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Utilization Review Rn Jobs in Vero Beach, FL (NOW HIRING)

Review and follow-up on resident incidents or complaints. * Count narcotics at beginning and end of ... Will ensure economical utilization of supplies and proper charging of items to residents' accounts.

Registered Nurse (RN) At Health at Home, we believe in People Helping People, and our nurses are at ... Perform thorough physical assessments and review medical history to establish baseline health ...

As a Registered Nurse (RN), you'll bring compassionate, skilled care directly into the homes of our ... Perform thorough physical assessments and review medical history to establish baseline health ...

As a Registered Nurse (RN), you'll bring compassionate, skilled care directly into the homes of our ... Perform thorough physical assessments and review medical history to establish baseline health ...

As a Registered Nurse (RN), you'll bring compassionate, skilled care directly into the homes of our ... Perform thorough physical assessments and review medical history to establish baseline health ...

As a Registered Nurse (RN), you'll bring compassionate, skilled care directly into the homes of our ... Perform thorough physical assessments and review medical history to establish baseline health ...

Showing results 21-40

Utilization Review Rn information

See Vero Beach, FL salary details

$18

$37

$60

How much do utilization review rn jobs pay per hour?

As of Aug 18, 2026, the average hourly pay for utilization review rn in Vero Beach, FL is $37.26, according to ZipRecruiter salary data. Most workers in this role earn between $29.42 and $42.79 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 Vero Beach, FL?

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

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

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

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

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

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

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

Infographic showing various Utilization Review Rn job openings in Vero Beach, FL as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 16% Part Time, 3% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $77,498 per year, or $37.3 per hour.

$67K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 6 days ago


State Of Florida rating

6.5

Company rating: 6.5 out of 10

Based on 188 frontline employees who took The Breakroom Quiz

47th of 50 rated states


Job description

Requisition No: 881483 

Agency: Veterans Affairs

Working Title: REGISTERED NURSE

 Pay Plan: Career Service

Position Number: 50453001 

Salary:  $67,742.74 

Posting Closing Date: 01/10/2027 

Total Compensation Estimator Tool

Requisition #881483 

REGISTERED NURSE

FLORIDA DEPARTMENT OF VETERANS' AFFAIRS

Ardie R. Copas State Veterans' Nursing Home

Port Saint Lucie, Saint Lucie County 

Annual Non-Negotiable Salary: $67,742.74

Paid Bi-Weekly

 

*This position is eligible for both Overtime pay and an additional $1.00 per hour shift differential pay for qualifying shifts. *

Shifts Available:
7:00 a.m. to 3:30 p.m.   (30-Minute Break)
3:00 p.m. to 11:30 p.m. (30-Minute Break)
11:00 p.m. to 7:30 a.m. (30-Minute Break)

The Florida Department of Veterans' Affairs is an agency dedicated to serving those who served U.S.  We are seeking a motivated, dynamic individual! 

Excellent retirement package and optional deferred compensation plan.  Health, vision, dental, ‎disability, and other supplemental insurance available at reasonable premium rates.  Paid vacation and ‎sick leave. Nine (9) paid holidays and personal day.  Tuition waivers are available for State Universities and ‎Community Colleges (up to 6 credits per semester).‎

 

**This is a continuous advertisement for a Registered Nurse.  Multiple positions and varied shifts will be selected from this pool. **

 

**Other vacant positions/shifts may be filled from this advertisement within six (6) months of the closing date. **

 

The FDVA Nursing State Veterans’ Nursing Homes and Domiciliary are designated employment sites for the Nursing Student Loan Forgiveness Program.

  • From funds available, the program may make nursing education loan repayments of up to $4,000.00 per year, per nurse enrolled in the program, for a maximum of four years.
  • Payment is made at the end of each 12-month enrollment period and made directly to the participant’s lender.
  • Enrollment and payment of awards is based on available funds.

 MINIMUM QUALIFICATIONS:

  • Must be willing and able to work weekends and holidays.
  • Must possess a current Florida Registered Nurse License.
  • Must possess a current CPR certification.
  • Must have excellent communication and interpersonal skills.
  • Successful completion of the employment screening process to include, but not limited to, a national background investigation and drug test. 

    https://info.flclearinghouse.com   

PREFERRED QUALIFICATIONS 

  • Experience in long-term care or 120 bed skilled nursing facility.
  • Experience with Electronic Medical Records.
  • Experience with Microsoft Office Suite.
  • Experience with medication administration.

POSITION DESCRIPTION:

The incumbent is responsible for:

  • Giving ordered treatments, administer prescribed medications, give direct ADL care and complete requirements for diagnostic procedures as requested by the attending physician on an assigned shift per established policies and procedures.
  • Works under the direct supervision of the Senior Registered Nurse Supervisor.
  • Receive verbal orders, including telephone orders from attending physicians.
  • Transcribes physician’s orders to all appropriate documents on an assigned shift per established policies and procedures.
  • Make rounds with physicians and other health care personnel per established policies and procedures.
  • Monitor physician’s orders for completion.
  • Review and follow-up on resident incidents or complaints.
  • Count narcotics at beginning and end of shift.
  • Assure that narcotic records are accurate for assigned shift.
  • Will provide supervision (lead worker duties) for the facility on an assigned shift as required and as defined in 60K-2.0061 (3) (d) F.A.C.
  • Will supervise subordinates on assigned unit.
  • Review work assignments with staff on unit and assign team members in accordance with the patient’s needs, available staffing, and in accordance with policies and procedures.
  • Assure assigned CNAs are in dining room on time.
  • Try to solve problems with employees as required before involving supervisors. 
  • Recognize and respond to changes in residents’ conditions as it occurs.
  • Will record observations accurately and concisely.
  • Notify supervisor, physician and family of changes.
  • Document all notifications as they are made.
  • Assist physicians with special tests and procedures as required and within the scope of the Florida Nursing Practice Act.
  • Receive and give reports at beginning and end of shift by making walking rounds with the off-going and on-coming nurse.
  • On assigned residents and within the assigned time frame will: Complete, sign and date the MDS, RAP modules and additional assessments.
  • Will review and update care plans; notify chairperson if changes need to be made per established policies and procedures; and attend Interdisciplinary Care Plans when requested. 
  • Will always maintain professional standards of nursing care.
  • Follows all local, state, and federal rules and regulations, as well as the policies and procedures of the facility and nursing department. 
  • Attend mandatory and non-mandatory in-services, meetings, Care Plans and MDS as required.
  • Will ensure economical utilization of supplies and proper charging of items to residents’ accounts. 
  • Ensure equipment is maintained in a clean and safe manner.
  • Will maintain valid CPR certification and perform as needed.
  • Perform all other related duties as assigned by supervisor.

This position is in the Career Service system.

Candidates requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (1-866-663-4735). Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation.

The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act.

VETERANS’ PREFERENCE.  Pursuant to Chapter 295, Florida Statutes, candidates eligible for Veterans’ Preference will receive preference in employment for Career Service vacancies and are encouraged to apply.  Certain service members may be eligible to receive waivers for postsecondary educational requirements.  Candidates claiming Veterans’ Preference must attach supporting documentation with each submission that includes character of service (for example, DD Form 214 Member Copy #4) along with any other documentation as required by Rule 55A-7, Florida Administrative Code.  Veterans’ Preference documentation requirements are available by clicking here.  All documentation is due by the close of the vacancy announcement. 


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