Certification in Case Management, Nursing or Utilization Review is preferred Benefits HCA Florida Lake Monroe Hospital, offers a total rewards package that supports the health, life, career and ...
Certification in Case Management, Nursing or Utilization Review is preferred Benefits HCA Florida Lake Monroe Hospital, offers a total rewards package that supports the health, life, career and ...
HCA Strategic Account Executive
$140K/yr
... reviews, and field visits that communicate Mindray's clinical, operational, and financial value ... Monitor account performance, pipeline, contract utilization, competitive activity, wins and losses ...
HCA Strategic Account Executive
$140K/yr
... reviews, and field visits that communicate Mindray's clinical, operational, and financial value ... Monitor account performance, pipeline, contract utilization, competitive activity, wins and losses ...
Certification in Case Management, Nursing or Utilization Review is preferred Benefits HCA Florida Lake Monroe Hospital, offers a total rewards package that supports the health, life, career and ...
Certification in Case Management, Nursing or Utilization Review is preferred Benefits HCA Florida Lake Monroe Hospital, offers a total rewards package that supports the health, life, career and ...
Travel RN Case Manager - $2,142 per week
Fort Walton Beach, FL · On-site
$2.1K/wk
Facilitate utilization review and resource management. * Coordinate post-acute care services and ... Familiarity with HCA workflows and documentation standards. Required Certifications Active RN ...
Travel RN Case Manager - $2,142 per week
Fort Walton Beach, FL · On-site
$2.1K/wk
Facilitate utilization review and resource management. * Coordinate post-acute care services and ... Familiarity with HCA workflows and documentation standards. Required Certifications Active RN ...
RN - Case Manager
Gainesville, FL · On-site
HCA Florida North Florida Hospital Available Shifts: • Day shift: 8:00 AM - 4:30 PM with Rotating ... Participates in IDT rounds, Conducts utilization review, evaluates clinical information, and ...
RN - Case Manager
Gainesville, FL · On-site
HCA Florida North Florida Hospital Available Shifts: • Day shift: 8:00 AM - 4:30 PM with Rotating ... Participates in IDT rounds, Conducts utilization review, evaluates clinical information, and ...
RN - Case Manager
Gainesville, FL · On-site
HCA Florida North Florida Hospital Available Shifts: • Day shift: 8:00 AM - 4:30 PM with Rotating ... Participates in IDT rounds, Conducts utilization review, evaluates clinical information, and ...
RN - Case Manager
Gainesville, FL · On-site
HCA Florida North Florida Hospital Available Shifts: • Day shift: 8:00 AM - 4:30 PM with Rotating ... Participates in IDT rounds, Conducts utilization review, evaluates clinical information, and ...
Performs utilization review as assigned. * Helps with Process and Quality Improvement initiatives ... HCA Florida JFK North Hospital has served the healthcare needs of Palm Beach County for 46 years.
Performs utilization review as assigned. * Helps with Process and Quality Improvement initiatives ... HCA Florida JFK North Hospital has served the healthcare needs of Palm Beach County for 46 years.
Performs utilization review as assigned. * Helps with Process and Quality Improvement initiatives ... HCA Florida JFK North Hospital has served the healthcare needs of Palm Beach County for 46 years.
Performs utilization review as assigned. * Helps with Process and Quality Improvement initiatives ... HCA Florida JFK North Hospital has served the healthcare needs of Palm Beach County for 46 years.
Case Manager RN PRN
Largo, FL · On-site
You will promote cost effectiveness through the integration of case management, utilization review ... HCA Florida Largo Hospital is the premier healthcare provider in Pinellas County and beyond. With ...
Case Manager RN PRN
Largo, FL · On-site
You will promote cost effectiveness through the integration of case management, utilization review ... HCA Florida Largo Hospital is the premier healthcare provider in Pinellas County and beyond. With ...
Case Manager RN PRN
Largo, FL · On-site
You will promote cost effectiveness through the integration of case management, utilization review ... HCA Florida Largo Hospital is the premier healthcare provider in Pinellas County and beyond. With ...
Case Manager RN PRN
Largo, FL · On-site
You will promote cost effectiveness through the integration of case management, utilization review ... HCA Florida Largo Hospital is the premier healthcare provider in Pinellas County and beyond. With ...
Certification in case management or utilization review preferred * InterQual experience preferred Benefits HCA Florida Northwest Hospital, offers a total rewards package that supports the health ...
Certification in case management or utilization review preferred * InterQual experience preferred Benefits HCA Florida Northwest Hospital, offers a total rewards package that supports the health ...
Certification in case management or utilization review preferred * InterQual experience preferred Benefits HCA Florida JFK Hospital, offers a total rewards package that supports the health, life ...
Certification in case management or utilization review preferred * InterQual experience preferred Benefits HCA Florida JFK Hospital, offers a total rewards package that supports the health, life ...
Certification in case management or utilization review preferred * InterQual experience preferred Benefits HCA Florida JFK Hospital, offers a total rewards package that supports the health, life ...
Certification in case management or utilization review preferred * InterQual experience preferred Benefits HCA Florida JFK Hospital, offers a total rewards package that supports the health, life ...
RN Case Manager
Anchorage, AK · On-site
Utilization Review, Care Coordination, Resource Management, and Discharge Planning. The RN Case ... HCA Healthcare's Alaska Regional Hospital is known for our expertise, compassion and skills. We are ...
RN Case Manager
Anchorage, AK · On-site
Utilization Review, Care Coordination, Resource Management, and Discharge Planning. The RN Case ... HCA Healthcare's Alaska Regional Hospital is known for our expertise, compassion and skills. We are ...
RN Case Manager
Anchorage, AK · On-site
Utilization Review, Care Coordination, Resource Management, and Discharge Planning. The RN Case ... HCA Healthcare's Alaska Regional Hospital is known for our expertise, compassion and skills. We are ...
RN Case Manager
Anchorage, AK · On-site
Utilization Review, Care Coordination, Resource Management, and Discharge Planning. The RN Case ... HCA Healthcare's Alaska Regional Hospital is known for our expertise, compassion and skills. We are ...
RN Case Manager
Anchorage, AK · On-site
Utilization Review, Care Coordination, Resource Management, and Discharge Planning. The RN Case ... HCA Healthcare's Alaska Regional Hospital is known for our expertise, compassion and skills. We are ...
RN Case Manager
Anchorage, AK · On-site
Utilization Review, Care Coordination, Resource Management, and Discharge Planning. The RN Case ... HCA Healthcare's Alaska Regional Hospital is known for our expertise, compassion and skills. We are ...
Utilization Review, Care Coordination, Resource Management, and Discharge Planning. The RN Case ... HCA Healthcare's Alaska Regional Hospital is known for our expertise, compassion and skills. We are ...
Utilization Review, Care Coordination, Resource Management, and Discharge Planning. The RN Case ... HCA Healthcare's Alaska Regional Hospital is known for our expertise, compassion and skills. We are ...
RN Case Manager
Anchorage, AK · On-site
Utilization Review, Care Coordination, Resource Management, and Discharge Planning. The RN Case ... HCA Healthcare's Alaska Regional Hospital is known for our expertise, compassion and skills. We are ...
RN Case Manager
Anchorage, AK · On-site
Utilization Review, Care Coordination, Resource Management, and Discharge Planning. The RN Case ... HCA Healthcare's Alaska Regional Hospital is known for our expertise, compassion and skills. We are ...
RN Case Manager
Anchorage, AK · On-site
Utilization Review, Care Coordination, Resource Management, and Discharge Planning. The RN Case ... HCA Healthcare's Alaska Regional Hospital is known for our expertise, compassion and skills. We are ...
RN Case Manager
Anchorage, AK · On-site
Utilization Review, Care Coordination, Resource Management, and Discharge Planning. The RN Case ... HCA Healthcare's Alaska Regional Hospital is known for our expertise, compassion and skills. We are ...
RN Case Manager PRN
Atlantis, FL · On-site
Certification in case management or utilization review preferred * InterQual experience preferred Benefits HCA Florida JFK Hospital, offers a total rewards package that supports the health, life ...
RN Case Manager PRN
Atlantis, FL · On-site
Certification in case management or utilization review preferred * InterQual experience preferred Benefits HCA Florida JFK Hospital, offers a total rewards package that supports the health, life ...
Hca Utilization Review information
See salary details
$21.39 - $25.72
2% of jobs
$25.72 - $30.05
9% of jobs
$33.01 is the 25th percentile. Wages below this are outliers.
$30.05 - $34.38
21% of jobs
The median wage is $37.88 / hr.
$34.38 - $38.70
23% of jobs
$38.70 - $43.03
13% of jobs
$46.39 is the 75th percentile. Wages above this are outliers.
$43.03 - $47.36
10% of jobs
$47.36 - $51.68
8% of jobs
$51.68 - $56.01
5% of jobs
$56.01 - $60.34
5% of jobs
$60.34 - $64.66
2% of jobs
$64.66 - $68.99
2% of jobs
$21
$42
$68
How much do hca utilization review jobs pay per hour?
What is an HCA Utilization Review?
An HCA Utilization Review job involves evaluating medical services to ensure they are necessary, cost-effective, and meet quality standards. Professionals in this role review patient records, coordinate with healthcare providers, and ensure treatments align with insurance guidelines and hospital policies. They play a key role in optimizing resource utilization, preventing unnecessary procedures, and ensuring compliance with regulations. Strong analytical skills and knowledge of medical terminology are essential for success in this position.
What are the key skills and qualifications needed for an HCA Utilization Review?
To thrive as a HCA Utilization Review professional, you need a solid foundation in medical terminology, clinical assessment, and insurance guidelines, often supported by a healthcare-related degree or nursing license. Familiarity with utilization review software, electronic health records (EHR) systems, and certifications like CCM (Certified Case Manager) are highly beneficial. Excellent analytical thinking, attention to detail, and strong communication skills help you effectively evaluate patient records and collaborate with providers. These competencies are key to ensuring appropriate care utilization, supporting cost-effective treatment decisions, and maintaining regulatory compliance.
What does an HCA Utilization Review do?
In HCA Utilization Review, your day usually involves reviewing patient medical records, assessing the necessity and appropriateness of proposed treatments, and communicating decisions to physicians and case managers. You may also participate in interdisciplinary meetings, liaise with insurance providers for authorization, and document your findings in healthcare management systems. The role is collaborative, requiring you to interact with diverse medical and administrative teams to align patient care with policy guidelines. This blend of independent evaluation and team collaboration makes each day varied and impactful for patient outcomes.

Other
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 7 days ago
HCA Florida Healthcare rating
6.3
Based on 480 frontline employees who took The Breakroom Quiz
668th of 887 rated healthcare providers
Job description
Strong staffing Support when it matters most. Technology and tools that streamline patient monitoring and communication to help you work more efficiently. Robust supply chains to keep you fully equipped. Ongoing clinical education to improve your skills. As a Registered Nurse at HCA Florida Lake Monroe Hospital, you’ll have all the staffing support, technology and resources you need to deliver safe, high-quality care—so you can focus on what you do best.
Job Summary and QualificationsAs a Case Manager, your role will be to support patients and families through every step of their care journey. You will coordinate services, connect resources, and develop care plans that reflect each patient’s unique needs. By partnering with physicians, nurses, and department leaders, you will help ensure safe transitions, clear communication, and consistent quality across the continuum of care.
Your responsibilities will include:
- Guiding patients and families through program orientation, explaining the rehabilitation philosophy, Medicare and insurance benefits, discharge criteria, and patient rights
- Coordinating education for patients, families, and caregivers to encourage participation in treatment planning, goal discussions, and family conferences
- Developing and implementing individualized treatment plans that reflect the patient’s strengths, needs, and personal recovery goals
- Completing psychosocial assessments and discharge planning evaluations, clearly documenting findings and communicating needs across the care team
- Collaborating closely with the Rehab Program Director, Facility Case Management Director, and interdisciplinary team to ensure seamless, patient-centered care
- Promoting HCA Healthcare’s values of compassion, respect, and excellence through every patient and family interaction
- Licensed as a Registered Nurse in the State of Florida or able to obtain licensure prior to start is required
- 2 years of RN Case Mgmt. experience in an acute care setting is required
- BSN is preferred
- Certification in Case Management, Nursing or Utilization Review is preferred
HCA Florida Lake Monroe Hospital, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
- Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
- Wellbeing support, including free counseling and referral services
- Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
- Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
- Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
- Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location
HCA Florida Lake Monroe Hospital is a 221-bed acute care hospital. We serve the communities of Seminole and West Volusia County. At HCA Healthcare, we are committed to the care and improvement of human life. We are a Level II Trauma Center. We provide the only full-service cardiovascular program. Our program offers open-heart surgery and interventional cardiology. Electrophysiology, cardiac rehabilitation, and comprehensive diagnostic services are also offered by this program. Other services that we provide include orthopedic and spine care, as well as robotic surgery. We offer acute inpatient medical rehabilitation and complete imaging services.
HCA Healthcare has been recognized as one of the World Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expense
"Nurses are essential to the delivery of healthcare and serve as its foundation. At HCA Healthcare, we are committed to equipping nurses with the tools and resources they need to deliver exceptional patient care, championing the profession, and supporting the advancement of nursing’s future."
Erica Rossitto, MBA/HCM, BSN, RN, NEA-BC
Senior Vice President and Chief Nurse Executive
HCA Healthcare
If growth and continued learning is important to you, we encourage you to apply for our Registered Nurse Case Manager PRN opening. Our team will promptly review your application. Highly qualified candidates will be contacted for interviews. Unlock the possibilities 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.
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