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Insurance Utilization Review Jobs in Florida (NOW HIRING)

UHS

DIR - UTILIZATION REVIEW / MGMT

Jacksonville, FL · On-site

Responsibilities The Utilization Review Director is responsible for directing and overseeing the ... insurance offering, a physician network and various related services located all over the U.S.

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Insurance Utilization Review information

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$15

$31

$51

How much do insurance utilization review jobs pay per hour?

As of Sep 14, 2026, the average hourly pay for insurance utilization review in Florida is $31.60, according to ZipRecruiter salary data. Most workers in this role earn between $24.95 and $36.30 per hour, depending on experience, location, and employer.

What is an insurance utilization review?

An Insurance Utilization Review job involves evaluating medical treatments and services to determine if they are necessary, appropriate, and covered by a patient's insurance plan. Professionals in this role review medical records, treatment plans, and insurance policies to ensure compliance with guidelines and cost-effectiveness. They work closely with healthcare providers, insurance companies, and patients to facilitate approvals or appeals. The goal is to balance quality patient care with cost containment in the healthcare system.

What are the key skills and qualifications needed to thrive in insurance utilization review?

To thrive in Insurance Utilization Review, you generally need a strong background in healthcare or nursing, an understanding of medical terminology, and analytical thinking skills, often supported by an RN license or relevant clinical experience. Familiarity with utilization management software, coding systems like ICD-10, and knowledge of regulatory requirements (such as Medicare or Medicaid) are important. Strong communication, attention to detail, and problem-solving abilities help professionals excel when interacting with providers and insurers. These skills are essential to ensure appropriate care is authorized while maintaining regulatory compliance and cost-effectiveness.

What are the most common challenges faced by insurance utilization review professionals?

One common challenge in Insurance Utilization Review is balancing the need for cost-effective care with the clinical needs of patients, which often requires careful analysis and decision-making. Professionals in this role frequently navigate complex medical records, strict policy guidelines, and collaborate with healthcare providers who may advocate strongly for particular treatments. Managing challenging conversations while maintaining professionalism and ensuring timely determinations are also a regular part of the role. Developing expertise in these areas can make the job both demanding and rewarding, while building a strong foundation for career growth within healthcare administration.

How do I get into an insurance utilization review?

To become an insurance utilization review specialist, candidates typically need a background in healthcare, nursing, or a related field, along with knowledge of insurance policies and medical terminology. Certification such as the Certified Professional in Healthcare Quality (CPHQ) or similar credentials can enhance job prospects. Relevant skills include attention to detail, analytical thinking, and familiarity with medical records and insurance software systems.

Is insurance utilization review a stressful job?

Insurance utilization review can be stressful due to the need for accuracy, attention to detail, and meeting strict deadlines. Reviewers often handle complex cases and must balance policy guidelines with patient needs, which can contribute to job pressure. However, the level of stress varies depending on workload, work environment, and individual coping skills.

What are the most commonly searched types of Insurance Utilization Review jobs in Florida?

The most popular types of Insurance Utilization Review jobs in Florida are:

What are popular job titles related to Insurance Utilization Review jobs in Florida?

For Insurance Utilization Review jobs in Florida, the most frequently searched job titles are:

What job categories do people searching Insurance Utilization Review jobs in Florida look for?

The top searched job categories for Insurance Utilization Review jobs in Florida are:

What cities in Florida are hiring for Insurance Utilization Review jobs?

Cities in Florida with the most Insurance Utilization Review job openings:

Insurance Utilization Review jobs near you
Infographic showing various Insurance Utilization Review job openings in Florida as of September 2026, with employment types broken down into 1% As Needed, 77% Full Time, 17% Part Time, 4% Contract, and 1% Nights. Highlights an 83% Physical, 1% Hybrid, and 16% Remote job distribution, with an average salary of $65,722 per year, or $31.6 per hour.

RN - Utilization Review

Fort Myers, FL • On-site

Lee Health-Corporate Center
See more jobs at Lee Health-Corporate Centerexternal

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Re-posted 3 days ago

Job description

Utilization Review Rn Travel Job

Job Type: Travel

Profession: RN

Specialty: Utilization Review

Shift Details: Shift 8 HR Days

Job Order Details: Start Date 10/05/2026 End Date 01/02/2027 Duration 13 Week(s)

Client Details: City Fort Myers State FL

Equal Opportunity Employer: MedSource LLC is an equal opportunity employer and does not discriminate against any individual based on race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status. All qualified candidates are encouraged to apply.

Accuracy of Information: MedSource LLC strives to provide accurate and up-to-date job listings, but we do not guarantee the completeness, accuracy, or reliability of the information provided. Job listings are subject to change without notice.

Privacy and Confidentiality: Candidates and clients must adhere to strict confidentiality and privacy standards by the Health Insurance Portability and Accountability Act (HIPAA) and other relevant privacy laws.

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