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Remote Rn Utilization Review Nurse Jobs in Orlando, FL

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 · 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 ...

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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 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 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 Orlando, FL? The most popular types of Rn Utilization Review Nurse jobs in Orlando, FL are:
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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
Supervisor, Clinical Review Nurse (Remote)

Supervisor, Clinical Review Nurse (Remote)

TurningPoint Healthcare Solutions, LLC

Lake Mary, FL • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 18 days ago

Job description

Job Description
TurningPoint is an innovative healthcare services and technology organization that is committed to working with Health Plans and Providers to develop advanced technical and clinical solutions that improve the quality and affordability of surgical care patients receive. We are seeking a highly motivated and results orientated Nurse Supervisor to join our fast-paced and rapidly growing company.
Primary Responsibilities
This position is responsible for Utilization Management (UM) activities, including but not limited to the supervision of UM and Prior Authorization clinical team processes. This individual develops, implements, supports and promotes managed care strategies, policies and programs that drive the delivery of quality healthcare.
  • Providing leadership and demonstrating responsibility and accountability for the delivery of quality services to a team of clinical staff
  • Reviewing pre-authorization requests for appropriateness of care within established evidence-based criteria sets
  • Interacting with other TurningPoint personnel to assure quality customer service is provided.
  • Acting as an internal resource by answering questions requiring clinical interpretation
  • Identifying high cost utilization and making appropriate referral
  • Assisting the Director of Utilization Management in developing guidelines and procedures for the department
Skills, Education amp; Experience Requirements
  • An active and unrestricted Registered Nurse (RN)
  • Associate’s degree is required. Bachelor of Science in Nursing (BSN) Degree is preferred
  • Five (5) years of clinical experience; or any combination of education and experience, which would provide an equivalent background
  • Experience in surgical utilization review, pain management, case management, or health insurance pre-authorization and/or utilization management
  • Minimum of 3 years' experience Supervising and Managing a team of clinical and non-clinical staff members
  • Ability to function effectively in an interdisciplinary team that includes physicians, nurses, other healthcare personnel and administrative staff
  • Ability to work independently with minimal supervision
  • Ability to organize, prioritize and complete work in a timely manner despite many deadlines and competing priorities
Benefits
TurningPoint offers a number of benefits to full-time employees including, but not limited to: medical, dental, vision, disability, life, PTO. All employees, age 21 and over, are eligible to participate in the 401(k)-retirement savings plan.
Job Type: Full-time

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