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Remote Utilization Review Rn Jobs in Springfield, MO

Scribe-X

Remote Medical Scribe

Springfield, MO · 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 ...

All JobsUtilization Review Rn JobsRemote Utilization Review Rn JobsRemote Utilization Review Rn Jobs in Springfield, MO

Remote Utilization Review Rn information

See Springfield, MO salary details

$19

$38

$62

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

As of Sep 3, 2026, the average hourly pay for remote utilization review rn in Springfield, MO is $38.46, according to ZipRecruiter salary data. Most workers in this role earn between $30.38 and $44.18 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, MO?

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

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

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

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

Cities near Springfield, MO 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, MO as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 18% Part Time, 1% Temporary, 3% Contract, and 1% Nights. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $79,999 per year, or $38.5 per hour.

Home Health Quality Assurance RN

Haven Home Health & Hospice

Ozark, MO • Remote

$67K - $71K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 17 days ago

Job description

Quality Assurance RN (OASIS Certification Required)
Missouri License Required | Fully Remote
At Haven Home Health & Hospice, we're locally owned and clinician-led. We focus on quality over volume and giving our team the support they need to do the work the right way.
You know who you are.
You're the one clinicians call when they're stuck on OASIS, the one who catches what others miss, and the one who understands how one answer can impact everything from outcomes to reimbursement. This role is built for an RN who wants to use that expertise to support clinicians and strengthen quality across the agency.
About the Role
This is a fully remote position focused on OASIS review, clinical accuracy, and compliance. You'll work closely with clinicians and leadership to ensure documentation tells the right story and meets the highest standards. This isn't field work. This is influence.
What You'll Do
  • Review and validate OASIS (SOC, ROC, Recert, Discharge) with a strong clinical lens
  • Ensure documentation, coding, and OASIS align and accurately reflect the patient's condition
  • Identify gaps that impact reimbursement, outcomes, and compliance
  • Partner with clinicians to provide clear, constructive feedback and support
  • Promote consistency across documentation and interdisciplinary care

What You'll Need
  • Active Missouri RN license
  • OASIS Certification required (COS-C or equivalent)
  • Recent home health RN experience
  • Strong knowledge of OASIS, documentation, and home health regulations
  • Detail-oriented with confident clinical judgment
  • Comfortable working independently in a remote setting

Why Nurses Choose This Role
  • Fully remote position (Missouri-based)
  • No direct patient care, focus on your expertise
  • No productivity pressure, focus on getting it right
  • Opportunity to influence clinical quality and outcomes
  • Work closely with a supportive, clinician-led leadership team
  • Competitive compensation including PTO
  • Health, dental, vision, and pet insurance
  • Mental Health Initiative
  • 401(k) with generous company match

At Haven, we are committed to clear communication, accountability, and doing what is right. This role plays a key part in supporting our clinicians and ensuring every patient receives care that meets the highest standard.
Applicants must have active OASIS certification and recent home health experience to be considered.

Apply