Utilization Review RN
Sedgwick · United States · US
Utilization Review
Remote
physician
Nurse
Pharmacist
Dentist
Demand78
Career growth68
Healthcare fit82
Remote potential95
Salary band
USD 63k – 65k
5-year outlook
Stable demand for remote utilization review nurses, with compensation typically competitive with clinical RN roles and potential growth through case management certification or leadership. Exact salary figures are not provided in the posting.
Clinical license
Required
Applicant reach
moderate
Seniority
mid
Employment type
full-time
Date found
2026-10-06
Intelligence details
Flexible work details
- Engagement type
- Permanent
- Hours
- Full-time
- Eligible countries
- United States
- License jurisdiction
- US
- Profession fit
- physician, Nurse, Pharmacist, Dentist
- 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 nurses seeking a remote, non-bedside role with work-life balance and clinical relevance. Consider it if you are comfortable with insurance/claims workflows and cost-effective care decision-making.
Who should apply
RNs with at least two years of direct clinical experience, especially those with backgrounds in med-surg, ICU, ED, rehabilitation, case management, or workers' compensation. Compact licensure and case management certification strengthen candidacy.
CV angle
Reframe bedside or clinical experience around patient assessment, treatment planning, interdisciplinary collaboration, guideline application, documentation, quality assurance, and patient advocacy. Emphasize any experience with utilization review, case management, disability, workers' compensation, or remote clinical coordination.
Skills to highlight
- Clinical assessment
- Utilization management
- Treatment planning
- Medical guideline application
- Interdisciplinary collaboration
- Quality assurance
- Patient advocacy
- Documentation and confidentiality
Role summary
A remote Utilization Review RN at Sedgwick performs clinical assessments, evaluates treatment utilization, recommends alternative care, negotiates appropriate care levels using medical and disability guidelines, and collaborates with physicians, claims examiners, clients, and vendors to support injured employees.
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