ZipRecruiter

Log In

1

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

TMH

RN | Case Management | Flex

Tallahassee, FL · On-site

Performs Minimum Data Set (MDS), case management, utilization review, quality assurance (QA), and ... Administrator, Rehabilitation Center (JC: 013501) [with delegation (as needed) to RN/Director ...

Lancesoft INC

Case Manager RN | $10K Sign-On Bonus

Tallahassee, FL · On-site

$31 - $43/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Review medical necessity, admission status, and resource utilization * Collaborate with physicians ... Active RN License (Compact License Accepted) * ADN or Nursing Diploma Required * BSN Preferred

Lancesoft INC

Case Manager RN

Tallahassee, FL · On-site

$31 - $43/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Case Manager RN - Full-Time (Permanent) Location: Tallahassee, FL 32310 Schedule: Day Shift (8:00 ... Perform utilization reviews & ensure medical necessity * Lead discharge planning & remove care ...

Archbold Medical Center

CARE MANAGER

Thomasville, GA · On-site

  • Medical

  • Dental

  • Life

  • Retirement

  • PTO

Care Manager - Utilization Review Description: Excellent communication skills Excellent ... Registered nurse Maintains current Georgia Nursing license Minimum of three years experience as a ...

Archbold Medical Center

CARE MANAGER

Thomasville, GA · On-site

  • Medical

  • Dental

  • Life

  • Retirement

  • PTO

Care Manager - Utilization Review Description: Excellent communication skills Excellent ... Registered nurse Maintains current Georgia Nursing license Minimum of three years experience as a ...

ATC Northwest FL

Registered Nurse (RN)

Thomasville, GA · On-site

Registered Nurses provide skilled nursing services to patients in a variety of healthcare settings ... Review physician orders and ensure implementation of prescribed treatments and services * Develop ...

ATC Healthcare

Registered Nurse (RN)

Thomasville, GA · On-site

Registered Nurses provide skilled nursing services to patients in a variety of healthcare settings ... Review physician orders and ensure implementation of prescribed treatments and services * Develop ...

ATC Northwest FL

Registered Nurse (RN)

Thomasville, GA · On-site

Registered Nurses provide skilled nursing services to patients in a variety of healthcare settings ... Review physician orders and ensure implementation of prescribed treatments and services * Develop ...

previous pagenext page

Showing results 21-40

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

Utilization Review Rn information

See Tallahassee, FL salary details

$18

$36

$59

How much do utilization review rn jobs pay per hour?

As of Aug 17, 2026, the average hourly pay for utilization review rn in Tallahassee, FL is $36.65, according to ZipRecruiter salary data. Most workers in this role earn between $28.94 and $42.07 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 popular job titles related to Utilization Review Rn jobs in Tallahassee, FL?

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

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

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

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

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

Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in Tallahassee, FL as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 13% Part Time, 3% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $76,225 per year, or $36.6 per hour.

Case Manager RN | Sign-on bonus + Benefits

Lancesoft INC

Tallahassee, FL • On-site

$31 - $43/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 19 days ago

Job description

Job Summary:
Hiring an experienced RN Case Manager to oversee care coordination, utilization review, discharge planning, and patient advocacy while collaborating with the interdisciplinary care team.

Requirements:

  • Active FL RN License or Compact License
  • Associate Degree in Nursing (BSN preferred)
  • 3+ years of recent Case Management experience in Acute Care
  • Will also consider candidates with Med/Surg, Tele, Neuro, ICU, PCU, ED, Home Health, or Insurance Case Management backgrounds (meeting experience requirements).

Compensations:

  • Pay: $31.94 – $43.92/hr (based on experience)
  • Shift Differential: Evening $2.50/hr | Weekend $2.00/hr
  • Sign-On Bonus: Case-by-case
  • Relocation Assistance: Case-by-case

Company Description

LanceSoft is rated as one of the largest staffing firms in the US by SIA. Our mission is to establish global cross-culture human connections that further the careers of our employees and strengthen the businesses of our clients. We are driven to use the power of our global network to connect businesses with the right people, and people with the right businesses without bias. We provide Global Workforce Solutions with a human touch.

LanceSoft logo

About LanceSoft

Sourced by ZipRecruiter

Established in 2000, LanceSoft is a Certified MBE and Woman-Owned organization. Lancesoft Inc. is one of the highest rated companies in the industry. We have been recognized as one of the Largest Staffing firms and ranked in the top 50 fastest Growing Healthcare Staffing firms in 2022. Lancesoft offers short- and long-term contracts, permanent placements, and travel opportunities to credentialed and experienced professionals throughout the United States. We pride ourselves on having industry leading benefits. We understand the importance of partnering with an expert who values your needs, which is why we're 100% committed to finding you an assignment that best matches your career and lifestyle goals. Our team of experienced career specialists takes the time to understand your needs and match you with the right job Lancesoft has been chosen by Staffing Industry Analysts as one of the Best Staffing Firms to Work for.LanceSoft specializes in providing Registered Nurses, Nurse Practitioners, LPNs/LVNs, Social Workers, Medical Assistants, and Certified Nursing Assistants to work in Acute Care Centers, Skilled Nursing Facilities, Long-Term Care centers, Rehab Facilities, Behavioral Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many other provider-based facilities.

Industry

Recruiting and staffing services

Company size

1,001 - 5,000 Employees

Headquarters location

Herndon, VA, US

Year founded

2000

Social media

FacebookTwitter

View All LanceSoft Jobs