Certification in case management or utilization review preferred InterQual experience preferred Benefits HCA Florida Lawnwood 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 Lawnwood Hospital, offers a total rewards package that supports the health, life ...
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 ...
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 ...
At HCA Florida Lawnwood Hospital, you come first. HCA Healthcare has committed up to $300 million ... Performs utilization review as assigned. * Helps with Process and Quality Improvement initiatives.
At HCA Florida Lawnwood Hospital, you come first. HCA Healthcare has committed up to $300 million ... Performs utilization review as assigned. * Helps with Process and Quality Improvement initiatives.
At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like ... Performs utilization review as assigned. * Helps with Process and Quality Improvement initiatives.
At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like ... Performs utilization review as assigned. * Helps with Process and Quality Improvement initiatives.
Registered Nurse Case Manager
Ocala, FL · On-site
Certification in Case Management or Utilization Review preferred * No Travel Required * No experience Required Years of Experience Benefits HCA Florida Ocala Hospital, offers a total rewards package ...
Registered Nurse Case Manager
Ocala, FL · On-site
Certification in Case Management or Utilization Review preferred * No Travel Required * No experience Required Years of Experience Benefits HCA Florida Ocala Hospital, offers a total rewards package ...
Registered Nurse Case Manager
Margate, FL · On-site
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 ...
Registered Nurse Case Manager
Margate, FL · On-site
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 ...
Case Manager RN
Brooksville, FL · On-site
You will promote cost effectiveness through the integration of case management, utilization review ... Benefits HCA Florida Oak Hill Hospital, offers a total rewards package that supports the health ...
Case Manager RN
Brooksville, FL · On-site
You will promote cost effectiveness through the integration of case management, utilization review ... Benefits HCA Florida Oak Hill Hospital, offers a total rewards package that supports the health ...
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.
... and Utilization Review Physicians) Individuals without CPHQ or ABQUARP will be granted a 12 month ... HCA Healthcare has been named one of the World's Most Ethical Companies by Ethisphere Institute for ...
... and Utilization Review Physicians) Individuals without CPHQ or ABQUARP will be granted a 12 month ... HCA Healthcare has been named one of the World's Most Ethical Companies by Ethisphere Institute for ...
Certification in case management or utilization review preferred * InterQual experience preferred Benefits HCA Florida Westside 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 Westside Hospital, offers a total rewards package that supports the health, life ...
HCA Healthcare has committed up to $300 million in programs to support our incredible team members ... Performs utilization review as assigned. * Helps with Process and Quality Improvement initiatives.
HCA Healthcare has committed up to $300 million in programs to support our incredible team members ... Performs utilization review as assigned. * Helps with Process and Quality Improvement initiatives.
At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like ... Performs utilization review as assigned. * Helps with Process and Quality Improvement initiatives.
At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like ... Performs utilization review as assigned. * Helps with Process and Quality Improvement initiatives.
Registered Nurse Case Manager
Socorro, TX · On-site
Performs concurrent and retrospective review of patient medical records for purposes of utilization ... Promoting HCA Healthcare's values of compassion, respect, and excellence through every patient and ...
Registered Nurse Case Manager
Socorro, TX · On-site
Performs concurrent and retrospective review of patient medical records for purposes of utilization ... Promoting HCA Healthcare's values of compassion, respect, and excellence through every patient and ...
Performs concurrent and retrospective review of patient medical records for purposes of utilization ... Promoting HCA Healthcare's values of compassion, respect, and excellence through every patient and ...
Performs concurrent and retrospective review of patient medical records for purposes of utilization ... Promoting HCA Healthcare's values of compassion, respect, and excellence through every patient and ...
Performs concurrent and retrospective review of patient medical records for purposes of utilization ... Promoting HCA Healthcare's values of compassion, respect, and excellence through every patient and ...
Performs concurrent and retrospective review of patient medical records for purposes of utilization ... Promoting HCA Healthcare's values of compassion, respect, and excellence through every patient and ...
Registered Nurse Case Manager
Socorro, TX · On-site
Performs concurrent and retrospective review of patient medical records for purposes of utilization ... Promoting HCA Healthcare's values of compassion, respect, and excellence through every patient and ...
Registered Nurse Case Manager
Socorro, TX · On-site
Performs concurrent and retrospective review of patient medical records for purposes of utilization ... Promoting HCA Healthcare's values of compassion, respect, and excellence through every patient and ...
HCA Healthcare has committed up to $300 million in programs to support our incredible team members ... Performs utilization review as assigned. * Helps with Process and Quality Improvement initiatives.
HCA Healthcare has committed up to $300 million in programs to support our incredible team members ... Performs utilization review as assigned. * Helps with Process and Quality Improvement initiatives.
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 job?
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 to thrive in the Hca Utilization Review position, and why are they important?
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 a typical day look like for someone working in HCA Utilization Review?
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
Posted 11 days ago
Key responsibilities
Guide patients and families through program orientation, explaining rehabilitation philosophy, Medicare and insurance benefits, discharge criteria, and patient rights.
Coordinate education for patients, families, and caregivers to encourage participation in treatment planning, goal discussions, and family conferences.
Develop and implement individualized treatment plans that reflect the patient's strengths, needs, and personal recovery goals.
HCA Florida Healthcare rating
6.2
Based on 468 frontline employees who took The Breakroom Quiz
692nd of 877 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 Lawnwood 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
- RN with current state licensure; BSN preferred
- Three years’ clinical, hospital nursing experience required with preference given to those with 2 years of case management experience or 2 years of critical care experience
- Certification in case management or utilization review preferred InterQual experience preferred
HCA Florida Lawnwood 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 Lawnwood Hospital is a 380-bed acute-care hospital. Offering a full range of services. We are home to the most experienced Heart Institute on the Treasure Coast. Lawnwood Hospital provides interventional and therapeutic care, including open-heart surgery. Other hospital services include labor/delivery, pediatrics, orthopedics, oncology, nuclear medicine, adult and pediatric emergency services, and diagnostic services. We also offer inpatient, and outpatient surgical services.
Lawnwood Hospital is a designated Certified Primary Stroke Center. The Physical Rehabilitation Center is CARF accredited. We are a Level II Trauma Center. We are verified by the American College of Surgeons. We offer a freestanding ER in Vero Beach. We provide emergency treatment for adults and children. We also offer the area’s only Level III Neonatal and Pediatric Intensive Care Units. At HCA Florida Lawnwood Hospital patients come first – no matter what! We invite you to work in a fast-paced environment while enjoying a vibrant, laid-back quality of life.
HCA Healthcare has been recognized as one of the World’s 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 expenses.
"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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