Top 41 Utilization review nurse Jobs in Miami Fl

Clinical Resource Manager
CAREERXCHANGE —Miami, FL
- $39 - $46 an hour
- Contract
- Spanish
- Nursing
- RN License
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Utilization Review Nurse
Oscar Health —Miami, FL
- $35.00 - $45.94 an hour
- Weekends as needed
- Remote
- Nursing
- RN License
- Mid-level
- Paid parental leave
- Paid holidays
Quick Apply
Care Review Clinician, Specialty Therapist (Occupational / Physical / Speech) - REMOTE from Florida
Molina Healthcare —Miami, FL
- $26.41 - $51.49 an hour
- Full-time
- Remote
- Physical & Rehabilitation Medicine
- Mid-level
- Physical Therapy License
- Health insurance
Registered Nurse Utilization Review, Case Management
West Kendall Baptist Hospital —Miami, FL
- $47 an hour
- Weekends as needed
- Nursing
- RN License
- Mid-level
- Wellness program
- Health insurance
8d
Care Review Clinician (RN) - Remote in FL
Molina Healthcare —Miami, FL
- $26.41 - $51.49 an hour
- Full-time
- Remote
- RN License
- Mid-level
- Critical & Intensive Care
- Health insurance
Utilization Review
Westchester General Hospital —Miami, FL
- Overtime
- Nursing
- RN License
- Hospital
Quick Apply
Concurrent Review Nurse
Leon Medical Centers —Miami-Dade County, FL
- Spanish
- Nursing
- English
Quick Apply
9d
Utilization Management Nurse
Solis Health Plans —Doral, FL
- $60,000 - $70,000 a year
- Full-time
- Spanish
- Nursing
- RN License
- Health insurance
- Dental insurance
Quick Apply
Case Manager, RN
Jackson Health —Miami, FL
- Full-time
- Nursing
- RN License
- Inpatient
Quick Apply
14d
Concurrent Review Nurse
Leon Health —Miami, FL
- Spanish
- Nursing
- English
9d
Case Manager
West Gables Rehabilitation Hospital —Miami, FL
- $75,000 - $112,000 a year
- Full-time
- Hospital
- Inpatient
- Mid-level
- Dental insurance
- Paid time off
Quick Apply
UTILIZATION REVIEWER
Larkin Community Hospital —South Miami, FL
- Full-time
- Spanish
- RN License
- English
13d
Case Manager, RN/ Per diem/ Flexible Shift/ Case Management/ Jackson West Medical Center
Jackson Health —Miami, FL
- Per diem
- Nursing
- RN License
- Hospital
Quick Apply
1d
Nurse Case Manager
Battelle —Homestead, FL
- Full-time
- Hybrid work
- Nursing
- RN License
- BLS Certification
- Wellness program
- Health insurance
Case Management RN
Sanitas Medical Center —Doral, FL
- Full-time
- Spanish
- Master of Social Work
- Nursing
Quick Apply
Care Review Clinician (BH Licensed) - Remote in FL
Molina Healthcare —Miami, FL
- $26.41 - $51.49 an hour
- Full-time
- Remote
- LMFT
- Licensed Clinical Social Worker
- Mid-level
- Health insurance
RN Case Manager
Cleveland Clinic —Weston, FL
- Full-time
- Acute care
- Nursing
- RN License
7d
Clinical Documentation Integrity - Second Level Reviewer
University of Miami —Hialeah, FL
- Full-time
- Remote
- Nursing
- Medicine
- Microsoft Excel
- Health insurance
- Dental insurance
RN Community Case Manager
Chen Medical Associates —North Miami Beach, FL
- $36.90 - $52.70 an hour
- Full-time
- Acute care
- Nursing
- Microsoft Outlook
- Opportunities for advancement
8d
Manager, Case Management
University of Miami —Miami, FL
- Full-time
- RN License
- Hospital
- Word processing
- Health insurance
- Dental insurance

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utilization review nurse jobs near miami fl

Clinical Resource Manager

CAREERXCHANGE -
Miami, FL

Quick Apply

Job Details

Contract
$39 - $46 an hour

Qualifications

Electronic health records (EHR) management
RN License
Acute care facility experience

Full Job Description

Clinical Resource Manager (Contract – 12 Weeks)

Location: Miami, FL
Job Type: Contract (12 Weeks)
Pay Rate: $39.00 - $46.00 per hour
Schedule: Monday – Friday | Day Shift

Clinical Resource Manager

A leading hospital in the Miami area is seeking an experienced Clinical Resource Manager for a 12-week contract assignment. This position is ideal for a healthcare professional with strong clinical operations, resource management, and interdisciplinary coordination experience who is passionate about delivering exceptional patient care while ensuring efficient utilization of hospital resources.
Responsibilities

Coordinate clinical resources to ensure appropriate patient care and efficient hospital operations.
Collaborate with physicians, nursing staff, case management, and ancillary departments to optimize patient flow.
Assess patient needs and assist with appropriate level of care and resource utilization.
Monitor patient progression and identify barriers to timely treatment and discharge.
Support care coordination initiatives while maintaining compliance with hospital policies and regulatory standards.
Participate in multidisciplinary rounds and provide recommendations for efficient resource allocation.
Maintain accurate documentation within the electronic medical record (EMR).
Assist with utilization management and clinical documentation as needed.
Communicate effectively with patients, families, healthcare providers, and leadership.
Promote quality improvement initiatives focused on patient outcomes and operational efficiency.

Qualifications

Active Florida Registered Nurse (RN) license required.
Bachelor's degree in Nursing (BSN) preferred.
Minimum of 3 years of acute care hospital experience.
Previous experience in Case Management, Utilization Review, Care Coordination, or Clinical Resource Management preferred.
Knowledge of InterQual or MCG criteria is highly desirable.
Strong understanding of healthcare regulations, patient care coordination, and discharge planning.
Experience using electronic medical record (EMR) systems.
Excellent communication, organizational, and critical thinking skills.
Ability to work independently in a fast-paced hospital environment.

Preferred Qualifications

Case Management Certification (CCM, ACM, or equivalent) preferred.
Experience working in large acute care hospitals.
Bilingual (English/Spanish) is a plus.

What We Offer

Competitive hourly pay: $39.00–$46.00/hour
12-week contract assignment
Opportunity to gain experience with a leading Miami healthcare organization
Collaborative and professional clinical environment

If you are a dedicated healthcare professional with a passion for patient advocacy, care coordination, and clinical excellence, we encourage you to apply today.

CAREERXCHANGE® is an Equal Opportunity Employer. For additional opportunities, please visit www.careerxchange.com.

#Aug_2026_175

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Refine Your Search

utilization review nurse jobs in miami fl

Clinical Resource Manager

Utilization Review Nurse

Care Review Clinician, Specialty Therapist (Occupational / Physical / Speech) - REMOTE from Florida

Registered Nurse Utilization Review, Case Management

Care Review Clinician (RN) - Remote in FL

Utilization Review

Concurrent Review Nurse

Utilization Management Nurse

Case Manager, RN

Concurrent Review Nurse

Case Manager

UTILIZATION REVIEWER

Case Manager, RN/ Per diem/ Flexible Shift/ Case Management/ Jackson West Medical Center

Nurse Case Manager

Case Management RN

Care Review Clinician (BH Licensed) - Remote in FL

RN Case Manager

Clinical Documentation Integrity - Second Level Reviewer

RN Community Case Manager

Manager, Case Management

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