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Utilization Review Np Jobs in Boca Raton, FL (NOW HIRING)

Guardian Recovery

UR COORDINATOR

Delray Beach, FL · On-site

The Utilization Review Coordinator (UR Coordinator) is responsible to perform the process of ... Master's degree from an accredited college or university in social work, mental health, nursing, or ...

Guardian Recovery

UR COORDINATOR

Delray Beach, FL · On-site +1

$60K - $70K/yr

The Utilization Review Coordinator (UR Coordinator) is responsible to perform the process of ... Master's degree from an accredited college or university in social work, mental health, nursing, or ...

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All JobsUtilization Review Np JobsUtilization Review Np Jobs in Boca Raton, FL

Utilization Review Np information

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$65

How much do utilization review np jobs pay per hour?

As of Aug 12, 2026, the average hourly pay for utilization review np 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 are some common challenges utilization review nurse practitioners face when collaborating with healthcare providers and insurance companies?

Utilization Review Nurse Practitioners often navigate the challenge of balancing patient advocacy with payer requirements. They must effectively communicate clinical justifications to both healthcare providers and insurance representatives, sometimes mediating disagreements over the necessity of certain treatments or hospital stays. Staying up-to-date with ever-changing insurance guidelines and ensuring timely documentation can also be demanding, but strong organizational and interpersonal skills help facilitate smooth collaboration and successful patient outcomes.

What does a utilization review nurse practitioner do?

A Utilization Review Nurse Practitioner (NP) evaluates 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 regulatory requirements. Utilization Review NPs help coordinate care, prevent unnecessary procedures, and support cost-effective healthcare delivery while ensuring patient safety and quality outcomes.

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

To thrive as a Utilization Review Nurse Practitioner (NP), you need expert clinical judgment, a strong understanding of healthcare regulations, and advanced assessment skills, typically supported by an active NP license and clinical experience. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of insurance guidelines such as Medicare and Medicaid are commonly required. Excellent communication, attention to detail, and critical thinking are vital soft skills for effective case evaluations and collaboration with providers. These competencies ensure accurate, efficient reviews that support quality care, compliance, and cost-effective treatment decisions.

What is the difference between Utilization Review Np vs Utilization Review Nurse?

AspectUtilization Review NpUtilization Review Nurse
CredentialsMaster's degree in Nursing, Nurse Practitioner certification, state licensureRegistered Nurse (RN) license, possibly with certification in utilization review
Work EnvironmentHealthcare facilities, insurance companies, utilization review organizationsHospitals, insurance companies, outpatient clinics
Job ResponsibilitiesAssess medical necessity, authorize treatments, make clinical decisions, often with greater autonomyReview medical records, support authorization processes, follow established guidelines

Utilization Review NPs typically have advanced clinical training and greater decision-making authority compared to Utilization Review Nurses. Both roles focus on evaluating medical necessity, but NPs often perform more complex assessments and can make independent recommendations, whereas nurses support the review process under supervision or guidelines.

What are popular job titles related to Utilization Review Np jobs in Boca Raton, FL? For Utilization Review Np jobs in Boca Raton, FL, the most frequently searched job titles are:
What job categories do people searching Utilization Review Np jobs in Boca Raton, FL look for? The top searched job categories for Utilization Review Np jobs in Boca Raton, FL are:
What cities near Boca Raton, FL are hiring for Utilization Review Np jobs? Cities near Boca Raton, FL with the most Utilization Review Np job openings:
Utilization Review Np jobs near you

Nurse Practitioner (PMHNP or FNP) - Behavioral Health - Addiction Treatment

Cutting Edge Staffing LLC

Lake Worth, FL

Per diem

Re-posted 3 days ago

Job description

Nurse Practitioner (PMHNP or FNP) | Per-diem - Weekend availability preferred | West Lake Worth, FL 33467

Banyan Treatment Centers is seeking a dedicated Nurse Practitioner (PMHNP or FNP) to provide integrated medical and psychiatric care for individuals recovering from substance use and co-occurring mental health disorders. In this role, you will work closely with the Medical Director and interdisciplinary treatment team to support patient stabilization, recovery, and long-term wellness.

About the Company

Banyan Treatment Centers is a leading national provider of intensive treatment for individuals facing substance use and mental health disorders. Backed by TPG, one of the nation’s largest private equity investors, Banyan is rapidly expanding access to high-quality, compassionate care.

Why Join Banyan Treatment Centers?This is an opportunity to make a meaningful impact within a nationally recognized leader in addiction and mental health care. As a Nurse Practitioner, you will:
  • Help individuals overcome addiction and mental health challenges
  • Benefit from flexible per-diem scheduling designed to accommodate varying availability.
  • Work within a collaborative, multidisciplinary clinical team
  • Contribute directly to patient recovery and life-changing outcomes
  • Be part of a mission-driven organization dedicated to transforming lives
Practice Environment
  • Work alongside an experienced Medical Director and multidisciplinary behavioral health team
  • Provide integrated care for patients with substance use and co-occurring mental health disorders in a structured inpatient treatment setting
  • Collaborative environment with nursing, therapy, and clinical support staff focused on patient stabilization and recovery
Key Responsibilities

Clinical Assessment & Patient Care

  • Conduct comprehensive patient assessments including medical history, physical exams, and psychiatric evaluations.
  • Diagnose and treat behavioral health conditions, including substance use and co-occurring disorders.
  • Develop and adjust individualized treatment plans based on patient needs and clinical findings.
  • Prescribe and manage medications and other therapeutic interventions in accordance with approved protocols.
  • Monitor patient progress and modify treatment strategies as appropriate.

Medical Collaboration

  • Collaborate with physicians, psychiatrists, nurses, and interdisciplinary treatment teams to support coordinated patient care.
  • Communicate patient status, treatment updates, and clinical recommendations to the Medical Director.
  • Participate in case reviews and treatment planning discussions.
  • Order diagnostic tests, review lab results, and coordinate referrals to medical specialists when needed.

Documentation & Compliance

  • Maintain timely and accurate documentation in the EMR.
  • Ensure compliance with HIPAA, Joint Commission standards, and regulatory requirements.
  • Support infection control practices and patient safety protocols.
  • Provide clinical information to Utilization Review teams to assist with determining appropriate levels of care.
Qualifications
  • Active Advanced Practice Registered Nurse (ARNP) license in Florida
  • Master’s degree in Nursing from an accredited program
  • Minimum two (2) years of experience as a Family Nurse Practitioner (FNP) or Psychiatric Mental Health Nurse Practitioner (PMHNP).
  • Minimum two (2) years of experience in addiction treatment or inpatient psychiatric care.
  • Experience treating substance use disorders and co-occurring mental health conditions
  • Strong clinical assessment, diagnostic, and documentation skills
  • Ability to work effectively within a multidisciplinary behavioral health treatment team
Apply NowIf you are passionate about providing compassionate, high-quality care and want to support individuals on their recovery journey, we encourage you to apply today. Join Banyan Treatment Centers and help transform lives.

EOE