Remote Utilization Review Nurse Jobs
Remote Utilization Review Nurse jobs are open across the U.S. at health plans, managed care organizations, and utilization management firms hiring on distributed teams. Remote-first employers in insurance, telehealth, and third-party administration are actively filling these roles, including Oscar Health, QHCCS, and USA Health. See the openings below and apply to the ones that match your experience.
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Showing 5 of 8+ Remote Utilization Review Nurse jobs
Assignment Overview
- Shift: Days, 5x8hrs
- Hours: 40 hrs/wk
- Start Date: Jul 20, 2026
- Length: 8 weeks
- Openings: 1
Description
American Traveler is hiring a travel RN for a fully remote Utilization Review position requiring a minimum of 5 years of RN experience and current UR experience with Epic and InterQual.
Details
- Fully remote position — no on-site or facility-based work required
- Monday through Friday, 8:00 AM – 5:00 PM EST schedule
- No call, holiday, or weekend requirements
- Managed care / health plan setting focused on utilization management; no direct patient care
- Monitors appropriateness of care for plan members across acute hospital, sub-acute, and acute rehabilitation settings
- Utilizes Epic EMR and InterQual criteria software
- 8-week contract
Requirements
- Active MD or Compact RN license currently in hand
- Current BLS certification required
- Minimum 5 years of RN experience required
- Current utilization review (UR) experience required
- Proficiency with InterQual criteria software required
- Epic EMR experience required
- Managed care experience in utilization review of at least 1 year preferred
- Must provide own computer equipment — no equipment will be issued
- SSN and DOB required for consideration
- 1 professional reference required for consideration
Additional Information
- Responsible for day-to-day utilization management of health plan members in acute care and/or rehabilitative facilities
- Applies member benefit and medical criteria to determine authorization of services in coordination with Medical Directors
- Proactively initiates discharge planning, including identification of post-discharge needs and coordination of referrals and services
- Communicates authorization and/or denial of covered services verbally and in writing with providers, facilities, and members
- Strong verbal and written communication, interpersonal, and conflict resolution skills are essential for this role
- Local candidates are accepted at the same bill rate
Assignment Overview
- Shift: Days, 5x8hrs
- Hours: 40 hrs/wk
- Start Date: Jul 20, 2026
- Length: 8 weeks
- Openings: 1
Description
American Traveler is hiring a travel RN for a fully remote Utilization Review position requiring a minimum of 5 years of RN experience and current UR experience with Epic and InterQual.
Details
- Fully remote position — no on-site or facility-based work required
- Monday through Friday, 8:00 AM – 5:00 PM EST schedule
- No call, holiday, or weekend requirements
- Managed care / health plan setting focused on utilization management; no direct patient care
- Monitors appropriateness of care for plan members across acute hospital, sub-acute, and acute rehabilitation settings
- Utilizes Epic EMR and InterQual criteria software
- 8-week contract
Requirements
- Active MD or Compact RN license currently in hand
- Current BLS certification required
- Minimum 5 years of RN experience required
- Current utilization review (UR) experience required
- Proficiency with InterQual criteria software required
- Epic EMR experience required
- Managed care experience in utilization review of at least 1 year preferred
- Must provide own computer equipment — no equipment will be issued
- SSN and DOB required for consideration
- 1 professional reference required for consideration
Additional Information
- Responsible for day-to-day utilization management of health plan members in acute care and/or rehabilitative facilities
- Applies member benefit and medical criteria to determine authorization of services in coordination with Medical Directors
- Proactively initiates discharge planning, including identification of post-discharge needs and coordination of referrals and services
- Communicates authorization and/or denial of covered services verbally and in writing with providers, facilities, and members
- Strong verbal and written communication, interpersonal, and conflict resolution skills are essential for this role
- Local candidates are accepted at the same bill rate
See All 8 Remote Utilization Review Nurse Jobs
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Find JobsRemote Utilization Review Nurse Job Market
Who's Hiring
- Oscar Health2
- QHCCS1
- USA Health1U
- VillageCare1
- Tenet Healthcare1
Top Industries Hiring
- Insurance3
- Healthcare & Medical Services2
- Non-Profit & Social Services1
What Employers Look For
The qualifications that appear most often in remote utilization review nurse jobs.
- Active registered nurse license with at least two years of acute care clinical experience
- Working knowledge of InterQual or Milliman evidence-based clinical criteria sets
- Experience with prior authorization, concurrent review, or discharge planning processes
- Proficiency with electronic health records and payer portal documentation systems
- Certified Case Manager (CCM) credential or willingness to obtain within a defined timeframe
- Strong written communication skills for denial letters and clinical documentation in compliance with regulatory standards
Tips for Your Remote Utilization Review Nurse Job Search
Apply early to remote roles that fit
Migrate Mate lists remote utilization review nurse openings from across the U.S. in one place, so you can find roles that match your license, specialty, and availability and apply directly without sorting through unrelated postings.
Showcase async clinical documentation skills
Remote utilization review nurses communicate decisions almost entirely in writing. Highlight examples of prior authorization notes, denial letters, or peer-to-peer summaries you've written to show remote employers you can communicate clinical reasoning clearly without real-time back-and-forth.
List your utilization management software experience
Remote employers screen for hands-on familiarity with InterQual, MCG, or Milliman criteria tools and case management platforms. Name every platform you've used in your resume's skills section so automated screening and hiring managers both register your technical readiness immediately.
Prepare for asynchronous remote interviews
Many distributed health plan and managed care teams use recorded video screening before a live interview. Practice explaining a denial rationale or a complex authorization decision concisely on camera, since remote hiring for utilization review nurses often includes a clinical scenario component.
Confirm multi-state licensure before applying
Remote utilization review nurse roles often require reviewing cases across multiple states, so holding an Enhanced Nurse Licensure Compact license significantly widens the roles you qualify for and removes a common remote hiring barrier before you apply.
Remote Utilization Review Nurse Jobs: Frequently Asked Questions
How do I get a remote utilization review nurse job?
Target health plans, managed care organizations, and third-party administrators that run distributed clinical operations teams, since those employers have built workflows designed for remote utilization review nurses. Remote hiring managers screen heavily for self-direction, precise written documentation, and comfort with clinical decision-support software. A background in case management or insurance-based nursing, combined with clear examples of independent clinical judgment, gives candidates a strong edge.
Which companies hire remote utilization review nurses?
Remote utilization review nurse roles are posted by Oscar Health, QHCCS, and USA Health and others right now, based on current remote listings on Migrate Mate as of June 2026. These include remote-first health plans, managed care companies, and utilization management firms across the insurance, telehealth, and behavioral health sectors.
Can you get a remote utilization review nurse job with no experience?
Yes, but remote entry-level utilization review nurse roles are harder to land because employers need confidence you can work independently without on-site supervision from day one. Smaller managed care firms and third-party administrators are more open to entry-level remote hires. Demonstrating familiarity with InterQual or MCG criteria, strong written clinical communication, and any prior case management exposure can open the door.
Do you need a degree for remote utilization review nurse jobs?
Usually, but the requirement is an active RN license rather than a specific degree level in most postings. Remote employers weigh clinical experience, comfort with utilization management platforms, and the ability to apply evidence-based criteria independently. An associate degree with substantial acute care or managed care experience often meets remote employer expectations as well as a BSN.
Which industries hire the most remote utilization review nurses?
Most remote utilization review nurse openings sit in Insurance, Healthcare & Medical Services, and Non-Profit & Social Services, per current remote listings on Migrate Mate as of June 2026. Those sectors rely on distributed clinical teams to handle authorization reviews, appeals, and medical necessity determinations across multiple states without requiring nurses to be on-site.
See All 8 Remote Utilization Review Nurse Jobs
Find roles that match your experience and apply in just a few clicks.
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