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Remote Utilization Management Jobs in Florida (NOW HIRING)

Deloitte

Epic Tapestry Sr Analyst

Miami, FL · On-site +1

Role is remote Preferred * Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Analytical/ Decision Making Responsibilities * Analytical ability to ...

Deloitte

Epic Tapestry Sr Analyst

Tampa, FL · On-site +1

Role is remote Preferred * Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Analytical/ Decision Making Responsibilities * Analytical ability to ...

CVS Health

Case Manager, Registered Nurse

Tallahassee, FL · Remote

$54.10K - $155.54K/yr

Position Summary This is a remote work from home role anywhere in the US with virtual training ... Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization ...

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Remote Utilization Management information

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$15

$31

$51

How much do remote utilization management jobs pay per hour?

As of May 28, 2026, the average hourly pay for remote utilization management 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 Utilization Management Nurse, and why are they important?

Success as a Remote Utilization Management Nurse requires a registered nursing license, clinical experience, and strong knowledge of medical necessity criteria and insurance guidelines. Familiarity with utilization review software, electronic health records (EHRs), and case management systems is typically necessary. Exceptional communication, critical thinking, and organizational skills help professionals excel in evaluating cases and coordinating with providers remotely. These skills are crucial for ensuring appropriate care, cost-effective resource use, and regulatory compliance in a remote healthcare setting.

How does a Remote Utilization Management professional typically collaborate with healthcare providers and insurance teams?

Remote Utilization Management professionals frequently interact with both healthcare providers and insurance teams through secure digital platforms, phone calls, and virtual meetings. They review patient records, assess the necessity of medical services, and communicate their recommendations or authorization decisions. Effective collaboration requires clear documentation, timely responses, and strong communication skills to ensure that care is both medically appropriate and cost-effective. While the work is often independent, regular coordination with interdisciplinary teams is essential for maintaining high-quality patient outcomes and adhering to regulatory standards.

What is remote utilization management?

Remote utilization management is a process in which healthcare professionals, such as nurses or case managers, review and assess the necessity, efficiency, and appropriateness of medical services—often from a remote location. These professionals typically work for insurance companies, hospitals, or healthcare organizations to ensure that patients receive the right care while controlling costs. By working remotely, they use electronic health records, phone calls, and other digital tools to collaborate with providers and patients. This role helps improve healthcare quality and cost-effectiveness while allowing employees flexible work arrangements.

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

AspectRemote Utilization ManagementRemote Case Management
CredentialsRN, LPN, or licensed healthcare professionalsRN, LPN, or social workers
Work EnvironmentHealthcare facilities, insurance companies, telehealthHealthcare providers, insurance, community agencies
Industry UsageInsurance, healthcare, telehealthHealthcare, social services, insurance
Primary FocusReviewing medical necessity, authorizationsCoordinating patient care, support services

Remote Utilization Management primarily involves reviewing medical necessity and authorizations, while Remote Case Management focuses on coordinating patient care and support services. Both roles require healthcare credentials and are used within healthcare and insurance industries, but they serve different functions in patient care and resource allocation.

What are the most commonly searched types of Utilization Management jobs in Florida? The most popular types of Utilization Management jobs in Florida are:
What are popular job titles related to Remote Utilization Management jobs in Florida? For Remote Utilization Management jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Management jobs in Florida look for? The top searched job categories for Remote Utilization Management jobs in Florida are:
What cities in Florida are hiring for Remote Utilization Management jobs? Cities in Florida with the most Remote Utilization Management job openings:
Remote Utilization Management jobs near you
Infographic showing various Remote Utilization Management job openings in Florida as of May 2026, with employment types broken down into 3% As Needed, 49% Full Time, 43% Part Time, and 5% Contract. Highlights an 89% Physical, and 11% Remote job distribution, with an average salary of $65,722 per year, or $31.6 per hour.
Epic Tapestry Sr Analyst

Epic Tapestry Sr Analyst

Deloitte

Miami, FL • On-site, Remote

Other

Posted 7 days ago

Deloitte rating

8.1

Company rating: 8.1 out of 10

Based on 86 frontline employees who took The Breakroom Quiz

60th of 138 rated financial services

Job description

Are you an experienced, passionate pioneer in technology who wants to work in a collaborative environment? As an experienced Epic Tapestry Sr Analyst you will have the ability to share new ideas and collaborate on projects as a consultant without the extensive demands of travel. If so, consider an opportunity with Deloitte under our Project Delivery Talent Model. Project Delivery Model (PDM) is a talent model that is tailored specifically for long-term, onsite client service delivery.

Recruiting for this role ends on 6/11/2026

Work you'll do/Responsibilities

Build and configure for the enhancements and capital projects within the Tapestry UM module area across all client regions, specifically Service Authorizations.

The Team 

AI & Engineering leverages cutting-edge engineering capabilities to build, deploy, and operate integrated/verticalized sector solutions in software, data, AI, network, and hybrid cloud infrastructure. These solutions are powered by engineering for business advantage, transforming mission-critical operations. We enable clients to stay ahead with the latest advancements by transforming engineering teams and modernizing technology & data platforms. Our delivery models are tailored to meet each client's unique requirements

Our Industry Solutions offering provides verticalized solutions that transform how clients sell products, deliver services, generate growth, and execute mission-critical operations. We deliver integrated business expertise with scalable, repeatable technology solutions specifically engineered for each sector.

Qualifications Required

  • Must have a current Epic Tapestry Certification (any of these Claims, Membership, Enrollment & Eligibility, CRM, Utilization Management)
  • 3-6 years of recent build and configuration experience on any of the Epic Tapestry modules
  • Experience in application build and go-live, along with extensive experience in Service Authorization implementation, workflows, troubleshooting, testing, and support
  • Good interpersonal and communication skills
  • Demonstrative understanding of technical documentation
  • Bachelor's degree, preferably in information technology, business, or healthcare related field; or equivalent experience 
  • Limited immigration sponsorship may be available
  • Ability to travel 10%, on average, based on the work you do and the clients and industries/sectors you serve
  • Role is remote

Preferred

  • Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build
  • Analytical/ Decision Making Responsibilities
  • Analytical ability to manage multiple projects and prioritize tasks into manageable work products
  • Can operate independently or with minimum supervision
  • Excellent Written and Communication Skills
  • Ability to deliver technical demonstrations

The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At Deloitte, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $85,000 - $110,000.

You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance.

Qualifications:

Are you an experienced, passionate pioneer in technology who wants to work in a collaborative environment? As an experienced Epic Tapestry Sr Analyst you will have the ability to share new ideas and collaborate on projects as a consultant without the extensive demands of travel. If so, consider an opportunity with Deloitte under our Project Delivery Talent Model. Project Delivery Model (PDM) is a talent model that is tailored specifically for long-term, onsite client service delivery.

Recruiting for this role ends on 6/11/2026

Work you'll do/Responsibilities

Build and configure for the enhancements and capital projects within the Tapestry UM module area across all client regions, specifically Service Authorizations.

The Team 

AI & Engineering leverages cutting-edge engineering capabilities to build, deploy, and operate integrated/verticalized sector solutions in software, data, AI, network, and hybrid cloud infrastructure. These solutions are powered by engineering for business advantage, transforming mission-critical operations. We enable clients to stay ahead with the latest advancements by transforming engineering teams and modernizing technology & data platforms. Our delivery models are tailored to meet each client's unique requirements

Our Industry Solutions offering provides verticalized solutions that transform how clients sell products, deliver services, generate growth, and execute mission-critical operations. We deliver integrated business expertise with scalable, repeatable technology solutions specifically engineered for each sector.

Qualifications Required

  • Must have a current Epic Tapestry Certification (any of these Claims, Membership, Enrollment & Eligibility, CRM, Utilization Management)
  • 3-6 years of recent build and configuration experience on any of the Epic Tapestry modules
  • Experience in application build and go-live, along with extensive experience in Service Authorization implementation, workflows, troubleshooting, testing, and support
  • Good interpersonal and communication skills
  • Demonstrative understanding of technical documentation
  • Bachelor's degree, preferably in information technology, business, or healthcare related field; or equivalent experience 
  • Limited immigration sponsorship may be available
  • Ability to travel 10%, on average, based on the work you do and the clients and industries/sectors you serve
  • Role is remote

Preferred

  • Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build
  • Analytical/ Decision Making Responsibilities
  • Analytical ability to manage multiple projects and prioritize tasks into manageable work products
  • Can operate independently or with minimum supervision
  • Excellent Written and Communication Skills
  • Ability to deliver technical demonstrations

The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At Deloitte, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $85,000 - $110,000.

You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance.

Education:Bachelor's DegreeEmployment Type:

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