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Hca Utilization Review Jobs (NOW HIRING)

Case Management Manager

Aurora, CO · On-site

$87K - $131K/yr

... utilization. Reviews staff assignment, documentation and review of selected patients. When need arises, will perform other duties as assigned by the Director. HCA HealthONE Aurora expects our core ...

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 ...

RN Case Manager PRN

Denver, CO · On-site

$40.35 - $58.87/hr

Certification in case management or utilization review preferred * Experience: Three years ... HCA HealthONE, one of the largest and most comprehensive healthcare systems in the Rocky Mountain ...

RN Case Manager PRN

Denver, CO · On-site

$40.35 - $58.87/hr

Certification in case management or utilization review preferred * Experience: Three years ... HCA HealthONE, one of the largest and most comprehensive healthcare systems in the Rocky Mountain ...

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Hca Utilization Review information

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$42

$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.

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Re-posted 7 days ago


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

As a RN Case Manager PRN, your voice to influence patient care is valued and empowered at every turn –whether through open, collaborative relationships with your direct manager or more formal opportunities through hospital councils and national nursing initiatives. You'll help shape decisions that elevate both patient outcomes and the future of nursing.

Job Summary and Qualifications

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 
  • InterQual experience preferred 
Benefits

HCA Florida JFK 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.

"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

HCA Florida JFK Hospital was named in honor of our 35th president. We have grown and have four Palm Beach County locations. Our main campus is a 558-bed acute care facility. We are known for services including: emergency services, cardiovascular care, neurosciences and robotic surgery. We offer orthopedic and spine care, bariatrics, behavioral health and obstetrics. HCA Florida JFK Hospital is a Joint Commission certified Primary Stroke Center. We are a certified Ventricular Assist Device program. We are an American College of Cardiology Chest Pain Center. Our hospital is an American College of Surgeons Commission on Cancer accredited Comprehensive Community Cancer Program. We offer two off-site ERs in Palm Beach Gardens and West Boynton Beach. They provide the same emergency treatment for adults and children. We are located in the city of Atlantis. We are near the coastal cities of Lake Worth and Boynton Beach. We are by the beach, restaurants and shopping. There is something for everybody. We invite you to join a dynamic team of clinical professionals in a fast-paced environment while living in Palm Beach County.

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.

If this opportunity is your next step in your career path, we encourage you to apply for our RN Case Manager PRN opening. We review all applications. Qualified candidates will be contacted by a member of our team. We are interviewing, 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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