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

Role / Responsibility Charge RN Daily Duties: • Manage all admissions and discharges that occur on the day shift • Meet with each Med nurse to review day case load and special responsibilities ...

Role / Responsibility Charge RN Daily Duties: • Manage all admissions and discharges that occur on the day shift • Meet with each Med nurse to review day case load and special responsibilities ...

REGISTERED NURSE (RN) Borland Groover is one of Florida's leading gastroenterology providers ... Review instructions for medications and diet with patients. * Send referrals to other physicians ...

Registered Nurse

Jacksonville, FL · On-site

$40 - $100/hr

Registered Nurse Pay range $40.00 to $100.00 per hour Reports to : Clinical Supervisor/Case Manager ... review the Care Provider Background Screening Clearinghouse Education and Awareness website for ...

REGISTERED NURSE (RN) Borland Groover is one of Florida's leading gastroenterology providers ... Review instructions for medications and diet with patients. * Send referrals to other physicians ...

Registered Nurse

Jacksonville, FL · On-site

$40 - $100/hr

Registered Nurse Pay range $40.00 to $100.00 per hour Reports to : Clinical Supervisor/Case Manager ... review the Care Provider Background Screening Clearinghouse Education and Awareness website for ...

Registered Nurse

Jacksonville, FL · On-site

$40 - $100/hr

Registered Nurse Pay range $40.00 to $100.00 per hour Reports to : Clinical Supervisor/Case Manager ... review the Care Provider Background Screening Clearinghouse Education and Awareness website for ...

REGISTERED NURSE (RN) Borland Groover is one of Florida's leading gastroenterology providers ... Review instructions for medications and diet with patients. * Send referrals to other physicians ...

Registered Nurse (RN) 12 hour shifts Sign on bonus walk-in interview from 10 am-3 pm Join our team ... Review, communicate and contribute to the day-to-day functions of the Certified Nursing Assistants ...

Registered Nurse (RN) 12 hour shifts Sign on bonus walk-in interview from 10 am-3 pm Join our team ... Review, communicate and contribute to the day-to-day functions of the Certified Nursing Assistants ...

Showing results 41-60

Utilization Review Rn information

See Jacksonville, FL salary details

$19

$39

$63

How much do utilization review rn jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for utilization review rn in Jacksonville, FL is $39.18, according to ZipRecruiter salary data. Most workers in this role earn between $30.96 and $45.00 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 case management certification can enhance job prospects, and familiarity with electronic health records (EHR) systems is often required.

What are the most commonly searched types of Utilization Review Rn jobs in Jacksonville, FL?

The most popular types of Utilization Review Rn jobs in Jacksonville, FL are:

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

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

Infographic showing various Utilization Review Rn job openings in Jacksonville, FL as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 16% Part Time, 3% Contract, and 1% Nights. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $81,488 per year, or $39.2 per hour.

Registered Nurse

Westminster St. Augustine

Saint Augustine, FL • On-site

Other

Medical, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.


Job description

Located in the heart of World Golf Village, Westminster St. Augustine, a Life Care Retirement Community, is currently accepting applications for the position of part-time  Registered Nurse (RN) to work 3pm-11pm in our Health Center. As a part of the Nursing Team, this individual will provide direct nursing care to residents as well as supervise day-to-day nursing activities performed by nursing assistants and staff nurses in accordance with state and federal standards. As part of the Westminster Family, this position is a vital part of our Nursing Team.

EOE, DFWP - "We honor those who have served."

To learn more about our culture and what it is like to work at Westminster Communities of Florida, follow us on our social channels (Facebook and Instagram) at @WestminsterCareers.

For part-time status we offer:

  • 403(b) Retirement Plan and Profit Sharing Plan
  • PTO Hours (hours can be sold in 20 hour increments as long as 80 hours remain afterwards)
  • Employee Assistance Program (EAP) - free counseling for employees and their families
  • Tuition Reimbursement Program (after 1 year of service)
  • Resident Christmas Fund for team members
  • Resident Scholarship Program to assist in furthering education (after 3 months)
  • Foundation Mercy Fund
  • Free Flu Shots and Hepatitis B vaccinations
  • Discounted Meals
  • Tickets at Work – discount pricing on travel and entertainment options
  • Training & Career growth

ESSENTIAL JOB FUNCTIONS:

Role / Responsibility Charge RN Daily Duties:
• Manage all admissions and discharges that occur on the day shift
• Meet with each Med nurse to review day case load and special responsibilities
• Review all new admissions from previous day to ensure admission check list is completed
• Complete order entry
• Complete or verify completion of daily skilled documentation for all Med A residents that were assigned for day team
• Notify MD/NP with issues as appropriate
• Review labs and x-rays and ensure all have been addressed
• Complete all skin inspections and Braden inspections according to schedule
• Emergency support: Assist nurses in printing emergency records, calling for transport completing SBAR, Support other nurses in utilizing med dispense when necessary
• Incidents and Accidents: Complete documentation for all Incidents including witness statements: Initial incident documentation, Progress not describing care provided, Update care plan with new prevention intervention suggestion
• Manage Pharmacy deliveries and troubleshoot any problems with medication availability or order.
• Attend morning meeting to review all new admissions.
• Attend Base Line Care plan meetings with residents/families.
• Other Duties as assigned by the Director of Nursing
Weekends/Holidays add the following:
• Staffing: 1.) Managing evening shift call offs (weekends and holidays): verify that all day staff arrive and they are aware of their assignments, review upcoming evening shift staffing and manage any problems using the staffing book. 2.) Monitor AHT compliance: EMAR/ETAR documentation, Smart Charting

The above job description is not to be construed as a complete listing of the assignments and responsibilities assigned to any employee; nor are such assignments restricted to those precisely listed in this description. This job description may change from time to time as the needs of the organization change.

ESSENTIAL QUALIFICATIONS:

Education: Must hold a current Registered Nurse license in the State of Florida and must be CPR Certified. ALL APPLICANT'S PLEASE UPLOAD YOUR CURRENT PROFESSIONAL FL RN LICENSE AND CPR CERTIFICATION WITHIN YOUR APPLICATION TO EXPEDITE THE PROCESS.

Experience and Basic Knowledge: One year of long-term care is desirable. Med-surg, Home Health, Emergency Room experience helpful. In addition, experience working with the handicapped or developmentally disabled adults.

Physical and Environmental Requirements. The physical activities of this position involve: Fingering, lifting up to 40 lbs., standing, grasping, pushing, stooping, kneeling, reaching

Sensory and communicative activities with or without prosthetics of this position are: Feeling, smelling, hearing, speaking, seeing, tasting

An individual in this position will be exposed to: Inside environmental conditions, blood borne pathogens, physical hazards using equipment, respiratory hazards

Must be able to cope with the mental and emotional stress of this position.

Applicants can learn more about Florida background screening requirements at https://info.flclearinghouse.com/.

Licenses & Certifications Required
  • RN
  • CPR Certified

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.