 403b retirement plan after one year of service
  • Plus more!

Requirements
REQUIRED QUALIFICATIONS
  • Meet The Wright Center for Community Health and its affiliated Enterprise entities' EOS People Analyzer Tool
  • Buy in and experience working in the EOS® model (strongly preferred)
  • Mission-oriented; represents the enterprise in a professional manner while demonstrating organizational pride
  • Graduate of an accredited RN or LPN program
  • Active Pennsylvania RN or LPN Nursing license
  • Previous experience in a health center setting a plus
  • BLS Certification
  • Experience with electronic health record, Medent a plus
  • Ability to work as part of a care team
  • Excellent communication skills
  • Commitment to process improvement and quality

*This position requires employees to participate in the following rotation schedule to meet the needs of patients and families:
  • Evenings (one late night per week; 12PM-8PM)
  • Weekends (either one Saturday or Sunday per month; when worked, employees will have a day off during the week)
  • Holidays (one to two holidays per year)