We are currently seeking Board-Certified physicians in International Radiology to conduct independent Utilization Reviews . This is a flexible, fully remote opportunity requiring just 1-2 hours per ...
We are currently seeking Board-Certified physicians in International Radiology to conduct independent Utilization Reviews . This is a flexible, fully remote opportunity requiring just 1-2 hours per ...
We are currently seeking Board-Certified physicians in DERMATOLOGY to conduct independent Utilization Reviews . This is a flexible, fully remote opportunity requiring just 1-2 hours per week -with no ...
We are currently seeking Board-Certified physicians in DERMATOLOGY to conduct independent Utilization Reviews . This is a flexible, fully remote opportunity requiring just 1-2 hours per week -with no ...
Physician Reviewer - Utilization Management
Orlando, FL ยท Remote
$219K/yr
This is a remote position, open to candidates who reside in the United States. While your daily ... Receive and review escalated reviews. * Conduct timely peer-to-peer discussions with treating ...
Quick apply
Physician Reviewer - Utilization Management
Orlando, FL ยท Remote
$219K/yr
This is a remote position, open to candidates who reside in the United States. While your daily ... Receive and review escalated reviews. * Conduct timely peer-to-peer discussions with treating ...
... utilization management and clinical medical review solutions. We're a leader in Peer and ... This is a flexible, fully remote opportunity requiring just 1-2 hours per week -with no minimum ...
... utilization management and clinical medical review solutions. We're a leader in Peer and ... This is a flexible, fully remote opportunity requiring just 1-2 hours per week -with no minimum ...
Nurse Reviewer - Orlando, FL
Orlando, FL ยท Remote
$40/hr
Utilization/Medical record review and chart abstraction * Current standards of medical practice ... Remote Work, Prolonged Sitting, Screen Exposure This is not designed to cover or contain a ...
Nurse Reviewer - Orlando, FL
Orlando, FL ยท Remote
$40/hr
Utilization/Medical record review and chart abstraction * Current standards of medical practice ... Remote Work, Prolonged Sitting, Screen Exposure This is not designed to cover or contain a ...
Child & Adolescent Psychiatrist
Orlando, FL ยท 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 ...
Child & Adolescent Psychiatrist
Orlando, FL ยท 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 ...
... 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 ...
... 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 ...
Inpatient Care Management Nurse RN Florida - Remote
Orlando, FL ยท On-site +1
$60K - $107K/yr
Compact license * 1+ years of experience involving utilization review and evidence-based guidelines (i.e. MCG, InterQual Guidelines) * Managed Care experience * Experience performing discharge ...
New
Inpatient Care Management Nurse RN Florida - Remote
Orlando, FL ยท On-site +1
$60K - $107K/yr
Compact license * 1+ years of experience involving utilization review and evidence-based guidelines (i.e. MCG, InterQual Guidelines) * Managed Care experience * Experience performing discharge ...
New
Inpatient Care Management Nurse RN Florida - Remote
Orlando, FL ยท Remote
$60K - $107K/yr
Compact license * 1 years of experience involving utilization review and evidence-based guidelines (i.e. MCG, InterQual Guidelines) * Managed Care experience * Experience performing discharge ...
New
Inpatient Care Management Nurse RN Florida - Remote
Orlando, FL ยท Remote
$60K - $107K/yr
Compact license * 1 years of experience involving utilization review and evidence-based guidelines (i.e. MCG, InterQual Guidelines) * Managed Care experience * Experience performing discharge ...
New
Care Review Clinician (BH Licensed) - Remote in FL
Orlando, FL ยท Remote
$26.41 - $51.49/hr
Adheres to utilization management (UM) policies and procedures. May work collaboratively with ... May approve requests for BHT by reviewing behavioral assessments and treatment plans for medical ...
Care Review Clinician (BH Licensed) - Remote in FL
Orlando, FL ยท Remote
$26.41 - $51.49/hr
Adheres to utilization management (UM) policies and procedures. May work collaboratively with ... May approve requests for BHT by reviewing behavioral assessments and treatment plans for medical ...
Advanced Inpatient Coder Specialist (REMOTE)
Orlando, FL ยท On-site +1
Remote (must reside in the state of Florida, Georgia, North Carolina, South Carolina) * Status ... HAC reviews. * Strong utilization of anatomy, pathophysiology, and pharmacology knowledge for ...
Advanced Inpatient Coder Specialist (REMOTE)
Orlando, FL ยท On-site +1
Remote (must reside in the state of Florida, Georgia, North Carolina, South Carolina) * Status ... HAC reviews. * Strong utilization of anatomy, pathophysiology, and pharmacology knowledge for ...
Telephonic Case Manager I
Orlando, FL ยท Remote
$63K - $95K/yr
Strong cost containment background, such as utilization review or managed care helpful ... Remote
Quick apply
Telephonic Case Manager I
Orlando, FL ยท Remote
$63K - $95K/yr
Strong cost containment background, such as utilization review or managed care helpful ... Remote
Telephonic Case Manager I
Orlando, FL ยท Remote
$63K - $95K/yr
Strong cost containment background, such as utilization review or managed care helpful ... Remote
Telephonic Case Manager I
Orlando, FL ยท Remote
$63K - $95K/yr
Strong cost containment background, such as utilization review or managed care helpful ... Remote
FP Medical Director- Part Time 16 hrs/Week - Remote
Orlando, FL ยท Remote
$150/hr
Support implementation of clinical performance improvement plans identified through quality, population health, utilization, payer, or operational review. * Collaborate with Quality Improvement ...
Quick apply
FP Medical Director- Part Time 16 hrs/Week - Remote
Orlando, FL ยท Remote
$150/hr
Support implementation of clinical performance improvement plans identified through quality, population health, utilization, payer, or operational review. * Collaborate with Quality Improvement ...
FP Medical Director- Part Time 16 hrs/Week - Remote
Orlando, FL ยท Remote
$150/hr
Support implementation of clinical performance improvement plans identified through quality, population health, utilization, payer, or operational review. * Collaborate with Quality Improvement ...
Quick apply
FP Medical Director- Part Time 16 hrs/Week - Remote
Orlando, FL ยท Remote
$150/hr
Support implementation of clinical performance improvement plans identified through quality, population health, utilization, payer, or operational review. * Collaborate with Quality Improvement ...
District Sales Manager
Orlando, FL ยท On-site +1
$87K - $126K/yr
Ensure compliance, effectiveness and full utilization of co-op marketing funds. * Assist in the ... Implement and execute dealer specific return to market plans General Administration - 10% * Review ...
District Sales Manager
Orlando, FL ยท On-site +1
$87K - $126K/yr
Ensure compliance, effectiveness and full utilization of co-op marketing funds. * Assist in the ... Implement and execute dealer specific return to market plans General Administration - 10% * Review ...
District Sales Manager
Orlando, FL ยท Remote
$87K - $126K/yr
Ensure compliance, effectiveness and full utilization of co-op marketing funds. * Assist in the ... Implement and execute dealer specific return to market plans General Administration - 10% * Review ...
District Sales Manager
Orlando, FL ยท Remote
$87K - $126K/yr
Ensure compliance, effectiveness and full utilization of co-op marketing funds. * Assist in the ... Implement and execute dealer specific return to market plans General Administration - 10% * Review ...
Licensed Clinical Social Worker (LCSW) - Remote Position at Clear Mind Therapy Clinic
Orlando, FL ยท Remote
$80K - $100K/yr
Develop, implement, and regularly review individualized treatment plans that detail tailored goals ... Prior utilization of telehealth platforms for therapy provision, demonstrating comfort with digital ...
Licensed Clinical Social Worker (LCSW) - Remote Position at Clear Mind Therapy Clinic
Orlando, FL ยท Remote
$80K - $100K/yr
Develop, implement, and regularly review individualized treatment plans that detail tailored goals ... Prior utilization of telehealth platforms for therapy provision, demonstrating comfort with digital ...
Licensed Clinical Social Worker (LCSW) - Remote Position at Clear Mind Therapy Clinic
Orlando, FL ยท Remote
$80K - $100K/yr
Develop, implement, and regularly review individualized treatment plans that detail tailored goals ... Prior utilization of telehealth platforms for therapy provision, demonstrating comfort with digital ...
Licensed Clinical Social Worker (LCSW) - Remote Position at Clear Mind Therapy Clinic
Orlando, FL ยท Remote
$80K - $100K/yr
Develop, implement, and regularly review individualized treatment plans that detail tailored goals ... Prior utilization of telehealth platforms for therapy provision, demonstrating comfort with digital ...
Treasury Management Analyst
Lake Mary, FL ยท On-site +1
Review and manage TM department content, marketing materials, documentation to ensure items are ... Ability to work in the office or remote in an effective manner #LI-PF1
New
Quick apply
Treasury Management Analyst
Lake Mary, FL ยท On-site +1
Review and manage TM department content, marketing materials, documentation to ensure items are ... Ability to work in the office or remote in an effective manner #LI-PF1
New
Remote Utilization Review information
See Ocoee, FL salary details
$18.81 - $22.62
2% of jobs
$22.62 - $26.42
9% of jobs
$29.02 is the 25th percentile. Wages below this are outliers.
$26.42 - $30.22
21% of jobs
The median wage is $33.30 / hr.
$30.22 - $34.03
23% of jobs
$34.03 - $37.83
13% of jobs
$40.79 is the 75th percentile. Wages above this are outliers.
$37.83 - $41.64
10% of jobs
$41.64 - $45.44
8% of jobs
$45.44 - $49.25
5% of jobs
$49.25 - $53.05
5% of jobs
$53.05 - $56.86
2% of jobs
$56.86 - $60.66
2% of jobs
$18
$37
$60
How much do remote utilization review jobs pay per hour?
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 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 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 are the most commonly searched types of Utilization Review jobs in Ocoee, FL?
The most popular types of Utilization Review jobs in Ocoee, FL are:
What are popular job titles related to Remote Utilization Review jobs in Ocoee, FL?
For Remote Utilization Review jobs in Ocoee, FL, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review jobs in Ocoee, FL look for?
The top searched job categories for Remote Utilization Review jobs in Ocoee, FL are:
What cities near Ocoee, FL are hiring for Remote Utilization Review jobs?
Cities near Ocoee, FL with the most Remote Utilization Review job openings:

Contractor
Posted 25 days ago
Job description
Flexible Independent Contractor (1099) Opportunity
Interventional Radiology Contract Reviews - Remote - Any State Medical License
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 International Radiology 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 HIPPA 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.
California Consumer Privacy Act (CCPA) Information (California Residents Only):
- Sensitive Personal Info: MRIoA may collect sensitive personal info such as real name, nickname or alias, postal address, telephone number, email address, Social Security number, signature, online identifier, Internet Protocol address, driver's license number, or state identification card number, and passport number.
- Data Access and Correction: Applicants can access their data and request corrections. For questions and/or requests to edit, delete, or correct data, please email the Medical Review Institute at HR@mrioa.com.
Requirements
- Must have a Medical Degree MD or DO
- Must have a current STATE unencumbered medical license
- Current Board Certification in Radiology, IR/DR certified
- Must have 5 years of clinical experience residency to be included
- Daytime availability is required for peer-to-peer conversations