Commercial Utilization Review Nurse/RN - Remote in VA

Sentara

2 months ago

Virginia — RemoteFull TimeUtilization Review

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Job Description

About the Role

100% remote. M-F 8-5 EST. No weekends. No nights. Full-time RN role. Work from your couch. Done.

Work-Life Balance Factors

No night shifts No weekend work Remote/telehealth

Key Responsibilities

RN Clinician responsible for utilization management services within the scope of licensure.
Reviews provider requests for services requiring authorization.
Conducts pre
May manage appeals for services denied.
Responsible for written and/or verbal notification to members and providers.
Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals.

Requirements

Bachelor's Level Degree in Nursing preferred
Certification/License:
Registered Nurse License (RN)
Nursing License
State License
Experience:

Benefits & Compensation

Sentara Health is currently hiring for a Utilization Review Nurse
Commercial Health Insurance experience preferred
Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee
sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees.
We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services—all to help our members improve their health.
Utilization Review Nurse, RN, BSN, InterQual, Milliman, NCQA, Remote, Virginia, Case Management, BSN, Bachelor's, Commercial, Health Plan, Health Insurance, Managed Care, MCO

Work Schedule

time, permanent position (40 hours)
Standard working hours: 8am to 5pm EST, M

Position Insights

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Commercial Utilization Review Nurse/RN - Remote in VA at Sentara a 7.5 out of 10 for work-life balance — classified as very good. This places the position in the top 10% of all Utilization Review registered nurse listings evaluated on our platform. Contributing factors include remote work flexibility.

Positions in this range offer a solid balance between clinical responsibility and personal time. Most providers report manageable workloads with adequate recovery time.

Utilization Review — Registered Nurse Career Context

This Utilization Review position at Sentara is open to registered nurse candidates.

Registered Nurses have diverse career pathways from bedside care to telehealth triage, care coordination, and leadership roles with increasingly flexible scheduling options.

Remote registered nurse positions in Utilization Review have grown significantly in recent years, offering clinicians the ability to maintain a full patient panel without geographic constraints or commute-related burnout.

Location & Logistics

This is a fully remote registered nurse position. Remote clinicians can practice from any state where they hold an active license, eliminating commute time and offering maximum schedule flexibility. Many remote healthcare positions also allow providers to establish a more sustainable long-term practice pattern.

About WeekdayDoc

WeekdayDoc is the only healthcare job board that scores every position for burnout risk and work-life balance. Every listing includes a proprietary burnout score, transparent salary data when available, and lifestyle filters for no-call, no-weekends, and remote positions. Browse more Utilization Review registered nurse jobs on WeekdayDoc to compare work-life balance scores and compensation across employers.

7.5

Work-Life Balance Score

Top 25%