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Remote Utilization Review Rn Jobs in Springfield, MA

Quest Global

Aftermarket Field Rep- Remote

Windsor, CT · On-site +1

$29 - $31/hr

Review data discrepancies and gaps across multiple systems. Escalate to appropriate channels. What ... History identifying and resolving part quality and delivery issues - including utilization of ...

Quest Global

Aftermarket Field Rep- Remote

Windsor, CT · Remote

$29 - $31/hr

Review data discrepancies and gaps across multiple systems. Escalate to appropriate channels. What ... History identifying and resolving part quality and delivery issues - including utilization of ...

Varsity Tutors

NCLEX-PN Tutor

Hartford, CT · Remote

$40/hr

... RN scope questions, pharmacology calculations, and managing anxiety with the adaptive testing format. Adapts instruction using NCLEX-PN specific practice question banks, content review focused on ...

Varsity Tutors

NCLEX-PN Tutor

Northampton, MA · Remote

$40/hr

... RN scope questions, pharmacology calculations, and managing anxiety with the adaptive testing format. Adapts instruction using NCLEX-PN specific practice question banks, content review focused on ...

Insurity

Manager, Professional Services

Hartford, CT · On-site +1

Drive utilization across team * Communicate financial and goal results, and KPIs to direct reports ... Demonstrated experience driving code quality through reviews, testing practices, and use of modern ...

Insurity

Manager, Professional Services

Hartford, CT · On-site +1

Drive utilization across team * Communicate financial and goal results, and KPIs to direct reports ... Demonstrated experience driving code quality through reviews, testing practices, and use of modern ...

ReSource Pro

Director Client Development

Hartford, CT · On-site +1

$120K - $205K/yr

All remote positions are based in the United States, and candidates must reside within the U.S. to ... Conduct quarterly and annual performance reviews tied to sales outcomes, including win rates, deal ...

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Remote Utilization Review Rn information

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$68

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

As of Jun 19, 2026, the average hourly pay for remote utilization review rn in Springfield, MA is $42.13, according to ZipRecruiter salary data. Most workers in this role earn between $33.32 and $48.37 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.
What are popular job titles related to Remote Utilization Review Rn jobs in Springfield, MA? For Remote Utilization Review Rn jobs in Springfield, MA, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in Springfield, MA look for? The top searched job categories for Remote Utilization Review Rn jobs in Springfield, MA are:
What cities near Springfield, MA are hiring for Remote Utilization Review Rn jobs? Cities near Springfield, MA with the most Remote Utilization Review Rn job openings:
Remote Utilization Review Rn jobs near you

Aftermarket Field Rep- Remote

Quest Global

Windsor, CT • On-site, Remote

$29 - $31/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 14 days ago

Quest Global rating

7.4

Company rating: 7.4 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

236th of 355 rated engineering

Job description

Job Requirements
POSITION: Aftermarket Field Rep
Who We Are:
Quest Global delivers world-class end-to-end engineering solutions by leveraging our deep industry knowledge and digital expertise. By bringing together technologies and industries, alongside the contributions of diverse individuals and their areas of expertise, we are able to solve problems better, faster. This multi-dimensional approach enables us to solve the most critical and large-scale challenges across the aerospace & defense, automotive, energy, hi-tech, healthcare, medical devices, rail and semiconductor industries.
We are looking for humble geniuses, who believe that engineering has the potential to make the impossible possible; innovators, who are not only inspired by technology and innovation, but also perpetually driven to design, develop, and test as a trusted partner for Fortune 500 customers. As a team of remarkably diverse engineers, we recognize that what we are really engineering is a brighter future for us all. If you want to contribute to meaningful work and be part of an organization that truly believes when you win, we all win, and when you fail, we all learn, then we're eager to hear from you. The achievers and courageous challenge-crushers we seek, have the following characteristics and skills
What You will Do:
  • Evaluate and ensure supplier produced Aero-Engine parts are delivered by commitment dates as well as identify delivery issues and manage sustainable corrective improvement actions. This remote position requires aspects of Supply Chain Management, Procurement, Manufacturing, and Quality Assurance disciplines along with the ability to travel.
  • Make detailed observations, gather part and process data, interpret/analyze that data, ensure closure of engineering questions and part non-conformances.
  • Monitor MRP tools, Production schedules, WIP (shop floor/provided report), and non-conformances against delivery commit dates. Estimate / revise delivery dates.
  • Identify bottlenecks, conduct gap analysis, create mitigation plans, generate and track action items to closure.
  • Work requires the natural ability to easily develop positive, customer-facing, working relationships with designated service providers, engine center staff and program management.
  • Conduct part planning, execution, and verification work
  • Document, summarize, write reports, and disseminate information per requirements.
  • Review data discrepancies and gaps across multiple systems. Escalate to appropriate channels.

What You Will Bring:
Supply Chain Management aspects:
  • History of customer facing interaction
  • Familiarity with MRP, Production Scheduling, Delivery estimation, Risk analysis, Crisis mitigation, and sub-tier supplier involvement
  • Experience with warehousing, shipping and distribution
  • Assessing Supplier Health / Supplier Development
  • Procurement aspects:
  • Knowledge of purchasing and quoting processes
  • Evaluating production capacity in a manufacturing environment
  • Planning of Material / Inventory / Tool / Buffer stocks
  • Manufacturing aspects:
  • History (breadth and depth) with manufacturing processes
  • Ability tread/interpret drawings including understanding of GD&T and critical characteristics (KPCs)
  • Involvement with Process Planning and Production Readiness reviews
  • Familiarity with Control Plans and Operating/Work Instructions
  • Exposure to Lean methodologies and tools
  • Knowledge of material packaging and handling
  • Quality Assurance aspects:
  • Experience with quality systems and industry standards compliance (including process and material certs)
  • Knowledge of part qualification requirements (including PPAP/FAI processes)
  • Understanding proper Measurement/Inspection tool use and requirements
  • History identifying and resolving part quality and delivery issues - including utilization of formal problem solving tools and NCM requirements
  • Familiarity with Six Sigma methodologies, tools, terms
  • General:
  • Experience working within AS9100, ISO9001 environments
  • Creating work instructions
  • Proficiency using MS office suite

Desired Skills:
  • Self-motivated, disciplined, and organized
  • Passion for developing technical and business solutions
  • Ability to persuade and influence without authority
  • Superior Customer/Supplier interaction
  • Excellent verbal and written communication skills

Physical Requirements & Work Environment:
  • Work will be performed at supplier sites or remote locations
  • Substantial amounts of telephone and computer work.
  • Heavily Regulated Industries with strict adherence to procedures.
  • Flexibility to meet business deadlines by staying late or arriving early.
  • Valid driver's license and personal vehicle are required
  • Ability to rent vehicles, as needed, from major car rental servicers

Pay Range: $29-$31 per hour
Compensation decisions are made based on factors including experience, skills, education, and other job-related factors, in accordance with our internal pay structure. We also offer a comprehensive benefits package, including health insurance, paid time off, and retirement plan.
Work Requirements:
This position is considered as Remote and should travel as per required for supplier location within the United States.
Travel requirements: Due to the nature of the work, 100% of travel is required.
Citizenship requirement: Due to the nature of the work, U.S. citizenship is required.
Benefits:
  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Referral program
  • Vision insurance
  • Short/Long Term Disability

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