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

Review and follow-up on resident incidents or complaints. Count narcotics at beginning and end of ... Will ensure economic utilization of supplies and proper charging of items to residents' accounts.

RN Unit Manager

Tavares, FL ยท On-site

$34.50 - $45.75/hr

... and utilization review activities. * Participates in clinical risk identification, strategy ... Education Current R.N. license required with experience in the long term care or working with the ...

RN Unit Manager

Tavares, FL ยท On-site

$34.50 - $45.75/hr

... and utilization review activities. * Participates in clinical risk identification, strategy ... Education Current R.N. license required with experience in the long term care or working with the ...

LVN / LPN

Montverde, FL ยท On-site

$25 - $32/hr

Working under the supervision of a Registered Nurse or licensed provider, the LVN/LPN supports safe ... Provide assistance to Utilization Review in communicating pertinent nursing information Eating ...

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 41-60

Utilization Review Rn information

See Orlando, FL salary details

$18

$37

$60

How much do utilization review rn jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for utilization review rn in Orlando, FL is $37.09, according to ZipRecruiter salary data. Most workers in this role earn between $29.33 and $42.60 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 Orlando, FL?

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

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

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

Infographic showing various Utilization Review Rn job openings in Orlando, FL as of August 2026, with employment types broken down into 50% Full Time, 25% Part Time, and 25% Contract. Highlights an 75% In-person, and 25% Remote job distribution, with an average salary of $82,100 per year, or $39.5 per hour.

REGISTERED NURSE

State of Florida

Orlando, FL โ€ข On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 6 days ago


Job description

REGISTERED NURSE

Florida Department of Veterans' Affairs is an agency dedicated to serving those who served U.S. We are seeking motivated, dynamic individuals! Our skilled nursing facility boasts a loyal team of long-term employees and a fantastic work culture.

EXCELLENT EMPLOYEE BENEFITS (Benefits are prepaid):

  • Competitive Wage Scale
  • Choice of Insurance plans - HMO or PPO
  • Health Insurance - Individual Plan $50 per MONTH
  • Health Insurance - Family Plan $180 per MONTH
  • Spouse Program: If you and your spouse work full-time for the State of Florida, the cost of your family health insurance premiums will be reduced rate. Both spouses must be members of the same insurance plan.
  • Life, Dental, Vision and much more offered
  • The Florida Retirement System (FRS) offers two retirement plans - the Investment Plan and the Pension Plan
  • The Florida Deferred Compensation Plan is a 457b pre-tax retirement program
  • Vacation Leave
  • Sick Leave
  • Nine paid holidays
  • Tuition Waiver Program for full-time employees- up to 6 credit hours each semester
  • The FDVA Nursing State Veterans' Nursing Homes and Domiciliary are designated employment sites for the Nursing Student Loan Forgiveness Program. From funds available, the program may make nursing education loan repayments of up to $4,000.00 per year, per nurse enrolled in the program, for a maximum of four years.

**Education and employment history must be verifiable. Please attach any credentials you claim (degrees, certifications, etc.) to your application.**

*Other vacant Registered Nurse positions (shifts), including OPS (Temporary), may be filled in from this advertisement within six (6) months of the closing date.

MINIMUM QUALIFICATIONS
  • Must be willing and able to work weekends and holidays.
  • Must possess a current Florida Registered Nurse License.
  • Must possess a current CPR certification.
  • Must have excellent communication and interpersonal skills.
  • Successful completion of the employment screening process to include, but not limited to, a national background investigation and drug test.
PREFERRED QUALIFICATIONS
  • Experience in long-term care or 120 bed skilled nursing facility.
  • Experience with Electronic Medical Records.
  • Experience with Microsoft Office Suite.
  • Experience with medication administration.
POSITION DESCRIPTION

The incumbent is responsible for giving ordered treatments, administer prescribed medications, give direct ADL care and complete requirements for diagnostic procedures as requested by the attending physician on an assigned shift per established policies and procedures. Works under the direct supervision of the Senior Registered Nurse Supervisor. Receive verbal orders, including telephone orders from attending physicians. Transcribes physician's orders to all appropriate documents on an assigned shift per established policies and procedures. Make rounds with physicians and other health care personnel per established policies and procedures. Monitor physician's orders for completion. Review and follow-up on resident incidents or complaints. Count narcotics at beginning and end of shift. Assure that narcotic records are accurate for assigned shift. Will provide supervision (lead worker duties) for the facility on an assigned shift as required and as defined in 60K-2.0061 (3) (d) F.A.C. Will supervise subordinates on assigned units. Review work assignments with staff on the unit and assign team members in accordance with the patient's needs, available staffing, and in accordance with policies and procedures. Assure assigned CNAs are in dining room on time. Try to solve problems with employees as required before involving supervisors. Recognize and respond to changes in residents' conditions as it occurs. Will record observations accurately and concisely. Notify supervisor, physician and family of changes. Document all notifications as they are made. Assist physicians with special tests and procedures as required and within the scope of the Florida Nursing Practice Act. Receive and give reports at the beginning and end of shift by making walking rounds with the off-going and on-coming nurse. On assigned residents and within the assigned time frame will: Complete, sign and date the MDS, RAP modules and additional assessments. Will review and update care plans; notify chairperson if changes need to be made per established policies and procedures; and attend Interdisciplinary Care Plans when requested. Will always maintain professional standards of nursing care. Follows all local, state, and federal rules and regulations, as well as the policies and procedures of the facility and nursing department. Attend mandatory and non-mandatory in-services, meetings, Care Plans and MDS as required. Will ensure economic utilization of supplies and proper charging of items to residents' accounts. Ensure equipment is maintained in a clean and safe manner. Will maintain valid CPR certification and perform as needed. Perform all other related duties as assigned by supervisor.