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Remote Utilization Review Rn Jobs in Wake Forest, NC

Scribe-X

Remote Medical Scribe

Durham, NC · 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 ...

Scribe-X

Medical Scribe (Remote)

Raleigh, NC · 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 ...

IQVIA

Director, Remote Research Clinicians

Durham, NC · Remote

Review quality metrics, issue trends, audit findings, and operational performance indicators to ... Evaluate workload, utilization, productivity, quality, and customer satisfaction metrics. * Support ...

IQVIA

Director, Remote Research Clinicians

Durham, NC · Remote

Review quality metrics, issue trends, audit findings, and operational performance indicators to ... Evaluate workload, utilization, productivity, quality, and customer satisfaction metrics. * Support ...

Red Oak Recovery Center

Clinical Director

Durham, NC · Remote

$90K - $100K/yr

Participate in utilization review meetings, representing patient needs in both clinical and ... Student Loan Repayment - Available for nurses and therapists. * Retirement Benefits - 401(k) plan ...

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All JobsUtilization Review Rn JobsRemote Utilization Review Rn JobsRemote Utilization Review Rn Jobs in Wake Forest, NC

Remote Utilization Review Rn information

See Wake Forest, NC salary details

$18

$36

$59

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

As of Aug 7, 2026, the average hourly pay for remote utilization review rn in Wake Forest, NC is $36.27, according to ZipRecruiter salary data. Most workers in this role earn between $28.65 and $41.63 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 Wake Forest, NC? For Remote Utilization Review Rn jobs in Wake Forest, NC, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in Wake Forest, NC look for? The top searched job categories for Remote Utilization Review Rn jobs in Wake Forest, NC are:
What cities near Wake Forest, NC are hiring for Remote Utilization Review Rn jobs? Cities near Wake Forest, NC 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 Wake Forest, NC as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 13% Part Time, and 4% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $75,432 per year, or $36.3 per hour.

Inside Sales Representative - Remote - 2932707

IQVIA, Inc.

Raleigh, NC • On-site, Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

IQVIA rating

8.1

Company rating: 8.1 out of 10

Based on 53 frontline employees who took The Breakroom Quiz

62nd of 223 rated it services

Job description

Position Summary
If you are an energetic and results-driven sales professional looking for an exciting, fast-paced remote environment, we encourage you to join the Sanofi Thyrogen Program team. The Inside Sales Representative (ISR) will manage an assigned territory and engage healthcare professionals through outbound and inbound calls to support awareness and utilization of Thyrogen® (thyrotropin alfa for injection).
The ISR will build and maintain relationships with healthcare professionals and office staff, including Physicians, Endocrinologists, Nuclear Medicine Specialists, Nurses, Medical Assistants, Physician Assistants, Nurse Practitioners, and other key decision-makers involved in the treatment journey of thyroid cancer patients.
The primary objective is to provide accurate product education, support patient access initiatives, and positively influence appropriate utilization of Thyrogen while delivering exceptional customer service and ensuring compliance with all regulatory and company requirements.
Additionally, the ISR may support lead generation activities, appointment setting, virtual educational programs, and other sales and marketing initiatives aligned with the Thyrogen franchise.
Key Responsibilities
  • Manage and grow an assigned territory through strategic outbound and inbound customer engagement.
  • Deliver approved Thyrogen product messaging to healthcare professionals in a compliant and professional manner.
  • Identify and cultivate relationships with key stakeholders within targeted healthcare practices and institutions.
  • Educate healthcare providers on product indications, administration, patient support resources, and access programs.
  • Maintain accurate and timely documentation of customer interactions utilizing CRM platforms such as Salesforce and Veeva.
  • Consistently achieve or exceed territory activity and performance objectives.
  • Support the execution of virtual programs, lunch-and-learns, and promotional campaigns.
  • Collaborate with field sales, market access, patient services, and cross-functional teams to address customer needs.
  • Analyze territory trends and customer insights to identify opportunities for increased engagement.
  • Ensure adherence to all Sanofi, FDA, industry, and compliance guidelines.
Compensation & Benefits
  • Competitive Base Salary plus Performance Bonus
  • Paid Time Off (PTO)
  • Paid Training Program
  • Medical, Dental, and Vision Benefits
  • 401(k) Retirement Savings Plan
  • Remote Work Environment
  • Career Growth and Professional Development Opportunities
Required Qualifications
  • Bachelor's Degree required.
  • Minimum 2-3 years of inside sales, pharmaceutical sales support, B2B sales, or account management experience.
  • Experience managing a territory and developing customer relationships.
  • Proven record of meeting or exceeding sales and performance goals.
  • Strong communication, presentation, and interpersonal skills.
  • Ability to effectively communicate complex clinical and product information to healthcare professionals.
  • Experience documenting customer interactions and maintaining accurate records.
  • Ability to manage multiple priorities across various systems and platforms.
  • Strong organizational, problem-solving, and decision-making skills.
  • High level of professionalism, accountability, and customer focus.
  • Dedicated, private home office workspace required.
Preferred Qualifications
  • Pharmaceutical, biotech, healthcare, or life sciences sales experience.
  • Experience supporting specialty products, endocrinology, oncology, or rare disease therapies.
  • Working knowledge of Salesforce, Veeva CRM, or similar platforms.
  • Experience with virtual customer engagement and digital promotion.
  • Understanding of reimbursement, patient support services, and healthcare access processes.
Core Competencies
  • Territory Management
  • Customer Relationship Building
  • Virtual Selling Excellence
  • Clinical Communication
  • Account Development
  • Strategic Planning
  • Results Orientation
  • Compliance & Ethics
  • Adaptability & Resilience
  • Collaboration & Teamwork
Note
The duties and responsibilities described above do not constitute a comprehensive list. Additional responsibilities may be assigned based on business needs and program requirements.
IQVIA is a leading global provider of advanced analytics, technology solutions and clinical research services to the life sciences industry. We believe in pushing the boundaries of human science and data science to make the biggest impact possible - to help our customers create a healthier world. Learn more at https://jobs.iqvia.com
We are committed to providing equal employment opportunities for all, including veterans and candidates with disabilities. https://jobs.iqvia.com/eoe
#LI-CES
IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide. Learn more at https://jobs.iqvia.com
IQVIA is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable law. https://jobs.iqvia.com/eoe
IQVIA is committed to integrity in our hiring process and maintains a zero tolerance policy for candidate fraud. All information and credentials submitted in your application must be truthful and complete. Any false statements, misrepresentations, or material omissions during the recruitment process will result in immediate disqualification of your application, or termination of employment if discovered later, in accordance with applicable law. We appreciate your honesty and professionalism.
The potential base pay range for this role is 28.00-$30.00 per hour. The actual base pay offered may vary based on a number of factors including job-related qualifications such as knowledge, skills, education, and experience; location; and/or schedule (full or part-time). Dependent on the position offered, incentive plans, bonuses, and/or other forms of compensation may be offered, in addition to a range of health and welfare and/or other benefits.

What IQVIA employees say

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About IQVIA

Sourced by ZipRecruiter

At IQVIA, we are passionate about helping customers and partners improve results and patient outcomes. Everything we do contributes to this vision for creating a healthier world. In today’s healthcare environment, it’s not only about how much data, information, and technology you have at your fingertips – it’s what you do with it. IQVIA is focused on making intelligent connections for customers across the entire healthcare ecosystem to help you drive healthcare forward. Whether that means partnering with novel technology companies to boost patient engagement, leveraging AI & machine learning to accelerate results, or using decentralized trials to reach the right patients wherever they are – we are always looking for smarter ways to move you forward.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Durham, NC, US

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