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$15

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$51

How much do remote rn utilization review nurse jobs pay per hour?

As of May 28, 2026, the average hourly pay for remote rn utilization review nurse in Florida is $31.60, according to ZipRecruiter salary data. Most workers in this role earn between $24.95 and $36.30 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Remote RN Utilization Review Nurse, and why are they important?

To thrive as a Remote RN Utilization Review Nurse, you need an active RN license, strong clinical knowledge, and experience in case management or utilization review. Proficiency with healthcare review software, electronic health records (EHRs), and familiarity with insurance guidelines or regulatory requirements is vital. Excellent communication, critical thinking, and time management skills distinguish top performers in remote settings. These skills enable nurses to make accurate, timely decisions about patient care while ensuring compliance and efficient resource utilization.

What are some common challenges faced by Remote RN Utilization Review Nurses, and how can they be addressed?

Remote RN Utilization Review Nurses often encounter challenges such as managing large caseloads, maintaining effective communication with interdisciplinary teams, and staying updated with ever-changing insurance guidelines. Balancing productivity expectations while ensuring thorough case reviews can be demanding. To address these challenges, nurses can utilize robust organizational tools, participate in ongoing training sessions, and leverage regular virtual meetings to stay connected with colleagues and supervisors, ensuring both efficiency and high-quality patient care.

What is a Remote RN Utilization Review Nurse?

A Remote RN Utilization Review Nurse is a registered nurse who evaluates medical records and healthcare services from a remote location to ensure that patients receive appropriate, necessary, and cost-effective care. They review treatment plans, check for compliance with insurance and healthcare guidelines, and often work with healthcare providers, insurance companies, and patients to coordinate care. This role typically involves assessing the medical necessity of procedures, authorizing services, and helping prevent unnecessary treatments or hospitalizations.

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

AspectRemote Rn Utilization Review NurseRemote Rn Case Manager
CertificationsRN license, possibly UR or CCM certificationRN license, CCM or other case management certification
Work EnvironmentReviewing medical records, insurance guidelines, and authorizationsCoordinating patient care, discharge planning, and resource management
Employer & Industry UsageHealth insurance companies, third-party administratorsHospitals, health plans, healthcare providers

Remote Rn Utilization Review Nurses primarily evaluate medical necessity for insurance approvals, focusing on documentation and guidelines. In contrast, Remote Rn Case Managers coordinate patient care, discharge planning, and resource allocation. Both roles require RN licensure and related certifications but differ in daily tasks and work focus.

What are the most commonly searched types of Rn Utilization Review Nurse jobs in Florida? The most popular types of Rn Utilization Review Nurse jobs in Florida are:
What are popular job titles related to Remote Rn Utilization Review Nurse jobs in Florida? For Remote Rn Utilization Review Nurse jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Remote Rn Utilization Review Nurse jobs in Florida look for? The top searched job categories for Remote Rn Utilization Review Nurse jobs in Florida are:
What cities in Florida are hiring for Remote Rn Utilization Review Nurse jobs? Cities in Florida with the most Remote Rn Utilization Review Nurse job openings:
Remote Rn Utilization Review Nurse jobs near you

Remote Registered Nurse (Remote Patient Monitoring & Chronic Care Management)

3:15

Tampa, FL • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 18 days ago

Job description

We believe everyone should have confidence in navigating their healthcare. We are looking for a qualified Registered Nurse (RN) to serve our patient population in the navigation, prevention and management of their health through continuous care programs like Remote Patient Monitoring and Chronic Care Management. Our team works fervently to anticipate the needs of our patients and connect on a personal level. We exist to coach people to their best health!


Responsibilities:
  • Welcome patients into continuous care program(s) and review benefits and services included
  • Educate patients on the frequency and use of their assigned in-home monitoring devices
  • Create a personalized, comprehensive care plan with the patient via phone or video visits
  • Identify and address any barriers to patient success
  • Provide specific education and coaching on patients' chronic conditions
  • Connect with the patient frequently to review readings and a monthly update of their plan of care
  • Serve as the patient's first contact for all non-emergent needs (example - medication refills, scheduling, appointment reminders, etc.)
  • Anticipate patients' needs and bridge any gaps in care
  • Assist patients in the navigation of their healthcare (example - assisting patients with scheduling appointments, coordinating with specialists, and ensuring preventative screenings are completed, etc.).
  • Review and evaluate in-home device readings in real time, during normal business hours
  • Follow established protocols for identifying, communicating and documenting device trends and any associated symptoms in the patient's medical record
  • Escalate concerning readings and/or symptoms to the provider following a communication protocol established by the provider
  • Establish a meaningful rapport that builds trust, open communication, and motivation to make a positive change in the patient's health
  • Collaborate with virtual team members and in-office staff to ensure patient's needs are being met

Requirements

  • Active and Unrestricted Georgia RN License (Compact License preferred)
  • At least three (3) years of experience in adult health preferred
  • Background in adult chronic health conditions (Medical Surgical, Outpatient/Clinic, Care Management) preferred
  • Variety of Electronic Medical Record (EMR) experience
  • Proficient knowledge, skill, and interest in basic computer skills
  • Proficient in problem solving and ability to multi-task
  • Excellent communication skills (oral and written)
  • Excellent teamwork skills
  • Clean background check and drug screening
  • Comfortable working remotely but collaboratively


Please note our interview process: application reviewed, one way video interview, workplace personality assessment, interview through Microsoft Teams, offer extended if applicable

Benefits

  • Health Care Plan (Medical, Dental & Vision)
  • Retirement Plan (401k, IRA)
  • Life Insurance (Basic, Voluntary & AD&D)
  • Paid Time Off (Vacation, Sick & Public Holidays)
  • Training & Development
  • Work From Home
  • Full Time, Salaried 55-65k

Apply