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Remote Hedis Nurse Jobs in Boca Raton, FL (NOW HIRING)

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Remote Hedis Nurse information

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$19

$32

$45

How much do remote hedis nurse jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for remote hedis nurse in Boca Raton, FL is $32.62, according to ZipRecruiter salary data. Most workers in this role earn between $27.60 and $36.49 per hour, depending on experience, location, and employer.

What is a Remote HEDIS nurse?

A Remote HEDIS Nurse is a healthcare professional who reviews and evaluates medical records to ensure compliance with the Healthcare Effectiveness Data and Information Set (HEDIS) measures. They assess patient data, identify gaps in care, and work with healthcare providers to improve quality ratings. This role is typically seasonal and involves working from home using secure electronic health record (EHR) systems. Strong knowledge of HEDIS guidelines, medical coding, and data abstraction is essential. It helps healthcare organizations meet quality benchmarks and improve patient outcomes.

What are the key skills and qualifications needed to thrive as a Remote HEDIS nurse?

To thrive as a Remote Hedis Nurse, you need strong clinical assessment skills, a valid RN license, and experience with medical record review and quality initiatives. Familiarity with HEDIS reporting, electronic health records (EHR), and data abstraction tools is typically required. Exceptional attention to detail, independent work ethic, and effective written communication help nurses excel remotely. These abilities ensure accurate data collection and compliance with quality measures in a virtual healthcare environment.

What are the common challenges faced by Remote HEDIS nurses and how can they be managed?

Remote Hedis Nurses often face challenges such as ensuring data accuracy when reviewing diverse medical records and managing time effectively without direct in-person supervision. Staying organized, maintaining detailed records, and regularly communicating with team members or supervisors can help overcome these hurdles. It's important to be proactive in seeking clarification on documentation and to utilize available training resources for technical systems. By establishing a structured workflow and staying up-to-date on HEDIS guidelines, remote nurses can successfully meet performance expectations and contribute to high-quality healthcare reporting.

What are popular job titles related to Remote Hedis Nurse jobs in Boca Raton, FL?

For Remote Hedis Nurse jobs in Boca Raton, FL, the most frequently searched job titles are:

What job categories do people searching Remote Hedis Nurse jobs in Boca Raton, FL look for?

The top searched job categories for Remote Hedis Nurse jobs in Boca Raton, FL are:

What cities near Boca Raton, FL are hiring for Remote Hedis Nurse jobs?

Cities near Boca Raton, FL with the most Remote Hedis Nurse job openings:

Remote Hedis Nurse jobs near you
Infographic showing various Remote Hedis Nurse job openings in Boca Raton, FL as of August 2026, with employment types broken down into 2% As Needed, 59% Full Time, 17% Part Time, and 22% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $67,851 per year, or $32.6 per hour.

Utilization Review RN (Remote)

HealthPlus Staffing

Fort Lauderdale, FL • Remote

$80K - $100K/yr

Full-time

Re-posted 26 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