ZipRecruiter

Log In

1

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

Fcci Group

Medical Case Manager

Sarasota, FL · On-site

$62 - $96/hr

... RN licensure in the state hired; multi-state licensure preferred * Two years of relevant experience such as Case Management, Utilization Review, Physical Rehabilitation, or Occupational Health

New

Tlc Homecare Inc

Registered Nurse

Sarasota, FL · On-site

$35 - $40/hr

Develop and review care plans based on patient needs * Coordinate with caregivers and healthcare professionals * Ensure accurate and timely documentation Requirements: * Active RN license

Palms Home Care

Registered Nurse

Sarasota, FL · On-site

... 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 ...

Palms Home Care

Registered Nurse

Sarasota, FL · On-site

... 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 ...

Palms Home Care

Registered Nurse

Bradenton, FL · On-site

... 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 ...

Sevita

Registered Nurse- RN

Sarasota, FL · On-site

FT and PT RN Nights Full Benefits 3 days one week 4 days another with weekend shift Hiring ... Reviews documents and revises all nursing/nursing related care plans on a regular basis * Ensures ...

Sevita

Registered Nurse

Sarasota, FL · On-site

$36/hr

Registered Nurse (RN) - Full-Time | Days or Overnights Starting pay rate is $36.00/hour or more ... Develop, implement, review, and update individualized nursing care plans in collaboration with ...

UnitedHealth Group

Registered Nurse

Saint Petersburg, FL · On-site

$41.35 - $62.03/hr

Adheres to and participates in the agency's utilization management model * Ability to function in ... Current and unrestricted RN licensure in Florida * Current Driver's License, vehicle insurance, and ...

UnitedHealth Group

Registered Nurse

Saint Petersburg, FL · On-site

$41.35 - $62.03/hr

Adheres to and participates in the agency's utilization management model * Ability to function in ... Current and unrestricted RN licensure in Florida * Current Driver's License, vehicle insurance, and ...

Mission Hospital

Registered Nurse

Saint Petersburg, FL · On-site

You will maintain and review patients' records including posting tests and examination results ... Graduation from an accredited school of registered nursing is required Experience: * 1-3 years ...

previous pagenext page

Showing results 21-40

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

Utilization Review Rn information

See Sarasota, FL salary details

$20

$40

$66

How much do utilization review rn jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for utilization review rn in Sarasota, FL is $40.75, according to ZipRecruiter salary data. Most workers in this role earn between $32.21 and $46.78 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 Sarasota, FL?

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

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

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

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

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

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

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

Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in Sarasota, FL as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 15% Part Time, 2% Contract, and 1% Nights. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $84,756 per year, or $40.7 per hour.

Medical Case Manager

Fcci Group

Sarasota, FL • On-site

$62 - $96/hr

Other

Retirement, PTO

Posted 3 days ago

New

Key responsibilities

  • Provide telephonic case management for assigned workers' compensation claims.

  • Coordinate and evaluate medical care to expedite claims handling and ensure timely resolution of injuries.

  • Develop and monitor initial and ongoing treatment plans, evaluating medical necessity and recommending appropriate care.

Job description

Sarasota Home Office
Sarasota, FL 342408424, USA

FCCI is guided by our core values of Loyalty, Integrity, Vision, Excellence and Service. These are the principles and behaviors that guide how we support and trust one another, build our teams, cultivate leaders and create a company that feels like family. If these are your values, we’d like you to join our team.

We are seeking a licensed Registered Nurse to provide telephonic case management on assigned workers' compensation claims. The selected new hire will provide coordination and evaluation of medical care to assigned caseload for the purpose of expediting claims handling. He/she will assist with oversight of necessary cost-effective quality medical treatment and work collaboratively with the adjuster for resolution of injury and/or return to work. In addition, this person will develop an initial plan outlining the action the case manager will take to ensure timely resolution of injury(s) through utilization of established guidelines to determine appropriate medical treatment, evaluate medical necessity in conjunction with the adjuster, and monitor progress/response to treatment. Utilize your medical expertise and critical thinking skills to make recommendations on alternative care pursuant to review and research conducted utilizing nationally accepted practice parameters.

This position can be hybrid and based out of our home office in Sarasota, FL, any of our regional offices, or remote.

In exchange for your talents, FCCI offers competitive salaries and an excellent benefits package which includes:

  • Paid Family Leave
  • Competitive PTO & Holidays
  • Recognition & Bonus Programs
  • Employee Referral Bonus
  • 401(k) Match & Profit-Sharing

The salary range for this position is $62,419-$96,126 annually. This salary range is an estimate and the actual salary will vary based on applicant's education, experience, knowledge, skills, and abilities.

We are an Equal Employment Opportunity employer. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

Drug Free Workplace (*Pre-employment drug screen is conducted for all positions)

Qualifications Experience Required
  • Associate's Degree (Bachelor's Degree Preferred) with current RN licensure in the state hired; multi-state licensure preferred
  • Two years of relevant experience such as Case Management, Utilization Review, Physical Rehabilitation, or Occupational Health
  • Worker's Compensation insurance experience
  • Professional certification in either Case Management (CCM) or Rehabilitation (CRRN) and/or eligible to sit for the certification exam.
  • Proficient with desktop technology

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.

#J-18808-Ljbffr

Apply