ZipRecruiter

Log In

2

Remote Utilization Review Rn Jobs in Wheaton, IL

Sedgwick

RN Field Case Manager

Oak Brook, IL · Remote

$78K - $99K/yr

... Insurance RN Field Case Manager This Field Case Manager will cover our Chicago, IL/Northwest ... remote work environment that allows face to face interaction with injured workers and medical ...

Sedgwick

RN Field Case Manager

Naperville, IL · Remote

$77K - $98K/yr

... Insurance RN Field Case Manager This Field Case Manager will cover our Chicago, IL/Northwest ... remote work environment that allows face to face interaction with injured workers and medical ...

York Risk Services

RN Field Case Manager

Chicago, IL · Remote

$80K - $102K/yr

... Insurance RN Field Case Manager This Field Case Manager will cover our Chicago, IL/Northwest ... remote work environment that allows face to face interaction with injured workers and medical ...

Sedgwick

RN Field Case Manager

Chicago, IL · Remote

$80K - $102K/yr

... Insurance RN Field Case Manager This Field Case Manager will cover our Chicago, IL/Northwest ... remote work environment that allows face to face interaction with injured workers and medical ...

York Risk Services

RN Field Case Manager

Oak Brook, IL · Remote

$78K - $99K/yr

... Insurance RN Field Case Manager This Field Case Manager will cover our Chicago, IL/Northwest ... remote work environment that allows face to face interaction with injured workers and medical ...

York Risk Services

RN Field Case Manager

Naperville, IL · Remote

$77K - $98K/yr

... Insurance RN Field Case Manager This Field Case Manager will cover our Chicago, IL/Northwest ... remote work environment that allows face to face interaction with injured workers and medical ...

SMARTCARDIA INC

Cardiac Technician

Des Plaines, IL · Remote

$28 - $32/hr

Remote (U.S.) | Hybrid preferred for candidates near our Des Plaines, IL office At SmartCardia, w ... Certified Cardiovascular Technician (CCT), Registered Nurse (RN), Emergency Medical Technician (EMT ...

Baba

Virtual Nurse Practitioner

Chicago, IL · Remote

Telehealth Nurse Practitioner | Remote 1099 | Structured Intake & Care Navigation About Baba Baba ... Active Nurse Practitioner or APRN license, in good standing - licensed in multiple states ...

previous page

Showing results 41-60

All JobsUtilization Review Rn JobsRemote Utilization Review Rn JobsRemote Utilization Review Rn Jobs in Wheaton, IL

Remote Utilization Review Rn information

See Wheaton, IL salary details

$20

$40

$66

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

As of Aug 13, 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 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 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, 82% Full Time, 15% Part Time, and 2% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $85,001 per year, or $40.9 per hour.

Registered Nurse-Case Manager-Remote $52/hr

HireOps Staffing, LLC

Cicero, IL • Remote

$45 - $52/hr

Full-time

Posted 7 days ago

Job description

The position is work from home with field visits.


JOB PURPOSE:
This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing date for regulatory reports. This position will represent the company to members.
JOB QUALIFICATIONS:
*Registered Nurse (RN), with 3 years direct clinical care to the consumer in a clinical setting or Licensed Professional Counselor (LPC), or Licensed Master Social Worker (LMSW), which includes 2 years of clinical practice to obtain their LPC or LMSW license.
* Current, valid, unrestricted license in the state of operations (or reciprocity). For compact licensee changing permanent residence to state of operations, you must obtain active, unrestricted RN licensure in the state of operations within 90 days of hire.
* Plus 3 years wellness or managed care experience presenting clinical issues with members/physicians.
* Knowledge of the health and wellness marketplace and employer trends.
* Verbal and written communication skills including discussing medical needs with members and interfacing with internal staff/management and external vendors and community resources.
* Analytical experience including medical data analysis.
* Ability and willingness to travel within assigned territory.
* PC proficiency to include Word, Excel, and PowerPoint, database experience and Web based applications.
PREFERRED JOB QUALIFICATIONS:
* 3 years clinical experience.
* Patient education experience.
* Condition Management experience.
* Bilingual in English and Spanish.
* Transition of Care experience.
* Experience in managing complex or catastrophic cases.
* Certification in Case Management, Training, Project Management or nationally recognized health care certification.