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Part Time Utilization Management Nurse Jobs in Florida

UHS

PT UTILIZATION REVIEW COORDINATOR

Jacksonville, FL · On-site

Qualifications Registered Nurse, LPN or Master's level Social Worker with experience in Utilization Management, preferred. Good communication (verbal and written) skills are essential. Able to work ...

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All JobsUtilization Management Nurse JobsPart Time Utilization Management Nurse JobsPart Time Utilization Management Nurse Jobs in Florida

Part Time Utilization Management Nurse information

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$29.1K

$66.9K

$121.8K

How much do part time utilization management nurse jobs pay per year?

As of Aug 13, 2026, the average yearly pay for part time utilization management nurse in Florida is $66,870.00, according to ZipRecruiter salary data. Most workers in this role earn between $48,200.00 and $78,100.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in the part time utilization management nurse position?

A Part Time Utilization Management Nurse needs an active RN license, strong clinical assessment abilities, and a solid understanding of medical necessity criteria. Familiarity with utilization review software, medical coding, and knowledge of insurance guidelines or programs such as InterQual or Milliman is often required. Excellent critical thinking, attention to detail, and professional communication skills help nurses collaborate effectively with providers and payers. These competencies ensure appropriate care delivery, resource management, and compliance with healthcare regulations in a dynamic environment.

What is a part time utilization management nurse?

A Part Time Utilization Management Nurse evaluates the medical necessity, efficiency, and appropriateness of healthcare services for patients. They review patient records, collaborate with healthcare providers, and ensure treatments align with clinical guidelines and insurance policies. Working part-time, they may focus on prior authorizations, case reviews, or appeals. This role helps optimize resource use while ensuring quality patient care and compliance with regulations.

What are the typical responsibilities of a part time utilization management nurse?

As a Part Time Utilization Management Nurse, you are responsible for reviewing patient records, assessing medical necessity, and determining the appropriateness of hospital admissions or continued stays according to established guidelines. You’ll routinely interact with physicians, case managers, and insurance representatives to advocate for patients and ensure cost-effective care. Your weekly duties may involve detailed documentation, participation in interdisciplinary meetings, and responding to authorization requests in a timely manner. By balancing clinical judgment with regulatory requirements, you play a key role in optimizing patient outcomes while managing healthcare resources efficiently.

What are the most commonly searched types of Utilization Management Nurse jobs in Florida?

The most popular types of Utilization Management Nurse jobs in Florida are:

What are popular job titles related to Part Time Utilization Management Nurse jobs in Florida?

For Part Time Utilization Management Nurse jobs in Florida, the most frequently searched job titles are:

What job categories do people searching Part Time Utilization Management Nurse jobs in Florida look for?

The top searched job categories for Part Time Utilization Management Nurse jobs in Florida are:

What cities in Florida are hiring for Part Time Utilization Management Nurse jobs?

Cities in Florida with the most Part Time Utilization Management Nurse job openings:

Part Time Utilization Management Nurse jobs near you
Infographic showing various Part Time Utilization Management Nurse job openings in Florida as of August 2026, with employment types broken down into 100% Part Time. Highlights an 95% In-person, and 5% Remote job distribution, with an average salary of $66,870 per year, or $32.1 per hour.

RN, Utilization Management | Utilization Management| Night | Part Time

UF Health

Gainesville, FL • On-site

Part-time

Re-posted 23 days ago

Job description

Overview

Make an impact by supporting the right care at the right time through utilization management excellence. 

???? Work Style: Onsite
???? Location: Gainesville, FL 
???? FTE:  Part-Time (.6 FTE)
⏰ Schedule: Wednesday – Thursday - 7:00 PM – 7:00 AM

Plays a critical role in evaluating patient medical records to ensure the necessity and appropriateness of healthcare services. Involves coordinating with healthcare providers to maintain compliance with utilization management guidelines and optimizing treatment plans for effective patient care and resource utilization. Requires clear communication of authorization decisions and ongoing monitoring to support timely discharge planning. Analyzes utilization data to identify trends and collaborates with interdisciplinary teams to enhance care coordination while ensuring accurate documentation and regulatory compliance.


Responsibilities
Key Responsibilities
  • Evaluates patient medical records to determine the medical necessity and appropriateness of healthcare services.
  • Coordinates with healthcare providers and care teams to ensure compliance with utilization management guidelines and payer requirements.
  • Supports effective treatment planning, patient care coordination, and appropriate resource utilization.
  • Communicates authorization decisions and utilization determinations while supporting timely discharge planning efforts.
  • Analyzes utilization management data and trends to identify opportunities for improved care coordination and operational efficiency.
  • Collaborates with interdisciplinary teams to ensure accurate documentation, regulatory compliance, and quality patient outcomes.

Qualifications
Education & Licensure
  • Registered Nurse (RN) with a current Florida nursing license required.
Experience & Skills
  • Minimum of three (3) years of experience in utilization review, utilization management, or case management required.
  • Knowledge of healthcare utilization guidelines, payer requirements, and regulatory compliance standards.
  • Experience evaluating medical necessity, treatment plans, and appropriate levels of care.
  • Strong communication and collaboration skills related to authorization determinations and care coordination.
  • Demonstrated ability to analyze utilization data, identify trends, and support patient care and discharge planning initiatives.

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