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Entry Level Utilization Review Nurse Jobs in Florida

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$15

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How much do entry level utilization review nurse jobs pay per hour?

As of May 28, 2026, the average hourly pay for entry level utilization review nurse in Florida is $31.60, according to ZipRecruiter salary data. Most workers in this role earn between $24.95 and $36.30 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as an Entry Level Utilization Review Nurse, and why are they important?

To thrive as an Entry Level Utilization Review Nurse, you need a registered nurse (RN) license, knowledge of clinical guidelines, and an understanding of healthcare regulations. Familiarity with utilization management software, electronic health records (EHR), and relevant certifications such as Certified Case Manager (CCM) or Accredited Case Manager (ACM) are often beneficial. Strong analytical thinking, attention to detail, and effective communication skills help you review cases accurately and collaborate with providers. These skills ensure appropriate care decisions, compliance with payer requirements, and optimal patient outcomes.

What are some common challenges faced by entry level Utilization Review Nurses, and how can they overcome them?

Entry level Utilization Review Nurses often encounter challenges such as adapting to complex insurance policies, learning to review medical records efficiently, and communicating effectively with physicians and case managers. To overcome these challenges, new nurses should seek mentorship from experienced colleagues, participate in ongoing training sessions, and familiarize themselves with the organization's review protocols and documentation systems. Building strong communication skills and staying up to date with regulatory changes will also help in navigating the learning curve and ensuring successful case reviews.

What is an Entry Level Utilization Review Nurse?

An Entry Level Utilization Review Nurse is a registered nurse (RN) who is new to the field of utilization review. Their main responsibilities include assessing medical records, ensuring that patients receive appropriate and necessary care, and verifying that health services are delivered according to established guidelines and insurance requirements. They typically work for hospitals, insurance companies, or managed care organizations and collaborate with healthcare providers to support quality patient outcomes while managing costs. This role often serves as a stepping stone to more advanced positions in healthcare administration or case management.

What is the difference between Entry Level Utilization Review Nurse vs Utilization Review Nurse?

AspectEntry Level Utilization Review NurseUtilization Review Nurse
CredentialsRN license, possibly some certificationRN license, often with additional certifications
Work EnvironmentHospitals, insurance companies, healthcare facilitiesInsurance companies, healthcare organizations
Job ResponsibilitiesAssist in reviewing patient cases, gather data, support senior staffEvaluate medical necessity, review patient records, make coverage decisions

The Entry Level Utilization Review Nurse typically supports the more experienced Utilization Review Nurse by gathering information and assisting in case reviews. Both roles require an RN license and work within healthcare or insurance settings, but the entry-level position involves more support tasks, while the Utilization Review Nurse makes critical coverage decisions.

What are the most commonly searched types of Utilization Review Nurse jobs in Florida? The most popular types of Utilization Review Nurse jobs in Florida are:
What are popular job titles related to Entry Level Utilization Review Nurse jobs in Florida? For Entry Level Utilization Review Nurse jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Entry Level Utilization Review Nurse jobs in Florida look for? The top searched job categories for Entry Level Utilization Review Nurse jobs in Florida are:
What cities in Florida are hiring for Entry Level Utilization Review Nurse jobs? Cities in Florida with the most Entry Level Utilization Review Nurse job openings:
Entry Level Utilization Review Nurse jobs near you
Infographic showing various Entry Level Utilization Review Nurse job openings in Florida as of May 2026, with employment types broken down into 3% As Needed, 73% Full Time, and 24% Part Time. Highlights an 55% Physical, 4% Hybrid, and 41% Remote job distribution, with an average salary of $65,722 per year, or $31.6 per hour.
Intermediate Care Utilization Review Nurse

Intermediate Care Utilization Review Nurse

Florida Health Care Plans, Inc.

Daytona Beach, FL • On-site

Full-time

This job post has expired today. Applications are no longer accepted.

Florida Health Care Plans rating

5.5

Company rating: 5.5 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

Job description

POSITION SUMMARY:
Under the direction and oversight of the Nurse Supervisor Utilization Review, the Intermediate Care Utilization Review Nurse is responsible for coordination of services for members of Florida Healthcare Plans admitted to and/or discharged from a skilled nursing facility or home healthcare agency as well as sub-acute inpatient and outpatient services as delegated. The Intermediate Care Utilization Review Nurse coordinates all services needed for an organized, multidisciplinary, member focused team approach. This includes but is not limited to durable medical equipment requests, appropriate discharge from SNF or home health care and follow-up with providers to coordinate movement to the next level of care. The Intermediate Care Utilization Review Nurse follows and manages the course of treatment for patients while coordinating care with physicians, nurses, case managers, and other staff from outside as well as within the company to ensure quality care and safe outcomes. The Intermediate Care Utilization Review Nurse conducts initial and ongoing assessments and ensures continuity of care through discharge planning and utilization of resources. Care should be approached in a cost-effective manner as this position bears risk for financial impact to the organization.
QUALIFICATIONS:
Education, skills and experience:
• Graduate of an accredited school of nursing
• Florida residency required upon employment. Must live within Volusia or Flagler County.
• Current active and unrestricted licensure in Florida as a Licensed Practical Nurse (LPN)
• Minimum of two (2) years post-licensure clinical experience as a practicing LPN. Acceptable areas include but not limited to: Home Health Care, Skilled Nursing Facility Care, or Hospice Care
• Previous experience with utilization management, utilization review, prior authorization, or case management strongly preferred.
• Knowledge of Medicare criteria, DRG's, InterQual, and/or MCG Care Guidelines required.
• Knowledge of levels of hospitalization, inpatient rehabilitation, skilled nursing facility, home health care, behavioral health, community resources, and FHCP networks preferred.
• Excellent communication skills, including both oral and written.
• Strong telephone and customer service skills required. Must be able to diffuse difficult situations.
• Strong organizational and time management skills. Must be capable of multitasking.
• Proficiency with computer skills including Microsoft Word, Outlook, and Office Suite
• Must be able to type at a fast speed with high accuracy.
• Reliable transportation, home internet, and smart device for secondary identification required

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