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

IVX Health

Infusion Registered Nurse (RN)

Sarasota, FL · On-site

... review nursing documentation, and uphold HIPAA and OSHA standards. * Optimize Clinical Workflows ... Active and Unrestricted Registered Nurse (RN) license * Life Support Certifications - BLS ...

Humana

Home Health Clinical Manager

Sarasota, FL · On-site

As a Registered Nurse Clinical Manager, you will: * Oversee clinical operations for the location ... Conduct ongoing staff education based on documentation review, utilization review findings, and ...

Centerwell

Home Health Clinical Manager

Sarasota, FL · On-site

As a Registered Nurse Clinical Manager , you will: * Oversee clinical operations for the location ... Conduct ongoing staff education based on documentation review, utilization review findings, and ...

CenterWell

Home Health Clinical Manager

Sarasota, FL · On-site

As a Registered Nurse Clinical Manager , you will: * Oversee clinical operations for the location ... Conduct ongoing staff education based on documentation review, utilization review findings, and ...

Sevita

Registered Nurse

Sarasota, FL · On-site

$36 - $38/hr

Registered Nurse - Fulltime Days or Overnights (7am - 7pm or 7pm - 7am) Starting Pay rate $36/hr ... Reviews documents and revises all nursing/nursing related care plans on a regular basis * Ensures ...

Sevita

Registered Nurse

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 ...

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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 Aug 12, 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.

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 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, 16% Part Time, and 2% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $84,756 per year, or $40.7 per hour.

Future Opening: Registered Nurse

Inteletech Global Inc.

Bradenton, FL • On-site

Other

Medical, Dental, Vision, Retirement

Re-posted 6 days ago

Job description

Registered Nurse (RN)

We are looking for an RN-Med/Surg, ER & Trauma nurse to provide the highest degree of care and treatment to ill, injured, and recovering patients. You should be able to assess patient condition, administer medications, change dressings, monitor vital signs, keep records, and provide patients with support and education. Likewise, you will assist physicians during examinations and procedures, as well as perform various patient tests and administer medications within the scope of your practice.

Responsibilities:

  • Assess the psychological, social, spiritual, educational, developmental, cultural, and discharge planning needs of patients.
  • Review patient history and physical with the patients and/or their family members and assure completion within an appropriate timeframe.
  • Review all available information obtained by other healthcare team members.
  • Formulate an individualized care plan, including a discharge plan, using the assessment data, as well as the input of the patient, family, and healthcare team.
  • Evaluate patient progress towards goals and expected outcomes in collaboration with other healthcare team members.
  • Assess, plan, implement, and evaluate documents in the patient record.
  • Work as an advocate for the physical and emotional well-being of the patient.

Job Benefits:

  • Competitive salary
  • Direct Deposit
  • 401K
  • Comprehensive Health, Dental, and Vision benefits
  • Employee discount program
  • Excellent room for growth and advancement

Requirements:

  • Minimum of 1 year of recent experience as an RN in a clinical setting.
  • Active RN license within the State of practice.
  • Current certifications (variable depending on the facility).
  • Must have a thorough knowledge of general nursing theory and practice.
  • Teamwork along with a strong work ethic and a positive attitude are required.
  • Excellent interpersonal skills and the ability to effectively communicate both verbally and in writing to provide excellent customer service.

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