RN Utilization Management & Care Coordination Pro

UF Health Central Florida; Leesburg (FL); On-site; USD 52,000 - 78,000; Part time

Job summary

UF Health Central Florida in Leesburg, FL, is seeking a PRN Utilization Management RN to support the right care at the right time onsite. The role focuses on medical necessity evaluations, coordination with care teams, and discharge planning to optimize resource use.

Qualified candidates will have Florida RN licensure and 3+ years in utilization review or case management, with strong communication and data analysis skills to drive compliant, high-quality patient outcomes.

Qualifications

• RN license in Florida required.
• Minimum of three (3) years in utilization review, utilization management, or case management.

Responsibilities

• Evaluates patient records to determine medical necessity and appropriateness of services.
• Coordinates with care teams to ensure compliance with utilization guidelines and payer requirements.
• Supports treatment planning, care coordination, and appropriate resource utilization.
• Communicates authorization decisions and utilization determinations for timely discharge planning.
• Analyzes utilization data to identify trends and opportunities for improved care coordination and efficiency.
• Ensures accurate documentation and regulatory compliance across the team.

Skills

Utilization review

Care coordination

Communication

Regulatory compliance

Education

RN license (Florida)

Tools

Electronic Health Records (EHR)

Job description

UF Health Central Florida in Leesburg, FL, is seeking a PRN Utilization Management RN to support the right care at the right time onsite. The role focuses on medical necessity evaluations, coordination with care teams, and discharge planning to optimize resource use.

Qualified candidates will have Florida RN licensure and 3+ years in utilization review or case management, with strong communication and data analysis skills to drive compliant, high-quality patient outcomes.