Ability to work independently in a remote environment * Proficiency with EMR systems preferred (Epic experience a plus) Job Responsibilities * Perform utilization review of inpatient and outpatient ...
Ability to work independently in a remote environment * Proficiency with EMR systems preferred (Epic experience a plus) Job Responsibilities * Perform utilization review of inpatient and outpatient ...
Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic preferred) Job Responsibilities * Perform utilization review for inpatient and outpatient services
Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic preferred) Job Responsibilities * Perform utilization review for inpatient and outpatient services
Ability to work independently in a remote environment * Proficiency with EMR systems preferred (Epic experience a plus) Job Responsibilities * Perform utilization review of inpatient and outpatient ...
Ability to work independently in a remote environment * Proficiency with EMR systems preferred (Epic experience a plus) Job Responsibilities * Perform utilization review of inpatient and outpatient ...
Ability to work independently in a remote environment * Proficiency with EMR systems preferred (Epic experience a plus) Job Responsibilities * Perform utilization review of inpatient and outpatient ...
Ability to work independently in a remote environment * Proficiency with EMR systems preferred (Epic experience a plus) Job Responsibilities * Perform utilization review of inpatient and outpatient ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Utilization Review and Independent Medical Review services. We partner with highly qualified ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Utilization Review and Independent Medical Review services. We partner with highly qualified ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Dane Street is a national leader in Utilization Review and Independent Medical Review services. We ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Dane Street is a national leader in Utilization Review and Independent Medical Review services. We ...
Ability to work independently in a remote environment * Proficiency with EMR systems preferred (Epic experience a plus) Job Responsibilities * Perform utilization review of inpatient and outpatient ...
Ability to work independently in a remote environment * Proficiency with EMR systems preferred (Epic experience a plus) Job Responsibilities * Perform utilization review of inpatient and outpatient ...
RN - UTILIZATION REVIEW
Everett, WA · Remote
$65/hr
Fully Remote Position Job Title : RN - UTILIZATION REVIEW Location: Everett, WA 98201 Start Date: 05/04/2026 Duration: 13 weeks Schedule Shift: Day 5x8-Hour (08:00 - 16:30) Shift Notes: Days (5×8 ...
RN - UTILIZATION REVIEW
Everett, WA · Remote
$65/hr
Fully Remote Position Job Title : RN - UTILIZATION REVIEW Location: Everett, WA 98201 Start Date: 05/04/2026 Duration: 13 weeks Schedule Shift: Day 5x8-Hour (08:00 - 16:30) Shift Notes: Days (5×8 ...
Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic preferred) Job Responsibilities * Perform utilization review for inpatient and outpatient services
Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic preferred) Job Responsibilities * Perform utilization review for inpatient and outpatient services
Registered Nurse Utilization Review
Austin, TX · Remote
$84K - $118K/yr
Remote Facility: Ascension Network Services Department: Utilization Management Schedule: Days l ... Review admissions and service requests within assigned unit for prospective, concurrent and ...
Registered Nurse Utilization Review
Austin, TX · Remote
$84K - $118K/yr
Remote Facility: Ascension Network Services Department: Utilization Management Schedule: Days l ... Review admissions and service requests within assigned unit for prospective, concurrent and ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Dane Street is a national leader in Utilization Review and Independent Medical Review services. We ...
Quick apply
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Dane Street is a national leader in Utilization Review and Independent Medical Review services. We ...
Ability to work independently in a remote environment * Proficiency with EMR systems preferred (Epic experience a plus) Job Responsibilities * Perform utilization review of inpatient and outpatient ...
Ability to work independently in a remote environment * Proficiency with EMR systems preferred (Epic experience a plus) Job Responsibilities * Perform utilization review of inpatient and outpatient ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Dane Street is a national leader in Utilization Review and Independent Medical Review services. We ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Dane Street is a national leader in Utilization Review and Independent Medical Review services. We ...
The Utilization Review (UR) Specialist is a Registered Nurse responsible for conducting thorough ... Work Type: This position is a remote position outside traditional office, often from home or ...
The Utilization Review (UR) Specialist is a Registered Nurse responsible for conducting thorough ... Work Type: This position is a remote position outside traditional office, often from home or ...
COMAGINE HEALTH is seeking Clinical Utilization Review Nurses (RN) for a full-time remote position focused on assessing the medical necessity of healthcare services in Alabama. Candidates must hold ...
COMAGINE HEALTH is seeking Clinical Utilization Review Nurses (RN) for a full-time remote position focused on assessing the medical necessity of healthcare services in Alabama. Candidates must hold ...
COMAGINE HEALTH is seeking Clinical Utilization Review Nurses (RN) for a full-time remote position focused on assessing the medical necessity of healthcare services in Alabama. Candidates must hold ...
COMAGINE HEALTH is seeking Clinical Utilization Review Nurses (RN) for a full-time remote position focused on assessing the medical necessity of healthcare services in Alabama. Candidates must hold ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Utilization Review and Independent Medical Review services. We partner with highly qualified ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Utilization Review and Independent Medical Review services. We partner with highly qualified ...
Remote UM Nurse - Pre-Service (RN/LVN)
Orange, CA · Remote
$77K - $116K/yr
Alignment Healthcare USA, LLC is hiring for a remote Utilization Management (UM) Nurse position focused on pre-service reviews. This role requires active California LVN or RN licensure and involves ...
New
Remote UM Nurse - Pre-Service (RN/LVN)
Orange, CA · Remote
$77K - $116K/yr
Alignment Healthcare USA, LLC is hiring for a remote Utilization Management (UM) Nurse position focused on pre-service reviews. This role requires active California LVN or RN licensure and involves ...
New
CA Utilization Review Nurse I
Rancho Cucamonga, CA · Remote
$30.64 - $45.80/hr
The Utilization Review Nurse gathers demographic and clinical information on prospective ... This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Identifies the necessity of ...
Quick apply
CA Utilization Review Nurse I
Rancho Cucamonga, CA · Remote
$30.64 - $45.80/hr
The Utilization Review Nurse gathers demographic and clinical information on prospective ... This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Identifies the necessity of ...
Utilization Review Nurse
Morehead, KY · On-site +1
Supports utilization review processes by planning, analyzing data, and setting goals to ensure appropriate reimbursement and adherence to guidelines. Essential Functions • Abstracts and assembles ...
Utilization Review Nurse
Morehead, KY · On-site +1
Supports utilization review processes by planning, analyzing data, and setting goals to ensure appropriate reimbursement and adherence to guidelines. Essential Functions • Abstracts and assembles ...
Remote Utilization Review information
See salary details
$21.39 - $25.72
2% of jobs
$25.72 - $30.05
9% of jobs
$33.01 is the 25th percentile. Wages below this are outliers.
$30.05 - $34.38
21% of jobs
The median wage is $37.88 / hr.
$34.38 - $38.70
23% of jobs
$38.70 - $43.03
13% of jobs
$46.39 is the 75th percentile. Wages above this are outliers.
$43.03 - $47.36
10% of jobs
$47.36 - $51.68
8% of jobs
$51.68 - $56.01
5% of jobs
$56.01 - $60.34
5% of jobs
$60.34 - $64.66
2% of jobs
$64.66 - $68.99
2% of jobs
$21
$42
$68
How much do remote utilization review jobs pay per hour?
As of Jun 5, 2026, the average hourly pay for remote utilization review in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.
What are the key skills and qualifications needed to thrive in the Remote Utilization Review position, and why are they important?
To thrive as a Remote Utilization Review professional, you need a solid foundation in clinical knowledge, critical thinking, and an active RN or LPN license, often supported by experience in case management or prior authorization. Familiarity with medical coding (ICD-10, CPT), electronic health records (EHRs), and utilization management software is typically required, along with URAC or related certifications. Excellent communication, attention to detail, and strong organizational skills help you efficiently manage cases and coordinate with providers and payers. These skills ensure accurate assessments of medical necessity, compliance with regulations, and effective remote collaboration with healthcare teams.
What does a typical day look like for someone in a Remote Utilization Review role?
A typical day for a Remote Utilization Review professional involves reviewing patient medical records, evaluating the necessity of proposed treatments against established guidelines, and collaborating with healthcare providers to gather additional information when needed. You will spend much of your time analyzing documentation, submitting recommendations, and ensuring that care authorization decisions align with payer policies and clinical best practices. Communication with case managers, physicians, and insurance representatives is frequent and essential. The work is generally independent and deadline-driven but requires strong teamwork and responsiveness through virtual meetings, emails, and calls.
What is a Remote Utilization Review job?
A Remote Utilization Review job involves assessing medical records and treatment plans to ensure they meet insurance guidelines and medical necessity criteria. Professionals in this role, often nurses or healthcare specialists, work remotely to review patient care for cost-effectiveness and compliance with policies. They collaborate with healthcare providers, insurance companies, and case managers to approve or deny services based on established guidelines. This position requires strong analytical skills, knowledge of medical policies, and attention to detail.
More about Remote Utilization Review jobs
What cities are hiring for Remote Utilization Review jobs? Cities with the most Remote Utilization Review job openings:
What are the most commonly searched types of Utilization Review jobs? The most popular types of Utilization Review jobs are:
What states have the most Remote Utilization Review jobs? States with the most job openings for Remote Utilization Review jobs include:
What job categories do people searching Remote Utilization Review jobs look for? The top searched job categories for Remote Utilization Review jobs are:
- Remote Insurance Utilization Review
- Remote Bcba Utilization Review
- Remote International Utilization Review Nurse
- International Utilization Review Nurse
- Optum Utilization Review Nurse
- Cigna Utilization Review Nurse
- Utilization Review
- Remote Lpn Utilization Review
- Aetna Utilization Review Nurse
- Remote Utilization Review Nurse Practitioner
$40/hr
Other
Posted 12 days ago
Job description
Job Title: Registered Nurse - Utilization Review
Location: Santa Rosa, CA
Shift Details: Day Shift | 5x8 Hours | 08:00 AM - 04:30 PM
Contract Duration: 13 Weeks
Orientation: 40 Hours (Non-Billable)
Required Qualifications
- Active Registered Nurse (RN) License required
- Minimum 1-2 years acute care nursing experience preferred
- Experience in Utilization Review, Case Management, or similar role preferred
- Strong understanding of medical necessity, payer guidelines, and clinical documentation
- Knowledge of insurance authorization processes preferred
- Strong analytical, communication, and decision-making skills
- Ability to work independently in a remote environment
- Proficiency with EMR systems preferred (Epic experience a plus)
Job Responsibilities
- Perform utilization review of inpatient and outpatient cases
- Evaluate medical necessity based on clinical guidelines and payer policies
- Review patient records and documentation for appropriate level of care
- Collaborate with physicians, case managers, and insurance providers
- Process prior authorizations and continued stay reviews
- Document all review decisions accurately in EMR systems
- Identify cases requiring further clinical escalation
- Ensure compliance with regulatory, hospital, and insurance standards
- Support discharge planning and care coordination as needed
- Maintain productivity and quality standards in a remote setting
For more details contact at sthakur@navitashealth.com
About Navitas Healthcare, LLC certified WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided and your salary will be discussed upfront.