Utilization Management - Registered Nurse (Remote)

May 26, 2026

Other Jobs To Apply

Utilization Management - Registered Nurse (Remote)

Join a team committed to clinical excellence, integrity, and patient-centered authorizations. BroadPath is seeking a Utilization Management RN to review authorization requests, apply clinical guidelines, and ensure that members receive high-quality, timely care.

What You’ll Do

Review and process authorization requests using clinical guidelines and medical necessity criteria
Coordinate with providers and internal teams to obtain required documentation and ensure accurate adjudication
Analyze medical records, diagnoses, and treatment plans to support consistent, evidence-based decisions
Monitor trends and identify opportunities for process improvements and cost efficiencies without sacrificing quality

What We’re Looking For

Current Registered Nurse (RN) licensure in the U.S.
Strong understanding of utilization management, medical necessity, and clinical criteria
Excellent clinical documentation review skills and the ability to make sound decisions based on medical records
Ability to work independently in a remote setting, while collaborating across teams

Why BroadPath?

Fully remote work opportunity
Culture of professional growth, clinical excellence, and accountability
Meaningful impact on patient care and outcomes

BroadPath is an equal opportunity employer and welcomes applications from diverse candidates. We are committed to creating an inclusive work environment and encouraging applications from all qualified candidates, including women, minorities, and individuals with disabilities.

We are an Equal Employment Opportunity employer and welcome applications from diverse candidates.

#J-18808-Ljbffr Salary: USD 72000 - 108000 per year Experience: 3 years required

Back to blog

Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...