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Flex Schedule Remote Utilization Review Jobs in Boca Raton, FL

Guardian Recovery

UR COORDINATOR

Delray Beach, FL · On-site +1

$60K - $75K/yr

The Utilization Review Coordinator (UR Coordinator) is responsible to perform the process of ... scheduled meetings between hospital and insurance doctors. * Manage and perform the processes for ...

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All JobsUtilization Review JobsFlex Schedule Remote Utilization Review JobsFlex Schedule Remote Utilization Review Jobs in Boca Raton, FL

Flex Schedule Remote Utilization Review information

See Boca Raton, FL salary details

$20

$40

$65

How much do flex schedule remote utilization review jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for flex schedule remote utilization review in Boca Raton, FL is $40.12, according to ZipRecruiter salary data. Most workers in this role earn between $31.73 and $46.06 per hour, depending on experience, location, and employer.

What is the difference between Flex Schedule Remote Utilization Review vs Flex Schedule Remote Case Manager?

AspectFlex Schedule Remote Utilization ReviewFlex Schedule Remote Case Manager
Primary RoleReview healthcare services for medical necessity and appropriatenessCoordinate patient care, develop care plans, and facilitate services
CredentialsTypically requires nursing, medical, or healthcare-related certificationsOften requires nursing, social work, or healthcare certifications
Work EnvironmentRemote, independent review setting, often within insurance or healthcare companiesRemote or hybrid, involving direct patient interaction and care coordination
Industry UsageCommon in insurance, healthcare, and utilization management sectorsCommon in healthcare, insurance, and patient advocacy sectors

Flex Schedule Remote Utilization Review focuses on evaluating medical necessity remotely, while Flex Schedule Remote Case Manager involves coordinating patient care and services. Both roles often require healthcare certifications and are performed remotely, but their core responsibilities differ in review versus patient management.

What are popular job titles related to Flex Schedule Remote Utilization Review jobs in Boca Raton, FL? For Flex Schedule Remote Utilization Review jobs in Boca Raton, FL, the most frequently searched job titles are:
What job categories do people searching Flex Schedule Remote Utilization Review jobs in Boca Raton, FL look for? The top searched job categories for Flex Schedule Remote Utilization Review jobs in Boca Raton, FL are:
What cities near Boca Raton, FL are hiring for Flex Schedule Remote Utilization Review jobs? Cities near Boca Raton, FL with the most Flex Schedule Remote Utilization Review job openings:
Flex Schedule Remote Utilization Review jobs near you
Infographic showing various Flex Schedule Remote Utilization Review job openings in Boca Raton, FL as of August 2026, with employment types broken down into 1% As Needed, 63% Full Time, 33% Part Time, and 3% Contract. Highlights an 85% Physical, 1% Hybrid, and 14% Remote job distribution, with an average salary of $83,458 per year, or $40.1 per hour.

Utilization Review RN (Remote)

HealthPlus Staffing

Fort Lauderdale, FL • Remote

$80K - $100K/yr

Full-time

Posted 23 days ago

Job description

Quick Job Details:

Setting: Fully Remote – Utilization Review
Schedule: Full-Time, Monday–Friday
Hours: Standard business hours
Patient Volume: N/A
Job Requirements:

  • Active RN license with Multi-State/Compact license required
  • Minimum 2 years of Utilization Review experience
  • Minimum 3 years of clinical nursing experience (acute care/hospital preferred)
  • Strong understanding of medical necessity, utilization management, healthcare reimbursement, and clinical documentation improvement
  • Excellent communication, analytical, and critical thinking skills
  • Ability to work independently in a remote environment

Responsibilities:

  • Conduct admission, continued stay, and observation reviews
  • Apply medical necessity criteria to determine appropriate level of care
  • Review cases for Physician Advisor escalation when appropriate
  • Collaborate with physicians, case managers, and insurance payers
  • Support denial prevention, documentation improvement, and revenue cycle initiatives
  • Ensure compliance with payer guidelines and regulatory requirements
  • Analyze clinical and financial data to identify quality improvement opportunities

Compensation: Competitive; based on experience

Benefits: Comprehensive benefits package

About Us:

HealthPlus Staffing is a national leader in the healthcare staffing industry. We partner with top healthcare organizations nationwide to connect highly qualified professionals with outstanding career opportunities.

Our Promise:

  • We will put you in front of the decision makers.
  • We will provide feedback on your application.
  • We will work on your behalf to obtain as much information as possible to help you make a well-informed decision.

If you're interested in this opportunity, please submit an application or call 561-291-7787 to speak with one of our experienced consultants. We look forward to helping you find your next opportunity!

The HealthPlus Team