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Remote Rn Medical Record Review Jobs in Florida (NOW HIRING)

CES, LLC

Medical Review Nurse III

Saint Augustine, FL · Remote

Primarily responsible for conducting clinical reviews of medical records during the course of fraud ... Graduate from an accredited school of nursing and has an active license as a Registered Nurse ...

Posted today

Oscar Health

Utilization Review Nurse

Miami, FL · Remote

$35 - $45.94/hr

You will perform frequent case reviews, check medical records and speak with care providers ... This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois;

YO AI Labs

Hospitalist Physician - Remote

Miami, FL · Remote

$70 - $100/hr

Remote Job Overview We are seeking experienced Hospitalist Physicians to contribute their medical ... Review medical records, including FHIR data and clinical notes , for AI training and quality ...

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Remote Rn Medical Record Review information

What is the difference between Remote Rn Medical Record Review vs Remote Rn Chart Review?

AspectRemote Rn Medical Record ReviewRemote Rn Chart Review
CertificationsRN license, possibly certifications in medical record reviewRN license, similar certifications
Work EnvironmentReviewing medical records remotely for legal, insurance, or compliance purposesAnalyzing and summarizing patient charts for healthcare providers or research
Industry UsageLegal, insurance, healthcare complianceHealthcare providers, research institutions, quality assurance

Remote Rn Medical Record Review involves evaluating medical records for legal, insurance, or compliance purposes, focusing on accuracy and completeness. Remote Rn Chart Review typically involves analyzing patient charts for clinical or research insights. While both roles require RN licensure and similar skills, their primary focus and industry applications differ slightly.

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Remote Rn Medical Record Review jobs near you
Infographic showing various Remote Rn Medical Record Review job openings in Florida as of August 2026, with employment types broken down into 78% Full Time, 19% Part Time, and 3% Contract. Highlights an 100% Remote job distribution.

Remote Registered Nurse - Utilization Review - RRNUR 26-10215

Tampa, FL • Remote

Compu-Vision - Healthcare
See more jobs at Compu-Vision - Healthcareexternal

$1.9K/wk

Full-time

Posted yesterday

New

Job description

Remote Registered Nurse – Utilization Review

Location: Fort Myers, FL 33916
Work Arrangement: Remote
Duration: Contract - 13 Weeks
Schedule: Monday–Friday, 8:00 AM–4:30 PM
Weekend: Every 5th weekend rotation
Radius Requirement: 50-mile radius rule applies — travelers only

Position Overview

We are seeking an experienced Registered Nurse – Utilization Review for a remote Utilization Management position. The ideal candidate will have strong provider-side Utilization Management experience, along with hands-on experience using Dragonfly and Epic.

This role requires an experienced RN who can independently perform utilization review activities in a remote environment and effectively collaborate with providers and healthcare teams.

Key Responsibilities
  • Perform Utilization Review and Utilization Management activities in a provider-side healthcare environment.
  • Review clinical documentation to determine medical necessity and appropriate levels of care.
  • Apply established clinical criteria, policies, and guidelines to utilization decisions.
  • Collaborate with providers, physicians, case management teams, and other healthcare professionals.
  • Review patient records and clinical information using Epic EMR.
  • Utilize Dragonfly for utilization management activities.
  • Identify potential gaps in care and escalate issues appropriately.
  • Maintain accurate and timely documentation of utilization review activities.
  • Communicate effectively with clinical and administrative teams.
  • Support organizational quality, compliance, and utilization management objectives.
  • Float to sister campuses when required.
Required Qualifications
  • Active Registered Nurse (RN) license.
  • Minimum 2 years of relevant experience.
  • Provider-side Utilization Management experience required.
    • Payer-only Utilization Management experience does not qualify.
  • Dragonfly experience required.
  • Epic EMR experience required.
  • CCM or CMCN certification required.
  • Strong clinical assessment, analytical, and documentation skills.
  • Comfortable working independently in a remote environment.
  • Strong computer skills and ability to work effectively with remote technology.
  • Must have access to a personal computer/laptop; equipment is not provided.
  • Prior travel nursing experience highly preferred.
  • Degree accreditation verification required, or 5 years of qualifying experience.
Additional Requirements
  • Must be willing to participate in an every 5th weekend rotation.
  • Must meet the 50-mile radius rule and qualify as a traveler.
  • Floating to sister campuses may be required.
  • Must be comfortable working remotely with minimal supervision.
  • Excellent communication and organizational skills required.