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Remote Rn Case Review Jobs in Pensacola, FL (NOW HIRING)

System One

Program Assistant

Pensacola, FL · Remote

$38K - $48K/yr

Hybrid - onsite and remote Responsibilities * Serve as a point of contact for team members ... Review and verify documentation for tuition and fee reimbursements. * Ensure compliance with ...

System One

Program Assistant

Pensacola, FL · Remote

$38K - $48K/yr

Hybrid - onsite and remote Responsibilities * Serve as a point of contact for team members ... Review and verify documentation for tuition and fee reimbursements. * Ensure compliance with ...

System One

Program Assistant

Pensacola, FL · Remote

$38K - $48K/yr

Hybrid - onsite and remote Responsibilities * Serve as a point of contact for team members ... Review and verify documentation for tuition and fee reimbursements. * Ensure compliance with ...

All JobsRn Case Review JobsRemote Rn Case Review JobsRemote Rn Case Review Jobs in Pensacola, FL

Remote Rn Case Review information

See Pensacola, FL salary details

$18

$44

$75

How much do remote rn case review jobs pay per hour?

As of Aug 17, 2026, the average hourly pay for remote rn case review in Pensacola, FL is $44.94, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $54.33 per hour, depending on experience, location, and employer.

What is the difference between Remote Rn Case Review vs Remote Rn Utilization Review?

AspectRemote Rn Case ReviewRemote Rn Utilization Review
CredentialsRegistered Nurse (RN), licensure, case review certificationsRegistered Nurse (RN), licensure, utilization review certifications
Work EnvironmentRemote, healthcare settings, insurance companiesRemote, healthcare settings, insurance companies
Employer & IndustryHospitals, insurance firms, healthcare providersInsurance companies, healthcare management organizations

Remote Rn Case Review and Remote Rn Utilization Review roles both involve remote nursing work within the healthcare and insurance industries. While they share similar credentials and work environments, case review focuses on evaluating individual patient cases, whereas utilization review assesses the necessity and appropriateness of healthcare services. Understanding these distinctions helps job seekers identify the right role based on their skills and career goals.

What are popular job titles related to Remote Rn Case Review jobs in Pensacola, FL?

For Remote Rn Case Review jobs in Pensacola, FL, the most frequently searched job titles are:

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The top searched job categories for Remote Rn Case Review jobs in Pensacola, FL are:

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Cities near Pensacola, FL with the most Remote Rn Case Review job openings:

Remote Rn Case Review jobs near you

Clinical Pharmacist (MTM) - Work From Home

Health Care Service Corporation

Pensacola, FL • Remote

$102K - $184K/yr

Full-time

Medical, Life, Retirement, PTO

Re-posted 16 days ago

Job description

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job Summary(Healthspring)The Clinical Pharmacist plays a vital role in advancing the quality, safety, and effectiveness of drug therapy for Healthspring Medicare members. In this position, you will collaborate with a high performing, multidisciplinary team of professionals across multiple functions to conduct comprehensive medication reviews (CMRs) for high-risk populations. These reviews include but are not limited to the assessment of drug interactions, identifying therapeutic duplications, evaluating renal and hepatic dosing adjustments, addressing evidence-based gaps in care, supporting STAR-related pharmacy initiatives, and identifying barriers to medication affordability and adherence.
*BILINGUAL PROFICIENCY IN ENGLISH AND SPANISH*
*WORK HOURS ARE 9 AM TO 6 PM CST. NON-NEGOTIABLE*.

JOB REQUIREMENTS (MTM):

  • Active and unrestricted Pharmacist license in the State of residence required

  • Doctor of Pharmacy (PharmD) degree required

  • Strong clinical medication knowledge with the ability to apply evidence-based guidelines in practice

  • Minimum 3 years' experience in Managed Care, Medicare and/orMedicaid settingspreferred

  • Experience with Medication Therapy Management (MTM) programs strongly preferred

  • Familiarity with MTM platforms (ex: Adhere Health's Optimize or similar applications) preferred

  • Excellent verbal and written communication skills, with the ability to effectively engage diverse audiences

  • Bilingualproficiencyin English and Spanish

  • Advancedproficiencyin Microsoft Office applications including Word, Excel, PowerPoint, and Outlook

  • Strong computer literacy with the ability to navigate systems and applications simultaneously

  • Strong learning agility and ability to apply new concepts and tools

  • Strong analytical thinking, problemsolvingand clinical decision-making skills

  • Ability to develop innovative solutions to complex healthcare challenges

PREFERRED JOB REQUIREMENTS:

*Strong experience with MTM required

*BILINGUALPROFICIENCYIN ENGLISH AND SPANISH*
*WORK HOURS ARE 9 AM TO 6 PM CST. NON-NEGOTIABLE*
*Must be willing to work Phone Queue

*Must be clinically strong with experience in diverse programs (MTM, Case Referrals, Narcotics)
*Residency and/or Board Certification preferred

#LI-FW1

#LI-Remote
This is a Remote/Work-From-Home role. Must have an active and unrestricted Pharmacist licensein the State of residence.

Sponsorship is not available

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plansubject to the terms and the conditions of the plan.

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Base Pay Range$102,000.00 - $184,300.00

Exact compensation may vary based on skills, experience, and location.

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