ZipRecruiter

Log In

2

Remote Utilization Review Jobs in Boca Raton, FL

next page

Showing results 1-20

All JobsRemote Utilization Review JobsRemote Utilization Review Jobs in Boca Raton, FL

Remote Utilization Review information

See Boca Raton, FL salary details

$20

$40

$65

How much do remote utilization review jobs pay per hour?

As of Jun 9, 2026, the average hourly pay for remote utilization review in Boca Raton, FL is $40.12, according to ZipRecruiter salary data. Most workers in this role earn between $31.73 and $46.06 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in the Remote Utilization Review position, and why are they important?

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 typical day look like for someone in a Remote Utilization Review role?

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 job?

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 the most commonly searched types of Utilization Review jobs in Boca Raton, FL? The most popular types of Utilization Review jobs in Boca Raton, FL are:
What are popular job titles related to Remote Utilization Review jobs in Boca Raton, FL? For Remote Utilization Review jobs in Boca Raton, FL, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review jobs in Boca Raton, FL look for? The top searched job categories for Remote Utilization Review jobs in Boca Raton, FL are:
What cities near Boca Raton, FL are hiring for Remote Utilization Review jobs? Cities near Boca Raton, FL with the most Remote Utilization Review job openings:
Remote Utilization Review jobs near you
Infographic showing various Remote Utilization Review job openings in Boca Raton, FL as of May 2026, with employment types broken down into 79% Full Time, 5% Part Time, and 16% Contract. Highlights an 100% Remote job distribution, with an average salary of $83,458 per year, or $40.1 per hour.
Registered Nurse, Remote Triage, Emergency, ER Telehealth mornings

Registered Nurse, Remote Triage, Emergency, ER Telehealth mornings

ChenMed, LLC

Miami, FL • On-site, Remote

$64K - $92K/yr

Full-time

Posted 26 days ago

ChenMed rating

8.4

Company rating: 8.4 out of 10

Based on 39 frontline employees who took The Breakroom Quiz

1st of 228 rated social care providers

Job description

We're unique. You should be, too.
We're changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy?
We're different than most primary care providers. We're rapidly expanding and we need great people to join our team.
The Registered Nurse, Telehealth is responsible for providing telephonic triage directional patient care advice for general and specific illnesses, health related issues, client counseling, patient advocacy, health education and referral and resource management to ChenMed patients and their families. The incumbent in this role provides remote clinical advice and assessments within license and as possible given the technology and medium. He/She collaborates with primary caregivers and others on the interdisciplinary care plan team to provide a team approach of care.
The schedule for this position is as follows:
Monday- Thursday 0430-0830
Saturdays 0500-1700
Sundays 0700-1900
ESSENTIAL JOB DUTIES/RESPONSIBILITIES:
  • Connects with patients via phone or video call. Interviews and questions patients to collect health history and uses a computer system to record and store comprehensive and focused data relating to the health needs of patients and families.
  • Provides health assessment and treatment solutions, monitors patient health and at-home care, aids in emergency scenarios and promotes patient wellness.
  • Based on the technology available, monitors a patient's oxygen levels, heart rate, respiration, blood glucose and other assessment measures.
  • With the help of video chatting, identifies patient's symptoms and conditions. Analyzes data to determine the appropriate health maintenance and identify appropriate outcome for the patient and family.
  • Collaborates with on-call PCP as needed to support expected clinical outcomes. Implements the appropriate protocol to attain the expected outcome.
  • Evaluates and documents progress toward the anticipated outcome. Assists in ensuring achievement of optimal patient outcomes through use of Telemedicine. Documents interventions in readable, understandable language.
  • Aids in enhancing the quality and effectiveness of the organization's telehealth practices and professional nursing practice through successful utilization and improvement of outcomes that demonstrate program effectiveness.
  • Utilizes appropriate resources to plan and provide services that are safe, effective and fiscally responsible.
  • Performs other duties as assigned and modified at manager's discretion.

KNOWLEDGE, SKILLS AND ABILITIES:
  • Advanced-level business acuity
  • In-depth knowledge and understanding of general/core Nursing-related functions, practices, processes, procedures, techniques and methods
  • Broad nursing knowledge and understanding
  • Ability and willingness to provide extraordinary customer service and professionalism to all customers
  • Maintains current nursing knowledge and competency to stays abreast of budding nursing trends and best practices
  • Excellent written and verbal communication skills through a variety of formats, tools and technologies
  • Capable of building trust and professional relationships to deliver VIP care across the continuum
  • Ability to demonstrate excellent clinical judgement
  • Ability to problem solve
  • Ability to prioritize and work under pressure
  • Ability to provide constructive feedback
  • Ability to effectively collaborate with physicians, patients, family members, colleagues and other team members in a courteous and professional manner
  • Ability to effectively collaborate with a multidisciplinary team
  • Proficient skill in Microsoft Office Suite products including Excel, Word, PowerPoint and Outlook; competent in other systems required for the position
  • Ability and willingness to travel locally, within South Florida, to attend meetings and trainings up to 10% of the time; flexible and available to cover after-hours and to work weekends as needed
  • Spoken and written fluency in English; bilingual (Spanish/Creole) a plus
  • This job requires use and exercise of independent judgment
EDUCATION AND EXPERIENCE CRITERIA:
  • Associate Degree in Nursing required, Bachelor's Degree in Nursing preferred
  • Nurse Licensure Compact required; Multistate Nursing license required
  • Must reside within the Continental United States within a state where the company exists as a legal entity
  • Michigan and Illinois Nurse Licensure required within 90 days of hire, ability to obtain additional licenses as requested by the organization within 90 days of hire
  • Basic Life Support (BLS) certification from the American Heart Association or American Red Cross required
  • Minimum of 3 years acute clinical nursing work experience required in emergency services, urgent care, or with emergency triage responsibilities highly preferred
  • Minimum of 1 year virtual care experience preferred

PAY RANGE:
$64,583 - $92,262 Salary
The posted pay range represents the base hourly rate or base annual full-time salary for this position. Final compensation will depend on a variety of factors including but not limited to experience, education, geographic location, and other relevant factors. This position may also be eligible for a bonuses or commissions.
EMPLOYEE BENEFITS
https://chenmed.makeityoursource.com/helpful-documents
We're ChenMed and we're transforming healthcare for seniors and changing America's healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We're growing rapidly as we seek to rescue more and more seniors from inadequate health care.
ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in people's lives every single day.
Current employees, if you want to apply to our internal career site, please click HERE
Current Contingent Worker please see job aid HERE to apply
#LI-Remote

What ChenMed employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

ChenMed logo

About ChenMed

Sourced by ZipRecruiter

We're expanding healthcare equity across America. We're already in 15 states with 100+ medical centers. As a rapidly growing, physician-led organization, we have one central focus: rescue any and every senior from a healthcare system that has failed them. Our family of brands include Chen Senior Medical Center, JenCare Senior Medical Center, and Dedicated Senior Medical Center. Recently named a 2021 Best Places To Work and one of the only healthcare companies recognized in Fortune's 2020 "Change The World" list, ChenMed prides itself on creating a culture that enables career growth and promotes inclusion for all.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Miami, FL, US

Year founded

1985

Social media

FacebookTwitter

View All ChenMed Jobs

Apply