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

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 ...

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 ...

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 ...

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 ...

Performs utilization management reviews and communicates information to third party payors * Acts ... Current FL RN licenserequiredorappropriate compactlicensure.If compact license held, active FL RN ...

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 ...

Registered Nurse (RN)

Thomasville, GA ยท On-site

$60 - $80/hr

As an RN at Journey, you will play a crucial role in assessing, planning, implementing, and ... For further information, please review the Know Your Rights notice from the Department of Labor. #J ...

Registered Nurse

Quincy, FL ยท On-site

$42/hr

Practice basic cost containment and utilization management for inmate care and facility operations ... Review medical files to determine all provided services are documented. * Closely monitor all ...

Registered Nurse

Quincy, FL ยท On-site

$42/hr

Practice basic cost containment and utilization management for inmate care and facility operations ... Review medical files to determine all provided services are documented. * Closely monitor all ...

As an RN at Journey, you will play a crucial role in assessing, planning, implementing, and ... For further information, please review the Know Your Rights notice from the Department of Labor.

Journey is hiring Registered Nurses (RNs) at Carrollton Crossing for 12-hour shifts. Current ... For further information, please review the Know Your Rights notice from the Department of Labor.

Showing results 41-60

Utilization Review Rn information

See Tallahassee, FL salary details

$20

$40

$65

How much do utilization review rn jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for utilization review rn in Tallahassee, FL is $40.16, according to ZipRecruiter salary data. Most workers in this role earn between $31.73 and $46.11 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:

Infographic showing various Utilization Review Rn job openings in Tallahassee, FL as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 13% Part Time, 5% Contract, and 1% Nights. Highlights an 86% Physical, 2% Hybrid, and 12% Remote job distribution, with an average salary of $83,541 per year, or $40.2 per hour.

Registered Nurse (RN)

ATC Northwest FL

Thomasville, GA โ€ข On-site

Full-time, Part-time

Posted 24 days ago


Job description

ATC Healthcare is looking for Registered Nurses!ย  Registered Nurses provide skilled nursing services to patients in a variety of healthcare settings. The Registered Nurse, or RN, is responsible for working with other healthcare professionals to help treat patients with various injuries, illnesses, or disabilities.

ABOUT US

For more than 40 years, ATC Healthcare has provided leading nurses and healthcare professionals to hospitals and facilities nationwide.ย  Healthcare systems around the U.S., including municipal health systems, multi-unit senior care companies, governments, school systems, VMS and MSP vendors trust us to deliver more than 100,000 nurses and other healthcare professionals on-demand.ย  If you have a track record of success in healthcare, we want you to join us!

Job Summary

The Part-time Registered Nurse (RN) provides clinical oversight and nursing consultation for Community Residential Alternative (CRA) homes and Client Living Support (CLS) homes. The RN ensures the people with intellectual and developmental disabilities (IDD) receive safe, high-quality, person-centered care while maintaining compliance with Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD), Department of Community Health (DCH) and Healthcare Facility Regulation (HFR).

This role fosters a compassionate environment where each individual is treated with dignity, empowered to live meaningfully, and supported by well-trained staff committed to excellence. The RN models advocacy, leadership, and respect while contributing to a culture rooted in empowerment, wellness, and community connection.

*POSITION HAS POTENTIAL OF BECOMING FULL-TIME*

Days/Hours: Monday - Friday (8 a.m. - 4 p.m.)


Primary Duties & Responsibilities

  • Provide nursing services for all assigned Community Residential Alternative (CRA) and Community Living Support (CLS) homes.
  • Review physician orders and ensure implementation of prescribed treatments and services
  • Develop, review, and update Healthcare Plans
  • Monitor individuals with complex medical needs and high clinical risk
  • Conduct routine nursing assessments and health status reviews
  • Complete nursing visits in accordance with DBHDD and provide nursing oversight hours
  • Review medication administration records and monitor medication-related concerns
  • Review health-related documentation for accuracy, completeness, and regulatory compliance
  • Participate in HRST (Health Risk Screening Tool) reviews for individuals with High Clinical Level (HCL) scores of 3+.
  • Attend ISP meetings and ensure nursing documentation supports service goals.
  • Support CNA license renewals and provide Proxy Caregiver training if adopted by leadership.
  • Train DSPs on any HCP (Healthcare Plan) changes
  • Support infection prevention and control practices
  • Maintain confidentiality in accordance with HIPPA regulations
  • Perform other nursing duties as assigned
  • Rotate on-call weekends and perform other duties as assigned by the Director.

Entry Qualifications

  • Registered Nursing degree from an accredited institution
  • Current Georgia Registered Nurse (RN) license in good standing.
  • Current CPR certification (required).
  • Completion of Public Health Nurse (PHN) course within one year of hire (if applicable).
  • Demonstrated ability to lead, train, and supervise staff in a residential care environment.
  • Strong communication, documentation, and organizational skills.
  • This job requires you to be on your feet for long periods of time, must be able to stand, walk, bend, and reach frequently
  • Must be able to lift or assist with lifting
  • Must have a valid driver's license

Mission-Driven Competencies

  • Person-Centered Focus: Commitment to seeing and supporting individuals based on their goals, strengths, and choices.
  • Advocacy: Upholds the rights and dignity of each person served; promotes health and wellness in all aspects of care.
  • Team Leadership: Ability to guide, train, and empower staff to provide safe, respectful, and high-quality care.
  • Accountability: Demonstrates professionalism, ethical practice, and responsibility in every action.
  • Community Engagement: Fosters meaningful connections that encourage individuals to thrive in their community.