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Remote Utilization Review Rn Jobs in Homestead, FL

Registered Nurse

Miami, FL ยท Remote

$40 - $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

Miami, FL ยท Remote

$40 - $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 Field Case Manager

Miami, FL ยท On-site +1

$74K - $94K/yr

... remote work environment that allows face to face interaction with injured workers and medical ... RN licensure required. Valid driver's license required. High speed internet required. Employment ...

RN Field Case Manager

Miami, FL ยท On-site +1

$74K - $94K/yr

... remote work environment that allows face to face interaction with injured workers and medical ... RN licensure required. Valid driver's license required. High speed internet required. Employment ...

Registered Dietitian, Remote

Miami, FL ยท Remote

$30 - $40.25/hr

Work closely with a multidisciplinary team, including fellow registered dietitians, licensed nurses ... reviewing applications, analyzing resumes, or assessing responses. These tools assist our ...

Current licensure as a Certified Registered Nurse Practitioner (CRNP) or Advanced Practice ... Remote-first -- work from home anywhere in the US * Growth: Advanced training by GI-specialized ...

New

Wellness Health Coach

Doral, FL ยท Remote

$16 - $21.25/hr

... RD) or Registered Nurse (RN) REQUIRED within a year of hired date. Experience: * Management ... For positions that are available as remote work, Sentara Health employs associates in the following ...

Remote Medical Scribe

Miami, FL ยท 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 ...

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Remote Utilization Review Rn information

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

As of Jun 10, 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 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?

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

Registered Nurse

DataAnnotation

Miami, FL โ€ข Remote

$40 - $60/hr

Part-time

Posted 25 days ago


Job description

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and setting your own schedule.

We are looking for an existing Medical Expert (this is an independent contractor position) to help advance AI development. Youโ€™ll be part of a growing community of over 100,000 professionals who are driving real-world impact in AI development.

Our platform offers an engaging blend of flexibility and challenge: youโ€™ll work closely with state-of-the-art AI models to take on health/medical tasks that include solving challenging problems and synthesizing insights through data analysis and visualization. Your work directly contributes to refining intelligent systems that learn, adapt, and evolve.

To get started, once you sign up for an account, you'll take a short assessment (this serves as our version of an interview). If you pass that assessment, youโ€™ll receive an email confirmation, and paid work will become available to you through our platform.

We are interested in a wide range of expertise, so relevant backgrounds include: MDs, PAs, and Nurses.

Advantages of contracting with us:

  • You'll be able to choose which projects you want to work on and when
  • You work on your own schedule, on your own computer, from the comfort of your own home
  • Projects are paid hourly starting at $50-$60 USD per hour, with bonus rates available on some projects

Responsibilities:

  • Give AI chatbots diverse and complex healthcare-related problems and evaluate their outputs
  • Evaluate the quality produced by AI models for correctness and performance
  • Ensure the medical accuracy of model performance

Qualifications:

  • Fluency in English (native or bilingual level)
  • A current or in progress medical degree

Note: Payment is made via PayPal. We will never ask for any money from you. PayPal will handle any currency conversions from USD. This job is only available to those in the US, Canada, UK, Ireland, Australia, and New Zealand. Those located outside of these countries will not see work or assessments available on our site at this time. This is an independent contractor position.

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