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Case Manager Utilization Review Nurse Jobs in Boca Raton, FL

GQR Healthcare

Travel RN Case Management

Margate, FL · On-site

$1.8K - $1.9K/wk

Travel Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Margate, Florida Start Date: August 31, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay ...

ScionHealth

Case Manager, PRN Day

Riviera Beach, FL · On-site

... utilization review and management, and discharge planning. Essential Functions Care Coordination ... Graduate of an accredited program required for RN. BSN preferred; or MSW/BSW with licensure as ...

genex

Telephonic Case Manager

Boca Raton, FL · On-site

Responsible for the performance of Utilization Review services, including pre-admission ... Uses clinical/nursing skills to determine whether all aspects of a patient's care, at every level ...

genex

Telephonic Case Manager

Boca Raton, FL

Responsible for the performance of Utilization Review services, including pre-admission ... Uses clinical/nursing skills to determine whether all aspects of a patient's care, at every level ...

Genex

Telephonic Case Manager

Boca Raton, FL · On-site

Responsible for the performance of Utilization Review services, including pre-admission ... Main responsibilities include but are not limited to: • Uses clinical/nursing skills to determine ...

UnitiMed

RN Case Manager

Margate, FL · On-site

Referral bonus up to $700 Registered Nurse (RN),Case Management/Utilization Review, About the Company: Uniti Med is an award-winning healthcare staffing company with a mission to provide staffing ...

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All JobsCase Utilization Review Nurse JobsCase Manager Utilization Review Nurse JobsCase Manager Utilization Review Nurse Jobs in Boca Raton, FL

Case Manager Utilization Review Nurse information

See Boca Raton, FL salary details

$18

$45

$75

How much do case manager utilization review nurse jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for case manager utilization review nurse in Boca Raton, FL is $45.11, according to ZipRecruiter salary data. Most workers in this role earn between $33.51 and $54.52 per hour, depending on experience, location, and employer.

What is a case manager utilization review nurse?

A Case Manager Utilization Review Nurse is a registered nurse who evaluates the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They review patient records, coordinate with healthcare providers, and ensure that treatments meet established guidelines and insurance requirements. Their goal is to optimize patient outcomes while controlling healthcare costs and ensuring compliance with regulations. These nurses also help facilitate communication between patients, providers, and payers to support effective care management.

How does a case manager utilization review nurse typically collaborate with physicians and other healthcare providers?

Case Manager Utilization Review Nurses regularly work with physicians, social workers, and other healthcare professionals to ensure patients receive appropriate care while managing resource utilization. They often participate in interdisciplinary team meetings to discuss care plans, review patient progress, and address any barriers to discharge. Building strong communication channels and maintaining up-to-date clinical knowledge are essential, as nurses must advocate for patients while also supporting evidence-based practices and regulatory compliance. This collaborative environment helps streamline patient care and optimize outcomes.

What are the key skills and qualifications needed to thrive as a case manager utilization review nurse, and why are they important?

To excel as a Case Manager Utilization Review Nurse, you need a solid background in nursing, strong clinical assessment skills, and a valid RN license, often with case management certification. Familiarity with utilization review software, electronic health record (EHR) systems, and knowledge of insurance and regulatory guidelines is essential. Exceptional communication, critical thinking, and negotiation abilities set top performers apart in this role. These qualifications ensure effective patient advocacy, cost-effective care, and compliance with healthcare standards.

What is the difference between Case Manager Utilization Review Nurse vs Case Manager?

AspectCase Manager Utilization Review NurseCase Manager
CredentialsRN license, certification in utilization review (e.g., URAC)RN license, case management certification (e.g., CCM)
Work EnvironmentHospitals, insurance companies, healthcare facilitiesHospitals, community health, insurance providers
Primary FocusReviewing medical necessity and appropriateness of careCoordinating patient care and discharge planning

While both roles involve patient care coordination, the Case Manager Utilization Review Nurse primarily focuses on reviewing medical necessity and insurance approvals, whereas the Case Manager handles broader patient care coordination and discharge planning. Both roles require nursing credentials and are vital in healthcare settings, but their specific responsibilities differ.

What are popular job titles related to Case Manager Utilization Review Nurse jobs in Boca Raton, FL?

For Case Manager Utilization Review Nurse jobs in Boca Raton, FL, the most frequently searched job titles are:

What job categories do people searching Case Manager Utilization Review Nurse jobs in Boca Raton, FL look for?

The top searched job categories for Case Manager Utilization Review Nurse jobs in Boca Raton, FL are:

What cities near Boca Raton, FL are hiring for Case Manager Utilization Review Nurse jobs?

Cities near Boca Raton, FL with the most Case Manager Utilization Review Nurse job openings:

Case Manager Utilization Review Nurse jobs near you
Infographic showing various Case Manager Utilization Review Nurse job openings in Boca Raton, FL as of August 2026, with employment types broken down into 2% As Needed, 79% Full Time, 12% Part Time, and 7% Contract. Highlights an 91% In-person, and 9% Remote job distribution, with an average salary of $93,823 per year, or $45.1 per hour.

Travel RN Case Management

GQR Healthcare

Margate, FL • On-site

$1.8K - $1.9K/wk

Contractor

Medical, Dental, Vision

Posted 5 days ago

Job description

GQR Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Margate, Florida.

Job Description & Requirements
  • Specialty: Case Management
  • Discipline: RN
  • Start Date: 08/31/2026
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 8 hours, days
  • Employment Type: Travel

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job
Location: Margate, Florida
Start Date: August 31, 2026
Profession: Registered Nurse (RN)
Facility:
Estimated Pay: $1849.59 - $1944.59
Duration:13 weeks
Specialty:Case Management/Utilization Review
Shift: Day
Shift Details: null Day
Job Type: Travel
*Estimated weekly pay includes projected hourly wages and weekly meal and lodging per diems for eligible clinicians based on nationally published GSA rates. Actual weekly pay and per diems may differ from the amount shown and are subject to change during an assignment.
Benefits:

  • Day 1 Insurance
  • Cigna medical, MetLife dental and vision insurance
  • License reimbursement for new licenses needed for each assignment
  • Discounts with hotels and rental cars
  • A dedicated recruiter and support team that will help you every step of the way to sure you start on time and have an exceptional experience
  • Referral bonus up to $700
About the Company:
Finding the right role is about more than just matching skills to a job—it’s about aligning with your goals, values, and the way you want to work.
As an award-winning talent partner, we support healthcare professionals through every step of that process, offering meaningful opportunities, clear guidance, and long-term partnership. From our first conversation to your first day on the job (and beyond!), we’re here to help you move forward with confidence.

GQR Job ID #842631. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Registered Nurse (RN)

About GQR Healthcare

GQR’s Healthcare team specializes in connecting experts within the industry to highly skilled healthcare professionals across the US market.

In the competitive healthcare market, we recognize that the industry’s common goals of improved quality of care and patient outcomes are wholly reliant upon the professionals directly supporting these initiatives. Leveraging our extensive candidate network, we deliver continuity of care for the communities our partners serve to ensure the patient experience is of the highest quality.

Through deep market specialization and a unique approach to talent acquisition, GQR Healthcare provides an unparalleled and personalized experience across all medical specialties in nursing and within diverse healthcare platforms across the industry.

GQR Healthcare logo

About GQR Healthcare

Sourced by ZipRecruiter

Leveraging our extensive candidate network, we deliver continuity of care for the communities our partners serve to ensure the patient experience is of the highest quality. Through deep market specialization and a unique approach to talent acquisition, GQR Healthcare provides an unparalleled and personalized experience across all medical specialties in nursing and within diverse healthcare platforms across the industry.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Austin, TX, US

Year founded

2019

Social media

Facebook

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