Medical & Healthcare remote jobs

Remote Utilization Review Nurse Jobs

Remote utilization review nurse, utilization management, clinical review, medical necessity, and nurse reviewer roles with official application links.

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Medical billing84 RN & nursing394 Utilization review nurse22 Healthcare admin164 Medical coding30 Claims467 Pharmacy technician27 Prior authorization270

RoleCandidate countryRemote scopeSkillHealthcare roleOpen to my licenseSeniorityJob typePays at leastHide staffing agencies

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Sub-intents on this page

Utilization review nurseRN, LVN/LPN, and nurse-review roles focused on utilization review or utilization management.11 matching roles Clinical reviewClinical reviewer, medical review nurse, and medical necessity roles.17 matching roles Payer and authorization reviewAuthorization, payer, and medical necessity work that overlaps with utilization management.1 matching roles

Before applying

Confirm RN, LVN/LPN, compact license, or state-specific license requirements.
Check whether the work is asynchronous review, phone review, case management, or payer coordination.
Verify schedule, weekend coverage, and country/state eligibility on the official posting.

Cohere Health3 rolesIntusCare3 rolesMachinify3 rolesNeueHealth3 rolesQ-Centrix3 rolesClover Health2 rolesOscar Health2 rolesCharlie Health1 rolesEverlywell1 rolesVerse Medical1 roles

Live market snapshot

What the current listings actually show.

These figures come from the active jobs matched to this hub, not estimated search volume or advertised market size.

Remote availability

8 roles currently appear open worldwide, while 14 carry a country, region, or timezone restriction.

Recently seen

15 matched roles publish a source posting date or were first seen during the last 30 days. Roles without a reliable date are not counted as recent.

Compensation disclosure

12 of 22 active roles currently expose a usable compensation signal. Missing pay is reported as missing rather than estimated.

Employment mix

Full-time 5; Part-time 2; Contract 1.

Search guide

How this niche is filtered.

The goal is not to pad pages with every vaguely related listing. These notes explain what belongs here and what to verify before applying.

Why utilization review needs a focused page

Utilization review searches are usually clinical and credential-sensitive. This page keeps UR nurse, utilization management, medical necessity, and clinical review roles separate from broad healthcare admin jobs.

License and payer checks

Many roles require RN, LVN/LPN, compact license, payer experience, prior authorization knowledge, or state-specific eligibility even when the work is remote.

How we keep it narrow

The matcher uses title and role signals first, so general healthcare roles are not pulled in just because a description mentions utilization review in passing.

Quick scan

22 remote roles matched to this niche.

These roles are matched from title, company domain, skills, location, and job description text. 12 currently publish pay signals.

Clinical Reviewer, OTCohere Health · United States$95,000 - $105,000/yrAug 28, 2026Clinical Reviewer, SLPCohere Health · United States$95,000 - $105,000/yrAug 28, 2026Medical Director, Utilization Management (Home Health, Acute & Post-Acute)Clover Health · Remote - USA$242,300/yrAug 27, 2026Registered Nurse (RN) Lead, Home Health Utilization ManagementClover Health · Remote - USA$130,800/yrAug 27, 2026Utilization Review NurseOscar Health · Remote$35 - $46/hrAug 26, 2026Clinical Reviewer, DPTCohere Health · United States$95,000 - $105,000/yrAug 24, 2026Utilization Review SpecialistCharlie Health · Remote, United States$62,000/yrAug 20, 2026Utilization Management ManagerIntusCare · Remote-USA$115,000/yrAug 17, 2026Utilization Management NurseIntusCare · Remote-USA$80,000/yrAug 12, 2026Physician Reviewer - Utilization ManagementOscar Health · Remote$219,000 - $286,902/yrAug 8, 2026Medical Review Nurse II - SNF/MDS AuditorMachinify · Remote - US$85,000 - $100,000/yrAug 7, 2026Contract Utilization Management NurseIntusCare · Remote-USA$42/hrJul 27, 2026Utilization Management Nurse, LVN/LPNNeueHealth · RemotePay not listedAug 25, 2026Utilization Management Nurse, LVN/LPNNeueHealth · RemotePay not listedAug 25, 2026Utilization Management Nurse, LVN/LPN (Part Time)NeueHealth · RemotePay not listedAug 25, 2026Medical Review Nurse - CMS/RAC Auditor, Government AuditsMachinify · Remote - USPay not listedAug 11, 2026Medical Review Nurse - Home Health AuditorMachinify · Remote - USPay not listedJul 23, 2026Medical Review NurseVerse Medical · RemotePay not listedJul 9, 2026Surgical Clinical Reviewer (NSQIP) Team LeadQ-Centrix · RemotePay not listedJun 25, 2026NSQIP Surgical Clinical Reviewer: Part-TimeQ-Centrix · RemotePay not listedJun 1, 2026NSQIP Surgical Clinical Reviewer: Full-TimeQ-Centrix · RemotePay not listedJun 1, 2026Contract Physician – Medical Necessity Review (Genetic Testing)Everlywell · United States / ContractorPay not listedFeb 26, 2026

Quick answers

What job seekers usually want to know.

Are remote utilization review nurse jobs fully remote?

They are remote-eligible in our catalog, but many still require a specific nursing license, state eligibility, payer experience, or fixed shift schedule.

Do utilization review jobs require an RN license?

Many do, but not all. Some roles are LVN/LPN, clinical reviewer, medical director, or authorization-adjacent roles. The official posting is the final source of truth.