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Remote Utilization Review Rn Jobs in Warwick, RI

Varsity Tutors

NCLEX-PN Tutor

Providence, RI · Remote

$40/hr

... RN scope questions, pharmacology calculations, and managing anxiety with the adaptive testing format. Adapts instruction using NCLEX-PN specific practice question banks, content review focused on ...

UNFI

Solution Route Planner

Providence, RI · On-site +1

$69K - $82K/yr

Review routes for max cube utilization and potential route reductions * Plan backhauls in the most ... Remote UNFI is an Equal Opportunity employer committed to creating an inclusive and respectful ...

Integrated Resources INC

Sr. Medical Writer

Mansfield, MA · On-site +1

... remote work is possible, on site is preferred * PHD with 5+ years of experience or Nurses with 10+ years of experience is required * The Medical Writer has to review the post market surveillance data ...

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Remote Utilization Review Rn information

See Warwick, RI salary details

$21

$42

$69

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

As of Jun 13, 2026, the average hourly pay for remote utilization review rn in Warwick, RI is $42.40, according to ZipRecruiter salary data. Most workers in this role earn between $33.51 and $48.70 per hour, depending on experience, location, and employer.

What is the meaning of the word remote?

In the context of a Remote Utilization Review RN job, 'remote' refers to working outside of a traditional office setting, often from home or another location of the employee's choice. This setup typically involves using digital tools and communication platforms to perform job duties without being physically present in an office environment.

What are the key skills and qualifications needed to thrive as a Remote Utilization Review RN, and why are they important?

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 meaning of remote in one word?

In the context of a Remote Utilization Review RN role, 'remote' means working from a location outside of a traditional office, typically from home, using digital communication tools. It emphasizes flexibility and virtual access to work systems without physical presence at a healthcare facility.

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.

How to make 2000 a week working from home?

A Remote Utilization Review RN can potentially earn $2,000 weekly by working full-time hours, often 40 hours per week, and gaining experience or certifications that allow for higher billing rates. Increasing income may involve taking on additional cases, specializing in high-demand areas, or working for agencies that offer competitive pay for remote utilization review roles.

What is remote job?

A remote Utilization Review RN job is a healthcare position where the nurse reviews patient cases and insurance claims from a location outside of a traditional office, often working from home. It requires strong communication skills, knowledge of medical documentation, and familiarity with electronic health record systems, with flexible schedules common in remote roles.

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 Warwick, RI? For Remote Utilization Review Rn jobs in Warwick, RI, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in Warwick, RI look for? The top searched job categories for Remote Utilization Review Rn jobs in Warwick, RI are:
What cities near Warwick, RI are hiring for Remote Utilization Review Rn jobs? Cities near Warwick, RI with the most Remote Utilization Review Rn job openings:
Remote Utilization Review Rn jobs near you
Recovery Coach-Perinatal

Recovery Coach-Perinatal

Southcoast Health System, Inc.

New Bedford, MA • On-site, Remote

$22.06 - $37.09/hr

Full-time

Retirement

Posted 4 days ago

Southcoast Health rating

7.2

Company rating: 7.2 out of 10

Based on 73 frontline employees who took The Breakroom Quiz

331st of 872 rated healthcare providers

Job description

Overview
Community Focused. Care Driven.
Join Southcoast Health, where your future is as promising as the care we provide. Our commitment to each other, our patients, and our community is more than a mission - it's our way of life, and you'll be at the heart of it.
Southcoast Health is a not-for-profit, charitable, health system with multiple hospitals, clinics and facilities throughout Southeastern Massachusetts and Rhode Island.
Nestled in local communities, Southcoast Health provides inclusive, ethical workplaces where our highly skilled caregivers offer world-class, comprehensive healthcare close to home.
Find out for yourself why Southcoast Health has been voted 'Best Place to Work' for 7 years in a row!
We are searching for a talented Recovery Coach-Perinatal
Hours: 40hrs
Shift: Day shift; 8:00am - 4:30pm
Location: St. Luke's Hospital - New Bedford, MA; Position is considered hybrid/ad-hoc remote, with 4 days on-site and 1 remote day, weekly. Additional remote work may be approved as appropriate.
Travel: Driving on average 3 or more times per week required
A career at Southcoast Health offers you:
  • A culture of well-being that embraces, respects, and celebrates the rich diversity of one another and the communities we serve
  • Competitive pay and comprehensive benefits package
  • Generous Earned Time Off Package**
  • Employee Wellbeing Program
  • 403B Retirement Plan with company match
  • Tuition assistance / Federal Loan Forgiveness programs
  • Professional growth opportunities and customized leadership training

**Available to regular status employees who are scheduled to work a minimum of 24 hours.
Southcoast Health is an Equal Opportunity Employer.
Responsibilities
The Recovery Coach - Perinatal works within the New Beginnings Program - a grant - and philanthropically funded initiative operating through June 30, 2030 - and reports to the RN Team Leader under the oversight of the Manager of Health Equity, or their designee. The Perinatal Recovery Coach is responsible for providing support to pregnant and postpartum patients enrolled in the Moms Do Care program and eligible patients in the pre-enrollment stage, in finding and maintaining a personalized pathway to recovery from substance use disorders. The Recovery Coach will facilitate patient access to Medication Assisted Treatment options, recovery-oriented substance use disorder treatment, and the recovery community. This individual will serve a unique role on the integrated team by supporting participants through a perspective of lived experience and specialized training; they will contribute this perspective to program development. In order to respond promptly and appropriately to emergency situations, any staff member may be assigned temporary duties which differ from those in the job description or may be assigned temporarily to a different location or schedule.
Qualifications
  • Equal to completion of four years of high school or equivalent.
  • Must possess and demonstrate highly effective interpersonal, customer service and communication skills.
  • Personal lived experience with a substance use disorder and currently living life in recovery form a substance use disorder. A minimum of 2 years in recovery required for this role.
  • Experience with pregnancy/caregiving preferred
  • The position also requires experience with pregnant and parenting people impacted by SUD as well as knowledge of medication assisted treatment.
  • Require Recovery Coach certification or willingness to complete Recovery Coach training within 6 months.
  • Able to effectively communicate and work as a contributing member of the treatment team, Willingness to work with individuals in any stage of their recovery within a harm reduction framework.
  • Recovery Coach Certification or willingness to complete within 6 months is required.
  • Valid Driver License is required.
  • Must be fully vaccinated against seasonal Influenza and the COVID 19 virus or to be exempt from the requirement for medical or personal reasons by signing a statement certifying you are choosing to be exempt from vaccination once hired.
  • Compensation: Pay rate will be determined based on level of experience.

Pay Range
USD $22.06 - USD $37.09 /Hr.

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