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Remote Utilization Review Rn Jobs in Sunnyvale, CA

Baba

Virtual Nurse Practitioner

San Francisco, CA · Remote

Telehealth Nurse Practitioner | Remote 1099 | Structured Intake & Care Navigation About Baba Baba ... Active Nurse Practitioner or APRN license, in good standing - licensed in multiple states ...

Lark Health

Clinical Operations Lead

Mountain View, CA · Remote

$143K/yr

Come join our team! The Role We\'re looking for an RN with deep experience building digital ... Lead recurring QA reviews, incident analyses, and corrective action planning in partnership with ...

Acrisure

Workers' Compensation Case Manager

San Jose, CA · On-site +1

$70K - $90K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This position is fully remote; however, candidates must be available to work a regular, consistent ... Active Registered Nurse (RN) license required * One of the following required: CCM, CDMS, COHN, or ...

Medline

Sr Clinical Solution Specialist

San Francisco, CA · On-site +1

$92K - $138K/yr

  • Medical

  • Life

  • Retirement

  • PTO

Conduct clinical and utilization reviews to identify waste, standardization opportunities and ... MINIMUM JOB REQUIREMENTS Education * RN - Nursing Bachelor's Degree or Surgical Technician ...

Medbridge Healthcare

EKG Technician (Remote) PST

San Francisco, CA · On-site +1

$24 - $28/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... RN required CCT certification from CCI required within 90 days of hire if not already certified Basic computer skills including Microsoft Office, Teams, and Excel Strong attention to detail and ...

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All JobsUtilization Review Rn JobsRemote Utilization Review Rn JobsRemote Utilization Review Rn Jobs in Sunnyvale, CA

Remote Utilization Review Rn information

See Sunnyvale, CA salary details

$25

$49

$80

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

As of Aug 14, 2026, the average hourly pay for remote utilization review rn in Sunnyvale, CA is $49.62, according to ZipRecruiter salary data. Most workers in this role earn between $39.23 and $56.97 per hour, depending on experience, location, and employer.

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 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 Sunnyvale, CA?

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

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

The top searched job categories for Remote Utilization Review Rn jobs in Sunnyvale, CA are:

What cities near Sunnyvale, CA are hiring for Remote Utilization Review Rn jobs?

Cities near Sunnyvale, CA 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 Sunnyvale, CA as of August 2026, with employment types broken down into 7% As Needed, 76% Full Time, 7% Part Time, and 10% Contract. Highlights an 100% Remote job distribution, with an average salary of $103,219 per year, or $49.6 per hour.

Registered Dietitian (30% Remote)

RD Nutrition Consultants

San Francisco, CA • On-site, Remote

$40 - $45/hr

Part-time

Posted 24 days ago

Job description

RD Nutrition Consultants LLC is seeking a part-time Registered Dietitian at Adult Day Health Care Center Join the dedicated team at RD Nutrition Consultants LLC and make a meaningful impact on the well-being of older adults. We are seeking a passionate and experienced Part-Time Clinical Registered Dietitian to provide essential nutritional care at an Adult Day Health Care (ADHC) facility near San Jose. This is an excellent opportunity for a dietitian looking for a consistent part-time schedule with a blend of on-site and remote work.

Schedule: Flexible, approximately 5-6 hours per week (30% remote). Flexibility: Choose your days and hours, during business hours. Only 1 short onsite visit weekly is required.

Compensation: $40.00 - $45.00 per hour, depending on experience. Responsibilities: Conduct periodic nutritional assessments for incoming participants with specialized diet orders, focusing on geriatric nutrition and chronic disease management. Develop and review menus to ensure they meet USDA guidelines (information will be provided)

Perform monthly kitchen sanitation audits using a provided checklist to ensure compliance. Provide nutritional counseling to participants during on-site visits or through inservices as needed. Review and sign off on the facility menu.

Utilize remote time for finalizing audits, menu review, and preparation for education or inservices. Participate in quality improvement initiatives related to nutrition care as needed. Adhere to all facility policies and procedures.

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 in California (if mandated).

Experience in geriatric nutrition and chronic disease management is highly preferred. Experience with conducting dietary assessments and developing menus for facilities. Excellent communication and interpersonal skills for effective interaction with participants, families, and healthcare teams.

Strong critical thinking skills with the ability to assess objectives and develop effective nutrition care plans. Proficiency in providing general nutrition education and counseling. 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

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