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Remote Utilization Review Rn Jobs in Bradenton, FL

FCCI Insurance Group

Medical Case Manager

Sarasota, FL · On-site +1

$62K - $96K/yr

We are seeking a licensed Registered Nurse to provide telephonic case management on assigned ... s) through utilization of established guidelines to determine appropriate medical treatment ...

Scribe-X

Remote Medical Scribe

Saint Petersburg, 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 ...

HST

Be Seen First

Sales & Marketing Support - Remote

Bradenton, FL · Remote

$20 - $30/hr

Constant Contact - conceive, create, send, and review results of email campaigns * Outlook, Word and Excel * Copywriting * AI tools and utilization * ZOOM The ideal candidate should know these ...

Varsity Tutors

NCLEX-PN Tutor

Saint Petersburg, FL · Remote

$18 - $40/hr

... RN scope questions, pharmacology calculations, and managing anxiety with the adaptive testing format. Adapts instruction using NCLEX-PN specific practice question banks, content review focused on ...

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All JobsUtilization Review Rn JobsRemote Utilization Review Rn JobsRemote Utilization Review Rn Jobs in Bradenton, FL

Remote Utilization Review Rn information

See Bradenton, FL salary details

$19

$38

$62

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

As of Aug 22, 2026, the average hourly pay for remote utilization review rn in Bradenton, FL is $38.32, according to ZipRecruiter salary data. Most workers in this role earn between $30.29 and $43.99 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 Bradenton, FL?

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

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

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

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

Cities near Bradenton, 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 Bradenton, FL as of August 2026, with employment types broken down into 6% Locum Tenens, 68% Full Time, 13% Part Time, and 13% Contract. Highlights an 6% In-person, and 94% Remote job distribution, with an average salary of $79,715 per year, or $38.3 per hour.

Medical Case Manager

FCCI Insurance Group

Sarasota, FL • On-site, Remote

$62K - $96K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 16 days ago

Job description

FCCI is guided by our core values of Loyalty, Integrity, Vision, Excellence and Service. These are the principles and behaviors that guide how we support and trust one another, build our teams, cultivate leaders and create a company that feels like family. If these are your values, we'd like you to join our team.
We are seeking a licensed Registered Nurse to provide telephonic case management on assigned workers' compensation claims. The selected new hire will provide coordination and evaluation of medical care to assigned caseload for the purpose of expediting claims handling. He/she will assist with oversight of necessary cost-effective quality medical treatment and work collaboratively with the adjuster for resolution of injury and/or return to work. In addition, this person will develop an initial plan outlining the action the case manager will take to ensure timely resolution of injury(s) through utilization of established guidelines to determine appropriate medical treatment, evaluate medical necessity in conjunction with the adjuster, and monitor progress/response to treatment. Utilize your medical expertise and critical thinking skills to make recommendations on alternative care pursuant to review and research conducted utilizing nationally accepted practice parameters.
This position can be hybrid and based out of our home office in Sarasota, FL, any of our regional offices, or remote.
In exchange for your talents, FCCI offers competitive salaries and an excellent benefits package which includes:
  • Flexible Work Environment
  • Paid Family Leave
  • Competitive PTO & Holidays
  • Recognition & Bonus Programs
  • Medical, Vision, Dental & Life Insurance
  • Employee Referral Bonus
  • Paid Volunteer Time
  • 401(k) Match & Profit-Sharing

The salary range for this position is $62,419-$96,126 annually. This salary range is an estimate and the actual salary will vary based on applicant's education, experience, knowledge, skills, and abilities.
We are an Equal Employment Opportunity employer. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.
Please apply via our website at www.fcci-group.com.
Drug Free Workplace (*Pre-employment drug screen is conducted for all positions)
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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