Utilization Management RN Full-Time Remote Position
HealthCare Strategies · United States · US
Utilization Review
Remote
Nurse
Demand72
Career growth58
Healthcare fit86
Remote potential100
Salary band
USD 65k – 68k
5-year outlook
Stable demand for remote utilization management nurses, with pay likely competitive for experienced RNs but limited upward salary growth unless moving into leadership, case management certification, or informatics-adjacent roles.
Clinical license
Required
Applicant reach
broad
Seniority
mid
Employment type
full-time
Date found
2026-10-30
Intelligence details
Flexible work details
- Engagement type
- Permanent
- Hours
- Full-time
- Eligible countries
- United States
- License jurisdiction
- US
- Profession fit
- 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 considering for nurses seeking a fully remote, weekday non-bedside role with predictable hours; less compelling if you want direct patient care, flexible scheduling, or rapid career acceleration.
Who should apply
Hospital-experienced RNs interested in managed care, prior authorization, or utilization review, especially those with Interqual, case management, or telephonic triage exposure.
CV angle
Frame hospital RN experience around clinical assessment, criteria-based decision-making, prior authorization or medical necessity review, interdisciplinary communication, and accurate documentation; highlight any UM, Interqual, case management, or telephonic triage exposure without overstating it.
Skills to highlight
- Utilization management
- Medical necessity review
- Prior authorization
- Interqual criteria
- Telephonic clinical assessment
- Case management
- Clinical documentation
- Managed care
Role summary
Remote RN role performing telephonic utilization management, medical necessity reviews, prior authorization determinations, and case management referrals for health plan members.
We publish our own intelligence summary, never the full job description. Always confirm details with the employer when you apply.