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Remote Cdi Rn Jobs in Miami, FL (NOW HIRING)

Oscar Health

Utilization Review Nurse

Miami, FL · Remote

$35 - $45.94/hr

This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois ... Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate ...

Oscar Health

Sr. Quality of Care Review Nurse

Miami, FL · Remote

$83K - $109K/yr

This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas ... Licensed Registered Nurse with active, unrestricted license in state of residence and willingness ...

Meds

Director of Recruiting

Miami Beach, FL · Remote

Proven track record scaling remote clinical teams (specifically Nurse Practitioners and RNs) in high-volume, multi-state environments. * Deep understanding of medical licensing and regulatory ...

Meds

Director of Recruiting

Miami Beach, FL · Remote

Proven track record scaling remote clinical teams (specifically Nurse Practitioners and RNs) in high-volume, multi-state environments. * Deep understanding of medical licensing and regulatory ...

The University of Miami

Outpatient Coder 3 (H)

Medley, FL · On-site +1

OR Registered Health Information Technician (RHIT) , Certified Professional Coder (CPC), Certified ... Capable of working in a 100% remote environment with little supervision, while also staying focused ...

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Remote Cdi Rn information

See Miami, FL salary details

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$45

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How much do remote cdi rn jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for remote cdi rn in Miami, FL is $45.84, according to ZipRecruiter salary data. Most workers in this role earn between $34.04 and $54.71 per hour, depending on experience, location, and employer.

What are the typical daily responsibilities of a Remote CDI RN?

As a Remote CDI RN, your daily tasks generally include reviewing patient medical records, identifying opportunities to clarify documentation, and collaborating with physicians and coding teams to ensure accuracy and completeness. You may participate in team meetings, provide education to clinical staff about documentation best practices, and use specialized software to track workflow and metrics. Working remotely requires effective time management as you balance multiple reviews and communications electronically. This role directly impacts quality reporting, risk management, and reimbursement for healthcare organizations.

What is a Remote CDI RN?

A Remote CDI RN (Clinical Documentation Integrity Registered Nurse) is a nursing professional who reviews medical records to ensure accurate and complete documentation for coding and billing purposes. They work remotely, collaborating with physicians and healthcare teams to clarify diagnoses and improve documentation quality. This role helps optimize reimbursement, ensures compliance with regulations, and enhances patient care accuracy. Strong clinical knowledge, coding proficiency, and communication skills are essential for success in this position.

What are the key skills and qualifications needed to thrive in the Remote CDI RN position, and why are they important?

To thrive as a Remote CDI RN, you need a current registered nursing license, solid clinical experience, and a deep understanding of clinical documentation improvement (CDI) processes. Familiarity with electronic health record (EHR) software, coding systems like ICD-10, and sometimes certifications such as CCDS or CDIP are commonly required. Strong attention to detail, effective communication, and the ability to work independently make candidates stand out. These skills are critical to ensuring accurate clinical documentation that reflects appropriate patient care and supports organizational compliance and reimbursement.

What are popular job titles related to Remote Cdi Rn jobs in Miami, FL? For Remote Cdi Rn jobs in Miami, FL, the most frequently searched job titles are:
What job categories do people searching Remote Cdi Rn jobs in Miami, FL look for? The top searched job categories for Remote Cdi Rn jobs in Miami, FL are:
What cities near Miami, FL are hiring for Remote Cdi Rn jobs? Cities near Miami, FL with the most Remote Cdi Rn job openings:
Remote Cdi Rn jobs near you
Infographic showing various Remote Cdi Rn job openings in Miami, FL as of August 2026, with employment types broken down into 60% Full Time, and 40% Contract. Highlights an 100% Remote job distribution, with an average salary of $95,354 per year, or $45.8 per hour.

Utilization Review Nurse

Oscar Health

Miami, FL • Remote

$35 - $45.94/hr

Full-time

Posted 15 days ago

Oscar Health rating

6.9

Company rating: 6.9 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

251st of 303 rated insurance

Job description

Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review team.

About the role:

You will perform frequent case reviews, check medical records and speak with care providers regarding treatment as needed. You will make recommendations regarding the appropriateness of care for identified diagnoses based on the research results for those conditions.

You will report into the Supervisor, Utilization Review.

Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois; Iowa; Kansas; Michigan; Missouri; Nebraska; New Jersey; North Carolina; Ohio; Oklahoma; Pennsylvania; South Carolina; Tennessee; Texas; or Virginia. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events.

Pay Transparency: The base pay for this role is: $35.00 - $45.94 per hour. You are also eligible for employee benefits and monthly vacation accrual at a rate of 15 days per year.

Responsibilities:

  • Complete medical necessity reviews and level of care reviews for requested services using clinical judgment and Oscar Clinical Guidelines, Milliman Care Guidelines
  • Obtain the information necessary (via telephone and fax) to assess a member's clinical condition, and apply the appropriate evidence-based guidelines
  • Meet required decision-making SLAs
  • Refer members for further care engagement when needed
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Requirements:

  • Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC)
  • Associate Degree - Nursing or Graduate of Accredited School of Nursing Or Successful completion of Nursing Diploma Program in Accredited School of Nursing
  • Ability to obtain additional state licenses to meet business needs
  • 1+ year of utilization review experience in a managed care setting
  • Strong experience utilizating MCG (Milliman Care Gudielines)
  • 1+ years of clinical experience (including at least 1+ year clinical practice in an acute care setting, i.e., ER or hospital)
  • Weekend availability is required; all applicants must be able to work at least one weekend day (Saturday or Sunday) each week.

Bonus points:

  • BSN
  • Previous experience conducting concurrent or inpatient reviews for a managed care plan

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.

California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

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