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Remote Utilization Review Rn Jobs in New Port Richey, FL

CVS Health

Nurse Clinical Operations - Registered Nurse

Tampa, FL · On-site +1

$29.10 - $62.32/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

This is a fully remote position * Candidates must live within a 50-mile radius of either our ... Active and unrestricted multi-state registered nursing license in state of FL with the ability to ...

Liberty Dental Plan Careers

Senior Staff Dentist

Tampa, FL · Remote

$175K - $185K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Conduct retrospective utilization reviews and support provider behavior change initiatives ... Remote role with collaboration across national teams * High-impact role shaping clinical standards ...

LIBERTY DENTAL

Senior Staff Dentist

Tampa, FL · On-site +1

$175K - $185K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Conduct retrospective utilization reviews and support provider behavior change initiatives ... Remote role with collaboration across national teams * High-impact role shaping clinical standards ...

Belle, LLC

Nurse Practitioner: Remote Urgent Care

Tampa, FL · Remote

$104K - $144K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

As these issues arise, a team of remote nurses coordinate care with other healthcare providers ... Evaluate symptoms, review medical histories, and determine appropriate interventions. * Determine ...

Scribe-X

Remote Medical Scribe

Tampa, FL · Remote

$14 - $17/hr

  • Medical

  • PTO

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 ...

Elevance Health

Utilization Management Rep I (contract)

Tampa, FL · Remote

$35K - $40K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Refers cases requiring clinical review to a Nurse reviewer. * Responsible for the identification ... The position is remote. The training will be onsite in the Tampa office for 1-2 weeks. * 5411 Sky ...

Oshi Health

Registered Dietitian

Tampa, FL · Remote

$75K - $80K/yr

Collaborate with a multidisciplinary team of GI physicians, NP/PAs, and psychologists to ensure a ... Remote-first flexibility -- work from home anywhere within our accepted states * Growth:

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Showing results 21-40

All JobsUtilization Review Rn JobsRemote Utilization Review Rn JobsRemote Utilization Review Rn Jobs in New Port Richey, FL

Remote Utilization Review Rn information

See New Port Richey, FL salary details

$19

$37

$61

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

As of Aug 17, 2026, the average hourly pay for remote utilization review rn in New Port Richey, FL is $37.66, according to ZipRecruiter salary data. Most workers in this role earn between $29.76 and $43.27 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 New Port Richey, FL?

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

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

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

What cities near New Port Richey, FL are hiring for Remote Utilization Review Rn jobs?

Cities near New Port Richey, 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 New Port Richey, FL as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 15% Part Time, and 7% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $78,333 per year, or $37.7 per hour.

Nurse Clinical Operations - Registered Nurse

CVS Health

Tampa, FL • On-site, Remote

$29.10 - $62.32/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 16 hours ago

CVS Health rating

5.8

Company rating: 5.8 out of 10

Based on 4,338 frontline employees who took The Breakroom Quiz

89th of 112 rated pharmacies

Job description

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselvesaccountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Position Summary

CVS Specialty Pharmacy provides medications and support for rare and complex conditions. The Nurse, Clinical Operations position is primarily responsible for supporting the clinical operations of CVS Specialty Pharmacy. Responsibilities include patient education, adherence monitoring, and Adverse Drug Event (ADE) reporting.

Location and hours:

  • This is a fully remote position
  • Candidates must live within a 50-mile radius of either our Orlando, FL, or Tampa, FL Specialy Pharmacy locations so they are able to come into the office in the event they are not able to work from their own home unexpectedly on a given day.
  • Working hours will be 12:00-8:30 Eastern Time.

Key Responsibilities

  • Performs telephonic counseling to new patients on their disease process, prescribed drug action, common side effects and treatment parameters

  • Provides patient education directly or in response to telephonic inquires to patients. Patient education will include but will not be limited to the following areas:
    - Chronic disease states such as, oncology, asthma, multiple sclerosis, cancer, hepatitis C, rheumatoid arthritis, psoriasis, PAH, cystic fibrosis
    - Current treatment modalities
    - Common side effects and management.
    - Adherence monitoring and outbound calls

  • Collaborates with physicians and their staff as needed to resolve clinical issues, obtain clinical data or prescriptions

  • Assists in the training of new clinical staff on specific chronic illnesses and treatment modalities

  • Maintains nursing CEUS and seeks continuous learning opportunities

  • Practices with professionalism and accountability as an employee of CVS

  • Report Adverse Drug Event (ADE)

  • Other responsibilities as directed by senior management

Required Qualifications:

  • Active and unrestricted multi-state registered nursing license in state of FL with the ability to become licensed in states not part of the Nurse Licensure Compact.

  • 3+ years' experience in a clinical setting, Medical/Surgical experience is preferred

  • Experience with personal computer, keyboard navigation, and MS Office Suite applications to include Word, Excel, PowerPoint, Outlook, and Microsoft Teams.

  • Must live within a 50-mile radius of either our Orlando, FL, or Tampa, FL Specialy Pharmacy locations

Preferred Qualifications

  • Experience in an acute care setting providing care to patients with chronic conditions (e.g. Medical Surgical, Oncology, Pulmonary Arterial Hypertension).
  • Experience within telephonic nursing

Education

Associates degree in nursing (minimum)

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$29.10 - $62.32

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This fulltime position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellbeing of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.


Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 08/14/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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