Clinical Manager
Delray Beach, FL · Remote
The Part-Time QA Nurse is a remote-based RN who plays a critical role in ensuring the clinical ... This position focuses on quality assurance review, with a flexible schedule suited to an ...
Clinical Manager
Delray Beach, FL · Remote
The Part-Time QA Nurse is a remote-based RN who plays a critical role in ensuring the clinical ... This position focuses on quality assurance review, with a flexible schedule suited to an ...
Registered Nurse - AI Trainer
West Palm Beach, FL · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Quick apply
Registered Nurse - AI Trainer
West Palm Beach, FL · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Registered Nurse - AI Trainer
Pembroke Pines, FL · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Quick apply
Registered Nurse - AI Trainer
Pembroke Pines, FL · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Registered Nurse - AI Trainer
Boca Raton, FL · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
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Registered Nurse - AI Trainer
Boca Raton, FL · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Registered Nurse - AI Trainer
Hollywood, FL · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Quick apply
Registered Nurse - AI Trainer
Hollywood, FL · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Registered Nurse - AI Trainer
Davie, FL · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Quick apply
Registered Nurse - AI Trainer
Davie, FL · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Registered Nurse - AI Trainer
Coral Springs, FL · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Quick apply
Registered Nurse - AI Trainer
Coral Springs, FL · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Registered Nurse - AI Trainer
Sunrise, FL · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Quick apply
Registered Nurse - AI Trainer
Sunrise, FL · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Registered Nurse - AI Trainer
Fort Lauderdale, FL · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Quick apply
Registered Nurse - AI Trainer
Fort Lauderdale, FL · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Registered Nurse - AI Trainer
Miramar, FL · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Quick apply
Registered Nurse - AI Trainer
Miramar, FL · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Registered Nurse - AI Trainer
Pompano Beach, FL · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Quick apply
Registered Nurse - AI Trainer
Pompano Beach, FL · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Registered Nurse - AI Trainer
Plantation, FL · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Quick apply
Registered Nurse - AI Trainer
Plantation, FL · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Registered Nurse - AI Trainer
Miami Gardens, FL · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Quick apply
Registered Nurse - AI Trainer
Miami Gardens, FL · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
... remote team of nurses and other audit roles, performing clinical review audits. The Supervisor is primarily responsible for leveraging first-hand experience and knowledge of claims auditing ...
... remote team of nurses and other audit roles, performing clinical review audits. The Supervisor is primarily responsible for leveraging first-hand experience and knowledge of claims auditing ...
... remote team of nurses and other audit roles, performing clinical review audits. The Supervisor is primarily responsible for leveraging first-hand experience and knowledge of claims auditing ...
... remote team of nurses and other audit roles, performing clinical review audits. The Supervisor is primarily responsible for leveraging first-hand experience and knowledge of claims auditing ...
Remote Medical Scribe
Fort Lauderdale, FL · Remote
$14 - $17/hr
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 ...
Quick apply
Remote Medical Scribe
Fort Lauderdale, FL · Remote
$14 - $17/hr
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 ...
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 ...
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 ...
RN - AI Trainer
Miami Gardens, FL · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Quick apply
RN - AI Trainer
Miami Gardens, FL · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
RN - AI Trainer
Coral Springs, FL · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Quick apply
RN - AI Trainer
Coral Springs, FL · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
RN - AI Trainer
Davie, FL · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Quick apply
RN - AI Trainer
Davie, FL · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Remote Utilization Review Rn information
See Boca Raton, FL salary details
$20.30 - $24.41
2% of jobs
$24.41 - $28.51
9% of jobs
$31.32 is the 25th percentile. Wages below this are outliers.
$28.51 - $32.62
21% of jobs
The median wage is $35.94 / hr.
$32.62 - $36.73
23% of jobs
$36.73 - $40.83
13% of jobs
$44.03 is the 75th percentile. Wages above this are outliers.
$40.83 - $44.94
10% of jobs
$44.94 - $49.05
8% of jobs
$49.05 - $53.15
5% of jobs
$53.15 - $57.26
5% of jobs
$57.26 - $61.36
2% of jobs
$61.36 - $65.47
2% of jobs
$20
$40
$65
How much do remote utilization review rn jobs pay per hour?
As of Jul 6, 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 are the key skills and qualifications needed to thrive as a Remote Utilization Review RN, and why are they important?
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 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 is the difference between Remote Utilization Review Rn vs Remote Case Manager Rn?
| Aspect | Remote Utilization Review Rn | Remote Case Manager Rn |
|---|---|---|
| Certifications | RN license, Utilization Review certification (e.g., URAC) | RN license, Case Management certification (e.g., CCM) |
| Work Environment | Reviewing medical records, insurance policies, telehealth platforms | Coordinating patient care, discharge planning, telehealth |
| Employer & Industry | Insurance companies, healthcare organizations | Hospitals, 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 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 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:
- Remote Utilization Review
- Remote Occupational Therapy Utilization Review
- Full Time Cigna Utilization Review Nurse
- Remote Utilization Review Nurse Practitioner
- Remote Aetna Utilization Review Nurse
- Volunteer Navihealth Utilization Review
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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:
Other
Posted 23 days ago
Job description
Position Summary:The Part-Time QA Nurse is a remote-based RN who plays a critical role in ensuring the clinical documentation integrity, regulatory compliance, and accreditation readiness of our Florida-based home health agency. This position focuses on quality assurance review, with a flexible schedule suited to an experienced home health nurse who is self-directed and meticulous. The ideal candidate is skilled in Axxess EMR and well-versed in Joint Commission standards.Key Responsibilities:1
Documentation Review & ComplianceAudit patient charts (SOC, recertification, discharge, PRNs) for completeness, accuracy, and regulatory compliance.Verify that documentation supports homebound status, medical necessity, and skilled need.Review and correct OASIS data to ensure accurate PDGM grouping and reimbursement alignment.2. Axxess EMR UtilizationUse Axxess EMR to monitor documentation timeliness, track deficiencies, and generate QA reports.Identify and address documentation trends or concerns across disciplines.3. Joint Commission Accreditation SupportHelp maintain agency readiness for Joint Commission audits by conducting documentation reviews and participating in mock surveys.Support the implementation of corrective actions and integration of regulatory updates into staff workflow.4
Clinician Support & EducationProvide constructive feedback to field staff to improve documentation quality and regulatory compliance.Participate in virtual staff education sessions and offer individualized documentation coaching when needed.5. QAPI & Risk MonitoringAssist with tracking of infection control incidents, adverse events, and other reportable conditions.Contribute to QAPI meetings and quality improvement initiatives as appropriate.Preferred Attributes:Meticulous attention to documentationProfessional, calm communication styleEducator's mindset with an eye for qualitySelf-motivated and tech-savvy