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

Solaris HealthCare College Park

RN Unit Manager

Orlando, FL · On-site

$37 - $49/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Now Hiring: RN Unit Manager! Full-Time | Monday-Friday, 8 AM-5 PM At Solaris HealthCare College ... and utilization review activities. * Participates in clinical risk identification, strategy ...

Solaris HealthCare College Park

RN Unit Manager

Orlando, FL

$37 - $49/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Now Hiring: RN Unit Manager! Full-Time | Monday-Friday, 8 AM-5 PM At Solaris HealthCare College ... and utilization review activities. * Participates in clinical risk identification, strategy ...

Solaris HealthCare Lely Palms

RN Unit Manager

Orlando, FL · On-site

$37 - $49/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Now Hiring: RN Unit Manager! Full-Time | Monday-Friday, 8 AM-5 PM At Solaris HealthCare College ... and utilization review activities. * Participates in clinical risk identification, strategy ...

Solaris HealthCare College Park

RN Unit Manager

Orlando, FL · On-site

$37 - $49/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Now Hiring: RN Unit Manager! Full-Time | Monday-Friday, 8 AM-5 PM At Solaris HealthCare College ... and utilization review activities. * Participates in clinical risk identification, strategy ...

State of Florida

NURSING PROGRAM SPECIALIST - MDS

Orlando, FL · On-site

$72K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Licensure as a Registered Nurse * Valid CPR card * At least (6) years of professional nursing ... Review all MDS assessments and related forms to certify timely completion by signing the MDS forms ...

Parrish Medical Center

Case Manager RN

Titusville, FL · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

Patient case management includes utilization review for appropriateness and efficiency, initial ... State of Florida RN License Full Time Benefits: Eligible to participate in a number of PMC ...

Solaris HealthCare College Park

RN Unit Manager

Apopka, FL · On-site

$34.75 - $46/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... 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 ...

Florida Jobs

NURSING PROGRAM SPECIALIST - MDS

Orlando, FL · On-site

$72K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Licensure as a registered nurse * Valid CPR card * At least (6) years of professional nursing ... Review all MDS assessments and related forms to certify timely completion by signing the MDS forms ...

Florida Jobs

REGISTERED NURSE

Orlando, FL · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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.

Discovery Behavioral Health

LVN / LPN

Montverde, FL · 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 ...

Acadia Healthcare

Registered Nurse

Apopka, FL · On-site

Responsibilities REGISTERED NURSE ESSENTIAL FUNCTIONS * Provide and coordinate care by assessing ... Demonstrate knowledge and utilization of universal precautions in providing direct patient care.

AdventHealth Winter Garden

Registered Nurse

Winter Garden, FL

$31.53 - $52.24/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Participates in peer interviewing and review processes. * Considers factors related to safety ... Utilization of assessment, reassessment, and critical-thinking skills in dealing with changes in ...

AdventHealth Winter Garden

Registered Nurse

Winter Garden, FL · On-site

$31.53 - $52.24/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Participates in peer interviewing and review processes. * Considers factors related to safety ... Utilization of assessment, reassessment, and critical-thinking skills in dealing with changes in ...

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

Utilization Review Rn information

See Orlando, FL salary details

$19

$39

$64

How much do utilization review rn jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for utilization review rn in Orlando, FL is $39.47, according to ZipRecruiter salary data. Most workers in this role earn between $31.20 and $45.34 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 Orlando, FL?

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

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

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

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

The top searched job categories for 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:

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

RN Unit Manager

Solaris HealthCare College Park

Orlando, FL • On-site

$37 - $49/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 12 days ago

Job description

Now Hiring: RN Unit Manager!

Full-Time | Monday-Friday, 8 AM-5 PM

At Solaris HealthCare College Park, located at 730 Courtland St, Orlando, FL 32804, we understand that a significant change in health can be challenging. That's why our mission is to provide top-quality care that helps our residents move forward and resume their normal way of life. We believe that who we are and what we stand for is evident in our name. At Solaris HealthCare College Park, we strive to care for each resident like family, recognizing that compassionate, personalized care can achieve limitless possibilities. By joining our team, you will be part of a dedicated group of professionals committed to supporting and uplifting our residents, ensuring they receive the best possible care to lead fulfilling lives. Join us and make a meaningful difference in the lives of our residents every day!


Proud Partner of the Tampa Bay Buccaneers - join the spirited KARE KREWE of College Park!


You'll love being part of our team-and you may also qualify for these amazing benefits:

Affordable Health, Dental & Vision Insurance (family options included)

Daily Pay - get paid when YOU want

401k with Company Match - plan of your future

Generous PTO, Holidays & Sick Time - we value work life balance

Tuition Reimbursement - invest in your growth

Life Insurance & Disability Coverage - peace of mind for you & your family

Uniforms Provided & Perks Programs - we've got your covered

Wonderschool Concierge Services - childcare made simple

Shift Differentials up to $2 an hour depending on location, position & shift! Join a team that invests in YOU - your health, future & your success!


This role requires Florida AHCA Clearinghouse background screening.

https://info.flclearinghouse.com

Purpose of Your Job Position

The primary purpose of your job position is to be responsible for the administration of the nursing program within the LTC in accordance with professional practice standards, center policies and procedures, Quality Assurance guidelines, Solaris HealthCare programs, and local, state, and federal regulations.

Job Functions
    • Assists in maintaining resident care standards by supervising and directing activities of subordinate nurses engaged in quality assurance and utilization review activities.
    • Participates in clinical risk identification, strategy planning, and risk reduction.
    • Receives physician's instructions regarding resident care and ensures that orders are transmitted to other units as needed.
    • Oversees delegation of nursing and other therapeutic procedures to other level professionals and paraprofessional associates.
    • Makes regular patient rounds to observe and assess residents' physical conditions and behaviors, evaluates the quality of care provided, and ensures proper documentation of treatment and nursing observations.

    • Facilitates and participates in occurrence investigations ensuring timely and accurate reporting to nursing administration.
    • Ensures infection control standards and biohazard waste procedures are met by collecting, trending, and reporting data.
      Education Current R.N. license required with experience in the long term care or working with the geriatric population preferred.  CPR Certified. Experience
      • Must have at least three years nursing experience and one year supervisory experience.
      • Skill in organizing and planning programs and managing personnel to provide nursing service for residents.
      • Ability to plan and direct the department, coordinating with other departments.

      Apply