ZipRecruiter

Log In

2

Remote Utilization Review Rn Jobs in Worcester, MA

Varsity Tutors

NCLEX-PN Tutor

Newton, MA · Remote

$18 - $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 ...

Varsity Tutors

NCLEX-PN Tutor

Waltham, MA · Remote

$18 - $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 ...

next page

Showing results 1-20

All JobsUtilization Review Rn JobsRemote Utilization Review Rn JobsRemote Utilization Review Rn Jobs in Worcester, MA

Remote Utilization Review Rn information

See Worcester, MA salary details

$21

$42

$68

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

As of Jul 15, 2026, the average hourly pay for remote utilization review rn in Worcester, MA is $42.19, according to ZipRecruiter salary data. Most workers in this role earn between $33.32 and $48.46 per hour, depending on experience, location, and employer.

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 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 Worcester, MA? For Remote Utilization Review Rn jobs in Worcester, MA, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in Worcester, MA look for? The top searched job categories for Remote Utilization Review Rn jobs in Worcester, MA are:
What cities near Worcester, MA are hiring for Remote Utilization Review Rn jobs? Cities near Worcester, MA 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 Worcester, MA as of July 2026, with employment types broken down into 84% Full Time, 13% Part Time, and 3% Contract. Highlights an 40% Physical, 4% Hybrid, and 56% Remote job distribution, with an average salary of $87,755 per year, or $42.2 per hour.
Clinical Supervisor/BCBA

Clinical Supervisor/BCBA

Mass Pediatric Aba LLC

Worcester, MA • Remote

$65 - $70/hr

Part-time

Posted 23 hours ago

Posted today

Job description

Benefits:
  • Flexible schedule
  • Opportunity for advancement
  • Signing bonus

Help Set the Standard for High-Quality ABA Care- Fully Remote Clinical Supervisor/BCBA Opportunity 
Mass Pediatric ABA is located in Westford MA and services all surrounding towns including Lowell, Dracut, Chelmsford, Tewksbury, and Andover. 
Mass Pediatric ABA is hiring a part-time, experienced and motivated Board-Certified Behavior Analyst to service clients and families 100% remotely. We are looking for a motivated and enthusiastic person to join our growing team of dedicated professionals working with families to make a difference in the lives of our clients through in-home ABA therapy and support. 
At Mass Pediatric ABA, we provide and maintain a personal feel for all of our employees and families. In order to deliver the best services for our families, we acknowledge that it starts with our employees' experiences. As part of our team, employees have consistent access to open communication and support as needed. We understand that in order to increase the quality of clinical outcomes, providing a strong foundation to empower our caregivers is vital. This position is an integral part of our mission and we are looking for a BCBA who upholds our values and will be invested in our mission.
Mass Pediatric ABA is offering an hourly rate of $65-$70 per hour based on education and experience.  BCBA's who are employed with the company will receive a sign on bonus of $500 after 6 months of employment!
Our BCBA will:
● Conduct initial assessments, reassessments, and write progress reports
● Develop & monitor individualized treatment plans and behavior support plans
● Supervise and train Behavior Technicians, including RBT Competency Assessments and ongoing supervision.
● Visually analyze and provide feedback on utilization of scheduled hours with Behavior Technicians
● Develop and monitor individual behavior management protocols and behavior intervention plans
● Provide support, instruction, and feedback to families and caregivers with regard to managing challenging behaviors and teaching replacement behaviors through the principles of ABA
● Conduct Functional Behavior Assessments and Functional Analysis of all problem behaviors when needed and clinically warranted
● Review program effectiveness, make recommendations, monitor data collection, and graph/monitor progress
Requirements:
  • Current BCBA Certification and MA LABA
  • Master's Degree in Psychology, Education, Special Education, or related field
  • Previous ABA Experience
  • Completed CORI background check 
Benefits:
  • Sign-on bonus after 6 months!
  • Flexible schedule
  • Free CEU's through the BHCOE Learning Hub
  • Monthly collaboration with fellow BCBAs and Clinical Director
  • Sick time accrual per MA State law
  • Referral program

This is a remote position.