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Remote Utilization Review Rn Jobs in Homestead, FL

Author and review evaluation tasks based on DSURs, PSURs/PBRERs, safety data, and case-level ... Advanced degree in life sciences, pharmacy, nursing, medicine, or related fields (PharmD, MD, MSc ...

NCLEX-PN Tutor

Doral, FL ยท 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 ...

NCLEX-PN Tutor

Miami, FL ยท 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 ...

NCLEX-PN Tutor

Coral Gables, FL ยท 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 ...

Showing results 21-40

Remote Utilization Review Rn information

See Homestead, FL salary details

$19

$38

$63

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

As of Sep 5, 2026, the average hourly pay for remote utilization review rn in Homestead, FL is $38.84, according to ZipRecruiter salary data. Most workers in this role earn between $30.67 and $44.62 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 Homestead, FL?

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

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

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

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

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

Infographic showing various Remote Utilization Review Rn job openings in Homestead, FL as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 17% Part Time, 3% Contract, and 1% Nights. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $80,795 per year, or $38.8 per hour.

Clinical Social Worker - Remote Full-Time Position at Atlantic Academy, RTC

Atlantic Academy, RTC

Miami, FL โ€ข Remote

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 3 days ago

New


Job description

Position Overview

Atlantic Academy, a leading provider of mental health support services, is seeking a dedicated Licensed Clinical Social Worker (LCSW) to join our dynamic team. This remote, full-time position offers an opportunity to play a crucial role in promoting mental wellness and supporting the communityโ€™s diverse needs. The successful candidate will work collaboratively with a multidisciplinary team to provide compassionate, evidence-based therapeutic care to our clients.

About the Organization

At Atlantic Academy, RTC, we prioritize mental health awareness and treatment for all individuals, emphasizing a holistic approach that respects each person's unique journey. Our dedicated team of professionals is committed to fostering an inclusive, nurturing environment where clients feel safe to explore their mental health challenges and personal growth. We offer a supportive workplace culture, valuing each team member's contributions and perspectives.

Work Environment

This position is fully remote, allowing flexibility and work-life balance while remaining connected to our vibrant community. Our virtual environment encourages collaboration through a variety of digital platforms, facilitating seamless communication among team members and with clients. Working hours are Monday through Friday, from 9:00 AM to 5:00 PM, providing a structured schedule that promotes both productivity and personal well-being.

Key Responsibilities
  • Serve as a primary liaison with families and outpatient providers, ensuring coordinated care and support tailored to each client's needs.
  • Engage with insurance companies to manage pre-certification and utilization reviews, ensuring seamless access to necessary services for clients.
  • Contribute to discharge and aftercare planning, guiding clients through transitional phases of their care journey.
  • Facilitate therapeutic meal support sessions, utilizing these interactions to model healthy relationships with food and body image.
  • Provide empathetic, affirming, and culturally competent care that acknowledges and addresses each clientโ€™s intersecting identities.
Patient Population / Client Focus

The ideal candidate will work with a diverse clientele, ranging from children to older adults, many of whom face unique challenges related to their mental health. This position requires sensitivity to various cultural backgrounds and experiences as you provide individualized support. Your work will significantly impact their recovery and wellbeing, as you help them navigate their personal challenges and empower them to reclaim their mental health.

Qualifications
  • Masterโ€™s degree in Social Work from an accredited institution, providing a solid theoretical background in social work practices.
  • Must possess a valid LCSW license in the state of Florida, ensuring compliance with practice standards.
  • Experience in clinical settings, particularly working with older adults, is essential.
  • Strong clinical and diagnostic skills, enabling you to conduct thorough assessments and develop effective treatment plans.
  • Excellent communication and interpersonal skills to foster positive relationships with clients, families, and colleagues.
  • A demonstrated ability to thrive both independently and collaboratively within a remote multidisciplinary team.
Preferred Experience
  • Previous experience in a community health clinic setting is a plus, as it provides an understanding of the intricacies involved in community-based mental health services.
  • Familiarity with electronic health record systems, which will support efficient client documentation and continuity of care.
  • Prior training or certification in therapeutic methodologies, such as Cognitive Behavioral Therapy (CBT) or Dialectical Behavior Therapy (DBT), is advantageous.
Compensation and Benefits

The compensation for this role ranges from USD 90,000 to 105,000 annually, commensurate with experience and qualifications. In addition to competitive pay rates, Atlantic Academy offers a comprehensive benefits package that includes:

  • Health insurance options including medical, dental, and vision coverage.
  • 401(k) plan with company matching to help you secure your financial future.
  • Flexible Spending Account (FSA) for healthcare and dependent care expenses.
  • Life insurance coverage for added peace of mind.
  • Accident and short-term disability coverage to protect your income during unforeseen events.
Career Growth Opportunities

Joining Atlantic Academy provides more than just a job; it offers a pathway for professional development and growth. We are dedicated to supporting continuous education and offer opportunities for additional training and certifications that can help you advance in your career. Be part of a community that values your insights and invests in your future.

Why Join Our Team

By becoming a member of the Atlantic Academy team, you will contribute to meaningful change in the lives of numerous individuals seeking support and guidance. You will work in an environment that respects work-life balance, values innovation, and encourages professional development. Together, we can create a more compassionate world, one client at a time.

Application Information

If you are passionate about making a difference in the field of mental health and meet the qualifications outlined above, we invite you to apply today! Join Atlantic Academy and be a part of our committed team dedicated to transforming lives through mental health advocacy and support.