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Remote Utilization Review Rn Jobs in Boca Raton, FL

Scribe-X

Remote Medical Scribe

Fort Lauderdale, FL · Remote

$14 - $17/hr

  • Medical

  • PTO

Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a ... Review completed charts with the provider between patients or at the completion of shift * Update ...

Health Care District

School Health Aide

West Palm Beach, FL · On-site +1

$14.50 - $19.25/hr

This position, under the supervision and direction of a Registered Nurse, provides delegated ... Review and update student electronic health files, forwarding them to appropriate destinations when ...

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All JobsUtilization Review Rn JobsRemote Utilization Review Rn JobsRemote Utilization Review Rn Jobs in Boca Raton, FL

Remote Utilization Review Rn information

See Boca Raton, FL salary details

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$65

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

As of Aug 17, 2026, the average hourly pay for remote utilization review rn 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 a remote utilization review RN?

A Remote Utilization Review RN is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services provided to patients, typically working from a remote location. They review medical records, apply clinical guidelines, and collaborate with healthcare providers to ensure patients receive the right care at the right time. Their work helps manage healthcare costs and improves patient outcomes by preventing unnecessary treatments or hospital stays. Remote Utilization Review RNs often work for insurance companies, hospitals, or healthcare organizations, and use secure digital platforms to conduct their reviews.

What are the key skills and qualifications needed to thrive as a remote utilization review RN?

To excel as a Remote Utilization Review RN, you need a valid RN license, strong clinical judgment, and knowledge of utilization management principles. Familiarity with electronic medical records (EMR), utilization management software, and guidelines such as InterQual or MCG is typically required. Outstanding attention to detail, critical thinking, and effective communication skills help you collaborate with healthcare teams and advocate for appropriate patient care. These competencies are crucial for ensuring medical necessity, regulatory compliance, and optimal resource use in a remote setting.

What are some common challenges remote utilization review RNs face when working from home, and how can they be addressed?

Remote Utilization Review RNs often encounter challenges such as maintaining clear communication with interdisciplinary teams, managing time efficiently, and staying updated on changing payer guidelines. To address these challenges, it's important to establish consistent check-ins with team members via video or chat platforms, use digital tools to organize and prioritize caseloads, and participate in ongoing training sessions provided by employers. Adhering to a structured daily routine and leveraging available technology can help ensure productivity and high-quality reviews while working remotely.

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

AspectRemote Utilization Review RnRemote Case Manager Rn
CertificationsRN license, Utilization Review certification (e.g., URAC)RN license, Case Management certification (e.g., CCM)
Work EnvironmentReviewing medical records, insurance policies, telehealth platformsCoordinating patient care, discharge planning, telehealth
Employer & IndustryInsurance companies, healthcare organizationsHospitals, insurance providers, healthcare agencies

Remote Utilization Review Rns primarily focus on evaluating medical necessity for insurance coverage, while Remote Case Manager Rns coordinate patient care and discharge planning. Both roles require RN licensure and involve telehealth work, but they serve different functions within healthcare and insurance industries.

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

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

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

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

What cities near Boca Raton, FL are hiring for Remote Utilization Review Rn jobs?

Cities near Boca Raton, FL with the most Remote Utilization Review Rn job openings:

Remote Utilization Review Rn jobs near you
Infographic showing various Remote Utilization Review Rn job openings in Boca Raton, FL as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 16% Part Time, and 2% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $83,458 per year, or $40.1 per hour.

Clinical Nurse Educator, Immunology (West)

Openwork

Boca Raton, FL • Remote

$160K - $180K/yr

Full-time

Posted 2 days ago

New

Job description

Clinical Nurse Educator, Immunology (West)
The Clinical Nurse Educator, Immunology serves as the field-based clinical education expert for the immunoglobulin therapies, supporting patients with primary humoral immunodeficiency (PIDD). The Clinical Nurse Educator (CNE) delivers disease-state and product administration education to nurses, infusion staff, and other healthcare professionals across hospital, home infusion, and infusion-suite settings, supporting safe initiation and continuation of immunoglobulin therapy. The CNE partners closely with Medical Affairs and the Commercial organization to ensure a consistent, compliant, and clinically credible education strategy across an assigned territory.
Responsibilities
  • Deliver in-service and administration-technique education on IgRT to nurses, infusion staff, and other HCPs at hospitals, infusion suites, and home health agencies.
  • Provide disease-state education on primary immunodeficiency (PIDD) to clinical staff, patients, caregivers, and patient advocacy groups.
  • Support onboarding of newly initiated patients, including administration training and recognition of adverse events (e.g., infusion reactions, thrombosis risk factors).
  • Partner with Medical Science Liaisons and the Commercial organization to coordinate a consistent education plan across a defined territory.
  • Assist with clinical training of new and experienced field colleagues on product and disease-state fundamentals.
  • Maintain and communicate current, in-depth clinical knowledge of immunoglobulin therapy, the competitive immunoglobulin landscape, and evolving PIDD treatment guidelines.
  • Independently plan and manage territory coverage, prioritizing accounts based on clinical need and travel logistics.
  • Document all field activity accurately and promptly in the company's CRM system.
  • Represent the company at relevant local and national scientific and patient advocacy conferences (e.g., AAAAI, ACAAI, IDF local and regional meetings).
  • Ensure all educational activities remain non-promotional and within appropriate clinical and compliance boundaries.

Qualifications
  • Active, unrestricted RN license in state(s) covered by assigned territory required; Bachelor of Science in Nursing (BSN) preferred; APRN/FNP or other advanced nursing credentials preferred
  • 5 to 8+ years of clinical nursing experience, including a minimum of 5 years' direct IVIG/SCIG infusion experience, preferably across at least two care settings (hospital, home infusion, ambulatory infusion suite).
  • Certification(s): Immunoglobulin Certified Nurse (IgCN) credential, or eligibility to sit for the exam; certification required within 60 days6 months of hire and must be maintained thereafter.
  • Prior pharmaceutical, biotech, or biologics field-based experience (e.g., Clinical Nurse Educator, MSL, or similar) preferred; experience with primary immunodeficiency (PIDD) or CIDP patient Populations preferred
  • Up to 6080% travel, including overnight travel, to cover an assigned multi-state territory and attend conferences and educational events.
  • Strong clinical credibility and presentation skills.
  • Excellent interpersonal and relationship-building ability with nursing and infusion staff.
  • Strong self-direction and time management in a remote, field-based environment.
  • Effective cross-functional collaboration with Medical Affairs, Patient Services, and Commercial colleagues.
  • The minimum compliance expectation for this role entails strict adherence to FDA regulations and company policies governing medical and educational field activities. This includes completion of required compliance training, accurate documentation of field interactions, and adherence to data privacy regulations. Additionally, the role requires proactive participation in compliance reviews, prompt reporting of any potential issues, and ongoing education to stay updated on relevant FDA regulations and immunoglobulin nursing standards (e.g., IgNS protocols).

Base salary range: $160,000 - $180,000 per year. This is the anticipated salary range for fully qualified candidates. The final salary offered will be dependent on several factors that include and are not limited to relevant previous experience, job responsibilities and duration of experience, the type and length of experience within the industry, education, etc.

Company Description

Openwork is a candidate-focused staffing company on a mission to bring ease, accessibility, and thoughtfulness to an industry we’ve held a footing in for 50+ years. We believe there’s more to life than livelihood, but that finding your dream job, career, or team is a really good place to start.