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Remote Utilization Review Rn Jobs in Wheaton, IL

Med-Metrix

Physician Advisor - Remote

Chicago, IL · On-site +1

Provides consultation to attendings, nurses, and case management staff regarding complex clinical ... Board Certification by the American Board of Quality Assurance and Utilization Review Physicians ...

YO AI Labs

Hospitalist Physician - Remote

Chicago, IL · Remote

$70 - $100/hr

Remote Job Overview We are seeking experienced Hospitalist Physicians to contribute their medical ... Experience with utilization review, medical coding, or healthcare quality assurance. * Familiarity ...

Corvel

Case Management Supervisor RN

Downers Grove, IL · Remote

$76K - $117K/yr

This is a remote position. ESSENTIAL FUNCTIONS &RESPONSIBILITIES: * Responsible for directing a ... May perform daily, weekly, monthly reviews of various reports, invoices, logs and expenses * May be ...

Corvel

Case Management Supervisor RN

Downers Grove, IL · Remote

$77K - $120K/yr

This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Responsible for directing a ... May perform daily, weekly, monthly reviews of various reports, invoices, logs and expenses * May be ...

Corvel

Bilingual Medical Case Manager II

Downers Grove, IL · On-site +1

$65K - $98K/yr

CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse ... A cost containment background, such as utilization review or managed care is helpful. * Strong ...

Varsity Tutors

NCLEX-RN Tutor

Schaumburg, IL · 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 ...

Varsity Tutors

NCLEX-RN Tutor

Naperville, IL · 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 ...

Varsity Tutors

NCLEX-RN Tutor

Buffalo Grove, IL · 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 ...

Varsity Tutors

NCLEX-RN Tutor

Des Plaines, IL · 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 ...

Varsity Tutors

NCLEX-RN Tutor

Oak Lawn, IL · 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 ...

Varsity Tutors

NCLEX-RN Tutor

Wheaton, IL · 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 ...

Varsity Tutors

NCLEX-RN Tutor

Chicago, IL · 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 Wheaton, IL salary details

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

As of Sep 4, 2026, the average hourly pay for remote utilization review rn in Wheaton, IL is $40.87, according to ZipRecruiter salary data. Most workers in this role earn between $32.31 and $46.92 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 Wheaton, IL?

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

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

The top searched job categories for Remote Utilization Review Rn jobs in Wheaton, IL are:

What cities near Wheaton, IL are hiring for Remote Utilization Review Rn jobs?

Cities near Wheaton, IL 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 Wheaton, IL 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 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $85,001 per year, or $40.9 per hour.

Remote RN Case Manager - Metro Chicago

OpTech LLC

Downers Grove, IL • On-site, Remote

Full-time

Re-posted 20 days ago

Job description

Downers Grove, Illinois
Case Management
Direct
RN Remote Case Manager - Metro Chicago Area (with Local Travel)
This is a direct hire position. We are seeking a compassionate and experienced Registered Nurse (RN) Medical Case Manager to support injured workers throughout their recovery and return-to-work journey. This role combines remote work with local travel throughout the Chicago metropolitan area, providing clinical oversight, care coordination, patient advocacy, and collaboration with healthcare providers, employers, and other stakeholders. The ideal candidate will have strong assessment skills, experience managing complex cases, and a passion for helping patients achieve positive outcomes while ensuring appropriate and cost-effective care.
Qualifications
  • Active Illinois RN License
  • Graduate of an Accredited School of Nursing
  • 1-3 years of clinical nursing experience in Orthopedics, Neurology, Rehabilitation, Trauma, Occupational Health, Acute Care, or related specialties
  • Medical Case Management experience supporting injured or complex patient populations
  • Workers' Compensation Case Management experience (highly preferred)
  • CCM (Certified Case Manager) (preferred/obtain in 18 mos)
  • Ability to travel locally up to 60% with a valid driver's license and reliable transportation

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