Remote RN, Clinical Record Review
Managed Medical Review Organization · United States · US
Utilization Review
Remote
physician
Nurse
Demand78
Career growth62
Healthcare fit85
Remote potential95
Salary band
USD 80k – 80k
5-year outlook
Likely stable remote RN utilization/record-review pay with limited upside unless moving into lead quality, compliance, or payer management roles; exact compensation varies by state, payer, and experience.
Clinical license
Required
Applicant reach
moderate
Seniority
mid
Employment type
full-time
Date found
2026-10-24
Intelligence details
Flexible work details
- Engagement type
- Permanent
- Hours
- Full-time
- Eligible countries
- United States
- License jurisdiction
- US
- Profession fit
- physician, Nurse
- Rate period
- Annual
Listing via Himalayas.
Eligibility, licensing, and location restrictions can change. Always confirm details on the source posting before applying.
Why this is worth applying to
Worth applying for RNs with insurance, utilization review, appeals/grievances, or case-management experience who want remote non-bedside work. New grads or nurses without payer experience may struggle against the 2-year related-experience requirement.
Who should apply
RNs with 2+ years in healthcare insurance appeals/grievances, case management, utilization review, or clinical record review; detail-oriented nurses comfortable with telephonic physician communication, documentation, credentialing, and compliance.
CV angle
Frame RN experience around medical record review, clinical assessment, utilization/appeals/case management, evidence-based criteria, documentation, physician communication, credentialing/compliance, and quality improvement. Quantify caseloads and audit outcomes where real, without fabricating insurance-industry experience.
Skills to highlight
- Clinical record review
- Utilization review
- Medical necessity and evidence-based criteria
- Appeals and grievances
- Case management
- Quality review and compliance
- Documentation and telephonic communication
- Credentialing verification
Role summary
Remote RN role reviewing medical records and HCR reports, coordinating with physician reviewers, verifying credentials, documenting case activity, and supporting quality and compliance for an external review organization.
We publish our own intelligence summary, never the full job description. Always confirm details with the employer when you apply.