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Remote Rn Utilization Review Nurse Jobs in Orlando, FL

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LPN- Remote- Prior Authorization/Utilization Review

Orlando, FL · Remote

$37 - $38/hr

This position is a 100 remote work from home opportunity and will not be patient facing. **Training ... Review criteria-based prior authorizations following policy and procedure. Provide on-call after ...

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DermaVe Spa

Registered Nurse Trainer (Remote)

Orlando, FL · Remote

$22 - $27/hr

Registered Nurse Trainer Employment Type: Full-Time Work Schedule: 80% Remote / 20% Travel Role Overview We are looking for a licensed RN or APRN with experience in aesthetics or med spa settings to ...

Dermave Spa

Registered Nurse Trainer

Orlando, FL · On-site +1

$22 - $27/hr

Registered Nurse Trainer Employment Type: Full-Time Work Schedule: 80% Remote / 20% Travel Role Overview We are looking for a licensed RN or APRN with experience in aesthetics or med spa settings to ...

DermaVe Spa

Registered Nurse Trainer

Orlando, FL · On-site +1

$22 - $27/hr

Registered Nurse Trainer Employment Type: Full-Time Work Schedule: 80% Remote / 20% Travel Role Overview We are looking for a licensed RN or APRN with experience in aesthetics or med spa settings to ...

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Remote Rn Utilization Review Nurse information

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$19

$39

$64

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

As of Aug 29, 2026, the average hourly pay for remote rn utilization review nurse in Orlando, FL is $39.47, according to ZipRecruiter salary data. Most workers in this role earn between $31.20 and $45.34 per hour, depending on experience, location, and employer.

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 are the key skills and qualifications needed to thrive as a Remote RN Utilization Review Nurse?

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 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 Orlando, FL?

The most popular types of Rn Utilization Review Nurse jobs in Orlando, FL are:

What are popular job titles related to Remote Rn Utilization Review Nurse jobs in Orlando, FL?

For Remote Rn Utilization Review Nurse jobs in Orlando, FL, the most frequently searched job titles are:

What job categories do people searching Remote Rn Utilization Review Nurse jobs in Orlando, FL look for?

The top searched job categories for Remote Rn Utilization Review Nurse jobs in Orlando, FL are:

What cities near Orlando, FL are hiring for Remote Rn Utilization Review Nurse jobs?

Cities near Orlando, FL with the most Remote Rn Utilization Review Nurse job openings:

Remote Rn Utilization Review Nurse jobs near you
Infographic showing various Remote Rn Utilization Review Nurse job openings in Orlando, FL as of August 2026, with employment types broken down into 80% Full Time, 16% Part Time, and 4% Contract. Highlights an 100% Remote job distribution, with an average salary of $82,100 per year, or $39.5 per hour.

Dermatology Utilization Review - Remote - Contract (1099)

Orlando, FL • On-site, Remote

MRIoA
See more jobs at MRIoAexternal

Contractor

Re-posted 11 days ago

Job description

Description
Flexible Independent Contractor (1099) Remote Opportunity
Required State Medical License in one of the following states: Indiana, Kentucky, Nevada, Oregon, Oklahoma, South Carolina or Texas
ABOUT MRIoA
Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology-driven utilization management and clinical medical review solutions. We're a leader in Peer and Utilization Reviews, known for excellence and continuous improvement.
THE OPPORTUNITY: We are currently seeking Board-Certified physicians in DERMATOLOGY to conduct independent Utilization Reviews. This is a flexible, fully remote opportunity requiring just 1-2 hours per week-with no minimum commitment.
ADDITIONAL INFORMATION:
  • Work remotely from anywhere in the US (Per HIPAA Regulations, patient records cannot leave the US).
  • Covered under MRIoA's Errors and Omissions policy.
  • Independent Contractor (1099) opportunity.
  • Workers are required to adhere to all applicable HIPAA regulations and company policies and procedures regarding the confidentiality, privacy, and security of sensitive health information.

Requirements
  • Must have a Medical Degree MD or DO
  • Must have a current STATE unencumbered medical license in one of the above listed states
  • Current Board Certification in Dermatology
  • Must have 5 years of clinical experience, residency to be included
  • Daytime availability is required for peer-to-peer conversations

California Consumer Privacy Act (CCPA) Information (California Residents Only):
  • Sensitive Personal Info: MRIoA may collect sensitive personal info such as real name, nickname or alias, postal address, telephone number, email address, Social Security number, signature, online identifier, Internet Protocol address, driver's license number, or state identification card number, and passport number.
  • Data Access and Correction: Applicants can access their data and request corrections. For questions and/or requests to edit, delete, or correct data, please email the Medical Review Institute at HR@mrioa.com.

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