ZipRecruiter

Log In

2

Remote Utilization Review Rn Jobs in New Port Richey, FL

Varsity Tutors

NCLEX-PN Tutor

Tampa, FL · 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 ...

Risk Strategies

Senior Employee Benefits Analyst

Tampa, FL · Remote

$68K - $89K/yr

*Please Note: This is remote position but based out of Tampa, FL * The Senior Employee Benefits ... Evaluate claims experience, utilization trends, and financial performance to identify risks ...

Risk Strategies

Senior Employee Benefits Analyst

Tampa, FL · Remote

$68K - $89K/yr

*Please Note: This is remote position but based out of Tampa, FL *The Senior Employee Benefits ... Evaluate claims experience, utilization trends, and financial performance to identify risks ...

paradigm

LPN Post Acute Care Coordinator

Tampa, FL · Remote

$28 - $30/hr

In this fully remote role, you'll collaborate with healthcare providers, case managers, and ... Obtain and review orders received. * Collaborate with client case managers and insurance carriers ...

paradigm

LPN Post Acute Care Coordinator

Tampa, FL · Remote

$28 - $30/hr

In this fully remote role, you'll collaborate with healthcare providers, case managers, and ... Obtain and review orders received. * Collaborate with client case managers and insurance carriers ...

previous page

Showing results 41-60

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 Sep 8, 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, 80% Full Time, 14% Part Time, 4% Contract, and 1% Nights. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $78,333 per year, or $37.7 per hour.

Medical Records Coder III Outpatient (REMOTE)

Clearwater, FL • On-site, Remote

BayCare Health System
Health Care and Social Assistance • 10K+ employees
Learn more about BayCare Health Systemexternal

$17.25 - $23/hr

Per diem

Re-posted 29 days ago

BayCare Health System rating

7.4

Company rating: 7.4 out of 10

Based on 406 frontline employees who took The Breakroom Quiz

263rd of 898 rated healthcare providers

Job description

BayCare is currently in search of our newest Team Member who is passionate about providing outstanding customer service to our community. We are looking for an individual seeking a career opportunity with one of the largest employers within the Tampa Bay area.
Position Details:
  • Location: Remote (must reside in the state of Florida, Georgia, North Carolina, or South Carolina)
  • Status: PRN (as needed, non-benefit eligible)
  • Shift: Flexible
  • Days: Tuesday - Saturday OR Sunday - Thursday

The Medical Records Outpatient Coder III will work remotely on a PRN (non-benefit eligible) basis.
Responsibilities:
  • The Medical Records Outpatient Coder III reviews short stay focused encounters to accurately assign diagnosis and procedural codes-using ICD-10-CM and CPT-4 coding systems.
  • Works in conjunction with various departments for missing documentation and monitors bill hold reports.
  • Strong utilization of medical terminology and anatomy.
  • Assists Manager/Director with mentoring/training of Coder I and Coder II team members and clinical practice students from various colleges.
  • Performs other duties as assigned.

Required Coding Experience:
  • Emergency room (ED)
  • Same day surgery (ambulatory)
  • Observation cases

Why BayCare?
Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that is built on a foundation of trust, dignity, respect, responsibility, and clinical excellence. Our team members focus on tomorrow by achieving personal and professional success today. That is why you will thrive in our forward-thinking culture, where we combine the best technology with compassionate service. We blend high-tech with high touch in ways that are advancing superior health care throughout the communities we serve.
Certifications and Licensures:
  • Required: Certified Coding Specialist (CCS)
  • Preferred: RHIT (Health Information)

Education:
  • Required: high school or equivalent
  • Preferred: associate degree in Health Information Management

Experience:
  • Required 5 years of Outpatient Facility Coding
  • Strong CPT coding

Equal Opportunity Employer Veterans/Disabled

What BayCare Health System employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply