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Remote Utilization Review Rn Jobs in Springfield, IL

Humana

Manager, Care Management

Springfield, IL · Remote

Become a part of our caring community The Manager, Care Management leads teams of nurses, social workers, behavioral health professionals, and care management support professionals responsible for

Humana

Manager, Care Management

Springfield, IL · Remote

Become a part of our caring community The Manager, Care Management leads teams of nurses, social workers, behavioral health professionals, and care management support professionals responsible for

Humana

Manager, Care Management

Springfield, IL · Remote

Become a part of our caring community The Manager, Care Management leads teams of nurses, social workers, behavioral health professionals, and care management support professionals responsible for

micro1 AI

Pharmacovigilance Expert

Springfield, IL · Remote

$70 - $80/hr

Role Title: Pharmacovigilance Expert Role Type: Contractor Location: Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety expertise on a key customer project.

micro1 AI

Clinical Pharmacy Technicians

Springfield, IL · Remote

$70 - $80/hr

Role Title: Pharmacovigilance Expert Role Type: Contractor Location: Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety expertise on a key customer project.

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Remote Utilization Review Rn information

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

As of Sep 12, 2026, the average hourly pay for remote utilization review rn in Springfield, IL is $41.91, according to ZipRecruiter salary data. Most workers in this role earn between $33.12 and $48.12 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 Springfield, IL?

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

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

The top searched job categories for Remote Utilization Review Rn jobs in Springfield, IL are:

What cities near Springfield, IL are hiring for Remote Utilization Review Rn jobs?

Cities near Springfield, IL 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 Springfield, IL as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 20% Part Time, 2% Contract, and 1% Nights. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $87,164 per year, or $41.9 per hour.

Registered Dietitian Part-Time (25% remote)

Springfield, IL • Remote

RD Nutrition Consultants
Health Care and Social Assistance • 51 - 200 employees
Learn more about RD Nutrition Consultantsexternal

$36 - $40/hr

Part-time

Re-posted 17 days ago

Job description

RD Nutrition Consultants LLC is seeking a part-time Clinical Registered Dietitian to provide a quarterly visit in Decatur, IL. 

 

Join the team at RD Nutrition Consultants LLC! We are looking for a passionate and dedicated Part-Time Clinical Registered Dietitian to provide vital nutritional care through quarterly on-site visits. This is a fantastic opportunity for a dietitian seeking a flexible schedule and competitive compensation.

Schedule: Flexible

Hours: 8-hour on-site visit per Quarter (25% Remote)

Compensation: $36.00-40.00 per hour DOE

Travel Reimbursement: Paid at the same hourly rate for time traveling to and from the facility

Mileage Reimbursement: Paid at the current federal mileage rate

 

Responsibilities:

  • Participate in quality improvement initiatives to enhance nutrition care services and resident outcomes as needed.
  • Review and approve menu on a semi-annual basis to ensure it meets USDA guidelines
  • Conduct kitchen sanitation audits, documenting findings and recommending corrective actions to maintain a safe and sanitary environment.
  • Perform other tasks as assigned and within scope of practice as needed.
  • Identify high-risk residents for periodic nutritional assessments
  • Adheres to all facility policy and procedure

 

Experience & Qualifications:

  • Bachelor's or Master's degree in Dietetics, Nutrition, or a related field from an accredited program.
  • Registered by the Commission on Dietetic Registration.
  • Current state licensure/certification (if mandated by the state)
  • Minimum of 1 year clinical experience (preferred).
  • Experience with reviewing menus for facilities.
  • Excellent communication skills for effective interaction with patients, families, and healthcare teams.
  • Possesses the ability to apply critical thinking to a variety of situations, assess objectives, develop and implement and monitor effective plans for improvement.
  • Proficiency in providing general nutrition
  • Familiarity with state survey processes and adhering to nutrition care regulations

RD Nutrition Consultants, LLC is a Registered Dietitian Nutritionist Consulting firm that provides Dietitians to health care facilities throughout the United States. Our consultants enjoy competitive wages and flexible work schedules.

 

To Apply: If you meet these qualifications and are interested in this opportunity, please submit your resume.

 

RD Nutrition Consultants LLC is an equal opportunity employer



Requirements