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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CVS HealthHealthcare / RCM

Utilization Management Nurse Consultant (Work From Home)

RegionOtherFull-time

Location: FL - Work from home / Work At Home-Idaho / Work At Home-Arkansas / Work At Home-Texas / Work At Home-Georgia / Work At Home-Montana / Work At Home-Iowa / Work At Home-Oregon / Work At Home-Wisconsin / Work At Home-Washington / Work At Home-Alaska / Work At Home-New York / Work At Home-Hawaii / Work At Home-District of Columbia / Work At Home-Connecticut / Work At Home-Nebraska / Work At Home-Rhode Island / Work At Home-Kentucky / Work At Home-Tennessee / Work At Home-Canada / Work At Home-Ohio / Work At Home-West Virginia / Work At Home-Massachusetts / Work At Home-Maryland / Work At Home-South Carolina / Work At Home-Missouri / Work At Home - Utah / Work At Home-Arizona / Work At Home-South Dakota / Work At Home-Pennsylvania / Work At Home-New Hampshire / Work At Home-Vermont / Work At Home-Minnesota / Work At Home-New Mexico / Work At Home-Michigan / Work At Home-California / Work At Home-Maine / Work At Home-North Dakota / Work At Home-Kansas / Work At Home-New Jersey / Work At Home-Indiana / Work At Home-Nevada / Work At Home-Louisiana / Work At Home-Mississippi / Work At Home-Oklahoma / Work At Home-Alabama / Work At Home-Virginia / Work At Home-Illinois / Work At Home-North Carolina / Work At Home-Florida / Work At Home-Colorado / Work At Home-Wyoming / Work At Home-Delaware
Candidate fit: Canada, Mexico, United States, Americas
Compensation: $29 - $62/hr
Posted: Oct 30

Description is available from the official source.

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Related medical & healthcare pages

Healthcare3,449 roles Claims552 roles RN & nursing425 roles Prior authorization357 roles Healthcare admin261 roles Medical billing89 roles Medical coding63 roles Pharmacy technician31 roles

Sub-intents on this page

Utilization review nurseRN, LVN/LPN, and nurse-review roles focused on utilization review or utilization management.18 matching roles Clinical reviewClinical reviewer, medical review nurse, and medical necessity roles.13 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.

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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

5 roles currently appear open worldwide, while 22 carry a country, region, or timezone restriction.

Recently seen

20 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

10 of 27 active roles currently expose a usable compensation signal. Missing pay is reported as missing rather than estimated.

Employment mix

Full-time 12; 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

27 remote roles matched to this niche.

These roles are matched from title, company domain, skills, location, and job description text. 10 currently publish pay signals.

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.