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Hca Utilization Review Jobs (NOW HIRING)

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 ...

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Hca Utilization Review information

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$68

How much do hca utilization review jobs pay per hour?

As of Aug 12, 2026, the average hourly pay for hca utilization review in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.

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.

More about Hca Utilization Review jobs
What cities are hiring for Hca Utilization Review jobs? Cities with the most Hca Utilization Review job openings:
What are the most commonly searched types of Hca Utilization Review jobs? The most popular types of Hca Utilization Review jobs are:
What states have the most Hca Utilization Review jobs? States with the most job openings for Hca Utilization Review jobs include:
Infographic showing various Hca Utilization Review job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Case Management Registered Nurse

HCA Florida Brandon Hospital

Pompano Beach, FL • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 2 days ago

New


HCA Florida Healthcare rating

6.3

Company rating: 6.3 out of 10

Based on 480 frontline employees who took The Breakroom Quiz

668th of 887 rated healthcare providers


Job description

Registered Nurse Case Manager

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:

  • 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

What qualifications you will need:

  • 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

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:

  • 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 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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