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

Palms Home Care

Registered Nurse

Ocala, FL · On-site

... RNs for FT and PRN positions. We hire the most compassionate and thoughtful talent in the field ... Complete evaluation tasks, including reviewing medication and vital signs. * Coordinate care by ...

Encompass Health

Case Manager II

Ocala, FL

Participate in utilization review process: data collection, trend review, and resolution actions ... For Nursing, must possess minimum of an Associate Degree in Nursing, RN licensure with BSN ...

Mission Hospital

Registered Nurse

Brooksville, FL · On-site

You will maintain and review patients' records including posting tests and examination results ... Must be licensed as a Registered Nurse in accordance with state regulations * Please be sure to ...

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All JobsUtilization Review Rn JobsUtilization Review Rn Jobs in Inverness, FL

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.

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.

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 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.

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.

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

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

Utilization Review Rn jobs near you
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.

Registered Nurse

HCA Florida Gulf Coast Hospital

Brooksville, FL • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted yesterday

New

HCA Florida Healthcare rating

6.3

Company rating: 6.3 out of 10

Based on 481 frontline employees who took The Breakroom Quiz

670th of 887 rated healthcare providers

Job description

Registered Nurse

Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a Registered Nurse today with Cardiac Surg Assoc of Oak Hill.

Job Summary and Qualifications

What you will do in this role:

  • Manage efficient flow of patients including screening, preparation for exam, providing general nursing care, and arranging or testing and admissions
  • Instruct patients and families regarding medications and treatment instructions
  • Maintain and review patients' records including posting tests and examination results
  • Administer medications in accordance with physician orders
  • Check rooms daily for necessary supplies
  • Respond to and refer incoming telephone calls (may include phone triage when needed)
  • Practice and adhere to the "Code of Conduct" philosophy and "Mission and Value Statement"

What Qualifications you will need:

Education:

  • Graduation from an accredited school of registered nursing is required

Experience:

  • 1-3 years' experience as a registered nurse is preferred

Certification/License:

  • Must be licensed as a Registered Nurse in accordance with state regulations
  • Please be sure to list current license information on your application

Benefits

Cardiac Surg Assoc of Oak Hill, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

  • Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
  • Wellbeing support, including free counseling and referral services
  • Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
  • Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
  • Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
  • Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Supporting HCA Healthcare's 186 hospitals and 2,400+ sites of care, Physician Services plays a crucial role as the main entry point for patients looking for high-quality healthcare within the HCA Healthcare system. With a focus on meeting the needs of our patients at all access points, Physician Services is dedicated to implementing innovative, physician-driven, value-added solutions to assist physicians in providing high-quality, patient-centered care, aligning with our mission to care for and enhance human life.

HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in costs for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

“The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual.” - Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Registered Nurse opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

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