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Remote Weekend Utilization Review Jobs in New Port Richey, FL

HandsOn Global Management

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UM Review Nurse

Tampa, FL · Remote

$36 - $40/hr

Performs prospective, concurrent, and retrospective inpatient and/or outpatient utilization reviews (UR) using evidence-based guidelines, policies and nationally recognized clinical criteria, and ...

paradigm

Clinical Navigator

Tampa, FL · Remote

$61K - $84K/yr

Experience with DME, utilization review, EMRs, care management platforms, and Microsoft Office ... This is a fully remote position with typical business hours; however, there may be instances when ...

paradigm

Clinical Navigator

Tampa, FL · Remote

$61K - $84K/yr

Experience with DME, utilization review, EMRs, care management platforms, and Microsoft Office ... This is a fully remote position with typical business hours; however, there may be instances when ...

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All JobsUtilization Review JobsRemote Weekend Utilization Review JobsRemote Weekend Utilization Review Jobs in New Port Richey, FL

Remote Weekend Utilization Review information

See New Port Richey, FL salary details

$19

$37

$61

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

As of Aug 25, 2026, the average hourly pay for remote weekend utilization review in New Port Richey, FL is $37.66, according to ZipRecruiter salary data. Most workers in this role earn between $29.76 and $43.27 per hour, depending on experience, location, and employer.

What is the difference between Remote Weekend Utilization Review vs Remote Weekday Utilization Review?

AspectRemote Weekend Utilization ReviewRemote Weekday Utilization Review
CredentialsTypically requires a healthcare professional license and utilization review certificationSame as weekend role, healthcare license and utilization review certification
Work EnvironmentRemote, weekend hours, often part-time or flexibleRemote, weekday hours, standard business hours
Employer & IndustryHealth insurance companies, third-party administratorsSame as weekend role, health insurance industry
Work SchedulePrimarily weekends, possibly eveningsWeekdays, regular business hours

Remote Weekend Utilization Review and Remote Weekday Utilization Review roles are similar in credentials and industry but differ mainly in work schedule. Weekend roles focus on reviewing cases during weekends, offering flexibility, while weekday roles follow standard business hours. Both positions require healthcare licensing and utilization review certification, serving health insurance companies and third-party administrators.

What are popular job titles related to Remote Weekend Utilization Review jobs in New Port Richey, FL?

For Remote Weekend Utilization Review jobs in New Port Richey, FL, the most frequently searched job titles are:

What job categories do people searching Remote Weekend Utilization Review jobs in New Port Richey, FL look for?

The top searched job categories for Remote Weekend Utilization Review jobs in New Port Richey, FL are:

What cities near New Port Richey, FL are hiring for Remote Weekend Utilization Review jobs?

Cities near New Port Richey, FL with the most Remote Weekend Utilization Review job openings:

Remote Weekend Utilization Review jobs near you
Infographic showing various Remote Weekend Utilization Review job openings in New Port Richey, FL as of August 2026, with employment types broken down into 71% Full Time, 10% Part Time, and 19% Contract. Highlights an 100% Remote job distribution, with an average salary of $78,333 per year, or $37.7 per hour.

UM Review Nurse

HandsOn Global Management

Tampa, FL • Remote

$36 - $40/hr

Full-time

Medical, PTO

Posted 7 days ago

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Job description

PURPOSE AND SCOPE:

The UM Nurse Reviewer is responsible for the medical necessity review of outpatient services that

require prior authorization, and /or management of concurrent inpatient admissions. The medical

necessity review process includes assessment and interpretation of plan specific benefits, medical

criteria, and clinical documentation.

PRINCIPAL RESPONSIBILITIES AND DUTIES

• Performs prospective, concurrent, and retrospective inpatient and/or outpatient utilization reviews

(UR) using evidence-based guidelines, policies and nationally recognized clinical criteria, and internal

policies and procedures.

• Evaluates severity of illness and intensity of service of member’s needs at time of inpatient

admission utilizing approved criteria.

• Triage and prioritize cases and other assigned duties to meet CMS turnaround time standards.

• Prepare and escalate cases to MDs for review when appropriate.

• Demonstrates effective communication methods and skills, using lines of authority appropriately.

• Establishes a relationship with providers to determine/provide needed services to member.

• Maintains accurate record of UR activities.

• Regular attendance is required as employee works as part of a team & requires interaction with

medical staff and clients.

• Adheres to quality standards and confidentiality policies and procedures.

• Ensures compliance with all state and federal regulations and guidelines in day-to-day activities.

• Adapts to changes in policies, procedures, new techniques, and additional responsibilities.


CUSTOMER SERVICE:

• Responsible for driving the HealthOps culture through values and customer service standards.

• Accountable for outstanding customer service to all external and internal contacts.

• Develops and maintains positive relationships through effective and timely communication.

• Takes initiative and action to respond, resolve and follow up regarding customer service issues with all

customers in a timely manner.


EDUCATION, EXPERIENCE AND REQUIRED SKILLS:

• Licensed RN or LPN required.

• Minimum of two to three years varied clinical experience required.

• Managed care experience preferred.

• An equivalent combination of education, training, and experience.

• Ability to read and interpret documents and calculate figures and amounts.

• Excellent oral and written communication skills including good grammar, voice and diction.

• Proficient in MS Office with basic computer and keyboarding skills.

• Excellent customer service skills (friendly, courteous and helpful).

• InterQual experience helpful.

Company Description

HandsOn Global Management (“HGM”) is a hybrid family office / PE fund / technology incubator focused on building innovative companies and driving synergies within our portfolio. We specialize in technology platforms, analytics and business process services.

Headquartered in Santa Monica, CA, HandsOn Global Management (“HGM”) manages a number of funds and investments in partnership with some of the world’s largest investment banks, private equity groups and global financial institutions. Over the last decade, HGM has completed several acquisitions, integrated them and taken some public. Companies acquired and controlled by HGM employ over 17,000 people in the Americas, EMEA, and Asia, and have over 50% of the Fortune 100® as customers.

HGM’s main focus is on acquiring synergetic assets in U.S. and emerging markets, which yield above-market returns. To achieve this goal, HGM invests in companies with strong fundamentals and significant performance improvement potential, where the HGM team can apply their hands-on approach to managing portfolio companies, as well as their investment discipline and technology to increase the overall value proposition of each portfolio company.