ZipRecruiter

Log In

2

Remote Utilization Review Rn Jobs in Waldorf, MD

McGuireWoods LLP

Director, Benefits

Washington, DC · On-site +1

Along with excellent benefits, McGuireWoods offers most employees a hybrid remote option allowing ... Lead the annual benefits renewal process, including plan design evaluation, utilization review ...

McGuireWoods LLP

Director, Benefits

Washington, DC · On-site +1

Along with excellent benefits, McGuireWoods offers most employees a hybrid remote option allowing ... Lead the annual benefits renewal process, including plan design evaluation, utilization review ...

Centerbrite Health

BCBA (Part-time)

Fairfax, VA · On-site +1

$80 - $110/hr

... Hybrid (Remote + In-person) A rare opportunity to join a growing ABA practice as an early team ... Own documentation quality , utilization reviews, and oversight of treatment plans * Supervise RBTs ...

Centerbrite Health

BCBA

Fairfax, VA · On-site +1

$90K - $110K/yr

Own documentation quality , utilization reviews, and oversight of treatment plans * Supervise RBTs ... Remote and in-clinic Job Types: Full-time

previous page

Showing results 41-60

All JobsUtilization Review Rn JobsRemote Utilization Review Rn JobsRemote Utilization Review Rn Jobs in Waldorf, MD

Remote Utilization Review Rn information

See Waldorf, MD salary details

$20

$40

$66

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 Waldorf, MD is $40.82, according to ZipRecruiter salary data. Most workers in this role earn between $32.26 and $46.88 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 Waldorf, MD?

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

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

The top searched job categories for Remote Utilization Review Rn jobs in Waldorf, MD are:

What cities near Waldorf, MD are hiring for Remote Utilization Review Rn jobs?

Cities near Waldorf, MD 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 Waldorf, MD as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 18% Part Time, and 2% Contract. Highlights an 87% Physical, 2% Hybrid, and 11% Remote job distribution, with an average salary of $84,896 per year, or $40.8 per hour.

Nurse Practitioner (Remote) -TSA Headquarters

Fidelity Partners

Springfield, VA • Remote

Full-time

Posted 21 days ago

Job description

Nurse Practitioner (Remote) – Transportation SecurityThis Position Is Contingent Upon Bid Award
Administration (TSA) HeadquartersWork Location
TSA Headquarters595 Springfield Center Drive, Springfield, VA 20598 
  • Citizenship Requirements: Must be a U.S. Citizen.
  • Clearance Requirements: National Background Check with Inquiries, Fingerprints, and Drug Screen.
  • Estimated Period of Performance: One 12-month base period of September 1, 2026, through August 31, 2027, plus four additional 12-month option periods through August 31, 2031.
  • Type of Employment: Performance/Output Driven.

Working Hours
TSA core hours are 9:00 AM-3:00 PM. The position does not prescribe a specific eight-hour shift, weekends, or rotating shifts; staffing must support workload, response times, and required performance metrics, including approximately 50 AMC cases per key person per day, about six reviews per nurse per day, and at least 300 medical recommendations per day when sufficient cases exist.

Nurses may work remotely but must be able to report physically to TSA Headquarters for medical exam review training (typically in the first month), and whenever OCMO requests.

Qualifications

  • All personnel must be fully trained, licensed/certified, and qualified under Virginia industry requirements.
  • Current, unrestricted Nurse Practitioner license in the Commonwealth of Virginia.
  • Bachelor of Science in Nursing (BSN) required.
  • Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP) required.
  • At least 5 years of direct relevant experience in occupational health, employee case management, and medical review, including FFD and medical exam records.

*Copies of all certifications and resumes must be forwarded with your application.

Summary of Duties: The Nurse Practitioner will perform advanced clinical review of employee medical records, including complex Fitness for Duty, FMLA, and medical qualification cases. Provide clinical recommendations, manage complex case reviews, document findings, and support TSA medical operations through reporting, customer service, and medical record management.

Attire

The Nurse Practitioner is expected to wear approved professional clothing appropriate to the environment while on duty. Footwear will be closed-toe, flat-bottom, and completely cover the feet; fluid resistance and non-slip soles are preferred.

Duties and Responsibilities

  • Review and evaluate complex medical qualification cases and questionnaires.
  • Assess Fitness for Duty (FFD), FMLA, and employee medical examination records.
  • Request, interpret, and review additional medical documentation.
  • Provide advanced clinical recommendations regarding medical clearance and qualification.
  • Document clinical findings and maintain comprehensive case records.
  • Manage complex case reviews consistent with Nurse Practitioner scope of practice.
  • Provide customer service and communicate with employees and applicants regarding medical requirements.
  • Maintain confidentiality and securely manage medical records.
  • Support EEO and litigation-related medical documentation requests.
  • Contribute to process improvement initiatives and prepare required reports.
  • Provide surge staffing support during periods of increased workload.