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

Borland Groover

Registered Nurse

Jacksonville, FL · On-site

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 ...

Borland Groover

Registered Nurse

Yulee, FL · On-site

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 ...

New

Precise Home Care

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 ...

Precise Home Care

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 ...

Precise Home Care

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 ...

Borland Groover

Registered Nurse

Orange Park, FL

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 ...

New

Borland Groover

Registered Nurse

Jacksonville, FL

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 ...

Westside Oaks

Registered Nurse (RN)

Jacksonville, FL

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 ...

Westside Oaks

Registered Nurse (RN)

Jacksonville, FL · On-site

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 ...

Borland Groover

Registered Nurse

Jacksonville, FL · On-site

$65 - $90/hr

The RN will also assess, observe, manage, and document as part of the nursing process to achieve ... Review instructions for medications and diet with patients. * Send referrals to other physicians ...

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Utilization Review Rn information

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$39

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How much do utilization review rn jobs pay per hour?

As of Sep 5, 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 are popular job titles related to Utilization Review Rn jobs in Jacksonville, FL?

For Utilization Review Rn jobs in Jacksonville, FL, the most frequently searched job titles are:

What job categories do people searching Utilization Review Rn jobs in Jacksonville, FL look for?

The top searched job categories for 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:

Utilization Review Rn jobs near you
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

Borland Groover

Jacksonville, FL • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 26 days ago

Key responsibilities

  • Coordinate nursing care, including direct and indirect patient care, patient/family education, and transition of care.

  • Assist providers with patient examinations, administer medications, and perform office responsibilities such as answering phones and triage.

  • Maintain accurate documentation of clinical notes, patient information, and procedures in electronic health records.

Borland Groover rating

7.1

Company rating: 7.1 out of 10

Based on 10 frontline employees who took The Breakroom Quiz

Job description

POSITION TITLE: REGISTERED NURSE (RN)
Borland Groover is one of Florida's leading gastroenterology providers. Founded in 1947, our mission is to provide exceptional care and improve the lives of our patients. We value ourselves in delivering quality care (quality), doing the right thing (accountability), caring for our patients (compassion), and taking care of our employees (collaboration). If you love the vision of Borland Groover, and find your values aligning with ours, apply to join our team!
POSITION SUMMARY
The Registered Nurse (RN) at Borland Groover is responsible for the coordination of nursing care, including direct and indirect patient care, patient/family education, and transition of care. The RN will also assess, observe, manage, and document as part of the nursing process to achieve individual patient care. In addition, the RN must collaborate with the providers in the clinical area to maximize efficient patient flow within a fast-paced Gastroenterology specialty practice.
ESSENTIAL JOB FUNCTIONS
  • Efficiently room patients, obtain & record vital signs, patient history, medication reconciliation, and allergies.
  • Drives customer service initiatives by creating and owning the patient experience.
  • Pre-check charts for patients to be seen in the office, making sure all results/records are present for review.
  • Assist provider with physical examinations on patients as needed.
  • Participates in patient treatment regimen, including administering medications (under the order of a physician).
  • Performs a variety of office responsibilities: answers the phone, takes messages, and performs triage within the scope of nursing practice in an accurate and timely manner.
  • Review instructions for medications and diet with patients.
  • Send referrals to other physicians Examples: surgeons, Hematology, Oncology, etc.
  • Process and review patient education pertaining to their ongoing care and when necessary to HIPAA appointed care provider prior to implementation.
  • Administer and document vaccines according to the provider's order.
  • Maintain accurate documentation, including but not limited to clinical notes on electronic health records.
  • Process all prescription refills and authorization under the direction of the provider. Document in the electronic health record.
  • Covers other nurses as needed and may require phone call coverage or clinic coverage, which may include some travel to other offices.
  • Send physicians' procedures and hospital lists to the coding/hospital desk.
  • Check charts at the end of the day to make sure that everything has been completed/scheduled and signed off.
  • Practices universal precautions.
  • This job requires access to Personal Health Information (PHI), HIPAA training is required, and HIPAA compliance is expected.
  • Participate in training and compliance initiatives as needed (policy changes, procedure changes, etc.).
  • Review and process PAQ/Clinical Tasks as directed by your provider.
  • Place recalls at the provider's discretion.
  • Other duties as assigned by the Director of Office Management, Office Manager, and Clinical Lead.

ADDITIONAL RESPONSIBILITIES
  • Provide/Educate prep information for each Direct Access procedure (DAP) and procedure recall patients.
  • Stock and clean exam rooms.
  • Must follow the organization's Code of Conduct.
  • Performs other related duties as assigned.

COMPETENCIES
  • Communication - Exhibits active listening and excellent comprehension skills. Clearly and concisely expresses thoughts and ideas in verbal or written form. Maintain an open line of communication with providers, patients, and managers to ensure patient needs are appropriately addressed. Selects and uses appropriate communication methods.
  • Critical Thinking and Problem Solving - The ability to handle complex situations in the workplace and calmly develop creative solutions. Work through challenging situations and follow through to resolution. Anticipate patient needs and manage patient expectations of care delivery.
  • Compassion - Exhibits empathy, a desire to take action to address the patient's needs. Communicate with patients in a warm and sincere manner. Have a strong desire to be of service to others.
  • Time Management - The ability to plan your duties ahead of time and leverage technology to work efficiently. Effectively prioritize tasks and manage workload to ensure completion within appropriate timelines.
  • Collaboration - Exhibiting interpersonal skills, working with others, building trust and communication to cultivate the ideal patient experience. Interact and cooperate with diverse multidisciplinary teams to coordinate patient care.

GENERAL QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
  • Strong customer service skills with both patients and other departments within the practice.
  • Ability to maintain confidentiality and communicate in person, by phone, or in writing.
  • Ability to work independently and in a team environment.
  • Competency in Microsoft Office, EMR, and other medical software.
  • Ability to communicate effectively with physicians and staff both verbally and in writing.
  • Ability to handle multiple tasks in a fast-paced environment.
  • Ability to handle patient issues in a tactful and professional manner.
  • Attention to detail.
  • Ability to communicate in English.

EDUCATION AND EXPERIENCE
  • Associate's Degree in Nursing required (Bachelor of Nursing preferred).
  • Must have an active Registered Nursing license in the State of Florida.
  • CGRN (Certified Gastroenterology Registered Nurse) Credential is preferred, but not required.
  • Must possess BLS certification or have the ability to obtain certification within 90 days.
  • 1 year of RN experience working with patients in either a hospital or clinic setting preferred

PHYSICAL REQUIREMENTS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
Physical Demands
  • Sitting: Prolonged periods of sitting at a desk and working on a computer: marginal
  • Heavy lifting: marginal (Moderate lifting (15-20 lbs.): essential
  • Walking: Must be able to access and navigate each department at the organization's facilities: essential
  • Pushing/Pulling: marginal
  • Standing: essential
  • Repetitive motion: marginal
  • Reaching: marginal
  • Bending: marginal

Emotional Demands
  • Fast pace: essential
  • Multiple Stimuli: essential
  • Intense customer interaction: essential
  • Frequent change: essential

Mental/Sensory Demands
  • Memory: essential
  • Reasoning: essential
  • Hearing: essential
  • Reading: essential
  • Analyzing: essential
  • Logic: essential
  • Verbal communication: essential
  • Written communication: essential

BENEFITS (FOR FULL TIME EMPLOYEES)
  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • 401K Retirement Plan
  • Life Insurance
  • Short- and Long-term disability
  • Profit Sharing
  • Supplemental Insurance
  • Education and Tuition Reimbursement funding
  • Initial Uniform Allowance
  • Employee Assistance Program (EAP)
  • Paid Time Off (PTO)
  • Volunteer Time Off (VTO)
  • Paid Holidays

IMPORTANT NOTE
The above statements are intended to describe the general nature and level of work being performed. They are not intended to be an exhausted list of duties, responsibilities and skills.
Borland Groover is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
We thank all applicants for their interest, however only those selected for an interview will be contacted.

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