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Part Time Utilization Review Rn Jobs in Florida (NOW HIRING)

... utilization review and management, and discharge planning. Essential Functions Care Coordination ... Graduate of an accredited program required for RN. BSN preferred; or MSW/BSW with licensure as ...

RN Part-Time

Fort Myers, FL · On-site

$40 - $45/hr

Registered Nurse (RN) - Part-Time Facility: Gateway Post Acute Location: Porterville, CA Employment ... Complete and review nursing documentation, incident reports, and audits * Make rounds with ...

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Part Time Utilization Review Rn information

See Florida salary details

$15

$31

$51

How much do part time utilization review rn jobs pay per hour?

As of Jun 18, 2026, the average hourly pay for part time utilization review rn 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 the difference between Part Time Utilization Review Rn vs Part Time Case Manager Rn?

AspectPart Time Utilization Review RnPart Time Case Manager Rn
CertificationsRN license, Utilization Review certification (if required)RN license, Case Management certification (e.g., CCM)
Work EnvironmentInsurance companies, healthcare organizations, utilization review departmentsHospitals, insurance companies, community health agencies
Primary ResponsibilitiesReview medical necessity, approve or deny services based on criteriaCoordinate patient care, discharge planning, and resource management
Industry UsageCommonly used in insurance and healthcare utilization departmentsUsed in patient care coordination and discharge planning

While both roles require RN licensure, the Part Time Utilization Review Rn focuses on evaluating medical necessity and approving services, whereas the Part Time Case Manager Rn emphasizes coordinating patient care and discharge planning. Understanding these differences helps professionals choose the role that best fits their skills and career goals.

What are some typical challenges faced by Part Time Utilization Review RNs, and how can they be managed?

Part Time Utilization Review RNs often face challenges such as balancing productivity expectations with the complexity of reviewing medical records and ensuring compliance with ever-changing regulations. Working part time can also mean adapting quickly to updates in protocols or software with less training time. Staying organized, maintaining strong communication with the care team, and proactively seeking clarification about criteria changes can help manage these challenges. Additionally, leveraging ongoing education and collaborating with full-time colleagues can ease transitions and support effective performance.

What does a Part Time Utilization Review RN do?

A Part Time Utilization Review RN is a registered nurse who works part-time to assess the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They review patient records, collaborate with healthcare providers, and ensure that care meets established guidelines and insurance requirements. Their goal is to promote quality care while managing healthcare costs and ensuring compliance with regulations.

What are the key skills and qualifications needed to thrive as a Part Time Utilization Review RN, and why are they important?

To thrive as a Part Time Utilization Review RN, you need a current RN license, strong clinical judgment, and experience in case management or utilization review. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of insurance guidelines and coding systems like ICD-10 is essential. Attention to detail, critical thinking, and effective communication are vital soft skills for collaborating with healthcare providers and payers. These skills ensure accurate assessments, compliance, and efficient resource use, directly impacting patient outcomes and cost management.
What cities in Florida are hiring for Part Time Utilization Review Rn jobs? Cities in Florida with the most Part Time Utilization Review Rn job openings:
Utilization Review Specialist Senior

Utilization Review Specialist Senior

BayCare Health System

Clearwater, FL • On-site

Part-time

Medical, Dental, Vision, Retirement, PTO

Posted 7 hours ago


BayCare Health System rating

7.5

Company rating: 7.5 out of 10

Based on 384 frontline employees who took The Breakroom Quiz

227th of 873 rated healthcare providers


Job description

At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that's built on a foundation of trust, dignity, respect, responsibility and clinical excellence.
The Utilization Review Specialist Senior responsibilities include:
  • Functions as the primary liaison between the funding agents and all other related parties to ensure appropriate level of care through comprehensive concurrent review for medical necessity of outpatient observation and inpatient stays and the utilization of ancillary services
  • Perform other duties as assigned by the supervisor including but not limited to processing concurrent denials.
  • Preferred experience includes Critical Care or Emergency Nursing RN.

Position details:
  • Location: Hybrid - Morton Plant Hospital/Clearwater, FL
  • Status: Part time, 24 hours per week
  • Schedule: Saturday/Sunday/Monday 8:00 AM - 4:30 PM
  • Weekend Requirement: Every
  • On Call: No

Certifications and Licensures:
  • Required RN (Registered Nurse)
  • Preferred ACM (Case Management)
  • Preferred CCM (Case Manager)

Education:
  • Required Associates in Nursing or
  • Required Bachelors in Nursing
  • Preferred Masters in Nursing or Business

Experience:
  • Required 2 years in Utilization Review or
  • Required 2 years in Case Management or
  • Required 3 years Registered Nurse
  • Preferred experience in Critical Care or Emergency Service

Benefits:
  • Benefits (Health, Dental, Vision)
  • Paid time off
  • Tuition reimbursement
  • 401k match and additional yearly contribution
  • Yearly performance appraisals and team award bonus
  • Community discounts and more

Equal Opportunity Employer Veterans/Disabled

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