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

Adventhealth

Registered Nurse RN Patient Placement

Tampa, FL · On-site

$31.85 - $52.76/hr

Performs screening of patients by diagnosis according to utilization guidelines provided by the PRO ... Applicants may review general information about Florida's background screening requirements at the ...

Mind & Mobility

Registered Nurse (RN)

Tampa, FL · On-site

$45/hr

Registered Nurse (RN) - Mind&Mobility Location: Hillsborough County, FL Job Type: PRN Pay: $45 ... Submit your application and resume today - we review candidates daily! We are an equal opportunity ...

Mind & Mobility

Registered Nurse (RN)

Tampa, FL · On-site

$45/hr

Registered Nurse (RN) - Mind&Mobility Location: Hillsborough County, FL Job Type: PRN Pay: $45 ... Submit your application and resume today - we review candidates daily! We are an equal opportunity ...

Mind & Mobility

Registered Nurse (RN)

Tampa, FL · On-site

Registered Nurse (RN) - Mind&MobilityLocation: Hillsborough County, FLJob Type: PRNPay: $45 ... Submit your application and resume today - we review candidates daily!We are an equal opportunity ...

AdventHealth

Registered Nurse Care Manager

Davenport, FL

$32.48 - $56.84/hr

Actively participates in multi-disciplinary rounds to review changes in patient status, progression ... Prior Care Management/Utilization Management experience [Preferred] Licenses and Certifications:

AdventHealth

Registered Nurse Care Manager

Davenport, FL · On-site

$32.48 - $56.84/hr

Actively participates in multi-disciplinary rounds to review changes in patient status, progression ... Prior Care Management/Utilization Management experience [Preferred] Licenses and Certifications:

BayCare

Nurse Care Coordinator - RN

Dover, FL

... utilization of resources and timely specialty consults. * Provides education to other team members ... Required - RN (Registered Nurse) * 3 years of Clinical Related Experience Highly Preferred Skills:

Palms Home Care

Registered Nurse

Lakeland, FL

... 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 ...

Riverside Care of Florida

RN Group Home

Valrico, FL · On-site

$40/hr

Participate in the review and updating of resident plans of care based on current needs, physician orders, and interdisciplinary recommendations * Receive, document, and process verbal physician ...

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Showing results 21-40

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

Utilization Review Rn information

See Lakeland, FL salary details

$19

$39

$64

How much do utilization review rn jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for utilization review rn in Lakeland, FL is $39.42, according to ZipRecruiter salary data. Most workers in this role earn between $31.15 and $45.29 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 Lakeland, FL?

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

What are popular job titles related to Utilization Review Rn jobs in Lakeland, FL?

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

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

The top searched job categories for Utilization Review Rn jobs in Lakeland, FL are:

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

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

Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in Lakeland, FL as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 15% Part Time, 3% Contract, and 1% Nights. Highlights an 90% Physical, 2% Hybrid, and 8% Remote job distribution, with an average salary of $81,986 per year, or $39.4 per hour.

Registered Nurse (RN)

One You Love Homecare Lakeland

Lakeland, FL • On-site

$25 - $30/hr

Part-time

Re-posted 22 days ago

Job description

Benefits:
  • Community & Purpose-Driven Benefits
  • Work-Life Integration & Family Support
  • Employee Recognition & Appreciation
  • Professional Development & Education Support
  • Flexible Work Options
  • Competitive Wages/Salaries
  • Per Diem Role
  • Flexible schedule

Job Summary
The Registered Nurse (RN) is responsible for the development, review, and oversight of individualized care plans for clients receiving non-medical home care services. This role includes supervisory visits, caregiver training, and quality assurance responsibilities. The RN ensures that care provided is consistent with the client’s needs and adheres to regulatory and agency standards. 
 Key Responsibilities
  • Assess clients and develop person-centered care plans.
  • Update care plans as client conditions change.
  • Conduct supervisory visits to evaluate caregiver performance and care plan adherence.
  • Train and support caregivers.
  • Document all assessments, updates, and visits.
  • Communicate with clients, families, and staff to coordinate care.
  • Ensure compliance with regulations and standards.
  • Participate in quality assurance.
Qualifications
  • Current and active Registered Nurse (RN) license in { job.state }
  • Minimum of 1–2 years of nursing experience (home care or geriatric care preferred)
  • Strong assessment and documentation skills
  • Excellent communication and interpersonal skills
  • Ability to supervise and support non-clinical staff
  • Detail-oriented with strong organizational and time management skills
  • Valid driver’s license and reliable transportation for home visits
  • Familiarity with state home care regulations and best practices
Company Overview
  • At One You Love Homecare, we deliver compassionate, non-medical home care that supports seniors and individuals with special needs in maintaining independence and quality of life. Our team is committed to safety, dignity, and client-centered care. We are seeking a Registered Nurse (RN) to oversee care plans and support the supervision of caregivers to ensure the highest standard of care.
 We’re more than caregivers…We’re like family! 

Flexible work from home options available.