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 ...
Overnight 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 overnight utilization review nurse jobs pay per hour?
As of May 28, 2026, the average hourly pay for overnight 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 an Overnight Utilization Review Nurse, and why are they important?
To thrive as an Overnight Utilization Review Nurse, you need a solid clinical background, critical thinking skills, and an active RN license, often with experience in case management or utilization review. Familiarity with medical necessity criteria (such as InterQual or MCG), electronic health records (EHRs), and utilization management software is typically required. Excellent written communication, attention to detail, and the ability to work independently during overnight hours are valuable soft skills. These competencies ensure accurate assessment of care appropriateness, regulatory compliance, and efficient coordination between healthcare providers during non-traditional hours.
What are some unique challenges faced by Overnight Utilization Review Nurses, and how can they be managed?
Overnight Utilization Review Nurses often work independently during off-hours, which can present challenges such as limited immediate access to clinical teams and support staff. Managing urgent authorizations and coordinating care with providers who may not be readily available requires strong communication and problem-solving skills. Staying organized and utilizing clear documentation help ensure continuity of care between night and day shifts. Developing proficiency with electronic health record systems and maintaining effective handoff procedures are essential for success in this role.
What does an Overnight Utilization Review Nurse do?
An Overnight Utilization Review Nurse is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services provided to patients during overnight hours. They review medical records, treatment plans, and insurance requirements to ensure that care meets established guidelines and is medically necessary. By working overnight, these nurses help healthcare facilities maintain 24/7 compliance with regulations and facilitate timely patient care decisions. Their role is critical in managing healthcare costs, preventing unnecessary treatments, and ensuring that patients receive appropriate care without delay.
What is the difference between Overnight Utilization Review Nurse vs Utilization Review Nurse?
| Aspect | Overnight Utilization Review Nurse | Utilization Review Nurse |
|---|---|---|
| Certifications | Registered Nurse (RN), possibly case management certification | Registered Nurse (RN), possibly case management certification |
| Work Environment | Night shifts, hospital or insurance setting, remote or onsite | Day shifts, hospital, insurance, or healthcare facility |
| Employer & Industry | Hospitals, insurance companies, healthcare organizations | Hospitals, insurance companies, healthcare organizations |
The main difference is that the Overnight Utilization Review Nurse works primarily during night shifts, focusing on reviewing patient cases overnight, while the Utilization Review Nurse typically works during daytime hours. Both roles require similar credentials and are found in similar settings, but their schedules and shift timings distinguish them.
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 Overnight Utilization Review Nurse jobs in Florida? For Overnight Utilization Review Nurse jobs in Florida, the most frequently searched job titles are:
- Tuesday Through Saturday Evening Utilization Review Nurse
- Quality Review Nurse
- Contract Utilization Review Nurse
- Per Diem Utilization Review Nurse
- Utilization Review Nurse
- Medicare Review Nurse
- Medical Claim Review Nurse
- Evening Optum Health Utilization Review
- Remote Utilization Management
- Remote Utilization Management Nurse
What job categories do people searching Overnight Utilization Review Nurse jobs in Florida look for? The top searched job categories for Overnight Utilization Review Nurse jobs in Florida are:
- Remote Lpn Utilization Review
- Therapy Utilization Review
- Cigna Utilization Review Nurse
- Remote Anthem Utilization Review Nurse
- Work From Home Dental Utilization Review
- Lpn Utilization Review
- Seasonal Remote Utilization Review
- Full Time Cigna Utilization Review Nurse
- Per Diem Optum Utilization Review
- Utilization Review Management
What cities in Florida are hiring for Overnight Utilization Review Nurse jobs? Cities in Florida with the most Overnight 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