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Remote Utilization Review Rn Jobs in Westfield, IN

RADcube

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Registered Nurse Clinical Auditor

Indianapolis, IN · Remote

$50K - $70K/yr

Remote with Occasional travel - Downtown Indianapolis, IN (Expenses are covered by client) We are seeking a detail-oriented Registered Nurse to support medical record reviews, billing compliance ...

Varsity Tutors

NCLEX-RN Tutor

Indianapolis, IN · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

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Remote Utilization Review Rn information

See Westfield, IN salary details

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

As of Aug 21, 2026, the average hourly pay for remote utilization review rn in Westfield, IN is $40.55, according to ZipRecruiter salary data. Most workers in this role earn between $32.07 and $46.59 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 Westfield, IN?

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

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

The top searched job categories for Remote Utilization Review Rn jobs in Westfield, IN are:

What cities near Westfield, IN are hiring for Remote Utilization Review Rn jobs?

Cities near Westfield, IN 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 Westfield, IN as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 17% Part Time, 3% Contract, and 1% Nights. Highlights an 88% Physical, 4% Hybrid, and 8% Remote job distribution, with an average salary of $84,353 per year, or $40.6 per hour.

Telehealth Call Center Clinician

New Vista Behavioral Health

Indianapolis, IN • Remote

$30 - $34/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted yesterday

Job description

Telehealth Call Center Clinician
Remote Opportunity (Must be Licensed in Indiana)
Shifts: 3 x 12 hours (2pm - 2 am)


Pay: $30 - $34 per hour


About New Vista:

At NewVista, we are the behavioral health experts. We strive to treat every patient with impeccable precision and care as if they are family. NewVista Behavioral Health is a forward-thinking development and operating company of behavioral health hospitals, substance abuse rehabilitation centers, and behavioral health providers serving the adult and geriatric population

Position Overview

The Telehealth Call Center Clinician provides clinical assessment, care coordination, and referral services via telehealth. This role works collaboratively with interdisciplinary teams and external providers to ensure timely, compliant, and high-quality patient care. This is a remote position for candidates licensed to practice in the state of Indiana.

Key Responsibilities

  • Conducts level-of-care assessments and completes ASAM documentation via telehealth platforms.
  • Coordinates care with interdisciplinary treatment teams and external providers, providing timely clinical updates.
  • Communicates effectively while adhering to HIPAA and 42 CFR Part 2 regulations; documents all interactions accurately.
  • Provides community resource information and facilitates “warm referrals” to support patient engagement.
  • Collaborates with utilization review staff regarding authorizations and ongoing care needs.
  • Completes comprehensive, timely documentation in compliance with organizational, clinical, and regulatory standards.
  • Demonstrates strong crisis intervention skills while maintaining patient confidentiality.
  • Maintains working knowledge of applicable clinical regulations and best practices.
  • Completes the admissions process, including verification of benefits and securing required authorizations.

Education Requirements

  • High school diploma or GED required.
  • Bachelor’s degree preferred (BSW, LSW, or RN), or
  • Master’s degree in Social Work, Counseling, or a related field with appropriate licensure.

Licensure Requirements

  • Active Indiana licensure required.
  • Eligible licenses include:
  • LSW
  • LCSW
    Why You’ll Love It Here (Full‑Time Benefits)
  • Multiple medical plan options, Vista Wellness (physician/pharmacy), Dental, Vision
  • Generous PTO and paid holidays
    401(k) with company contribution; Life and disability coverage
    Tuition reimbursement up to $15,000 and student loan forgiveness programs

Apply