ZipRecruiter

Log In

1

Insurance Utilization Review Jobs in Florida (NOW HIRING)

UHS

PT UTILIZATION REVIEW COORDINATOR

Jacksonville, FL · On-site

PT Utilization Review Coordinator, including weekends $26-$37 This position is responsible for ... and insurance offering, a physician network and various related services located all over the ...

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.

Acadia Healthcare

Utilization Specialist

Ocklawaha, FL · On-site

$20 - $24/hr

The UR specialist proactively monitors utilization of services for patients to optimize ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...

Florida Blue

Concurrent Review Nurse

Jacksonville, FL · On-site

$71K - $115K/yr

Utilization Review/Management General Physical Demands * Exerting up to 10 pounds of force ... Income protection benefits: life insurance, short- and long-term disability programs * Leave ...

previous pagenext page

Showing results 21-40

All JobsInsurance Utilization Review JobsInsurance Utilization Review Jobs in Florida

Insurance Utilization Review information

See Florida salary details

$15

$31

$51

How much do insurance utilization review jobs pay per hour?

As of Aug 8, 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 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.

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 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 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 August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 19% Part Time, 1% Temporary, 4% Contract, and 1% Nights. Highlights an 89% Physical, 2% Hybrid, and 9% Remote job distribution, with an average salary of $65,722 per year, or $31.6 per hour.

Utilization Review Registered Nurse

Healthcare Support Staffing

Sunrise, FL

Full-time

Re-posted 19 days ago

Job description

Company Description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

Our expanding managed care company is seeking RNs for positions in concurrent review and prior authorizations for our Sunrise office. This is a M-F daytime (no holidays/no weekends) fulltime position. This position is specific to managed care case management and is an excellent opportunity to start a career with one of the country's leading HMO's. Prior Authorizations Nurse responsibilities include speaking with providers and handling authorizations for surgery and medical services.

Concurrent Review Nurse responsibilities include reviewing inpatient admissions to determine if patients meet criteria to be in the hospital.

Salary dependent upon experience -- typical range 60K-72K


Qualifications

*MUST be Florida-licensed Registered Nurse and live in Broward or Dade counties

*5 years minimum nursing experience

*Must have 2 years minimum experience in at least one of the following: utilization review from another managed care company; experience in a medical setting handling coordinating with insurance companies in obtaining prior authorizations; and/or experience working as a concurrent review nurse for a hospital *Strong computer and communication skills

*InterQual experience strongly preferred

*Understanding of Medicare and Medicaid guidelines preferred


Additional Information

-Salary range 60K-72K

-Excellent opportunity to begin a career with one of Florida's leading health plans with excellent benefits

Healthcare Support logo

About Healthcare Support

Sourced by ZipRecruiter

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Maitland, FL, US

Year founded

2003

Social media

FacebookTwitter

View All Healthcare Support Jobs

Apply