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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Intent map
Choose the cleanest path inside this niche.
These links give crawlers and job seekers clearer context: sibling pages, role subtypes, and checks that prevent broad remote results from getting mixed into specialist searches.Sub-intents on this page
Utilization review nurseRN, LVN/LPN, and nurse-review roles focused on utilization review or utilization management.7 matching rolesClinical reviewClinical reviewer, medical review nurse, and medical necessity roles.11 matching rolesPayer 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.
14remote roles match your filters
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.
Company directory
Companies currently matching this niche.
Filter and sort the companies behind these roles by role mix, remote shape, and salary visibility.7companies match
CompanyOpen rolesRole signalsRemote shapeLive role examples
MachinifyHealthcare / Revenue Cycle3Pay not listedSupport / MixedML / AI / SupportCountryMedical Review Nurse - SNF/MDS AuditorMedical Review Nurse - CMS/RAC Auditor, Government AuditsMedical Review Nurse - Clinical ValidationNeueHealthRemote utilization review; utilization management; clinical review3Pay not listedSupportObservability / SupportCountryUtilization Management Nurse, LVN/LPNConcurrent Utilization Review Nurse, RNQ-CentrixRemote clinical review; clinical quality review3Pay not listedMixedSupportWorldwideSurgical Clinical Reviewer (NSQIP) Team LeadNSQIP Surgical Clinical Reviewer: Part-TimeNSQIP Surgical Clinical Reviewer: Full-TimeOscar HealthRemote RN / nursing; virtual health assessment22 with payFull-stack / MixedML / AI / SupportCountryWorldwidePhysician Reviewer - Utilization ManagementUtilization Review NurseCohere HealthClinical Intelligence SaaS11 with paySupportML / AI / SupportCountryMedical Director Utilization ManagementEverlywellRemote clinical review; clinical QA1Pay not listedSREML / AI / SupportCountryContract Physician – Medical Necessity Review (Genetic Testing)IntusCareRemote medical coding jobs; Remote RN / clinical review jobs11 with paySupportSupportCountryUtilization Management NurseQuick scan
14 remote roles matched to this niche.
These roles are matched from title, company domain, skills, location, and job description text. 4 currently publish pay signals.Physician Reviewer - Utilization ManagementOscar Health · Remote$211,200 - $277,200/yrJul 8, 2026Medical Review Nurse - SNF/MDS AuditorMachinify · Remote - USPay not listedJul 7, 2026Utilization Review NurseOscar Health · Remote$35 - $46/hrJun 29, 2026Medical Review Nurse - CMS/RAC Auditor, Government AuditsMachinify · Remote - USPay not listedJun 25, 2026Surgical Clinical Reviewer (NSQIP) Team LeadQ-Centrix · RemotePay not listedJun 25, 2026Utilization Management Nurse, LVN/LPNNeueHealth · California, United StatesPay not listedJun 24, 2026Medical Director Utilization ManagementCohere Health · United States$240,000 - $250,000/yrJun 22, 2026Medical Review Nurse - Clinical ValidationMachinify · Remote - USPay not listedJun 9, 2026Concurrent Utilization Review Nurse, RNNeueHealth · California, United StatesPay not listedJun 8, 2026NSQIP Surgical Clinical Reviewer: Part-TimeQ-Centrix · RemotePay not listedJun 1, 2026NSQIP Surgical Clinical Reviewer: Full-TimeQ-Centrix · RemotePay not listedJun 1, 2026Utilization Management NurseIntusCare · Remote-USA$80,000/yrMay 18, 2026Utilization Management Nurse, LVN/LPNNeueHealth · California, United StatesPay not listedApr 23, 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.