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Remote Utilization Review Rn Jobs in Spring Hill, FL

SalvoHealth

Registered Dietitian, Remote

Tampa, FL · Remote

$29.50 - $39.75/hr

Work closely with a multidisciplinary team, including fellow registered dietitians, licensed nurses ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...

SalvoHealth

Registered Dietitian, Remote

Tampa, FL · On-site +1

$29.50 - $39.75/hr

Work closely with a multidisciplinary team, including fellow registered dietitians, licensed nurses ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...

DataAnnotation

Registered Nurse - AI Trainer

Clearwater, FL · Remote

$50 - $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 ...

Apply Early

DataAnnotation

Registered Nurse - AI Trainer

Tampa, FL · Remote

$50 - $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 ...

Apply Early

Molina Healthcare

Trainer, Clinical Services

Tampa, FL · Remote

$29.05 - $56.64/hr

Draws upon previous care management/utilization management experience to direct trainees and share ... Active and unrestricted Registered Nurse (RN) or licensed social worker/counselor. Certified Case ...

Scribe-X

Remote Medical Scribe

Tampa, FL · 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 ...

DataAnnotation

RN - AI Trainer

Tampa, FL · Remote

$50 - $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 ...

Apply Early

DataAnnotation

RN - AI Trainer

Clearwater, FL · Remote

$50 - $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 ...

Apply Early

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All JobsRemote Utilization Review Rn JobsRemote Utilization Review Rn Jobs in Spring Hill, FL

Remote Utilization Review Rn information

See Spring Hill, FL salary details

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$35

$58

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

As of Jul 6, 2026, the average hourly pay for remote utilization review rn in Spring Hill, FL is $35.87, according to ZipRecruiter salary data. Most workers in this role earn between $28.37 and $41.20 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 Spring Hill, FL? For Remote Utilization Review Rn jobs in Spring Hill, FL, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in Spring Hill, FL look for? The top searched job categories for Remote Utilization Review Rn jobs in Spring Hill, FL are:
What cities near Spring Hill, FL are hiring for Remote Utilization Review Rn jobs? Cities near Spring Hill, FL with the most Remote Utilization Review Rn job openings:
Remote Utilization Review Rn jobs near you

Registered Dietitian, Remote

SalvoHealth

Tampa, FL • Remote

$29.50 - $39.75/hr

Full-time

Medical, PTO

Posted yesterday

Job description

Salvo is a new approach to help millions of Americans facing chronic health conditions, centered on chronic gut health and metabolic conditions from IBS to obesity. Our patients are assigned a "whole patient" care team and have seven day a week access to app-based care, using Remote Patient Monitoring ("RPM") to bill under the patient's insurance. This is a major step forward to go beyond episodic appointments to continuous care at home, and deliver interdisciplinary wraparound care in partnership with the patient's existing local doctor.
 
Salvo is backed by leading health care investors from innovators like Livongo, Ro, Ginger, Brightline, Tia, and others. Salvo care draws on expertise from Board-certified specialty physicians, registered dietitians, nurses, psychologists, and therapists who have developed our evidence-based protocols, for a personalized, multi-month journey to better health.
 
Salvo is the first to bring a scalable and tech-enabled, more integrative approach to these chronic conditions, going beyond treating only the symptoms in order to identify and address the root causes of chronic illness.
What You Will Do
  • Deliver exceptional care centered around the core pillars of lifestyle change management (nutrition, movement, stress management, sleep, behavioral change) and rooted in evidence-based counseling
  • Work closely with a multidisciplinary team, including fellow registered dietitians, licensed nurses, LCSWs, medical assistants and gastroenterologists
  • Support patients with both synchronous and asynchronous care, utilizing the core tenets of motivational interviewing to enhance behavioral change
  • Adhere to clinical protocols and evidence-based practice guidelines
Requirements
  • Licensed RD/RDN in Washington state
  • 2+ years experience as a an RD/RDN
  • Working knowledge of nutritional approaches for GI conditions (IBS, IBD, SIBO) a plus 
  • Bilingual (spanish speaking) a plus
  • Experience communicating with patients asynchronously preferred
  • Passion for working with clients to facilitate behavior change by helping them set health goals to effectively manage chronic disease.
  • Demonstrates a willingness to go above and beyond normal responsibilities to provide the best care possible
  • Excellent interpersonal communication and problem-solving skills
  • Exceptional organizational skills
  • Experience and ability to thrive in a fast-paced, high-growth environment
Benefits Overview
  • 100% employer paid premium for health benefits for employees and dependents
  • 200 hours (25 days) of paid time off and 12 paid holidays throughout the year
  • Annual CEU stipend
  • Annual coverage of RD maintenance fee
  • Clinical leadership support to enhance clinical expertise in GI and/or metabolic health
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
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