Hca Utilization Review Jobs in Florida (NOW HIRING)

Introduction

Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as an RN Case Manager today with HCA Florida Gainesville Hospital.

Benefits

HCA Florida Gainesville Hospital offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
• Free counseling services and resources for emotional, physical and financial wellbeing
  
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock
  
• Family support through fertility and family building benefits with Progyny and adoption assistance.
  
• Referral services for child, elder and pet care, home and auto repair, event planning and more
  
• Consumer discounts through Abenity and Consumer Discounts
  
• Retirement readiness, rollover assistance services and preferred banking partnerships
  
• Education assistance (tuition, student loan, certification support, dependent scholarships)
  
• Colleague recognition program
  
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
  
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
  

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

Come join our team as an RN Case Manager. We care for our community! Just last year, HCA Healthcare and our colleagues donated $13.8 million dollars to charitable organizations. Apply Today!

Job Summary and Qualifications

What you will do in this role:

• Performs a comprehensive assessment of psychosocial and medical needs of patients
• Advocates for patients while assuming a leadership role with the interdisciplinary team
• Coordinates plan of care
• Acts as a liaison through effective and professional communications with physicians, patients, families, hospital staff, and outside agencies
• Performs utilization management reviews and communicates information to third party payors
• Facilitates patient throughput with an ongoing focus on quality and efficiency

Requirements:

• Florida RN license and/or approved multistate RN license required. Compact license holders have 60 days to obtain the Florida license after relocation. 
• BLS-AHA Provider issued card required within 30 days of start
• 3 years of RN experience in an acute care setting is required
• Prior experience in Case Management is preferred
• BSN is preferred
• Certification in Case Management, Nursing or Utilization Review is preferred

About HCA Florida Gainesville Hospital

HCA Florida Gainesville Hospital, opening Spring 2026, is a 90-bed, state-of-the-art acute care facility offering comprehensive emergency services, advanced surgical care, and a 30-bed inpatient rehabilitation unit. As part of HCA Florida Healthcare and the broader HCA Healthcare network of 650+ sites, we are committed to improving more lives in more ways and serving the Gainesville community.

Key Specialties

• Emergency Medicine – Comprehensive emergency care services
• Orthopedic Surgery – Advanced procedures for bones, joints, and musculoskeletal conditions
• Spine Surgery – Specialized care for spinal disorders and injuries
• General Surgery – Full range of surgical treatments for diverse conditions
• Minimally Invasive Surgery – Laparoscopic and robotic techniques for faster recovery and reduced complications
• Inpatient Rehabilitation – 30-bed unit for post-surgical and injury recovery

Why Join Us

• Be part of a brand-new, state-of-the-art hospital opening in Spring 2026
• Work with cutting-edge technology and innovative surgical techniques
• Join a collaborative, patient-centered team committed to excellence
• Access career growth opportunities within HCA Healthcare’s nationwide network
• Make a difference in the Gainesville community while advancing your career

Join us in shaping the future of healthcare in Gainesville. Apply now and become part of HCA Florida Healthcare’s mission to improve more lives in more ways.

"The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our RN Case Manager opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.