Certification in case management or utilization review preferred HCA Florida Northwest Hospital offers a total rewards package that supports the health, life, career, and retirement of our colleagues.
New
Certification in case management or utilization review preferred HCA Florida Northwest Hospital offers a total rewards package that supports the health, life, career, and retirement of our colleagues.
New
Certification in case management or utilization review preferred HCA Florida Northwest Hospital offers a total rewards package that supports the health, life, career, and retirement of our colleagues.
New
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 ...
Certification in case management or utilization review preferred HCA Florida Northwest Hospital offers a total rewards package that supports the health, life, career, and retirement of our colleagues.
New
Certification in case management or utilization review preferred HCA Florida Northwest Hospital offers a total rewards package that supports the health, life, career, and retirement of our colleagues.
New
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 ...
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 ...
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 ...
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 ...
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 ...
... utilization review/case management experience and minimum of one (1) year experience in discharge planning in an acute care setting highly desirable * TX RN License required Benefits HCA Houston ...
... utilization review/case management experience and minimum of one (1) year experience in discharge planning in an acute care setting highly desirable * TX RN License required Benefits HCA Houston ...
... nursing Utilization Review Nurse (UR), Discharge Planner, Care Coordinator, Continuum of Core ... HCA Houston Healthcare Southeast is a full-service 340+ bed acute care hospital in Pasadena, Texas.
... nursing Utilization Review Nurse (UR), Discharge Planner, Care Coordinator, Continuum of Core ... HCA Houston Healthcare Southeast is a full-service 340+ bed acute care hospital in Pasadena, Texas.
... utilization review/case management experience and minimum of one (1) year experience in discharge planning in an acute care setting highly desirable * TX RN License required Benefits HCA Houston ...
... utilization review/case management experience and minimum of one (1) year experience in discharge planning in an acute care setting highly desirable * TX RN License required Benefits HCA Houston ...
Chattanooga, TN · On-site
$51.25 - $57.25/hr
... the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team ... Participate in Drug Utilization Review. * Monitor, record and communicate as appropriate utilizing ...
New
Chattanooga, TN · On-site
$51.25 - $57.25/hr
... the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team ... Participate in Drug Utilization Review. * Monitor, record and communicate as appropriate utilizing ...
New
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 ...
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 ...
Gainesville, FL · On-site
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 ...
Gainesville, FL · On-site
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 ...
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 ...
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 ...
Wichita, KS · On-site
Certification in case management or utilization review is preferred * InterQual experience is ... HCA Healthcare has been recognized as one of the World's Most Ethical Companies ® by the ...
New
Wichita, KS · On-site
Certification in case management or utilization review is preferred * InterQual experience is ... HCA Healthcare has been recognized as one of the World's Most Ethical Companies ® by the ...
New
Largo, FL · On-site
HCA Florida Largo Hospital offers a total rewards package that supports the health, life, career ... You will promote cost effectiveness through the integration of case management, utilization review ...
New
Largo, FL · On-site
HCA Florida Largo Hospital offers a total rewards package that supports the health, life, career ... You will promote cost effectiveness through the integration of case management, utilization review ...
New
Myrtle Beach, SC · On-site
Perform utilization review activities and monitor appropriate resource utilization. * Educate ... HCA Healthcare has been recognized as one of the World's Most Ethical Companies ® by the ...
New
Myrtle Beach, SC · On-site
Perform utilization review activities and monitor appropriate resource utilization. * Educate ... HCA Healthcare has been recognized as one of the World's Most Ethical Companies ® by the ...
New
Myrtle Beach, SC · On-site
Perform utilization review activities and monitor appropriate resource utilization. * Educate ... HCA Healthcare has been recognized as one of the World's Most Ethical Companies ® by the ...
New
Myrtle Beach, SC · On-site
Perform utilization review activities and monitor appropriate resource utilization. * Educate ... HCA Healthcare has been recognized as one of the World's Most Ethical Companies ® by the ...
New
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.
$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
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.
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.
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 2 days ago
New
6.3
Based on 480 frontline employees who took The Breakroom Quiz
668th of 887 rated healthcare providers
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 Case Manager at HCA Florida Northwest 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.
As 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:
What qualifications you will need:
HCA Florida Northwest Hospital offers a total rewards package that supports the health, life, career, and retirement of our colleagues. The available plans and programs include:
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location
HCA Florida Northwest Hospital is a 289-bed medical center. Incorporating the latest technology in healthcare drives our results. We have been granted the Gold Seal of Approval™ from the Joint Commission. This proves our commitment to high performance and level of service. We are certified by the Joint Commission as a primary stroke center. We uphold the highest standards in patient care. We also remain an accredited chest pain center by the American College of Cardiology. We handle patients with care and urgency. We are proudly known as a Comprehensive Bariatric Center of Excellence. Our accolades speak for themselves.
We continue growing to meet the needs of the community we serve. We have expanded capabilities in emergency and critical care. Our services go above and beyond. Additional growth includes women's and children's services. We hold the only Level III NICU in northern Broward County. The breadth of our service lines translates to better patient care. This means increased professional opportunities for our colleagues. Join a dynamic team of dedicated healthcare professionals. Explore your growth potential.
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.
Sammie Mosier, DHA, MA, BSN, NE-BC
Senior Vice President and Chief Nursing Executive, HCA Healthcare
If growth and continued learning is important to you, we encourage you to apply for our RN Case Mgr 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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