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Temporary Utilization Review Nurse Jobs in Boca Raton, FL

The Physician Reviewer is the primary physician reviewer for Utilization Management (UM) cases in ... Nursing Facility (SNF) meetings covering the assigned territories. * Advises other physician ...

The Physician Reviewer is the primary physician reviewer for Utilization Management (UM) cases in ... Nursing Facility (SNF) meetings covering the assigned territories. * Advises other physician ...

Neurology Physician

Miami, FL · On-site

$306K - $382K/yr

The Physician Reviewer is the primary physician reviewer for Utilization Management (UM) cases in ... Nursing Facility (SNF) meetings covering the assigned territories. * Advises other physician ...

Licensed Physician Reviewer

Miami, FL · On-site +1

$204K - $292K/yr

... Nursing Facility (SNF) meetings covering the assigned territories. * Advises other physician ... At least one (1) year of utilization review experience preferred PAY RANGE: $204,761 - $292,515 ...

Licensed Physician Reviewer-3

Miami, FL · On-site +1

$204K - $292K/yr

... Nursing Facility (SNF) meetings covering the assigned territories. * Advises other physician ... At least one (1) year of utilization review experience preferred PAY RANGE: $204,761 - $292,515 ...

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Temporary Utilization Review Nurse information

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How much do temporary utilization review nurse jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for temporary utilization review nurse in Boca Raton, FL is $40.12, according to ZipRecruiter salary data. Most workers in this role earn between $31.73 and $46.06 per hour, depending on experience, location, and employer.

What is a temporary utilization review nurse?

A Temporary Utilization Review Nurse is a registered nurse hired on a short-term basis to assess the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They review patient records, treatment plans, and insurance coverage to ensure that care meets established guidelines and is cost-effective. These nurses often work with hospitals, insurance companies, or healthcare agencies, typically filling in for permanent staff or handling increased workloads. Their goal is to promote quality care while managing healthcare resources responsibly.

How does a temporary utilization review nurse typically collaborate with other healthcare professionals to ensure proper patient care?

A Temporary Utilization Review Nurse works closely with physicians, case managers, and insurance representatives to review patient records and determine the medical necessity of treatments and services. This collaboration often involves attending interdisciplinary meetings, clarifying clinical information, and providing recommendations for care plans. The role requires effective communication skills to facilitate timely approvals and prevent unnecessary delays in patient care, all while maintaining compliance with regulatory standards. Working as part of a team, the nurse helps bridge the gap between clinical staff and administrative requirements, ensuring optimal outcomes for both patients and the organization.

What are the key skills and qualifications needed to thrive as a temporary utilization review nurse, and why are they important?

To thrive as a Temporary Utilization Review Nurse, you need a registered nursing license, strong clinical judgment, and experience in patient care or case management. Familiarity with utilization review software, electronic health records (EHRs), and knowledge of insurance regulations and medical necessity criteria are typically required. Outstanding analytical thinking, attention to detail, and effective communication skills set individuals apart in this position. These skills ensure accurate evaluation of care appropriateness, support compliance, and facilitate collaboration with healthcare providers for optimal patient outcomes.

What is the difference between Temporary Utilization Review Nurse vs Case Manager?

AspectTemporary Utilization Review NurseCase Manager
CredentialsRN license, certification in utilization review (e.g., CURN)RN license, case management certification (e.g., CCM)
Work EnvironmentHospitals, insurance companies, healthcare facilitiesHospitals, community health, insurance companies
Employer & IndustryHealthcare providers, insurance firmsHealthcare organizations, insurance providers
Primary FocusReview medical necessity and insurance coverageCoordinate patient care and discharge planning

While both roles require nursing credentials and involve patient-related assessments, the Temporary Utilization Review Nurse primarily focuses on evaluating medical necessity for insurance purposes, whereas the Case Manager concentrates on coordinating patient care and discharge planning. Understanding these differences helps healthcare professionals and employers select the right role for their needs.

How to get into utilization review as a temporary utilization review nurse?

To become a temporary utilization review nurse, candidates typically need a registered nurse (RN) license and experience in case management or clinical review. Gaining knowledge of insurance policies, medical coding, and utilization review processes, along with familiarity with electronic health records (EHR) systems, can improve job prospects. Temporary roles often require flexibility and the ability to adapt to different healthcare settings or insurance companies.

What are the most commonly searched types of Utilization Review Nurse jobs in Boca Raton, FL?

The most popular types of Utilization Review Nurse jobs in Boca Raton, FL are:

What are popular job titles related to Temporary Utilization Review Nurse jobs in Boca Raton, FL?

For Temporary Utilization Review Nurse jobs in Boca Raton, FL, the most frequently searched job titles are:

What cities near Boca Raton, FL are hiring for Temporary Utilization Review Nurse jobs?

Cities near Boca Raton, FL with the most Temporary Utilization Review Nurse job openings:

Infographic showing various Temporary Utilization Review Nurse job openings in Boca Raton, FL as of June 2026, with employment types broken down into 54% Full Time, 42% Part Time, 2% Temporary, and 2% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $83,458 per year, or $40.1 per hour.

Rheumatology Physician

ChenMed

Miami, FL • On-site

Full-time

Posted 6 days ago


ChenMed rating

8.4

Company rating: 8.4 out of 10

Based on 40 frontline employees who took The Breakroom Quiz

1st of 247 rated social care providers


Job description

The Physician Reviewer is the primary physician reviewer for Utilization Management (UM) cases in our organization. Other duties include advising other physician reviewers and attending daily calls with health plan teams and our local teams assisting with this function and coordinating care for our patients. The position will also participate in Process and Quality improvement in our developing area of Delegated Utilization Management.

ESSENTIAL JOB DUTIES/RESPONSIBILITIES:

    • Provides Delegated UM by covering the specified territories as assigned:
      • Establish 2-3 cases a day for each market covered (up to 6 markets); ensures attendance on all health plan and local calls; calls in for the weekly Primary Care Provider (PCP) and Skilled Nursing Facility (SNF) meetings covering the assigned territories.
    • Advises other physician reviewers.
    • Other duties as assigned and modified by manager.

KNOWLEDGE, SKILLS AND ABILITIES:

    • Excellent analytical and deductive reasoning skills
    • Good judgement and problem-solving skills
    • Professional and effective communication skills
    • Strong organizational skills
    • Written and verbal fluency in English
    • Proficient in the use of Microsoft Office products such as Outlook, Excel, Word and PowerPoint

EDUCATION AND EXPERIENCE CRITERIA:

    • Graduate from accredited Medical School with a valid, unrestricted license is required
    • Completion of Rheumatology Fellowship
    • Board Certification Rheumatology
    • Two (2) years experience in Hospital medicine preferred
    • At least one (1) year of utilization review experience preferred

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About ChenMed

Sourced by ZipRecruiter

We're expanding healthcare equity across America. We're already in 15 states with 100+ medical centers. As a rapidly growing, physician-led organization, we have one central focus: rescue any and every senior from a healthcare system that has failed them. Our family of brands include Chen Senior Medical Center, JenCare Senior Medical Center, and Dedicated Senior Medical Center. Recently named a 2021 Best Places To Work and one of the only healthcare companies recognized in Fortune's 2020 "Change The World" list, ChenMed prides itself on creating a culture that enables career growth and promotes inclusion for all.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Miami, FL, US

Year founded

1985

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