2

Remote Navihealth Rn Jobs in Boca Raton, FL (NOW HIRING)

The Part-Time QA Nurse is a remote-based RN who plays a critical role in ensuring the clinical documentation integrity, regulatory compliance, and accreditation readiness of our Florida-based home ...

Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a medical scribe first! Scribe Pay Structure: $11/hour - No scribe experience $12/hour - 6+ months scribe ...

Remote Navihealth Rn information

What is a Remote NaviHealth RN?

A Remote NaviHealth RN is a registered nurse who works for NaviHealth, typically in a telehealth or remote setting. Their primary role involves assessing patients, coordinating care transitions, and supporting discharge planning to ensure patients receive appropriate post-acute care. Remote NaviHealth RNs collaborate with healthcare providers, patients, and families via phone or digital platforms. They focus on care management, utilization review, and ensuring patients have the resources needed for a safe recovery at home or in another care setting.

What are the key skills and qualifications needed to thrive as a Remote NaviHealth RN?

To thrive as a Remote Navihealth RN, you need a valid RN license, strong clinical assessment skills, and experience in care management or utilization review. Familiarity with Navihealth's care coordination platforms, electronic health records (EHRs), and telehealth systems is typically required. Outstanding communication, critical thinking, and self-motivation are crucial soft skills for engaging with patients and collaborating remotely with interdisciplinary teams. These abilities ensure efficient, high-quality care transitions and optimal patient outcomes in a virtual healthcare environment.

How does a Remote NaviHealth RN typically collaborate with interdisciplinary teams to coordinate patient care?

As a Remote Navihealth RN, you play a pivotal role in care coordination by regularly communicating with physicians, therapists, social workers, and other healthcare professionals through virtual meetings, secure messaging, and phone calls. You will review patient cases, contribute to care planning, and ensure smooth transitions between care settings. Effective collaboration requires strong communication skills and the ability to synthesize information from multiple disciplines to advocate for the patient's best outcomes, all while working remotely within a supportive virtual team environment.

What is the difference between Remote Navihealth Rn vs Remote Case Manager?

AspectRemote Navihealth RnRemote Case Manager
CredentialsRegistered Nurse (RN) licenseLicensed Nurse or Social Worker
Work EnvironmentTelehealth, healthcare facilities, patient homesTelehealth, insurance companies, healthcare organizations
Industry UsagePost-acute care, rehab, skilled nursing facilitiesInsurance, healthcare management, patient advocacy

Remote Navihealth Rn and Remote Case Manager roles both require healthcare-related licenses and involve telehealth work. While Navihealth Rns focus on post-acute care coordination, Remote Case Managers often handle patient assessments and care planning within insurance or healthcare management settings. Both roles are vital in healthcare delivery but differ in specific responsibilities and work environments.

What are popular job titles related to Remote Navihealth Rn jobs in Boca Raton, FL?

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

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

The top searched job categories for Remote Navihealth Rn jobs in Boca Raton, FL are:

What cities near Boca Raton, FL are hiring for Remote Navihealth Rn jobs?

Cities near Boca Raton, FL with the most Remote Navihealth Rn job openings:

Infographic showing various Remote Navihealth Rn job openings in Boca Raton, FL as of September 2026, with employment types broken down into 70% Full Time, 20% Part Time, and 10% Contract. Highlights an 3% In-person, and 97% Remote job distribution.

Utilization Review RN (Remote)

Fort Lauderdale, FL • Remote

HealthPlus Staffing
Recruiting and Staffing Services • 11 - 50 employees

$80K - $100K/yr

Full-time

Re-posted 27 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