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Remote Utilization Review Rn Jobs in Spring Hill, FL

Trinity Health

Analyst Charge-RIO (Remote)

Trinity, FL · Remote

$21.52 - $32.28/hr

Performs regular reviews of process adherence and identify missing charges. Coordinates with key ... RHIA, RHIT, CCS, CPC/COC, AAPC or other coding credentials and/or Licensed Vocational Nurse ...

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 ...

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 ...

paradigm

LPN Clinical Coordinator

Tampa, FL · Remote

This is a full-time, fully remote position , offering the opportunity to make a meaningful impact ... Appropriately research, review, analyze and prepare medical information, document pertinent ...

paradigm

LPN Clinical Coordinator

Tampa, FL · Remote

This is a full-time, fully remote position , offering the opportunity to make a meaningful impact ... Appropriately research, review, analyze and prepare medical information, document pertinent ...

York Risk Services

Field Case Manager

Tampa, FL · On-site +1

... remote work environment that allows face-to-face interaction with injured workers and medical ... AND LICENSING RN licensure preferred; or bachelor's degree in health or human services field ...

Sedgwick

Field Case Manager

Tampa, FL · On-site +1

... remote work environment that allows face-to-face interaction with injured workers and medical ... AND LICENSING RN licensure preferred; or bachelor's degree in health or human services field ...

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

Remote Utilization Review Rn information

See Spring Hill, FL salary details

$18

$35

$58

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

As of Sep 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 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 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
Infographic showing various Remote Utilization Review Rn job openings in Spring Hill, FL as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 16% Part Time, 1% Temporary, and 4% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $74,613 per year, or $35.9 per hour.

Registered Dietitian Nutritionist (Bilingual: Spanish)

Pod Health

Tampa Palms, FL • Remote

$29.50 - $39.75/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 16 days ago

Key responsibilities

  • Conduct comprehensive virtual nutrition assessments and develop individualized care plans

  • Deliver one-on-one counseling and follow-ups via HIPAA-compliant telehealth tools

  • Collaborate with physicians, NPs, nurses, and care coordinators

Job description

About Us

Welcome toPOD Health, a beacon of comprehensive wellness that empowers individuals to take control of their health from the comfort of home. Our user-friendly health monitoring devices seamlessly connect patients to our clinical team and their providers, transmitting real-time data for swift, informed interventions.


We recognize that even small variations can have major impacts. That's why we pride ourselves on rapid response times and meticulous attention to detail - ensuring no sign is missed in patient home monitoring.

But our mission goes beyond medical accuracy. We act as allies in our patients' journeys, providing coordination, education, and personalized support. Our holistic approach to chronic care management is rooted in understanding each patient's unique needs and tailoring services accordingly.


Whether it's post-discharge recovery or day-to-day support, POD Health delivers peace of mind with personalized care plans and a compassionate team of specialists. Through our virtual clinic, we make top-tier care accessible - combining warmth and expertise at the touch of a button.


Why Join POD Health?

Joining POD Health means becoming part of a team that's reimagining healthcare delivery. Here's what sets us apart:

  • Meaningful Impact: Your work directly contributes to improving lives through proactive, remote care.
  • Cutting-Edge Innovation: We're pioneering health technology - from smart monitoring tools to virtual care platforms.
  • Purpose-Driven Culture: Join a diverse, inclusive team passionate about accessible, high-quality healthcare.
  • Room to Grow: As we expand, you'll have the opportunity to develop your skills and grow alongside a mission-focused organization.


Job Title: Registered Dietitian Nutritionist


Reports To:VP of Integrated Services


About the Role

We're looking for a dedicated and compassionateRegistered Dietitian Nutritionist (RDN)licensed inFloridato join our expanding telehealth team. This is a unique opportunity to provide impactful, one-on-onemedical nutrition therapy (MNT) and counseling to patients across Florida.

You'll work with patients managing chronic conditions, digestive health, weight concerns, and general wellness. This role offers clinical autonomy while being supported by a collaborative, multidisciplinary care team.


Key Responsibilities

  • Conduct comprehensive virtual nutrition assessments and develop individualized care plans
  • Deliver one-on-one counseling and follow-ups via HIPAA-compliant telehealth tools
  • Accurately document all encounters in the EHR system
  • Collaborate with physicians, NPs, nurses, and care coordinators
  • Educate patients and families on dietary strategies and supplement use
  • Stay current on evidence-based practices and telehealth standards
  • Contribute to patient satisfaction and care quality improvement efforts
  • Design and lead community-based nutrition education workshops enhancing awareness of healthy eating practices


Qualifications

Required:

  • Bachelor's or Master's in Nutrition, Dietetics, or related field
  • Registered Dietitian Nutritionist (RDN) via the Commission on Dietetic Registration (CDR)
  • Certified Dietitian-Nutritionist (CDN) license inFlorida State
  • Bilingual fluency in Spanish is required
  • At least 1 year of clinical or outpatient nutrition experience
  • Familiarity with EHR systems (e.g., Epic, Athena, SimplePractice, AdvancedMD)
  • Strong communication and tech literacy
  • A secure remote workspace with high-speed internet

Preferred / Huge Plus:

  • Medicare and/or Medicaid provider enrollment
  • Prior telehealth or digital health experience
  • Specialty certifications (e.g., CDCES, renal nutrition, pediatric nutrition)


Benefits:

  • Health, dental, and vision insurance
  • 401(k) with company match
  • PTO and paid holidays
  • Professional development opportunities
  • Mission-driven work in an innovative healthcare space

Apply