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

SPEROS

RN Utilization Review - Full Time Days

Tampa, FL · On-site

$77 - $118/hr

Summary The Utilization Review Nurse is responsible for performing initial, concurrent, and ... Registered Nurse (RN) Minimum Licensure (Other): * Knowledge of utilization management principles ...

New

Enlyte

Utilization Reviewer 2

Tampa, FL

$59K - $76K/yr

Registered Nurse (RN) or chiropractor with a valid license in the state of Florida. * Minimum of 2 years of utilization review experience; or an advanced degree without experience. * Knowledge of ...

Enlyte

Utilization Reviewer 2

Tampa, FL · On-site

$59K - $76K/yr

Registered Nurse (RN) or chiropractor with a valid license in the state of Florida. * Minimum of 2 years of utilization review experience; or an advanced degree without experience. * Knowledge of ...

GQR Healthcare

Travel Case Management RN

Largo, FL · On-site

$1.8K - $1.9K/wk

Travel Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Largo, Florida Start Date: September 15, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay ...

GQR Healthcare

Travel RN Case Management

Largo, FL · On-site

$1.8K - $1.9K/wk

Travel Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Largo, Florida Start Date: June 15, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay: $1829 ...

Acadia Healthcare

Utilization Specialist

Wesley Chapel, FL · On-site

$55 - $75/hr

Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides ...

HandsOn Global Management

Be Seen First

UM Review Nurse

Tampa, FL · Remote

$36 - $40/hr

Performs prospective, concurrent, and retrospective inpatient and/or outpatient utilization reviews ... Licensed RN or LPN required. * Minimum of two to three years varied clinical experience required.

Prime Staffing

Travel Case Management RN

Largo, FL · On-site

Strong assessment, discharge planning, and utilization review skills Description: The RN Case Manager coordinates patient care plans and services across the continuum of care. Works closely with ...

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Utilization Review Rn information

See Tampa, FL salary details

$20

$39

$65

How much do utilization review rn jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for utilization review rn in Tampa, FL is $39.96, according to ZipRecruiter salary data. Most workers in this role earn between $31.59 and $45.87 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 Tampa, FL?

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

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

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

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

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

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

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

Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in Tampa, FL as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 14% Part Time, 4% Contract, and 1% Nights. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $83,111 per year, or $40 per hour.

Utilization Review/Outpatient Care RN

Healthcare Support Staffing

Tampa, FL • On-site

$28 - $32/hr

Full-time

Re-posted 25 days ago

Job description

Company Description

Why You Should Work For Us:

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

Job Title: Utilization Review/Outpatient Care RN

Are you an experienced Registered Nurse with Utilization Review experience looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered "yes" to any of these questions - this is the position for you!


Position Summary:

As the Utilization Review/Outpatient Care RN, you would be responsible for reviewing and collecting medical information in order to determine medical necessity of services requested.


Hours for this Position: Monday-Friday daytime hours (40 hours/week)


Advantages of this Opportunity:

  • Pay $28-$32 per hour, negotiable based on experience
  • Work for a prominent Healthcare company who pride themselves on partnership, integrity, teamwork, and accountability
  • Be a part of a team who serves the full spectrum of member needs
  • Weekly deposit options
  • Great benefits offered


More Insight of Daily Responsibilities: 

  • Ensures that services provided to eligible members are within benefit plan 
  • Initiates and continues direct communication with health care providers involved with the care of the member 
  • Identifies appropriate clinical settings for services being requested
  • Identifies and refers cases appropriate for case management
  • Identifies potential quality of care issues and refers to Quality Department
  • Determines appropriate utilization management of services requested
Qualifications

What We Look For:

  • Clear and active RN license in state of FL
  • 2+ years of acute clinical/surgical position
  • Recent experience with utilization management
Additional Information

Interested in being considered in this position?

TAKE THE NEXT STEP! Click the green I'M INTERESTED button to send me your resume.

Healthcare Support logo

About Healthcare Support

Sourced by ZipRecruiter

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Maitland, FL, US

Year founded

2003

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