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Remote Utilization Review Rn Jobs in Springfield, MA

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 ...

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 ...

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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 11, 2026, the average hourly pay for remote utilization review rn in Springfield, MA is $41.15, according to ZipRecruiter salary data. Most workers in this role earn between $32.50 and $47.26 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, 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
Infographic showing various Remote Utilization Review Rn job openings in Springfield, MA as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 16% Part Time, 3% Contract, and 1% Nights. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $85,596 per year, or $41.2 per hour.

Suitability Principal

Springfield, MA • On-site, Remote

Massachusetts Mutual Life Insurance Company (MassMutual)
See more jobs at Massachusetts Mutual Life Insurance Company (MassMutual)external

Full-time

Re-posted 21 days ago

MassMutual rating

7.8

Company rating: 7.8 out of 10

Based on 37 frontline employees who took The Breakroom Quiz

Job description

The Opportunity:
As a Suitability Principal you will conduct suitability reviews on variable annuities across multiple carriers, both brokage and advisory accounts clearing through National Financial Services (NFS) and other directly held business including third-party advisory and mutual fund accounts. In this role, as well as all roles within MassMutual, you will demonstrate accountability, agility, business acumen, and commitment to inclusivity while navigating complex situations with confidence and integrity. Success in this position also requires strong communication skills, leadership traits, resilience, self-awareness, and a passion for continuous learning and professional growth.
The Team:
The MML Investors Services (MMLIS) New Business Team provides operational support and service to our Wealth Management advisors. We process and review all of their new business submissions. Our strategy includes both growing and retaining our advisor population across the country and supporting them with operational excellence that is laser focused on the ease of doing business.
The Impact:
In this role, you will help protect clients, advisors, and the firm by ensuring all submissions including brokerage, advisory, and variable annuity business aligns with regulatory requirements, suitability standards, and firm policies. Through risk identification, supervisory oversight, and expert consultation, you will drive sound business decisions, support compliant growth, and strengthen the firm's risk management framework while serving as a trusted partner to advisors, compliance teams, and business leaders.
Key responsibilities include, but are not limited to:
  • Conduct back-office review and acceptance of new submissions of variable annuities, brokerage, advisory, and direct investments including mutual fund accounts and third-party advisory accounts which will require the associate to become a subject matter expert on all lines of business, including familiarity with all of the products offered on our platform. This includes complex problem resolution requiring a high level of critical thinking utilizing a solid understanding of our platforms and systems.
  • Monitor potential trends of registered representatives through the application of firm policies and procedures. This includes identifying and reporting to management on trending and risk mitigation measures.
  • Determine root cause of issues, provide solutions, and resolve matters independently without constant management intervention.
  • Be an integral part of implementation and management of operational and supervisory procedures for the firm.
  • Effectively communicate with colleagues within the department along with internal business partners such as Compliance, Licensing, Product, and our In-Force counterparts.
  • Consult with registered representatives and their staff, Agency Supervisory Officers and Regional Supervisory Directors, providing guidance on suitability concerns and guidelines.
  • Conduct specialized regulatory reviews including Municipal Securities such as 529s as well as Options approval as licensing permits.

The Minimum Qualifications:
  • FINRA Series 7 & 24 at time of application
  • 1+ years of MMLIS experience OR 2+ years of experience in broker-dealer supervision, compliance, risk management, new business review, trade surveillance, registered representative support, or securities operations
  • 2+ years experience interpreting and applying FINRA, SEC, and firm policies to evaluate transactions, account activity, or new business submissions
  • 2+ years demonstrated ability to identify risks, investigate issues, analyze complex situations, and make sound business decisions
  • High School Diploma
  • All FINRA registered individuals working remote and/or hybrid schedules are subject to either remote or on-site inspections according to a location risk assessment.
  • Candidates residing within 50 miles of the MassMutual Springfield office will be expected to work a Hybrid schedule of 3 days a week in the office

The Ideal Qualifications:
  • 3+ years experience conducting suitability reviews
  • FINRA Series 4 and 53
  • Superior customer service skills.
  • Excellent interpersonal skills; team player, self-motivated; patient demeanor; approachable style.
  • High aptitude for effective problem resolution.
  • Strong organizational and time management skills are essential
  • Ability to work in a fast paced, ever-changing environment.
  • High degree of ownership and sense of urgency.
  • College degree with a concentration in business or finance.
  • Passion for embracing business process improvement opportunities.
  • High aptitude for effective problem resolution.
  • Ability to think independently and tactfully challenge the opinions of others.

What to Expect as Part of MassMutual and the Team:
MassMutual offers the opportunity to do meaningful work within a purpose-driven organization that values long-term impact over short-term outcomes. In this role, you can expect:
  • Focused one-on-one meetings with your manager
  • Regular meetings with the New Business Team
  • Clear areas of ownership and accountability, with work that connects directly to company and customer outcomes
  • A collaborative environment where perspectives are welcomed
  • Access to learning, development, and internal networks that support continuous growth and skill-building over time
  • Employee-led communities and forums that foster connection, learning, and inclusion across the organization
  • A culture grounded in integrity, responsibility, and stewardship - supported by a company with a strong legacy and a future-focused mindset

#LI-SB1
#LI-Remote
Salary Range:
$69,000-$90,500
At MassMutual, we focus on ensuring fair equitable pay, by providing competitive salaries, along with incentive and bonus opportunities for all employees. Your total compensation package includes either a bonus target or in a sales-focused role a Variable Incentive Compensation component.
Why Join Us.
We've been around since 1851. During our history, we've learned a few things about making sure our customers are our top priority. In order to meet and exceed their expectations, we must have the best people providing the best thinking, products and services. To accomplish this, we celebrate an inclusive, vibrant and diverse culture that encourages growth, openness and opportunities for everyone. A career with MassMutual means you will be part of a strong, stable and ethical business with industry leading pay and benefits. And your voice will always be heard.
We help people secure their future and protect the ones they love. As a company owned by our policyowners, we are defined by mutuality and our vision to put customers first. It's more than our company structure - it's our way of life. We are a company of people protecting people. Our company exists because people are willing to share risk and resources, and rely on each other when it counts. At MassMutual, we Live Mutual.
MassMutual is an equal employment opportunity employer. We welcome all persons to apply.
If you need an accommodation to complete the application process, please contact us and share the specifics of the assistance you need.
At MassMutual, we focus on ensuring fair, equitable pay by providing competitive salaries, along with incentive and bonus opportunities for all employees. Your total compensation package includes either a bonus target or in a sales-focused role a Variable Incentive Compensation component. For more information about our extensive benefits offerings please check out our Total Rewards at a Glance.

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