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Remote Utilization Review Jobs in Altamonte Springs, FL

MRIoA

Child & Adolescent Psychiatrist

Orlando, FL · On-site +1

We are currently seeking Board-Certified physicians in Child & Adolescent Psychiatry to conduct independent Utilization Reviews . This is a flexible, fully remote opportunity requiring just 1-2 hours ...

Psynergy Health

Case Manager

Orlando, FL · Remote

$50K - $60K/yr

Hybrid/Remote Position Overview PsynergyHealth is a fast-growing telehealth platform dedicated to ... 2. Utilization Review & Resource Management * Review patient treatment tracks for medical ...

CorroHealth

Hospitalist Physician

Orlando, FL · Remote

... Utilization Review. The Impact You Will Have: CorroHealth is led by like-minded clinicians who ... Quality of life with a remote predictable, full-time schedule * Comprehensive training and ...

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All JobsUtilization Review JobsRemote Utilization Review JobsRemote Utilization Review Jobs in Altamonte Springs, FL

Remote Utilization Review information

See Altamonte Springs, FL salary details

$19

$39

$64

How much do remote utilization review jobs pay per hour?

As of Aug 11, 2026, the average hourly pay for remote utilization review in Altamonte Springs, FL is $39.52, according to ZipRecruiter salary data. Most workers in this role earn between $31.25 and $45.38 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in remote utilization review?

To thrive as a Remote Utilization Review professional, you need a solid foundation in clinical knowledge, critical thinking, and an active RN or LPN license, often supported by experience in case management or prior authorization. Familiarity with medical coding (ICD-10, CPT), electronic health records (EHRs), and utilization management software is typically required, along with URAC or related certifications. Excellent communication, attention to detail, and strong organizational skills help you efficiently manage cases and coordinate with providers and payers. These skills ensure accurate assessments of medical necessity, compliance with regulations, and effective remote collaboration with healthcare teams.

What does a remote utilization review do?

A typical day for a Remote Utilization Review professional involves reviewing patient medical records, evaluating the necessity of proposed treatments against established guidelines, and collaborating with healthcare providers to gather additional information when needed. You will spend much of your time analyzing documentation, submitting recommendations, and ensuring that care authorization decisions align with payer policies and clinical best practices. Communication with case managers, physicians, and insurance representatives is frequent and essential. The work is generally independent and deadline-driven but requires strong teamwork and responsiveness through virtual meetings, emails, and calls.

What is a remote utilization review?

A Remote Utilization Review job involves assessing medical records and treatment plans to ensure they meet insurance guidelines and medical necessity criteria. Professionals in this role, often nurses or healthcare specialists, work remotely to review patient care for cost-effectiveness and compliance with policies. They collaborate with healthcare providers, insurance companies, and case managers to approve or deny services based on established guidelines. This position requires strong analytical skills, knowledge of medical policies, and attention to detail.

What are popular job titles related to Remote Utilization Review jobs in Altamonte Springs, FL? For Remote Utilization Review jobs in Altamonte Springs, FL, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review jobs in Altamonte Springs, FL look for? The top searched job categories for Remote Utilization Review jobs in Altamonte Springs, FL are:
What cities near Altamonte Springs, FL are hiring for Remote Utilization Review jobs? Cities near Altamonte Springs, FL with the most Remote Utilization Review job openings:
Remote Utilization Review jobs near you
Infographic showing various Remote Utilization Review job openings in Altamonte Springs, FL as of August 2026, with employment types broken down into 89% Full Time, and 11% Part Time. Highlights an 24% In-person, and 76% Remote job distribution, with an average salary of $82,209 per year, or $39.5 per hour.

Rheumatology - Utilization Review - Remote- 1099 (contract)

MRIoA

Orlando, FL • On-site, Remote

Contractor

Re-posted 2 days ago

Job description

Description
Flexible Independent Contractor (1099) Opportunity
Required State Medical License in Florida or Oregon
ABOUT MRIoA
Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology-driven utilization management and clinical medical review solutions. We're a leader in Peer and Utilization Reviews, known for excellence and continuous improvement.
THE OPPORTUNITY:
We are currently seeking Board-Certified physicians in Rheumatology to conduct independent Utilization Reviews. This is a flexible, fully remote opportunity requiring just 1-2 hours per week-with no minimum commitment.
ADDITIONAL INFORMATION:
  • Work remotely from anywhere in the US (Per HIPAA Regulations, patient records cannot leave the US).
  • Covered under MRIoA's Errors and Omissions policy.
  • Independent Contractor (1099) opportunity.
  • Workers are required to adhere to all applicable HIPAA regulations and company policies and procedures regarding the confidentiality, privacy, and security of sensitive health information.

Requirements
  • Must have a Medical Degree MD or DO
  • Must have a current STATE medical license in Florida or Oregon
  • Current Board Certification in Rheumatology
  • Must have 5 years of clinical experience residency to be included
  • Daytime availability is required for peer-to-peer conversations

Apply