Remote Utilization Review Nurse Jobs

Reviews requests for inpatient admission, outpatient procedures, or continued stay against InterQual/MCG criteria; documents medical-necessity findings; coordinates with attending physicians on denials and peer-to-peers. Most companies require 2-3 years of acute-care experience.

Typical range is $80,000 to $115,000 base, with health plans (Humana, CVS/Aetna, Centene, Cigna) anchoring the high end. Senior or specialty UR (oncology, behavioral health) can clear $130K.

Not always — many roles only require an active RN license in any one US state. But Compact (multi-state) license dramatically widens your applicant pool and is worth the ~$150 upgrade if your home state participates.

It's the most common bridge role we see. The clinical reasoning transfers directly; the schedule is predictable; you can still meaningfully advocate for patients within criteria-based decisions.