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Remote Utilization Review Rn Jobs in Temecula, CA

Welby Health

Nurse Care Manager (Remote)

Carlsbad, CA · Remote

$75K - $90K/yr

Active and valid registered nurse (RN) license in good standing * Approximately two (2) to five (5) ... Ability to work independently in a remote, technology-enabled environment * Strong organizational ...

New

Welby Health

Nurse Care Manager

Carlsbad, CA · On-site +1

$75K - $90K/yr

Active and valid registered nurse (RN) license in the state of Illinois or Georgia * Experience in case management, chronic care management, and/or telehealth * Familiarity with remote physiological ...

Welby Health Inc

Nurse Care Manager

Carlsbad, CA · On-site +1

$75K - $90K/yr

Active and valid registered nurse (RN) license in the state of Illinois or Georgia * Experience in case management, chronic care management, and/or telehealth * Familiarity with remote physiological ...

IQVIA

Flex Nurse Educator

Temecula, CA · Remote

Deliver remote patient education, including medication administration training and adherence ... Active RN license in good standing (compact multi-state preferred); may be required to obtain ...

IQVIA

Flex Nurse Educator

Banning, CA · Remote

Deliver remote patient education, including medication administration training and adherence ... Active RN license in good standing (compact multi-state preferred); may be required to obtain ...

IQVIA

Flex Nurse Educator

Menifee, CA · Remote

Deliver remote patient education, including medication administration training and adherence ... Active RN license in good standing (compact multi-state preferred); may be required to obtain ...

BillionToOne

Oncology Account Executive

Temecula, CA · Remote

$244K - $314K/yr

Physicians Assistant (PA), Nurse Practitioner (NP) or Registered Nurse (RN) with experience ... LI-Remote For more information about how we protect your information, we encourage you to review ...

BillionToOne

Oncology Account Executive

Temecula, CA · Remote

$244K - $314K/yr

Physicians Assistant (PA), Nurse Practitioner (NP) or Registered Nurse (RN) with experience ... LI-Remote For more information about how we protect your information, we encourage you to review ...

BillionToOne

Oncology Account Executive

Temecula, CA · Remote

$244K - $314K/yr

Physicians Assistant (PA), Nurse Practitioner (NP) or Registered Nurse (RN) with experience ... LI-Remote For more information about how we protect your information, we encourage you to review ...

BillionToOne

Oncology Account Executive

Temecula, CA · Remote

$244K - $314K/yr

Physicians Assistant (PA), Nurse Practitioner (NP) or Registered Nurse (RN) with experience ... LI-Remote For more information about how we protect your information, we encourage you to review ...

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

Remote Utilization Review Rn information

See Temecula, CA salary details

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$42

$68

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

As of Aug 24, 2026, the average hourly pay for remote utilization review rn in Temecula, CA is $42.01, according to ZipRecruiter salary data. Most workers in this role earn between $33.17 and $48.22 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 Temecula, CA?

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

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

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

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

Cities near Temecula, 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 Temecula, CA as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 18% Part Time, 2% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $87,375 per year, or $42 per hour.

Nurse Care Manager (Remote)

Welby Health

Carlsbad, CA • Remote

$75K - $90K/yr

Full-time

Posted 3 days ago

New

Job description

Care Manager

The Care Manager is a licensed nurse responsible for providing ongoing remote care management to patients enrolled in Welby Health's remote physiological monitoring program. In this position, you will leverage Welby Health's platform to monitor vitals, develop individualized care plans, and deliver education and coaching that improve adherence and patient outcomes.
As a Care Manager at Welby Health, you will collaborate closely with physicians and cross-functional teams to ensure timely interventions, seamless care coordination, and an excellent patient experience. Furthermore, you will represent Welby Health's innovative healthcare model to patients and their families, helping them understand how our solutions support long-term health management while empowering them to take an active role in their care.

Key Responsibilities

  • Monitor and interpret patient vitals, assessments, and alerts within Welby Health's platform
  • Provide timely, evidence-based guidance and escalate clinically significant findings
  • Document patient interactions accurately and completely in accordance with internal protocols and regulatory standards
  • Develop, implement, and adjust individualized care plans that address both clinical and social needs
  • Coordinate with physicians, specialists, and community resources to close gaps in care
  • Serve as a liaison between patients and providers to improve engagement and adherence
  • Deliver patient education and coaching via telephone and secure messaging
  • Empower patients to manage chronic conditions and build sustainable health habits
  • Identify barriers to care and address them through practical, patient-centered solutions

Required Qualifications

  • Bachelor's degree in nursing or a closely related healthcare field
  • Active and valid registered nurse (RN) license in good standing
  • Approximately two (2) to five (5) years of direct patient care experience in medical-surgical or home care
  • Exceptional written and verbal communication skills
  • Ability to work independently in a remote, technology-enabled environment
  • Strong organizational skills with attention to detail and follow-through

Preferred Qualifications

  • Active and valid registered nurse (RN) license in the state of Illinois or Georgia
  • Experience in case management, chronic care management, and/or telehealth
  • Familiarity with remote physiological monitoring, electronic medical record (EMR) or electronic health record (EHR) systems, and patient engagement tools

About Us

Welby Health is a San Diego-based healthcare organization committed to transforming the way complex conditions are managed. Our mission is to advance patient outcomes by integrating efficient care coordination, data-driven insights, and enhanced communication across the care continuum. Through a technology-enabled, clinically grounded service model, we partner with physicians and health systems to deliver scalable solutions that improve quality of care, increase practice efficiency, and empower patients to live healthier lives.

Equal Employer Opportunity

Welby Health, Inc. is an equal opportunity employer committed to diversity and inclusion. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, gender identity or expression, age, marital or veteran status, pregnancy, or disability. We provide reasonable accommodations for applicants and employees in alignment with their needs related to disability, mental health, or religious practices.