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Remote Utilization Review Rn Jobs in South Bend, IN

Humana

Care Coordinator, RN Field Based

Goshen, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

South Bend, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

South Bend, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

Goshen, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

South Bend, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

Goshen, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Goshen Health

Virtual Patient Safety Assistant

Goshen, IN · On-site +1

$19 - $25.50/hr

Position Summary The Virtual Sitter (VS) provides continuous remote observation of assigned ... The position works under the direct supervision of a Registered Nurse (RN) and uses independent ...

Goshen Health

Virtual Patient Safety Assistant

Goshen, IN · On-site +1

$19 - $25.50/hr

Position Summary The Virtual Sitter (VS) provides continuous remote observation of assigned ... The position works under the direct supervision of a Registered Nurse (RN) and uses independent ...

Goshen Health

Virtual Patient Safety Assistant

Goshen, IN · On-site +1

$19 - $25.50/hr

Position Summary The Virtual Sitter (VS) provides continuous remote observation of assigned ... The position works under the direct supervision of a Registered Nurse (RN) and uses independent ...

Goshen Health

Virtual Patient Safety Assistant

Goshen, IN · On-site +1

$19 - $25.50/hr

Position Summary The Virtual Sitter (VS) provides continuous remote observation of assigned ... The position works under the direct supervision of a Registered Nurse (RN) and uses independent ...

Scribe-X

Remote Medical Scribe

Notre Dame, IN · Remote

$14 - $17/hr

Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a ... Review completed charts with the provider between patients or at the completion of shift * Update ...

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Remote Utilization Review Rn information

See South Bend, IN salary details

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$41

$67

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

As of Jul 30, 2026, the average hourly pay for remote utilization review rn in South Bend, IN is $41.44, according to ZipRecruiter salary data. Most workers in this role earn between $32.74 and $47.60 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.
What are popular job titles related to Remote Utilization Review Rn jobs in South Bend, IN? For Remote Utilization Review Rn jobs in South Bend, IN, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in South Bend, IN look for? The top searched job categories for Remote Utilization Review Rn jobs in South Bend, IN are:
What cities near South Bend, IN are hiring for Remote Utilization Review Rn jobs? Cities near South Bend, IN 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 South Bend, IN as of July 2026, with employment types broken down into 71% Full Time, 13% Part Time, and 16% Contract. Highlights an 43% Physical, 3% Hybrid, and 54% Remote job distribution, with an average salary of $86,193 per year, or $41.4 per hour.

Virtual Registered Nurse-Day Shift

Trinity Health

Mishawaka, IN • On-site, Remote

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted yesterday

Trinity Health rating

6.6

Company rating: 6.6 out of 10

Based on 354 frontline employees who took The Breakroom Quiz

571st of 890 rated healthcare providers

Job description

Employment Type:
Part timeShift:
12 Hour Day Shift
Description:
Part-Time - 12 Hour Day Shifts - VRN
***This is NOT a remote position***
We count on the VRNs to be mentors and to be able to talk our nurses through care, such as removing a central line or providing Foley care. Must have 2 years of RN experience as a bedside RN in an inpatient setting.
Why Saint Joseph Health System?
At Saint Joseph Health System, our values give us strength. That character guides every decision we make - even when those decisions are complicated, costly or hard. We honor our mission to care for every man, woman and child who needs us by investing in technology, people and capabilities that allow us to set the standard for quality care.
What we offer:
  • Tuition reimbursement for all full and part-time colleagues effective first day of employment
  • 100% paid tuition for ASN to BSN program (paid directly to learning partner)
  • Benefits day one (Including: Medical, Dental, Vision, PTO, Life, STD/LTD, etc.)
  • Retirement savings account with employer match
  • Generous paid time off program + 7 paid holidays
  • NO mandatory overtime
  • Employee referral incentive program
  • State of the art equipment, unlimited CEU's and supportive team approach

About the job:
The Virtual Registered Nurse (RN) is a member of the Nursing Care Team and is responsible for collaboration, communication & facilitation of optimal provision of care through a computerized &/or digital platform supporting daily management of care.
  • Responsible for the assessment, planning, implementation, coordination, monitoring & evaluation of the patient's plan of care from admission to discharge.
  • Utilizes clinical knowledge, critical thinking skills & the principles of case management & adult education to coordinate, implement & support the plan of care.
  • Ensures a seamless, effective, efficient transition of care across the continuum.
  • Responsible for monitoring quality metrics specific to the department & ensuring complete & accurate documentation in the patient record.
  • Performs the roles: 1) mentor; 2) clinician; 3) educator; 4) consultant / collaborator; and 5) navigator.

As a Registered Nurse at Saint Joseph Health System you are responsible for implementing, directing, communicating, and documenting the nursing process in accordance with current established standards of care and the Indiana Nurse Practice Act. Our RNs are patient advocates who provide a safe environment for patients, visitors, and colleagues.
Requirements:
  • Education: Graduate of an accredited RN program.
  • Licensure: RN Indiana License. CPR certification on hire or able to attain within 60 days.
  • Experience: 2+ years of bedside experience in an inpatient setting

Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

What Trinity Health employees say

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About Trinity Health

Sourced by ZipRecruiter

Trinity Health Ann Arbor is a 537 -bed teaching hospital located on 340 acre campus. Recognized by IBM Watson as a Top 100 Hospital and #1 Teaching Hospital, Trinity Health Ann Arbor has been a leading health care provider for more than 100 years. Trinity Health has received numerous local and national awards in recognition of our leadership, quality outcomes, and clinical excellence.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Livonia, MI, US

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