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Remote Utilization Review Rn Jobs in Vineland, NJ

ComplexCare Solutions

Nurse Practitioner (Per Diem)

NJ · On-site +1

$2.4K - $10K/mo

Complete comprehensive, accurate and thorough review of the assigned member population, including ... Ability to practice autonomously in a remote clinical environment, including independently ...

All JobsUtilization Review Rn JobsRemote Utilization Review Rn JobsRemote Utilization Review Rn Jobs in Vineland, NJ

Remote Utilization Review Rn information

See Vineland, NJ salary details

$21

$41

$68

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

As of Aug 23, 2026, the average hourly pay for remote utilization review rn in Vineland, NJ is $41.96, according to ZipRecruiter salary data. Most workers in this role earn between $33.17 and $48.17 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 Vineland, NJ?

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

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

The top searched job categories for Remote Utilization Review Rn jobs in Vineland, NJ are:

What cities near Vineland, NJ are hiring for Remote Utilization Review Rn jobs?

Cities near Vineland, NJ 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 Vineland, NJ as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 19% Part Time, 2% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $87,284 per year, or $42 per hour.

Registered Field Nurse

Homewatch CareGivers of Cape May

NJ • Remote

$38/hr

Part-time

Re-posted 6 days ago

Job description

Job Title: Registered Field Nurse
Location: Serving Atlantic and Cape May Counties, New Jersey
Company: Homewatch CareGivers of Cape May, NJ
Position Type: Per Diem 
Compensation and Hours: Starting at $38.00 per hour, approximately 10–20 hours per month, plus mileage reimbursement between client visits, with opportunities for growth.
 
Join Our Compassionate Team as a Home Care Nurse!
Homewatch CareGivers of Cape May is a locally owned home care agency founded and led by a Registered Nurse with more than 25 years of healthcare leadership experience. We believe exceptional care begins with caring relationships and a culture of clinical and service excellence that empowers individuals and improves the quality of life for the clients, families, and caregivers who serve alongside us.
Why Join Homewatch CareGivers?
 
  • Meaningful Work: Make a lasting difference by helping older adults remain safe, independent, and comfortable in their own homes. 
  • Flexible Scheduling: Enjoy the flexibility of a per diem position that supports your work-life balance. 
  • Supportive Leadership: Work alongside a Registered Nurse with more than 25 years of clinical and healthcare leadership experience who understands the value of teamwork and professional support. 
  • Technology That Works for You: Utilize industry-leading technology designed to streamline documentation and enhance communication. 
  • Professional Growth: Be part of a growing organization with opportunities to expand your role as our clinical services continue to evolve. 
  • A Culture of Clinical and Service Excellence: Join a team that values compassion, accountability, collaboration, and continuous improvement.
 What You’ll Do:
 
  • Conduct comprehensive in-home client assessments and develop individualized Plans of Care. 
  • Perform supervisory and quality assurance visits to ensure exceptional client care and regulatory compliance. 
  • Educate clients, families, and caregivers regarding health conditions, medications, nutrition, and wellness. 
  • Collaborate with physicians, referral partners, and the interdisciplinary care team to coordinate client services. 
  • Monitor client status, recognize changes in condition, and communicate recommendations to the appropriate healthcare providers. 
  • Mentor and support caregivers through clinical guidance, education, and competency validation. 
  • Maintain timely, accurate, and compliant electronic documentation. 
  • Participate in quality improvement initiatives while helping support the continued growth of our clinical services
 Are You the Right Fit?
 
  • Current, unrestricted Registered Nurse license in the State of New Jersey. 
  • Minimum of five (5) years of professional nursing experience required. 
  • A minimum of three (3) years of recent home care or hospice nursing experience is strongly preferred. 
  • Demonstrated ability to perform independent clinical assessments, develop individualized Plans of Care, and make sound clinical decisions in the home setting. 
  • Strong knowledge of geriatric care, chronic disease management, and home care best practices. 
  • Demonstrated ability to work independently, prioritize competing demands, and exercise sound clinical judgment in the home setting.
  • Excellent communication and relationship-building skills. 
  • Proficiency with electronic health records and technology. 
  • Current CPR certification. 
  • Knowledge of New Jersey home care regulations preferred. 
  • Valid driver's license, reliable transportation, and willingness to travel throughout Atlantic and Cape May Counties.

This is a remote position.