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Senior Specialist Remote Utilization Review Jobs

KYYBA

Remote Utilization Review RN

Detroit, MI · Remote

$35 - $39/hr

Utilization Review RN Contract Duration: 12+ months Job Location: 100% REMOTE License Requirements: MI Registered Nurse License Mandatory Requirements to Apply * Active, unrestricted Michigan ...

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How much do senior specialist remote utilization review jobs pay per year?

As of Aug 29, 2026, the average yearly pay for senior specialist remote utilization review in the United States is $93,575.00, according to ZipRecruiter salary data. Most workers in this role earn between $60,500.00 and $121,000.00 per year, depending on experience, location, and employer.
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Senior Specialist Remote Utilization Review jobs near you
Infographic showing various Senior Specialist Remote Utilization Review job openings in the United States as of August 2026, with employment types broken down into 89% Full Time, 3% Temporary, and 8% Contract. Highlights an 5% In-person, and 95% Remote job distribution, with an average salary of $93,575 per year, or $45 per hour.

Registered Nurse-Utilization Review

Remote

3B Healthcare, Inc.
Health Care and Social Assistance • 51 - 200 employees
Learn more about 3B Healthcare, Inc.external

Other

Re-posted 29 days ago

Job description

Registered Nurse – Utilization Review (Remote)

This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient, and Observation (OBS).

Minimum of 3 years acute medical Care Management/Utilization Review experience in a hospital setting (experience in health plans or medical groups is not applicable).

InterQual experience is mandatory; candidates without this will not be considered.

Proficient in Epic, with recent use within the last 6–12 months.

Experience working with HMOs, IPAs, and similar managed care organizations.

Strong knowledge of Medicare regulations and associated utilization management processes, including:

  • Condition Code 44 (CC44)
  • Advance Beneficiary Notices (ABNs)
  • Hospital-Issued Notices of Noncoverage (HINNs)
  • Medicare Coverage Status Notices (MCSNs)

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