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Remote Optum Rn Jobs in Orlando, FL (NOW HIRING)

MedWatch, LLC

Case Manager Assistant / LPN

Lake Mary, FL · On-site +1

$23 - $27/hr

The Case Manager Assistant performs all functions under the direct management and supervision of the RN Case Manager. This is a Remote (work from home) position. License Requirements: * Licensed ...

MedWatch

Case Manager Assistant / LPN

Lake Mary, FL · Remote

$23 - $27/hr

The Case Manager Assistant performs all functions under the direct management and supervision of the RN Case Manager. This is a Remote (work from home) position. License Requirements: * Licensed ...

Ennoble Care

Care Coordinator

Orlando, FL · Remote

$75K - $85K/yr

The ideal candidate is an experienced RN with strong organizational skills who thrives in a fast-paced, remote healthcare environment. Essential ResponsibilitiesTeam Leadership * Supervise and mentor ...

Ennoble Care

Care Coordinator

Orlando, FL · Remote

$75K - $85K/yr

The ideal candidate is an experienced RN with strong organizational skills who thrives in a fast-paced, remote healthcare environment. Essential ResponsibilitiesTeam Leadership * Supervise and mentor ...

Scribe-X

Remote Medical Scribe

Orlando, FL · Remote

$14 - $17/hr

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 ...

Oscar Health

Physician - Virtual Urgent Care

Orlando, FL · Remote

$227K - $298K/yr

... remote point of care diagnostics * Participate in collaborative care model with various care team members including but not limited to registered nurses, medical assistants, PCPs, behavioral health ...

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All JobsOptum Rn JobsRemote Optum Rn JobsRemote Optum Rn Jobs in Orlando, FL

Remote Optum Rn information

What is the difference between Remote Optum Rn vs Remote UnitedHealth Group Rn?

AspectRemote Optum RnRemote UnitedHealth Group Rn
CredentialsRegistered Nurse (RN) license, applicable certificationsRegistered Nurse (RN) license, applicable certifications
Work EnvironmentRemote healthcare services, telehealth platformsRemote healthcare services, telehealth platforms
Employer & IndustryOptum, healthcare and health services industryUnitedHealth Group, healthcare and insurance industry

Both Remote Optum Rn and Remote UnitedHealth Group Rn roles involve providing remote nursing care within the healthcare industry. They require similar credentials and work environments, often utilizing telehealth platforms. The main difference lies in the employer and specific focus areas within the healthcare sector, with Optum focusing on health services and UnitedHealth Group encompassing broader health insurance and services.

What are the most commonly searched types of Optum Rn jobs in Orlando, FL? The most popular types of Optum Rn jobs in Orlando, FL are:
What are popular job titles related to Remote Optum Rn jobs in Orlando, FL? For Remote Optum Rn jobs in Orlando, FL, the most frequently searched job titles are:
What job categories do people searching Remote Optum Rn jobs in Orlando, FL look for? The top searched job categories for Remote Optum Rn jobs in Orlando, FL are:
What cities near Orlando, FL are hiring for Remote Optum Rn jobs? Cities near Orlando, FL with the most Remote Optum Rn job openings:
Remote Optum Rn jobs near you
Infographic showing various Remote Optum Rn job openings in Orlando, FL as of July 2026, with employment types broken down into 62% Full Time, 14% Part Time, and 24% Contract. Highlights an 100% Remote job distribution.

Nurse Reviewer - Orlando, FL

Healthcare Quality Strategies, Inc.

Orlando, FL • Remote

$40/hr

Part-time

Medical, Dental, Vision, Life, Retirement

Posted 3 days ago

Job description

Nurse Reviewer
PT (20-30 hours week) – Remote Work Environment
Non-Exempt: $40.00 hour
Supports Medical Review Services. The Nurse Reviewer plays a critical role in supporting the Medical Review Services department by performing comprehensive medical necessity reviews and policy reviews for Medicaid claims. This involves meticulous examination of claims and medical records to ensure compliance with established guidelines and regulations. The RN will work closely with the Team Lead, Physician Peer Reviewer and contract team. Reviews must be completed timely.
Essential Duties and Responsibilities:
  • Conduct comprehensive medical record reviews to assess medical necessity and compliance with established standards of care and applicable policies
  • Manage end-to-end case screening processes, ensuring all activities are completed within established deadlines
  • Document evidence-based criteria applicable to specific contract requirements
  • Record and report screening results, including relevant referral questions, into a centralized database
  • Evaluate medical claims against industry standards, utilizing research of relevant ICD-10, CPT, and HCPCS codes to determine medical necessity
  • Maintain expert knowledge of evolving multi-state Medicaid policies and vendor expectations
  • Participate in ongoing training and consistently meet or exceed productivity and quality assurance standards
Knowledge, Experience, Skills and Education:
  • Medical terminology, ICD-10, CPT and HCPCS
  • Clinical criteria (InterQual and MCG)
  • Utilization/Medical record review and chart abstraction
  • Current standards of medical practice
  • Comply with HIPAA/HITECH laws and regulations
Experience in:
  • At least three- five years performing medical record review and/or abstraction (Utilization Review experience preferred)
  • Experience performing medical record review, audit for federal or state contracts
  • Knowledge and experience of Medicare and Medicaid policy
  • Proficiency with Microsoft Office (Word, Excel, and Outlook)
  • Proficiency with Adobe PDF files and features
  • Generating accurate, timely, and understandable correspondence
  • Current experience (within the last 3 years) in the application of clinical screening criteria (InterQual and MCG)
Skills Requirements include:
  • Professional interpersonal skills; ability to interact with providers, physicians and peers
  • Solid analytical, assessment and documentation skills
  • Effective written and verbal communication, both internally and externally
  • Strong attention to detail
  • Strong attention to deadlines
  • Organizational skills including effective time management, priority setting and process improvement
  • Ability to work independently and as a member of a team
  • Adapt to changing work situations and readily adjusts schedules, tasks and priorities when necessary to meet business fluctuations
Educational Background:
  • BSN with active RN licensure in good standing
Physical Demands:
Remote Work, Prolonged Sitting, Screen Exposure
This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.
Healthcare Quality Strategies, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This position qualifies for the following Company benefits: Medical/Dental/Vision, FSA and HSA, group life/AD amp;D, voluntary life/AD amp;D, 401k
For immediate consideration, please apply via the HQSI Careers Page at: www.hqsi.org gt; Careers gt; Current Employment Opportunities
EOE: Minorities/Females/Disabled/Veterans
Healthcare Quality Strategies, Inc. is Equal Opportunity, Affirmative Action Employer and an Alcohol/Drug Free Workplace
Healthcare Quality Strategies, Inc. is an E-Verify Employer

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