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

Admissions RN - PRN

Ocala, FL · On-site

$63K - $86K/yr

... RN will review packets, accept and admit patients. This position requires a person to work with ... utilization review, marketing, and nursing. The Vines' Admissions department is an exciting ...

Admissions RN - PRN

Ocala, FL

$63K - $86K/yr

... RN will review packets, accept and admit patients. This position requires a person to work with ... utilization review, marketing, and nursing. The Vines' Admissions department is an exciting ...

ADMISSIONS RN - FT Nights

Ocala, FL · On-site

$63K - $86K/yr

... utilization review, marketing, and nursing. This position also qualifies for our $5,000.00 ... With 1 in 5 adults suffering from a mental illness, the Admissions RN must be able to adapt and ...

ADMISSIONS RN - FT Nights

Ocala, FL · On-site

$63K - $86K/yr

... utilization review, marketing, and nursing. This position also qualifies for our $5,000.00 ... With 1 in 5 adults suffering from a mental illness, the Admissions RN must be able to adapt and ...

ADMISSIONS RN - FT Nights

Ocala, FL

$63K - $86K/yr

... utilization review, marketing, and nursing. This position also qualifies for our $5,000.00 ... With 1 in 5 adults suffering from a mental illness, the Admissions RN must be able to adapt and ...

Admissions RN- FT (Day)

Ocala, FL · On-site

$63K - $86K/yr

... utilization review, marketing, and nursing. This position also qualifies for our $5,000.00 ... With 1 in 5 adults suffering from a mental illness, the Admissions RN must be able to adapt and ...

ADMISSIONS RN - FT Nights

Ocala, FL · On-site

$64K - $88K/yr

... utilization review, marketing, and nursing. This position also qualifies for our $5,000.00 ... With 1 in 5 adults suffering from a mental illness, the Admissions RN must be able to adapt and ...

ADMISSIONS RN - FT Nights

Ocala, FL

$63K - $86K/yr

... utilization review, marketing, and nursing. This position also qualifies for our $5,000.00 ... With 1 in 5 adults suffering from a mental illness, the Admissions RN must be able to adapt and ...

Admissions RN- FT (Day)

Ocala, FL · On-site

$64K - $88K/yr

... utilization review, marketing, and nursing. This position also qualifies for our $5,000.00 ... With 1 in 5 adults suffering from a mental illness, the Admissions RN must be able to adapt and ...

Admissions RN- FT (Day)

Ocala, FL

$63K - $86K/yr

... utilization review, marketing, and nursing. This position also qualifies for our $5,000.00 ... With 1 in 5 adults suffering from a mental illness, the Admissions RN must be able to adapt and ...

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 ...

The CCM performs ongoing utilization review and acts as a liaison to the payor while assuring that ... RN, SW, OT, PT, ST, and Rehabilitation Counseling). - If licensure is required for his/her ...

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 ...

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 ...

Showing results 21-40

Utilization Review Rn information

See Ocala, FL salary details

$19

$39

$64

How much do utilization review rn jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for utilization review rn in Ocala, FL is $39.30, according to ZipRecruiter salary data. Most workers in this role earn between $31.06 and $45.14 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 are the most commonly searched types of Utilization Review Rn jobs in Ocala, FL? The most popular types of Utilization Review Rn jobs in Ocala, FL are:
What are popular job titles related to Utilization Review Rn jobs in Ocala, FL? For Utilization Review Rn jobs in Ocala, FL, the most frequently searched job titles are:
What job categories do people searching Utilization Review Rn jobs in Ocala, FL look for? The top searched job categories for Utilization Review Rn jobs in Ocala, FL are:
What cities near Ocala, FL are hiring for Utilization Review Rn jobs? Cities near Ocala, FL with the most Utilization Review Rn job openings:
Infographic showing various Utilization Review Rn job openings in Ocala, FL as of August 2026, with employment types broken down into 5% As Needed, 75% Full Time, 15% Part Time, and 5% Contract. Highlights an 98% In-person, and 2% Remote job distribution, with an average salary of $81,736 per year, or $39.3 per hour.

Admissions RN - PRN

UHS

Ocala, FL • On-site

$63K - $86K/yr

Per diem

Re-posted 19 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

490th of 887 rated healthcare providers


Job description

Responsibilities
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
Job Summary
The PRN Admissions Nurse is Responsible for being able to perform all aspects of The Vines Hospital's intake and admission process, including efficient and effective handling of inquiry calls, knowledge of and communication with referral sources; providing hospital and program information to individuals, agencies, facilities, and professionals; making outside referrals, when appropriate; assessing and triaging an individual's mental health status; making patient safety and level of care recommendations to The Vines Hospital's physician; identifying insurance benefits, pre-certification of patient care; completing all admission requirements; communicating patient safety concerns and pertinent patient information to unit nursing staff and documenting all necessary information in Med Series 4. The RN will review packets, accept and admit patients. This position requires a person to work with minimal supervision and will work with all facility units: business office, medical staff, medical records, utilization review, marketing, and nursing.
The Vines' Admissions department is an exciting atmosphere where we help patients make decisions to seek help. In the Admissions department, we work together as a team. With 1 in 5 adults suffering from a mental illness, the PRN Admissions RN must be able to adapt and flow to the ever changing needs of our patients. The PRN Admissions RN will triage and assess people in crisis.
Qualifications
Education: Associate degree in Nursing required. Bachelor's degree in Nursing preferred.
Experience: Minimum of two (2) years experience in the mental health field preferred. Previous assessment experience required.
License: Licensed in the State of Florida as a Registered Nurse required.
Skills: Excellent communication skills. Ability to relate to those emotionally disturbed and in crisis.
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. We believe that diversity and inclusion among our teammates is critical to our success.
Notice
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.

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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