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Remote Utilization Review Rn Jobs in Jacksonville, FL

Perinatal Coach (Spanish Speaking)

Jacksonville, FL · Remote

$17.25 - $22.25/hr

... remote training, supervision, and quality reviews Requirements Required * Fluent Spanish speaker (spoken and written) able to deliver care confidently in Spanish * Active Florida license (LCSW, APRN, ...

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 ...

Showing results 21-40

Remote Utilization Review Rn information

See Jacksonville, FL salary details

$19

$38

$62

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

As of Aug 16, 2026, the average hourly pay for remote utilization review rn in Jacksonville, FL is $38.38, according to ZipRecruiter salary data. Most workers in this role earn between $30.34 and $44.09 per hour, depending on experience, location, and employer.

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 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 Jacksonville, FL?

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

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

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

Infographic showing various Remote Utilization Review Rn job openings in Jacksonville, FL as of August 2026, with employment types broken down into 5% As Needed, 75% Full Time, 10% Part Time, and 10% Contract. Highlights an 100% Remote job distribution, with an average salary of $79,822 per year, or $38.4 per hour.

Perinatal Coach (Spanish Speaking)

Canopie

Jacksonville, FL • Remote

$17.25 - $22.25/hr

Contractor

Re-posted 13 days ago


Job description

Canopie is a digital maternal health company supporting pregnant and postpartum individuals through structured, evidence-based coaching and care navigation. We are seeking Spanish-speaking licensed clinicians who are comfortable delivering care in a fully virtual, tech-enabled environment and passionate about expanding access to perinatal support.

This role is well suited for clinicians who enjoy brief, high-impact interactions, working within clear protocols, and supporting families through key perinatal transitions using digital tools.

What You'll Do
  • Conduct brief onboarding and activation calls in Spanish (10-15 minutes) using validated screening tools (e.g., EPDS)
  • Perform outreach to eligible members using structured scripts and digital workflows
  • Deliver virtual coaching sessions in Spanish focused on perinatal mental health, adjustment to parenthood, stress regulation, and health-promoting behaviors
  • Support members around common postpartum topics (mood, feeding, sleep, transitions) within Canopie's coaching scope, coordinating referrals when specialized care is needed
  • Identify elevated risk and follow defined escalation and referral pathways
  • Document all interactions accurately and efficiently in Canopie's digital platform
  • Communicate with members via phone, video, and secure messaging
  • Participate in remote training, supervision, and quality reviews

Requirements

Required

  • Fluent Spanish speaker (spoken and written) able to deliver care confidently in Spanish
  • Active Florida license (LCSW, APRN, CNM, PA)
  • Experience supporting pregnant and postpartum individuals
  • Prior experience in telehealth, digital health, population health, or virtual care environments
  • Comfortable delivering brief, structured care and following protocols
  • Strong digital literacy (telehealth platforms, EHRs, secure messaging)
  • Reliable, organized, and responsive in a remote work setting

Preferred

  • Certification in perinatal mental health (PMH-C, MMH-C) and/or IBCLC
  • 3-5+ years of perinatal clinical or coaching experience
  • Experience working with Spanish-speaking or immigrant communities
  • Background in coaching, care navigation, or brief intervention models

Schedule & Commitment

  • Part-time contractor role (approximately 10-20 hours/week; varies by program needs)
  • Availability during business hours required; evening outreach availability is a plus
  • Timely documentation and consistent availability are essential

Benefits

  • Fully remote, digital-first care model
  • Competitive contractor rates aligned with Florida market standards
  • Ongoing clinical training, peer consultation, and supervision
  • Support for perinatal mental health certification for longer-term contributors
  • Opportunity to help build equitable access to maternal health support at scale