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$38

$63

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

As of Jul 31, 2026, the average hourly pay for remote utilization review rn in Navarre, FL is $38.94, according to ZipRecruiter salary data. Most workers in this role earn between $30.77 and $44.71 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 Navarre, FL? For Remote Utilization Review Rn jobs in Navarre, FL, the most frequently searched job titles are:
What cities near Navarre, FL are hiring for Remote Utilization Review Rn jobs? Cities near Navarre, 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 Navarre, FL as of July 2026, with employment types broken down into 71% Full Time, 12% Part Time, and 17% Contract. Highlights an 43% Physical, 3% Hybrid, and 54% Remote job distribution, with an average salary of $80,993 per year, or $38.9 per hour.

Regional Clinical Director RN

Capital Senior Living

Pensacola, FL • On-site, Remote

$80K - $109K/yr

Full-time

Posted 23 days ago

Job description

About Sonida Senior Living
Sonida Senior Living is one of the nation's leading operators of independent living, assisted living and memory care communities for senior adults. The Company operates 165 communities that are home to nearly 12,000 residents across 35 states providing comfortable, safe, affordable communities where residents can form friendships, enjoy new experiences and receive personalized care from dedicated team members who treat them family.
Job Description:
The Regional Clinical Director (RCD) provides clinical leadership, operational oversight, and regulatory guidance to multiple assisted living and memory care communities within an assigned region. This role partners closely with Regional Directors of Operations, Executive Directors, and Wellness Directors to ensure delivery of high-quality resident care, regulatory compliance, strong clinical outcomes, and operational consistency across communities. The RCD serves as both a strategic leader and hands-on clinical resource, supporting community teams through coaching, auditing, performance improvement initiatives, survey readiness, clinical systems implementation, and resident care oversight.
This position requires frequent travel throughout the assigned region.
Location: Must be located in Florida
Responsibilities:
Clinical Oversight & Resident Care:
  • Provide regional oversight of resident care and clinical operations across assisted living and memory care communities.
  • Ensure communities maintain compliance with all federal, state, and local regulations, as well as company policies and clinical standards.
  • Support communities in maintaining quality resident outcomes, including fall reduction, medication management, infection prevention, wound management, and hospitalization reduction initiatives.
  • Review resident care trends, incident reports, and clinical metrics to identify opportunities for improvement and risk mitigation.
  • Provide guidance and support related to resident assessments, service plans, acuity management, and changes in condition.
  • Partner with community leadership to evaluate the appropriateness of admissions and ongoing resident retention.

Leadership & Team Development:
  • Coach, mentor, and develop Wellness Directors and clinical leaders to strengthen leadership capability and accountability.
  • Support recruitment, onboarding, retention, and succession planning efforts for community clinical teams.
  • Foster collaborative partnerships between operations and clinical leadership to drive strong community performance and resident satisfaction.
  • Lead clinical education initiatives and ensure teams are trained on policies, procedures, and best practices.
  • Assist with performance management, corrective action, and development planning as needed.

Regulatory Compliance & Survey Readiness:
  • Conduct routine clinical audits and mock surveys to ensure ongoing survey readiness.
  • Lead and support communities during state surveys, complaint investigations, and regulatory visits.
  • Develop and implement corrective action plans related to survey findings or identified clinical gaps.
  • Monitor compliance related to medication management, documentation, infection control, resident rights, and life safety requirements.

Operational & Financial Partnership:
  • Collaborate with regional and community leadership to support occupancy goals while ensuring residents' clinical needs can be safely met.
  • Partner with operations leaders to balance resident care quality, staffing effectiveness, and financial performance.
  • Review staffing models, labor utilization, and clinical resource allocation to support quality care delivery.
  • Assist communities in implementing company initiatives, clinical programs, and technology platforms.

Quality Improvement & Strategic Initiatives:
  • Analyze regional clinical performance data and implement action plans to improve outcomes.
  • Support implementation and optimization of electronic health record systems and other clinical technologies.
  • Lead regional initiatives focused on operational excellence, resident experience, and clinical consistency.
  • Participate in strategic planning and organizational initiatives to support company growth and performance.

Qualifications:
  • Current Registered Nurse (RN) license in good standing required.
  • Multi-site senior living leadership experience is strongly preferred.
  • Minimum of 3-5 years of leadership experience in assisted living, memory care, long-term care, or senior housing.
  • Strong knowledge of state assisted living regulations and survey processes.
  • Demonstrated experience leading clinical teams and driving performance improvement initiatives.
  • Excellent communication, coaching, organizational, and problem-solving skills.
  • Ability to manage multiple priorities in a fast-paced environment.
  • Proficiency with electronic health records and Microsoft Office applications.
  • Ability to travel frequently throughout assigned region

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.
Capital Senior Living logo

About Capital Senior Living

Sourced by ZipRecruiter

Capital Senior Living Corporation, based in Dallas, Texas, US, operates within the healthcare industry, specifically providing senior living services. The company's main focus is on enhancing the quality of life for elderly residents. With a presence across numerous communities in different states, the company offers a spectrum of care, including independent living, assisted living, memory care, and other related ancillary services. Capital Senior Living was founded in 1990, demonstrating a proven track record in the senior living sector.

Industry

Individual, family and community social assistance

Company size

10,000+ Employees

Headquarters location

Addison, TX, US

Year founded

1990

Social media

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