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

Nurse Case Manager (RN)

Naples, FL · On-site

$59K - $83K/yr

Nurse Case Manager (RN). Nurses with experience in any of the following areas are strongly ... Utilization Review. * Shift(s) available: day shift * Job types available: full time, part time, ...

Nurse Case Manager (RN)

Clearwater, FL · On-site

$59K - $83K/yr

Nurse Case Manager (RN). Nurses with experience in any of the following areas are strongly ... Utilization Review. * Shift(s) available: day shift * Job types available: full time, part time, ...

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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 Jul 11, 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:
Infographic showing various Part Time Utilization Review Rn job openings in Florida as of July 2026, with employment types broken down into 1% As Needed, 62% Full Time, 35% Part Time, 1% Temporary, and 1% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $65,722 per year, or $31.6 per hour.
Hybrid, Per-diem Utilization Review RN

Hybrid, Per-diem Utilization Review RN

Trinity Health

Fort Lauderdale, FL • On-site

Part-time

Retirement

Posted 19 days ago


Trinity Health rating

6.5

Company rating: 6.5 out of 10

Based on 352 frontline employees who took The Breakroom Quiz

599th of 881 rated healthcare providers


Job description

Employment Type:
Part timeShift:
Description:
The Utilization Review (UR) Nurse has well-developed knowledge and skills in areas of utilization management (UM), medical necessity, and patient status determination. This individual supports the department by developing and/or
maintaining effective and efficient processes for determining the appropriate admission status based on the regulatory and reimbursement requirements of various commercial and government payers.
***Hybrid Position***
Position Purpose: Utilization Review (UR) Nurses play a vital role in healthcare by making sure that patients receive appropriate care while managing healthcare costs effectively. They assess patient care plans and medical records to verify the necessity and effectiveness of the treatments being proposed or provided.
What you will do:
*Reviews hospital admissions to ensure appropriate admission status in accordance with MCG/InterQual criteria and to assure that the physician admits patient under the guidelines of the Managed Care Companies thus facilitating the authorizations.
*Monitors on an on-going basis case assignment for Managed Care Companies authorization of hospital stay.
*Reviews urgent cases authorized for one day within 24 hours of admission. Reviews concurrent cases and discharge plans in timeframes determined in the review process with external entities.
*Provides clinical data as part of the telephonic or electronic review process to external parties (as required) to ensure continued stay authorizations.
*Coordinates Physician Advisor referrals with there are concerns regarding meeting level of care criteria (utilizing Indicia/InterQual). Reviews PA referrals with department manager as needed.
*Ensure Observation services begin when care is initiated in accordance with the physician's order for patients placed in observation, from the ED or as directed admit. This time will be identified by the time the order for Observation is written by the attending physician. Extended Recovery services begin after an ambulatory surgery patient arrives on the unit after the routine period ends.
Minimum Qualifications:
* Graduate of an accredited school of professional nursing.
Licensure/Certification
* Licensed RN in the State of Florida is required.
* Bachelor of Nursing is preferred. (BSN)
Ministry/Facility Information:
  • Holy Cross Hospital in Fort Lauderdale, Florida is a full-service, non-profit Catholic hospital, sponsored by the sisters of Mercy and a member of Trinity Health.
  • We are committed to providing compassionate and holistic person-centered care.
  • We are the only Catholic hospital in Broward and Palm Beach counties and are not for profit. We are part of Trinity Health, one of the largest multi-institutional Catholic health care delivery systems in the nation. Together, we serve people and communities in 21 states from coast to coast, providing nearly 2.8 million visits annually.
  • Comprehensive benefits that start on your first day of work
  • Retirement savings program with employer matching

Legal Info
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

What Trinity Health employees say

Pay

Benefits

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Workplace

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About Trinity Health

Sourced by ZipRecruiter

Trinity Health Ann Arbor is a 537 -bed teaching hospital located on 340 acre campus. Recognized by IBM Watson as a Top 100 Hospital and #1 Teaching Hospital, Trinity Health Ann Arbor has been a leading health care provider for more than 100 years. Trinity Health has received numerous local and national awards in recognition of our leadership, quality outcomes, and clinical excellence.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Livonia, MI, US