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Remote Utilization Review Rn Jobs in Suffolk, VA

Varsity Tutors

NCLEX-RN Tutor

Norfolk, VA · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

Virginia Beach, VA · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

BetterHelp

Clinical Psychologist- Remote

Norfolk, VA · Remote

$66K - $82K/yr

Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...

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Remote Utilization Review Rn information

See Suffolk, VA salary details

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$40

$65

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

As of Jul 23, 2026, the average hourly pay for remote utilization review rn in Suffolk, VA is $40.22, according to ZipRecruiter salary data. Most workers in this role earn between $31.78 and $46.20 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 Suffolk, VA? For Remote Utilization Review Rn jobs in Suffolk, VA, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in Suffolk, VA look for? The top searched job categories for Remote Utilization Review Rn jobs in Suffolk, VA are:
What cities near Suffolk, VA are hiring for Remote Utilization Review Rn jobs? Cities near Suffolk, VA 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 Suffolk, VA as of July 2026, with employment types broken down into 70% Full Time, 13% Part Time, and 17% Contract. Highlights an 43% Physical, 3% Hybrid, and 54% Remote job distribution, with an average salary of $83,664 per year, or $40.2 per hour.
Registered Nurse - Onsite Inpatient Virtual Support

Registered Nurse - Onsite Inpatient Virtual Support

Sentara Healthcare

Virginia Beach, VA • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 12 days ago

Sentara Health rating

6.8

Company rating: 6.8 out of 10

Based on 393 frontline employees who took The Breakroom Quiz

492nd of 889 rated healthcare providers

Job description

City/State
Virginia Beach, VA
Work Shift
Second (Evenings)
Overview:
Sentara is hiring Registered Nurses for the Innovative Inpatient Care Model in the Brand-New Centralized Virtual Acute Care Department.
This position is NOT Remote and is located at the Sentara Independence office in Virginia Beach, VA.
Leverage the use of technology to enhance patient care in the hospital and provide support to nurses at the bedside. Virtual RNs can support the team at the bedside to alleviate the workload and provide greater satisfaction for both the patients and the nursing staff. They handle administrative tasks that take significant time but don't require hands-on care. This improves workflow while ensuring patients are fully informed about the care they have received.
Virtual nurses are not a replacement for bedside nurses, instead they serve as an additional member of the hospital care team. Bedside nurses and virtual nurses work together to ensure that patients continue to receive the safest and highest quality of care. Patients communicate with virtual nurses via a HIPAA compliant audio-visual device in the hospital room.
Perform nursing duties via video call with this innovative care model from the Virtual Care hub call center such as admissions, discharges, patient teaching, medication reconciliation, and much more.
Education
  • RN-Associate's Degree (Required)
  • BSN or MSN preferred

Certification/Licensure
  • Registered Nurse License (Required)
  • BLS required within 90 days of hire
  • NIHSS and ACLS preferred

Experience
  • Epic experience preferred
  • 5 years of recent acute care bedside nursing experience required, IMCU experience preferred

One of the most exciting advancements this year has been the rollout of our Virtual Nursing program. The feedback from both patients and our nursing staff has been overwhelmingly positive. By embracing this model, we are minimizing interruptions, enhancing privacy, ensuring patient safety, and improving the overall patient experience.
Keywords: Talroo-Nursing, Monster, #LinkedIn, intermediate care, IMC, stepdown, telemetry, admissions, discharge, RN, registered nurse, virtual care, acute care, BSN, ASN, BLS, NIH, stroke assessment, Andor #LI-SM1
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to 10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - 5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - 10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
• Pet Insurance
• Legal Resources Plan
• Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met
Sentara Independence provides quality outpatient services to the surrounding community. The facility includes an ambulance-accessible emergency room that is supported by board-certified physicians. Sentara Independence houses state-of-the-art medical equipment and highly-skilled physicians and staff. Sentara Independence is now an extension of the quality services at Sentara Virginia Beach General Hospital including advanced imaging and physical therapy.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission "to improve health every day," this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

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