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Seasonal Remote Utilization Review Jobs in Florida

Oscar Health

Utilization Review Nurse

Miami, FL · Remote

$35 - $45.94/hr

You will report into the Supervisor, Utilization Review. Work Location ... This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois;

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Seasonal Remote Utilization Review information

What is the difference between Seasonal Remote Utilization Review vs Physical Therapist?

AspectSeasonal Remote Utilization ReviewPhysical Therapist
CredentialsLicensing, certification in utilization review or case managementState licensure, Doctor of Physical Therapy (DPT) or equivalent
Work EnvironmentRemote, healthcare insurance companies, case management settingsClinics, hospitals, outpatient settings, some remote options
Industry UsageHealthcare insurance, utilization managementRehabilitation, patient care, musculoskeletal health

Seasonal Remote Utilization Review professionals focus on evaluating medical necessity and optimizing healthcare resource use remotely, often within insurance companies. Physical Therapists provide direct patient care, focusing on rehabilitation and mobility improvement. While both roles require healthcare knowledge, they differ in work environment, credentials, and daily responsibilities.

What are popular job titles related to Seasonal Remote Utilization Review jobs in Florida?

For Seasonal Remote Utilization Review jobs in Florida, the most frequently searched job titles are:

What job categories do people searching Seasonal Remote Utilization Review jobs in Florida look for?

The top searched job categories for Seasonal Remote Utilization Review jobs in Florida are:

Seasonal Remote Utilization Review jobs near you
Infographic showing various Seasonal Remote Utilization Review job openings in Florida as of June 2026, with employment types broken down into 43% Full Time, 50% Part Time, 5% Contract, and 2% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution.

Utilization Review RN (Remote)

HealthPlus Staffing

Fort Lauderdale, FL • Remote

Full-time

Re-posted 18 days ago

Job description

Quick Job Details:

Setting: Fully Remote – Utilization Review
Schedule: Full-Time, Monday–Friday
Hours: Standard business hours
Patient Volume: N/A
Job Requirements:

  • Active RN license with Multi-State/Compact license required
  • Minimum 2 years of Utilization Review experience
  • Minimum 3 years of clinical nursing experience (acute care/hospital preferred)
  • Strong understanding of medical necessity, utilization management, healthcare reimbursement, and clinical documentation improvement
  • Excellent communication, analytical, and critical thinking skills
  • Ability to work independently in a remote environment

Responsibilities:

  • Conduct admission, continued stay, and observation reviews
  • Apply medical necessity criteria to determine appropriate level of care
  • Review cases for Physician Advisor escalation when appropriate
  • Collaborate with physicians, case managers, and insurance payers
  • Support denial prevention, documentation improvement, and revenue cycle initiatives
  • Ensure compliance with payer guidelines and regulatory requirements
  • Analyze clinical and financial data to identify quality improvement opportunities

Compensation: Competitive; based on experience

Benefits: Comprehensive benefits package

About Us:

HealthPlus Staffing is a national leader in the healthcare staffing industry. We partner with top healthcare organizations nationwide to connect highly qualified professionals with outstanding career opportunities.

Our Promise:

  • We will put you in front of the decision makers.
  • We will provide feedback on your application.
  • We will work on your behalf to obtain as much information as possible to help you make a well-informed decision.

If you're interested in this opportunity, please submit an application or call 561-291-7787 to speak with one of our experienced consultants. We look forward to helping you find your next opportunity!

The HealthPlus Team