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

Treasure Coast Hospice

Registered Nurse

Fort Pierce, FL ยท On-site

$36 - $37/hr

Per Diem IPU Definition The RN is responsible for the planning and delivery of patient care ... to participate in review and revision of patients' plan of care. ๏‚ท Complete education ...

Vero Beach Care Center

RN Supervisor

Vero Beach, FL

$36 - $38/hr

RN Supervisor Shift: Full Time 3p-11p We are seeking a dedicated Registered Nurse (RN) Supervisor ... care, including review and updates of care plans. * Assess residents upon admission and ...

Centerwell

Clinical Care Nurse - FL

Port Saint Lucie, FL ยท On-site

You will support safe Transitions of Care (TOC), reduce avoidable ED utilization, and drive Medicare Advantage Stars and quality performance. The Clinical Care RN plays a critical role in advancing ...

Treasure Coast

Registered Nurse PD

Fort Pierce, FL ยท On-site

RN PD Nights 8pm - 8am or RN PD Days 8am - 8pm The RN is responsible for the planning and delivery ... Evaluation after 90 days and annually thereafter based on competency review, chart audits and ...

Vero Beach Care Center

RN Supervisor

Vero Beach, FL ยท On-site

$70 - $95/hr

RN Supervisor Shift: Full Time 3p-11p We are seeking a dedicated Registered Nurse (RN) Supervisor ... care, including review and updates of care plans. * Assess residents upon admission and ...

Treasure Coast Hospice

Registered Nurse PD

Fort Pierce, FL ยท On-site

$37 - $38/hr

RN PD Nights 8pm - 8am or RN PD Days 8am - 8pm The RN is responsible for the planning and delivery ... Evaluation after 90 days and annually thereafter based on competency review, chart audits and ...

Thrive USA Home Care

PRN RN

Palm Bay, FL ยท On-site

$90/hr

Perform review of clients assessments and care plans. * Delegate responsibility and supervision of ... Active Registered Nurse license in good standing. * Willing to travel between our service regions.

New

Encompass Health

Case Manager

Vero Beach, FL ยท On-site

$17.50 - $22.75/hr

Participate in utilization review process: data collection, trend review, and resolution actions ... For Nursing, must possess minimum of an Associate Degree in Nursing, RN licensure with BSN ...

Encompass Health

Case Manager

Vero Beach, FL

$17.50 - $22.75/hr

Participate in utilization review process: data collection, trend review, and resolution actions ... For Nursing, must possess minimum of an Associate Degree in Nursing, RN licensure with BSN ...

Encompass Health Corporation

Case Manager

Vero Beach, FL ยท On-site

$17.75 - $22.75/hr

Participate in utilization review process: data collection, trend review, and resolution actions ... For Nursing, must possess minimum of an Associate Degree in Nursing, RN licensure with BSN ...

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Showing results 41-60

All JobsUtilization Review Rn JobsUtilization Review Rn Jobs in Vero Beach, FL

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 Sep 6, 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:

Utilization Review Rn jobs near you
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, 80% Full Time, 15% Part Time, 3% Contract, and 1% Nights. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $77,498 per year, or $37.3 per hour.

Registered Nurse (RN) / Licensed Practical Nurse (LPN)

Family Pillars Homecare

Port Saint Lucie, FL โ€ข On-site

$21.75 - $29.50/hr

Contractor

Re-posted 8 days ago

Job description

About the Role
We are seeking dedicated and clinically sound RNs and LPNs to provide skilled nursing care to patients in their homes. This role includes intermittent visits, private duty shifts, and care plan coordination. If you're licensed in Florida, reliable, and looking to make a meaningful impact in a flexible per diem role, we'd love to connect.
Key Responsibilities
Perform skilled nursing visits: wound care, IV administration, medication management, patient assessments
Carry out shift-based care for patients needing extended clinical support
Monitor and document patient condition and progress
Collaborate with physicians and interdisciplinary teams to update care plans
Maintain accurate records in compliance with HIPAA and CMS guidelines (OASIS documentation required for RN)
Uphold infection control standards and agency protocols
Qualifications
Active Florida RN or LPN license (Compact License accepted)
Current CPR certification (BLS)
Level 2 background screening (AHCA-compliant)
TB screening and physical (within past 6 months)
Experience in Medicare-certified home health strongly preferred
Familiarity with EMRs (e.g., Axxess) and knowledge of PDGM & OASIS for RNs
Excellent clinical judgment, communication skills, and time management
Reliable transportation and commitment to punctual, professional care
What We Offer
Competitive rates for skilled visits and shift coverage
Flexible scheduling based on availability
Supportive clinical leadership and training resources
Access to HR tools via our agency app (credentialing, time-off forms, performance reviews)
Benefits
Medivox AI Documentation Assistant
We provide all clinicians with Medivox, an AI-powered documentation tool that dramatically reduces charting time. Medivox allows you to complete visit notes quickly using secure voice capture, helping you spend less time typing and more time living your life. Clinicians experience faster documentation, fewer corrections, and a better work-life balance.

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