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Remote Utilization Review Rn Jobs in Sewell, NJ (NOW HIRING)

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Nurse Practitioner - Virtual Primary & Complex Care Delaware | Full-Time | Primarily Remote | $135 ... Identify changes in patient condition and intervene early to reduce avoidable ED utilization and ...

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 ...

PRN Remote CRNP

Chester, PA · On-site +1

$90K - $121K/yr

Flexible | PRN Position Overview MVP Recovery is seeking a Certified Registered Nurse Practitioner (CRNP) to provide follow-up medication management appointments in a PRN, primarily remote capacity.

... utilization management (UM) and care management (CM) applications, acting as a trusted advisor to payer clients. This role requires candidates who are a Registered Nurse (RN) or licensed healthcare ...

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Remote Utilization Review Rn information

See Sewell, NJ salary details

$20

$39

$65

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

As of Sep 14, 2026, the average hourly pay for remote utilization review rn in Sewell, NJ is $39.99, according to ZipRecruiter salary data. Most workers in this role earn between $31.59 and $45.91 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 Sewell, NJ?

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

What cities near Sewell, NJ are hiring for Remote Utilization Review Rn jobs?

Cities near Sewell, NJ with the most Remote Utilization Review Rn job openings:

Infographic showing various Remote Utilization Review Rn job openings in Sewell, NJ as of September 2026, with employment types broken down into 75% Full Time, 5% Part Time, and 20% Contract. Highlights an 5% In-person, and 95% Remote job distribution, with an average salary of $83,174 per year, or $40 per hour.

Licensed Practical Nurse (LPN) - Virtual

Marlton, NJ • On-site, Remote

$26.25 - $35.50/hr

Per diem

Posted 4 days ago


Job description

About Us
Neuron Health Systems is a community-based provider of acute outpatient rehabilitation and medical and non-medical direct care. We deliver individualized, family-centered support - partnering with families and caregivers and applying an interdisciplinary approach so every patient can reach their fullest potential.
The Role
We're looking for a Licensed Practical Nurse (LPN) - Virtual to provide remote clinical support, telephonic triage, and care coordination.In this 100% remote role, you will interact with patients, families, and healthcare providers via phone, video, and electronic messaging to monitor treatment plans, coordinate care, and ensure clinical compliance.
What You'll Do
  • Conduct telephonic and virtual clinical intakes, health screenings, and wellness checks with patients and caregivers.
  • Perform telephonic triage for symptom-based calls using established protocols and algorithms, directing patients to appropriate levels of care.
  • Serve as a primary virtual point of contact for patients, families, and interdisciplinary care teams.
  • Review and update individual plans of care under the supervision of Registered Nurses (RNs) or physicians.
  • Track remote patient monitoring (RPM) data, vital sign trends, and clinical records to flag gaps in service or changes in status.
  • Coordinate prescription refills, orders, and clinical authorizations with physicians, pharmacies, and insurance providers.
  • Maintain accurate, timely clinical documentation in Electronic Health Record (EHR) platforms.
  • Participate in virtual case conferences, team huddles, and firm quality/accreditation reviews

What You Bring
  • An active, unencumbered LPN license in your residing state is required (Compact Licensure preferred).
  • Minimum of 1-2 years of clinical experience, with telehealth, telephonic triage, or remote care coordination experience preferred.
  • Strong clinical assessment, telephone triage, and critical-thinking skills.
  • Excellent verbal, written, and empathetic communication skills for telephone and video interactions.
  • Proficiency with Google Workspace, EHR systems, and secure web-based communication tools.
  • Dedicated home office setup with reliable, high-speed internet and high attention to HIPAA privacy standards.