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Utilization Review Rn Jobs in Inverness, FL (NOW HIRING)

Familiarity with ICD-10 coding, utilization review, case management, and discharge planning ... Valid RN license in the state of Florida required; additional certifications such as Basic Life ...

Sign-on Bonus: $$7,500.00 Overview of Position - Nurse Supervisor (RN) - Night Shift The Nursing ... Familiarity with ICD-10 coding, utilization review, case management, and discharge planning ...

PRN Registered Nurse

Brooksville, FL · On-site

$32.50 - $37/hr

Demonstrate knowledge and utilization of universal precautions in providing direct patient care ... Applicants are encouraged to review these requirements before applying. AHRN #LI-SPRC #LI-KB1

PRN Registered Nurse

Brooksville, FL · On-site

$32.50 - $37/hr

Demonstrate knowledge and utilization of universal precautions in providing direct patient care ... Applicants are encouraged to review these requirements before applying. AHRN #LI-SPRC #LI-KB1

Registered Nurse, RN, develops and achieves professional growth goals and objectives personally and per Team Manager reviews b. Registered Nurse, RN, responsible for attending orientation and ...

Registered Nurse, RN, develops and achieves professional growth goals and objectives personally and per Team Manager reviews b. Registered Nurse, RN, responsible for attending orientation and ...

... utilization of resources/agencies. 14. Actively contributes to the development of the Registered Nurse role within the department and the hospital; actively participates in the orientation of new RNs ...

... review current topics within the industry. Having the opportunity to grow, learn, and advance in ... Registered Nurse (RN) Licensure (Eligible to receive or renew) * New Grads welcome to apply!

... review current topics within the industry. Having the opportunity to grow, learn, and advance in ... Registered Nurse (RN) Licensure (Eligible to receive or renew) * New Grads welcome to apply!

Registered Nurse Are you passionate about the patient experience? At HCA Healthcare, we are ... Maintain and review patients' records including posting tests and examination results * Administer ...

Showing results 21-40

Utilization Review Rn information

See Inverness, FL salary details

$16

$31

$51

How much do utilization review rn jobs pay per hour?

As of Aug 17, 2026, the average hourly pay for utilization review rn in Inverness, FL is $31.62, according to ZipRecruiter salary data. Most workers in this role earn between $25.00 and $36.30 per hour, depending on experience, location, and employer.

What is a utilization review RN?

A Utilization Review RN is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services and treatments provided to patients. They review medical records, collaborate with healthcare teams, and ensure that patient care meets established guidelines and payer requirements. Their role helps control costs, optimize care, and support compliance with healthcare regulations. Utilization Review RNs often work in hospitals, insurance companies, or managed care organizations.

How does a utilization review RN collaborate with physicians and other healthcare professionals during the patient care review process?

A Utilization Review RN works closely with physicians, case managers, and other healthcare team members to ensure that patients receive appropriate care while adhering to regulatory and insurance guidelines. This collaboration often involves discussing clinical findings, clarifying documentation, and negotiating care plans to meet both patient needs and payer requirements. Effective communication and teamwork are essential, as Utilization Review RNs frequently serve as liaisons between clinical staff and insurance representatives to facilitate timely authorizations and prevent unnecessary delays in patient care.

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

To thrive as a Utilization Review RN, you need a current RN license, strong clinical assessment skills, and knowledge of healthcare regulations and insurance guidelines. Familiarity with utilization management software, electronic health records (EHRs), and relevant certifications like CCM or ACM is often required. Excellent critical thinking, communication, and negotiation skills help you advocate for appropriate patient care while collaborating with providers and payers. These skills ensure cost-effective, quality care and compliance with regulatory standards in healthcare delivery.

What is the difference between Utilization Review Rn vs Case Manager?

AspectUtilization Review RnCase Manager
CredentialsRN license, certifications in utilization reviewRN license, certifications in case management
Work EnvironmentHospitals, insurance companies, healthcare facilitiesHospitals, community agencies, insurance companies
Primary FocusReviewing medical necessity and appropriateness of careCoordinating patient care and discharge planning

Utilization Review Rns primarily focus on evaluating the necessity of medical treatments, while Case Managers coordinate patient care and discharge planning. Both roles require RN licensure and certifications, but their daily responsibilities and work environments differ slightly, with Utilization Review Rns concentrating on review processes and Case Managers on patient advocacy and care coordination.

How to get into utilization review as a registered nurse?

To become a utilization review RN, you typically need a valid registered nurse license and experience in clinical settings. Additional certifications such as the Certified Professional in Healthcare Quality (CPHQ) or knowledge of medical coding and insurance processes can enhance your qualifications. Gaining experience in case management or health insurance companies can also improve your chances of entering the field.

What cities near Inverness, FL are hiring for Utilization Review Rn jobs?

Cities near Inverness, FL with the most Utilization Review Rn job openings:

Infographic showing various Utilization Review Rn job openings in Inverness, FL as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 16% Part Time, and 2% Contract. Highlights an 88% Physical, 2% Hybrid, and 10% Remote job distribution, with an average salary of $65,778 per year, or $31.6 per hour.

RN Supervisor- FT Days

UHS

Ocala, FL

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 3 days ago


Universal Health Services rating

6.8

Company rating: 6.8 out of 10

Based on 253 frontline employees who took The Breakroom Quiz

495th of 887 rated healthcare providers


Job description

Responsibilities

The Vines Hospital is currently recruiting for a Full Time Nurse Supervisor for the Night Shift. 

Sign-on Bonus:  $$7,500.00

Overview of Position - Nurse Supervisor (RN) - Night Shift

The Nursing Supervisor is responsible for the delivery of quality nursing care for all patients on the in-patient Adult Acute units. The Nursing Supervisor is responsible for the staffing, implementation and evaluation of nursing care for psychiatric and chemically dependent patients during each designated shift. Also, responsible for the operational and programmatic management of the designated shift; and assist in the professional growth and development of nursing staff, and directly supervises employees in their respective units, carries out supervisory responsibilities.  This position is responsible for planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems when needed.

Who We Are

The Vines Hospital (affiliated with Universal Health Services), located in Ocala, FL is a premier behavioral health facility offering individualized mental health and addiction treatment to adults and adolescents in a secure and private setting. Our services include partial hospitalization and intensive outpatient programs. We offer acute psychiatric, detox, and PTSD treatment. We are located in picturesque Marion County, FL. The county is known as the Horse Capital of the World. Enjoy the outdoors at one of the county’s serene parks, which includes wonderful hiking trails, river rafting, and tubing. Watch the county’s wildlife and view the scenery by taking a horseback ride through one of the area’s riding trails. Considered the heart of Florida, the beautiful region is centrally located within hours of many activities. Just a drive away from some of the state’s amusement parks or beautiful Florida beaches. The county is less than two hours away from some of the state’s large metropolitan areas. From young professionals to a growing family, the area has plenty of activities for every individual.

Visit our website for more information on our hospital and services: www.TheVinesHospital.com

Benefit Highlights:

  • Challenging and rewarding work environment
  • Competitive Compensation & Generous Paid Time Off
  • Excellent Medical, Dental, Vision and Prescription Drug Plan
  • 401(K) with company match and discounted stock plan
  • SoFi Student Loan Refinancing Program
  • Student Loan Repayment Program
  • Tuition Reimbursement Program
  • Career development opportunities within UHS and its 300+ Subsidiaries!

Qualifications

Education and/or Work Experience Requirements:

Requirements

  • Associate's degree from an accredited school of Nursing is required. BSN preferred.
  • Valid RN license in the state of Florida required; additional certifications such as Basic Life Support (BLS) is required.
  • Two (2) years' experience within behavioral health or psychiatric hospital settings is required. At least one (1) year experience in a supervisory or leadership role is required.
  • Extensive knowledge of mental health conditions including dementia care, Alzheimer's care, and working with individuals with developmental disabilities.
  • Background in managing complex patient cases involving acute pain management, or psychiatric emergencies is advantageous.
  • Familiarity with ICD-10 coding, utilization review, case management, and discharge planning processes is beneficial.
  • Strong leadership skills coupled with excellent communication abilities to motivate staff and ensure high-quality patient care delivery.

About Universal Health Services (UHS)

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $15.8 billion in 2024. UHS was again recognized as one of the World’s Most Admired Companies by Fortune; listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

Avoid and Report Recruitment Scams

We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

Qualifications:

Education and/or Work Experience Requirements:

Requirements

  • Associate's degree from an accredited school of Nursing is required. BSN preferred.
  • Valid RN license in the state of Florida required; additional certifications such as Basic Life Support (BLS) is required.
  • Two (2) years' experience within behavioral health or psychiatric hospital settings is required. At least one (1) year experience in a supervisory or leadership role is required.
  • Extensive knowledge of mental health conditions including dementia care, Alzheimer's care, and working with individuals with developmental disabilities.
  • Background in managing complex patient cases involving acute pain management, or psychiatric emergencies is advantageous.
  • Familiarity with ICD-10 coding, utilization review, case management, and discharge planning processes is beneficial.
  • Strong leadership skills coupled with excellent communication abilities to motivate staff and ensure high-quality patient care delivery.

About Universal Health Services (UHS)

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $15.8 billion in 2024. UHS was again recognized as one of the World’s Most Admired Companies by Fortune; listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

Avoid and Report Recruitment Scams

We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

Education:UNAVAILABLEEmployment Type: FULL_TIME

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About Universal Health Services

Sourced by ZipRecruiter

Universal Health Services (UHS) is a major player in the healthcare industry, based in King of Prussia, Pennsylvania, U.S. Founded in 1978, UHS offers hospital and healthcare services. Their diverse services range from acute care hospitals, behavioral health facilities and ambulatory centers nationwide. The company's mission of enhancing the health and well-being of their patients is reflected in their commitment to 'Helping Individuals Live Longer, Healthier and Happier Lives'. Universal Health Services' consistent growth and success in their industry have been recognized on numerous occasions, including being ranked amongst the Fortune 500 list of largest companies.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

King of Prussia, PA, US