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Remote Utilization Management Nurse Jobs in Boca Raton, FL

Lakeview Loan Servicing

Sr. Benefits Analyst

Fort Lauderdale, FL · Remote

$95K - $120K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

This is a fully remote position that offers a competitive salary range of $95,000 to $120,000, plus ... Manage and administer all US and Canada employee benefit programs, including medical, dental ...

Ghostpunch Games

Lead Software Engineer (Remote)

Sunrise, FL · On-site +1

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... utilization of programming resources allocated to that team. As the assigned Lead this person is ... In addition to hands-on programming duties, the Lead Software Engineer assists in other management ...

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All JobsUtilization Management Nurse JobsRemote Utilization Management Nurse JobsRemote Utilization Management Nurse Jobs in Boca Raton, FL

Remote Utilization Management Nurse information

See Boca Raton, FL salary details

$20

$40

$65

How much do remote utilization management nurse jobs pay per hour?

As of Aug 15, 2026, the average hourly pay for remote utilization management nurse in Boca Raton, FL is $40.12, according to ZipRecruiter salary data. Most workers in this role earn between $31.73 and $46.06 per hour, depending on experience, location, and employer.

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

AspectRemote Utilization Management NurseRemote Case Manager
CredentialsRN license, certifications like CCM or ANCCRN license, certifications like CCM or similar
Work EnvironmentHealthcare organizations, insurance companies, telehealthInsurance companies, healthcare providers, telehealth
Job FocusReviewing medical necessity, authorizations, and utilizationCoordinating patient care, discharge planning, resource management

Both roles require RN licensure and similar certifications, often working remotely within healthcare or insurance settings. The main difference lies in focus: Utilization Management Nurses primarily review medical necessity and authorization requests, while Case Managers coordinate patient care and discharge planning. Understanding these distinctions helps job seekers identify the role that best matches their skills and career goals.

What is a remote utilization management nurse?

A Remote Utilization Management Nurse is a registered nurse who works from a remote location, such as their home, to review patient medical records and determine the necessity, appropriateness, and efficiency of healthcare services. They collaborate with healthcare providers and insurance companies to ensure that patients receive appropriate care while managing costs. Their main responsibilities include reviewing clinical documentation, conducting pre-authorization reviews, and ensuring compliance with healthcare regulations and insurance guidelines.

What does a remote utilization management nurse do?

As a remote utilization management nurse, you work from home to perform a variety of duties and responsibilities, such as corresponding with and interviewing physicians, modifying patient treatment plans, analyzing investigation information, and auditing patient records. As a UM nurse, you may also deal with other clinical tasks, referrals, authorizations, and reviews. You usually work for insurance companies and healthcare providers to help to determine if patients should receive authorization for needed treatments or for those that they already receive. In some cases, you may monitor processes to ensure that hospital patients are getting what they need during their stay.

What are the key skills and qualifications needed to thrive as a remote utilization management nurse?

To thrive as a Remote Utilization Management Nurse, you need a valid RN license, clinical experience (often in acute care), and a solid understanding of utilization review and healthcare regulations. Familiarity with case management software, electronic medical records (EMRs), and tools like InterQual or Milliman Care Guidelines is typically required. Strong analytical skills, attention to detail, and effective written and verbal communication are essential soft skills for successful remote collaboration and decision-making. These skills ensure accurate assessments, compliance with standards, and the delivery of cost-effective, quality patient care from a remote setting.

What are some common challenges faced by remote utilization management nurses, and how can they be addressed?

Remote Utilization Management Nurses often face challenges such as maintaining effective communication with interdisciplinary teams, staying updated on changing insurance guidelines, and managing a high volume of case reviews. To address these issues, it's helpful to establish regular virtual check-ins with team members, utilize digital tools for efficient documentation, and participate in ongoing training on payer requirements. Developing strong organizational skills and proactively seeking clarification on complex cases can also contribute to success in this role.
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Remote Utilization Management Nurse jobs near you
Infographic showing various Remote Utilization Management Nurse job openings in Boca Raton, FL as of August 2026, with employment types broken down into 3% As Needed, 85% Full Time, 6% Part Time, and 6% Contract. Highlights an 100% Remote job distribution, with an average salary of $83,458 per year, or $40.1 per hour.

Psychiatric Mental Health Nurse Practitioner (PMHNP)

Seasoned Recruitment

Miami, FL • Remote

Contractor

Posted 23 days ago

Job description

Job Summary

Seasoned Recruitment is proud to partner with leading telehealth providers to source dedicated and compassionate Psychiatric Mental Health Nurse Practitioners (PMHNP). In this remote, independent contract position, you will play a pivotal role in expanding access to essential mental health services. Our mission is centered on clinical excellence and patient-centered care, and we are looking for practitioners who share our commitment to providing high-quality, evidence-based psychiatric interventions via a sophisticated and secure digital infrastructure.

What We Offer
  • Unparalleled Autonomy: Exercise complete control over your professional practice by designing a schedule that aligns with your lifestyle while managing your patient caseload entirely from your remote office.
  • Competitive Compensation Structure: Benefit from a robust earnings model designed to reward your expertise, including protective reimbursement policies for patient no-shows and late cancellations to ensure your time is valued.
  • Streamlined Clinical Focus: Operate within a supportive environment that leverages advanced technology to minimize administrative burdens, allowing you to dedicate your energy to psychiatric evaluations and therapeutic excellence.
Core Accountabilities
  • Deliver expert-level psychiatric care and pharmacological management through an encrypted, HIPAA-compliant telehealth platform.
  • Formulate and execute comprehensive, evidence-based treatment plans tailored to the unique clinical needs of each patient.
  • Maintain meticulous clinical documentation in accordance with the highest professional standards and regulatory requirements.
  • Ensure unwavering adherence to HIPAA regulations and internal security protocols to protect patient confidentiality.
  • Collaborate effectively with multidisciplinary teams to facilitate integrated care and optimize long-term patient outcomes.
Mandatory Qualifications
  • Possession of an active, unencumbered state license as a Psychiatric Mental Health Nurse Practitioner.
  • Current DEA certification or the ability to obtain registration prior to the commencement of credentialing.
  • Technical proficiency in navigating remote health platforms and digital communication suites.
  • Strong clinical judgement and the ability to operate effectively in an autonomous, remote environment.
How to Apply

Qualified practitioners are invited to advance their careers by choosing one of the following application methods:

  • Schedule a preliminary consultation with our recruitment team: https://calendly.com/seasoned-recruitment/telephone-screening
  • Submit your professional CV/resume directly to: gethired@seasonedrecruitment.com
  • Complete your application through the portal on this job board.


Seasoned Recruitment logo

About Seasoned Recruitment

Sourced by ZipRecruiter

Seasoned Recruitment is a premier recruitment agency based in Las Vegas, NV, US, specializing in the food and beverage industry. Founding its roots back in the mid-2010s, the company has a solid track record in connecting talented individuals with companies looking for specific expertise for roles ranging from mid-level management to high-profile executive positions. Recognized for its activeness and professional expertise, Seasoned Recruitment's business has been built on the core values of integrity, discretion, and personalized client and candidate service. The company’s mission is to connect job seekers and employers in the food and beverage sector, with an emphasis on finding the most favorable matches that benefit both parties.

Industry

Recruiting and staffing services

Company size

11 - 50 Employees

Headquarters location

Las Vegas, NV, US

Social media

Facebook

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