Utilization Review Nurse
$28.85 - $31.25/hr
Provide outpatient or pharmacy services utilization review Qualifications * Current Florida RN License * 3+ years in recent medical/surgical or critical care experience * 3+ years of Utilization ...
Utilization Review Nurse
$28.85 - $31.25/hr
Provide outpatient or pharmacy services utilization review Qualifications * Current Florida RN License * 3+ years in recent medical/surgical or critical care experience * 3+ years of Utilization ...
Under the direction and oversight of the Nurse Supervisor Utilization Review, the Intermediate Care Utilization Review Nurse is responsible for coordination of services for members of Florida Health ...
Under the direction and oversight of the Nurse Supervisor Utilization Review, the Intermediate Care Utilization Review Nurse is responsible for coordination of services for members of Florida Health ...
Under the direction and oversight of the Nurse Supervisor Utilization Review, the Intermediate Care Utilization Review Nurse is responsible for coordination of services for members of Florida Health ...
Under the direction and oversight of the Nurse Supervisor Utilization Review, the Intermediate Care Utilization Review Nurse is responsible for coordination of services for members of Florida Health ...
Under the direction and oversight of the Nurse Supervisor Utilization Review, the Intermediate Care Utilization Review Nurse is responsible for coordination of services for members of Florida Health ...
Under the direction and oversight of the Nurse Supervisor Utilization Review, the Intermediate Care Utilization Review Nurse is responsible for coordination of services for members of Florida Health ...
Utilization Review Nurse
Tampa, FL · On-site
$29 - $30/hr
You, as the Nurse Reviewer will be held responsible for the comprehensive review of the medical ... Utilization Review/Management, HEDIS, Chart Auditing, Medical Record Reviews] Additional ...
Utilization Review Nurse
Tampa, FL · On-site
$29 - $30/hr
You, as the Nurse Reviewer will be held responsible for the comprehensive review of the medical ... Utilization Review/Management, HEDIS, Chart Auditing, Medical Record Reviews] Additional ...
HEDIS Utilization Review Nurse
Winter Haven, FL · On-site
$26.50 - $35/hr
HEDIS Utilization Review Nurse Reports to: Director of Managed Care FLSA Status: Exempt Personnel Supervised: None POSITION SUMMARY: The HEDIS Utilization Review Specialist is responsible for ...
HEDIS Utilization Review Nurse
Winter Haven, FL · On-site
$26.50 - $35/hr
HEDIS Utilization Review Nurse Reports to: Director of Managed Care FLSA Status: Exempt Personnel Supervised: None POSITION SUMMARY: The HEDIS Utilization Review Specialist is responsible for ...
HEDIS Utilization Review Nurse
$26.50 - $35/hr
HEDIS Utilization Review Nurse Reports to: Director of Managed Care FLSA Status: Exempt Personnel Supervised: None POSITION SUMMARY: The HEDIS Utilization Review Specialist is responsible for ...
HEDIS Utilization Review Nurse
$26.50 - $35/hr
HEDIS Utilization Review Nurse Reports to: Director of Managed Care FLSA Status: Exempt Personnel Supervised: None POSITION SUMMARY: The HEDIS Utilization Review Specialist is responsible for ...
... 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 ...
... 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 ...
Nurse Utilization Review Supervisor
Miami, FL · On-site +1
The University of Miami has a great opportunity for a Nurse Utilization Review Supervisor to work at UTower. POSITION SUMMARY: This position functions as the Supervisor for the Case Management ...
Nurse Utilization Review Supervisor
Miami, FL · On-site +1
The University of Miami has a great opportunity for a Nurse Utilization Review Supervisor to work at UTower. POSITION SUMMARY: This position functions as the Supervisor for the Case Management ...
The University of Miami has a great opportunity for a Nurse Utilization Review Supervisor to work at UTower. POSITION SUMMARY: This position functions as the Supervisor for the Case Management ...
The University of Miami has a great opportunity for a Nurse Utilization Review Supervisor to work at UTower. POSITION SUMMARY: This position functions as the Supervisor for the Case Management ...
Utilization Review Specialist
Boynton Beach, FL · Hybrid
$65K - $80K/yr
Bachelor's degree from an accredited college or university in social work, mental health, nursing, or a related degree required. Utilization Review Specialist Responsibilities: * Manage and perform ...
Utilization Review Specialist
Boynton Beach, FL · Hybrid
$65K - $80K/yr
Bachelor's degree from an accredited college or university in social work, mental health, nursing, or a related degree required. Utilization Review Specialist Responsibilities: * Manage and perform ...
Utilization Review RN
$30 - $32/hr
Are you an experienced Registered Nurse with Utilization Review or Concurrent Review experience looking for a new opportunity with a prestigious Managed Care Company? Do you want the chance to ...
Utilization Review RN
$30 - $32/hr
Are you an experienced Registered Nurse with Utilization Review or Concurrent Review experience looking for a new opportunity with a prestigious Managed Care Company? Do you want the chance to ...
Utilization Review/Outpatient Care RN
$28 - $32/hr
Utilization Review/Outpatient Care RN Are you an experienced Registered Nurse with Utilization Review experience looking for a new opportunity with a prestigious healthcare company? Do you want the ...
Utilization Review/Outpatient Care RN
$28 - $32/hr
Utilization Review/Outpatient Care RN Are you an experienced Registered Nurse with Utilization Review experience looking for a new opportunity with a prestigious healthcare company? Do you want the ...
The Utilization Review Specialist Senior responsibilities include: * Functions as the primary ... Preferred experience includes Critical Care or Emergency Nursing RN. Position details: * Location:
The Utilization Review Specialist Senior responsibilities include: * Functions as the primary ... Preferred experience includes Critical Care or Emergency Nursing RN. Position details: * Location:
The Utilization Review Specialist Senior responsibilities include: * Functions as the primary ... Preferred experience includes Critical Care or Emergency Nursing RN. Position details: * Location:
The Utilization Review Specialist Senior responsibilities include: * Functions as the primary ... Preferred experience includes Critical Care or Emergency Nursing RN. Position details: * Location:
Three (3) years of utilization review, case management, or third-party payer experience. Qualifications * Active Registered Nurse (RN) license with 3+ years of experience in utilization review or ...
Three (3) years of utilization review, case management, or third-party payer experience. Qualifications * Active Registered Nurse (RN) license with 3+ years of experience in utilization review or ...
Three (3) years of utilization review, case management, or third-party payer experience. Qualifications * Active Registered Nurse (RN) license with 3+ years of experience in utilization review or ...
Three (3) years of utilization review, case management, or third-party payer experience. Qualifications * Active Registered Nurse (RN) license with 3+ years of experience in utilization review or ...
Utilization Management Rn - Remote
Miami, FL · Remote
$35 - $39/hr
Review approximately 20 cases a day for medical necessity. * Advocate for and protect members from ... nurses to assist each other and complete cases. Qualifications: * 3+ years of utilization ...
New
Utilization Management Rn - Remote
Miami, FL · Remote
$35 - $39/hr
Review approximately 20 cases a day for medical necessity. * Advocate for and protect members from ... nurses to assist each other and complete cases. Qualifications: * 3+ years of utilization ...
New
Physician Reviewer - Utilization Management
Orlando, FL · Remote
$211.20K/yr
We're hiring a Physician Reviewer to join our Utilization Management team. Oscar is the first ... Receive and review escalated reviews. * Conduct timely peer-to-peer discussions with treating ...
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Physician Reviewer - Utilization Management
Orlando, FL · Remote
$211.20K/yr
We're hiring a Physician Reviewer to join our Utilization Management team. Oscar is the first ... Receive and review escalated reviews. * Conduct timely peer-to-peer discussions with treating ...
Perform onsite review of emergent/urgent and continued stay requests for appropriate care and ... To start with this is a must! -Knowledge of utilization management principles and healthcare ...
Perform onsite review of emergent/urgent and continued stay requests for appropriate care and ... To start with this is a must! -Knowledge of utilization management principles and healthcare ...
Night Utilization Review Nurse information
See Florida salary details
$15.99 - $19.22
2% of jobs
$19.22 - $22.45
9% of jobs
$24.67 is the 25th percentile. Wages below this are outliers.
$22.45 - $25.69
21% of jobs
The median wage is $28.31 / hr.
$25.69 - $28.92
23% of jobs
$28.92 - $32.16
13% of jobs
$34.67 is the 75th percentile. Wages above this are outliers.
$32.16 - $35.39
10% of jobs
$35.39 - $38.62
8% of jobs
$38.62 - $41.86
5% of jobs
$41.86 - $45.09
5% of jobs
$45.09 - $48.32
2% of jobs
$48.32 - $51.56
2% of jobs
$15
$31
$51
How much do night utilization review nurse jobs pay per hour?
As of May 28, 2026, the average hourly pay for night utilization review nurse 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 key skills and qualifications needed to thrive as a Night Utilization Review Nurse, and why are they important?
To thrive as a Night Utilization Review Nurse, you need a valid RN license, strong clinical assessment skills, and a deep understanding of medical necessity criteria and insurance guidelines. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of regulatory frameworks such as Medicare and Medicaid are essential. Excellent critical thinking, attention to detail, and effective written communication enable you to make sound decisions and coordinate care after hours. These skills ensure appropriate healthcare utilization, compliance, and optimal patient outcomes during nighttime operations.
What are some common challenges faced by Night Utilization Review Nurses, and how can they be managed?
Night Utilization Review Nurses often contend with limited immediate access to on-site providers and ancillary departments, requiring strong independent decision-making and resourcefulness. Communication can be more challenging during night shifts, so effective documentation and timely escalation protocols are crucial. Nurses in this role can manage these challenges by leveraging electronic medical records, maintaining clear communication with the on-call team, and staying organized with case prioritization to ensure timely reviews and authorizations, even when support resources are less available.
What is a Night Utilization Review Nurse?
A Night Utilization Review Nurse is a registered nurse who works overnight shifts to assess the necessity, appropriateness, and efficiency of healthcare services provided to patients. They review medical records, treatment plans, and patient data to ensure that care meets established guidelines and regulatory standards. Their work helps healthcare facilities manage costs, comply with insurance requirements, and maintain high-quality patient care during nighttime hours. These nurses often collaborate with physicians, case managers, and insurance companies to determine whether hospital stays and treatments are medically necessary.
What are the most commonly searched types of Utilization Review Nurse jobs in Florida? The most popular types of Utilization Review Nurse jobs in Florida are:
What are popular job titles related to Night Utilization Review Nurse jobs in Florida? For Night Utilization Review Nurse jobs in Florida, the most frequently searched job titles are:
- Medical Claim Review Nurse
- Remote Medical Record Review Nurse
- Flexible Cvs Utilization Management Nurse
- Appeals Nurse Remote
- Independent Contractor Remote Utilization Management Nurse
- Utilization Management Nurse Consultant
- Remote Prior Authorization Nurse
- Remote Chart Review Nurse
- Per Diem Utilization Review Nurse
- Per Diem Remote Chart Review Nurse
What job categories do people searching Night Utilization Review Nurse jobs in Florida look for? The top searched job categories for Night Utilization Review Nurse jobs in Florida are:
- Online Utilization Review
- International Utilization Review Nurse
- Remote Aetna Utilization Review
- Anthem Utilization Review Nurse
- Remote Lpn Utilization Review
- Contract International Utilization Review Nurse
- Remote Cigna Utilization Review Nurse
- Volunteer Aetna Utilization Review Nurse
- Remote International Utilization Review Nurse
- Lpn Utilization Review
What cities in Florida are hiring for Night Utilization Review Nurse jobs? Cities in Florida with the most Night Utilization Review Nurse job openings:
$28.85 - $31.25/hr
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 23 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
- Conducts pre-admission, concurrent and retrospective acute care, sub-acute, hospice, qualification of transitional care and long-term care needs for medical necessity
- Perform case reviews and complete all required documentation in appropriate database
- Collaborate with primary or attending physician, case managers, patient and/or family to provide continuity and quality of care in the most cost-effective manner.
- Timely completion of admission reviews (within 48-hours for weekday, 72-hours for weekend)
- Provide outpatient or pharmacy services utilization review
Qualifications
- Current Florida RN License
- 3+ years in recent medical/surgical or critical care experience
- 3+ years of Utilization Review / Case Management experience
- Strong reasoning ability: define problems, collect data, establish facts, and draw conclusions
Additional Information
 Hours for this Position:
- M-F 8-5
Advantages of this Opportunity:
Competitive salaryÂ
- $28.85/hr - $31.25/hr pending experience
- Excellent Medical benefits Offered, Medical, Dental, Vision, 401k, and PTO
- Growth potential
- Fun and positive work environment
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