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

American Traveler

Travel Case Management RN

Largo, FL · On-site

Travel RN - Case Management/Utilization Review - Case Management About American Traveler With over 25 years of experience, American Traveler has established a reputation for outstanding customer ...

American Traveler

Travel RN Case Management

Largo, FL · On-site

Travel RN - Case Management/Utilization Review - Case Management About American Traveler With over 25 years of experience, American Traveler has established a reputation for outstanding customer ...

InnovAge

In-Home Services RN | M - F | Days

Tampa, FL · On-site

$38.80 - $62.12/hr

Participates in utilization review of medical records as assigned. * Processes orders and notifies ... Current State issued Registered Nurses License * Current First Aid and BLS certifications are ...

InnovAge

In-Home Services RN | M - F | Days

Tampa, FL · On-site

$38.80 - $62.12/hr

Participates in utilization review of medical records as assigned. * Processes orders and notifies ... Current State issued Registered Nurses License * Current First Aid and BLS certifications are ...

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

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 4, 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.

Travel Case Management RN - $2,100 per week (Hiring Immediately)

Prime Staffing

Johns Pass, FL • On-site

$2.1K/wk

Part-time

This job post has expired 2 days ago. Applications are no longer accepted.

Job description

Prime Staffing is seeking a travel nurse RN Float Case Management Med Surg for a travel nursing job in Largo, Florida. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 09/15/2026 Duration: 13 weeks 40 hours per week Shift: 8 hours Employment Type: Travel About the Position Specialty: RN Case Manager Experience: 1 year of recent case management or discharge planning experience preferred License: Active State or Compact RN License Certifications: BLS – AHA Must-Have: 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 providers, social workers, and external agencies to ensure timely, efficient, and effective discharge planning and transitions. Supports utilization management and ensures compliance with payer guidelines. Onboarding typically takes 2–4 weeks based on documentation and clearance processes. Requirements Required for Onboarding: Active RN License BLS Prime Staffing Job ID 37965569. Pay package is based on 8 hour shifts and 40.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN:Case Manager,08:00:00-16:00:00 About Prime Staffing At Prime Staffing, we understand the importance of finding the perfect fit for both our clients and candidates. Prime Staffing utilizes a unique matchmaking approach, providing the most qualified contingent staffing to our clients, and the most competitive contracts to our workforce. Our experienced team takes the time to get to know both our clients and candidates, their needs, and preferences, to ensure that each placement is a success. We offer a wide range of staffing services including temporary, temp-to-perm, and direct hire placements. Our extensive network of qualified candidates includes nurses, allied healthcare professionals, corporate support professionals and executives.5c143e31-5e48-4549-b638-05792d185386

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