by Rat Race Rebellion    November 14, 2026
When most people picture a nursing career, they picture a hospital, clinic, or a patient’s bedside. That picture has always been incomplete.
Nurses also work for health insurers reviewing treatment plans, for case management programs helping patients navigate complex care, for telehealth operations supporting virtual visits, and for utilization management teams reviewing whether specific services are medically necessary. These roles draw on the same clinical judgment, patient assessment skills, and communication experience that bedside work develops – they just happen over the phone, through a secure messaging platform, or in a case management system rather than in person.
For experienced nurses looking for a different way to use their license, these remote roles represent a real category of nursing employment, not a step away from the profession. This guide covers nine companies that regularly recruit licensed RNs for remote positions, including the types of work they offer and the qualifications applicants may need.
A note on what remote nursing actually looks like: these roles involve different demands from bedside nursing, including documentation requirements, productivity expectations, clinical decision-making, and scheduled patient interactions. State licensing, years of clinical experience, and in some cases specific specialty backgrounds are typical requirements. “Remote” also doesn’t always mean “work from anywhere” – many of the roles below require residence in specific states, compact license eligibility, or scheduled hours that match a particular region’s time zone.
What Kinds of Remote Nursing Jobs Are Available?
Remote nursing work isn’t one job – it’s a range of clinical functions that happen outside a bedside setting. Understanding the differences helps align your experience with the right opportunity before you start browsing employer careers pages.
Nurse case management involves helping patients coordinate care, navigate treatment plans, and manage complex or chronic conditions.
Utilization management involves reviewing clinical information against coverage and medical-necessity criteria.
Clinical appeals involves evaluating documentation and decisions involving denied or disputed services.
Telephonic nursing involves assessing patient needs, providing education, and supporting care through phone-based interactions.
Virtual care involves supporting patients through telehealth services and digital care programs.
Different clinical backgrounds tend to map onto different remote roles. Oncology experience often translates well into specialty case management. Discharge planning and care coordination are familiar ground for most remote case management work. Chart review, coding, or medical necessity review experience points toward utilization review. None of these backgrounds automatically qualify anyone for a specific role, but they can help focus a job search before you start browsing employer careers pages.
Companies That Hire Remote Nurses
UnitedHealth Group is one of the largest healthcare companies in the US, with Optum as the arm of the business that handles pharmacy care services, care delivery, and health services operations. Optum is where most of the company’s remote nursing roles sit.
Remote nursing roles: Telephonic Registered Nurse Case Manager, RN Case Manager (Optum Care at Home), Oncology RN Case Manager, Clinical Review Nurse.
What the work involves: Supporting members by phone with care plans, coordinating services across providers, reviewing clinical documentation, and in the Optum Care at Home line, managing care for members with complex or chronic conditions.
What to know: Current postings commonly require an active unrestricted compact RN license (or a license in the specific state the role serves) and two to three years of RN experience. Some roles require six months of case management experience; others prefer CCM (Certified Case Manager) credentialing. Pay ranges advertised across current Optum RN case manager postings run roughly $60,000 to $107,000 annually – specific pay varies by role, state, and experience level.
CVS Health owns Aetna, the health insurance arm where most of the company’s remote nursing roles are housed. Aetna hires nurses across case management, utilization management, and specialty clinical review functions.
Remote nursing roles: Case Manager Registered Nurse, Utilization Management Nurse Consultant, Medicare Case Manager, National Medical Excellence Case/UM Nurse.
What the work involves: Reviewing requests for services against medical necessity guidelines, coordinating care for members with complex needs, supporting discharge planning and transitions of care, and managing utilization decisions across inpatient and outpatient settings.
What to know: Current postings commonly require two to five years of clinical RN experience, with some specialty tracks (Medicare, National Medical Excellence) requiring additional case management or critical care experience. Compact RN licensure is often preferred and sometimes required; Aetna has noted in some postings that it will help nurses obtain multi-state licenses when needed. Some utilization management teams operate outside standard business hours, and certain positions require evening, weekend, or holiday coverage. Pay ranges advertised across current Aetna RN postings vary widely – from roughly $54,000 for some case manager roles to $130,000 for senior Medicare case management positions, depending on role, specialty, and location.
Humana is a large health insurer with a significant Medicare Advantage business and well-established remote nursing operations across care management and utilization review.
Remote nursing roles: Utilization Management Nurse (UM Nurse 2), Clinical Claims Review RN, Care Management RN, Pre-service Utilization Management Nurse.
What the work involves: Reviewing clinical documentation to support authorization and claims decisions, coordinating care for Medicare and Medicaid members, and supporting long-term services and supports (LTSS) programs where applicable.
What to know: Current postings require active state-specific RN licensure (Ohio, Florida, Illinois, California, and other states have appeared in recent listings), plus three or more years of relevant clinical experience – medical-surgical, critical care, or prior authorization/UM backgrounds are commonly requested. Advertised pay for one recent Clinical Claims Review posting lists $71,100 to $97,800; a Florida UM RN posting lists $83,000 to $86,000 plus annual incentive. Bilingual English/Spanish is a preferred qualification for some Florida roles.
Elevance Health, formerly Anthem, hires nurses across case management, clinical appeals, and utilization management functions. Elevance offers both fully remote nursing roles and hybrid positions that involve regular office attendance, so confirming which arrangement applies to a specific posting is important before you apply.
Remote nursing roles: Nurse Case Manager I and II, Nurse Appeals, Telephonic Nurse Case Manager Lead, Integrated Nurse Case Manager (clinical appeals).
What the work involves: Investigating medical necessity appeals, coordinating case management for members with complex conditions, and reviewing clinical records across inpatient and outpatient settings.
What to know: Current postings typically require a current RN license, a BA/BS in a health-related field, and three or more years of clinical experience. Case management certification is often required within a specified period after hire. Elevance’s own listings state that associates may be required to work at an Elevance Health location at least once per week, and potentially several times per week, unless a specific role is designated as primarily virtual – a point worth clarifying during the interview process.
The Cigna Group hires most of its remote clinical nursing roles through Evernorth Health Services, the health services division of the parent company. EviCore, a related Evernorth unit, handles specific concurrent review work.
Remote nursing roles: RN Nurse Case Manager, Complex Nurse Case Manager, RN Oncology Nurse Case Manager, Utilization Management Clinical Reviewer, Concurrent Review Care Coordinator.
What the work involves: Case management for members with complex medical needs (oncology and other specialty tracks included), utilization review against medical necessity criteria, and concurrent review of post-acute stays to support appropriate care transitions.
What to know: Current postings commonly require an active unrestricted RN license and two or more years of clinical experience. Some roles require state-specific licensure (California UM Clinical Reviewer, for example) and specific weekday schedules; others follow Monday-Friday day shifts with rotating weekend coverage. Case management certification (such as CCM) is sometimes required within a specified period after hire for case manager roles. Advertised pay across current Evernorth RN Case Manager postings lists ranges of $77,500 to $129,100 – specific pay depends on role, specialty, and location.
Molina Healthcare is a managed care company serving Medicaid, Medicare, and Marketplace members. The company has a robust remote nursing operation and posts specific role requirements on its own careers portal.
Remote nursing roles: Appeals Medical Review Nurse, Care Review Clinician (RN), Remote Medical Review Nurse, Clinical Validation Reviewer (DRG/Coding RN).
What the work involves: Reviewing documentation for medical necessity and level of care against MCG or InterQual criteria, telephonic review verifying that requested services are medically necessary, and validating DRG and coding assignments against clinical documentation.
What to know: Current postings require an active RN license (compact or multi-state license required for some roles; state-specific for others – Arizona, California, and Nevada have appeared recently), plus two or more years of clinical experience and at least one year in utilization review, claims review, or coding for the review-focused roles. Some positions require working within a specific time zone, such as Central Standard Time. CCM, CCC, or similar certifications are useful for case management tracks.
Centene is a managed care organization focused primarily on government-sponsored healthcare programs (Medicaid, Medicare, and the health insurance marketplace). Centene offers remote nursing opportunities across many states, although some care management positions involve local travel or in-person member visits.
Remote nursing roles: Care Manager (RN), Senior Care Manager (RN), Clinical Review Nurse, Manager of Case Management.
What the work involves: Care coordination for members with complex or chronic conditions, telephonic outreach to support care plans, and in some roles, periodic in-home member visits.
What to know: Nearly every current Centene care manager posting requires state-specific residency and an active state RN license (recent postings include New Jersey, Michigan, Delaware, Arizona, Mississippi, Washington, and California). Some roles are fully remote telephonic positions; others are hybrid or field-based – a recent Delaware posting, for example, includes in-person member visits approximately two days per week, and a New Jersey posting lists up to 50% local travel. Confirm the specific role’s travel and residency requirements before applying. Published pay for one Arizona Care Manager posting lists $56,200 to $101,000 annually.
Oscar Health is a technology-focused health insurer offering individual, small group, and Medicare Advantage plans. The company hires remote case management nurses alongside its broader clinical operations team.
Remote nursing roles: Case Manager (RN), Telephonic CCM Case Management RN.
What the work involves: Coordinating care for members with complex medical needs, telephonic outreach to support member care plans, and working alongside Oscar’s internal clinical operations team on case escalations.
What to know: Current Oscar postings require an active RN license and relevant case management experience. Remote eligibility is state-restricted and pay varies by role and location, with higher bands in a handful of high-cost states. Confirm your state is eligible for the specific role before applying.
Included Health is a virtual care and healthcare navigation company that supports members through integrated primary care, mental health, specialty care, and care coordination services.
Remote nursing roles: Nurse Care Manager (adult, maternity, and newborn/pediatric tracks), with occasional Nurse Practitioner and virtual primary care openings.
What the work involves: Supporting members by phone and secure messaging across care navigation, care management for specific populations (adult chronic conditions, maternity, pediatric), and coordination with the broader virtual care team.
What to know: Current postings commonly require an active RN license and two or more years of experience in care management, case management, or disease management. Specialty tracks (maternity, pediatric) typically require specialty clinical experience. Compensation is not consistently published across postings; confirm during the interview process.
What to Know Before Applying
Licensing. Most of the roles above require an active RN license, and many require a compact (multistate) license or a license in a specific state where the role operates. Nurses who hold a valid multistate license under the Nurse Licensure Compact may be eligible to practice in other participating states, subject to applicable requirements. However, employers may still impose separate state residency or licensing restrictions beyond what the compact allows. Some employers will help nurses obtain additional state licenses after hire; others require the license in hand at the time of application.
Clinical experience. These are not entry-level positions. Most postings require two to five years of clinical RN experience, and many specialty tracks (oncology case management, Medicare, utilization review for specific populations) require relevant specialty backgrounds. Certifications such as CCM (Certified Case Manager) or URAC case management credentialing are commonly preferred and sometimes required within a specified period after hire.
Remote doesn’t always mean work from anywhere. Many of the roles above are restricted to specific states, require residence in a state where the employer is actively licensed, or expect coverage of a specific time zone. Confirm the geographic eligibility of a specific posting before investing in the application.
Fully remote vs. field-based. Some roles advertised as remote include in-home member visits, local travel, or occasional onsite responsibilities. Centene care management roles are a common example – some of them include in-person visits two days a week or up to 50% local travel. Elevance Health’s postings sometimes require weekly office visits. Ask directly about the specific travel and onsite expectations for any role.
Work schedules. Remote nursing jobs often involve fixed shifts, scheduled weekend coverage, evening hours, or on-call rotations. Some utilization management teams operate outside standard business hours, and certain positions require evening, weekend, or holiday coverage. Working from home does not necessarily mean choosing your own schedule.
Employment arrangements. Most of the roles above are traditional W-2 employee positions with benefits, though contract and per-diem opportunities exist in some specialty areas. Confirm the arrangement during the interview process.
Final Take
A nursing career doesn’t necessarily require working at a patient’s bedside. For licensed nurses with clinical experience, remote positions in case management, utilization review, clinical appeals, and virtual care can offer a different way to use the same professional expertise.
These roles involve different demands from bedside nursing, including detailed documentation, productivity expectations, scheduled patient interactions, and clinical review requirements. State licensing and specialty experience are typical requirements. “Remote” often comes with specific geographic and schedule constraints worth understanding before you apply.
For experienced nurses interested in exploring work outside a traditional clinical setting, the nine companies above are substantive starting points. The right opportunity depends on the specific license you hold, the state you live in, and the kind of clinical work you want to continue doing.
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