Clinical Case Review Jobs in Florida
Clinical Case Review jobs in Florida represent an active and competitive market, concentrated in managed care, health insurance, and hospital utilization management, with demand at every level from entry-level coordinators through senior clinical reviewers and nurse consultants. Miami, Tampa, and Jacksonville are the largest hiring hubs, anchored by employers such as Humana, UnitedHealth Group, and Florida Blue, which maintain substantial Florida operations. The most consistently sought specialties include utilization review, insurance appeals, and workers' compensation case review. Find a role that fits below and apply directly.
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Showing 5 of 9+ Clinical Case Review jobs
Assignment Overview
- Shift: Days, 5x8hrs
- Hours: 40 hrs/wk
- Start Date: Oct 27, 2026
- Length: 13 weeks
- Openings: 1
Description
American Traveler is hiring a Travel RN Case Manager for a Level II Trauma Center, requiring at least 1 year of hospital case management experience and an active FL or compact RN license.
Details
- Case Management/Utilization Review unit in a 290-bed main hospital building
- Day shift schedule, 9:00 AM to 5:30 PM, five 8-hour days per week
- Patient ratios of 1:25 on floors and 1:20 in urgent care units for Case Managers
- Social Worker ratios of 1:30 for ICU and 1:40 for floors
- Uses iPad, computer, and cell phone for daily tasks
- Reviews conducted in Meditech, documentation in Midas, and referrals managed through Careport platform
- Required to work every other weekend and holidays in rotation with hospital employees
Requirements
- Active RN license (FL or Compact)
- Minimum 1 year of recent hospital and/or case management experience required
- Experience with Midas, Interqual, and Meditech preferred
- Acute hospital case management experience preferred
- No employment gaps of 90 days or more within the past 12 months
- US SSN and DOB required for consideration
- Florida requires two professional references
Additional Information
- Perform patient assessments, evaluations, and discharge planning with patients and families
- Facilitate and lead multidisciplinary rounds (MDR) discussions as needed
- Ideal candidates are independent, proactive, and strong communicators with critical thinking skills
- Navy blue scrubs required for RN staff
- Facility is a Level II Trauma Center
- Must reside outside a 50-mile radius of the facility; no local candidates accepted
- First-time travelers may be considered if minimum experience requirements are met
Assignment Overview
- Shift: Days, 5x8hrs
- Hours: 40 hrs/wk
- Start Date: Oct 27, 2026
- Length: 13 weeks
- Openings: 1
Description
American Traveler is hiring a Travel RN Case Manager for a Level II Trauma Center, requiring at least 1 year of hospital case management experience and an active FL or compact RN license.
Details
- Case Management/Utilization Review unit in a 290-bed main hospital building
- Day shift schedule, 9:00 AM to 5:30 PM, five 8-hour days per week
- Patient ratios of 1:25 on floors and 1:20 in urgent care units for Case Managers
- Social Worker ratios of 1:30 for ICU and 1:40 for floors
- Uses iPad, computer, and cell phone for daily tasks
- Reviews conducted in Meditech, documentation in Midas, and referrals managed through Careport platform
- Required to work every other weekend and holidays in rotation with hospital employees
Requirements
- Active RN license (FL or Compact)
- Minimum 1 year of recent hospital and/or case management experience required
- Experience with Midas, Interqual, and Meditech preferred
- Acute hospital case management experience preferred
- No employment gaps of 90 days or more within the past 12 months
- US SSN and DOB required for consideration
- Florida requires two professional references
Additional Information
- Perform patient assessments, evaluations, and discharge planning with patients and families
- Facilitate and lead multidisciplinary rounds (MDR) discussions as needed
- Ideal candidates are independent, proactive, and strong communicators with critical thinking skills
- Navy blue scrubs required for RN staff
- Facility is a Level II Trauma Center
- Must reside outside a 50-mile radius of the facility; no local candidates accepted
- First-time travelers may be considered if minimum experience requirements are met
See All 9 Clinical Case Review Jobs in Florida
Find roles in Florida that match your experience and apply in just a few clicks.
Find Clinical Case Review JobsClinical Case Review Jobs by City in Florida
Where Florida roles are concentrated, by current openings.
Clinical Case Review Job Market in Florida
A snapshot from current Florida openings, updated as new roles post.
Who's Hiring
Top Industries Hiring
- Healthcare & Medical Services
What Florida Employers Look For
The qualifications that appear most often in clinical case review jobs across Florida.
- Active Florida RN license or a clinical license recognized by the Florida Board of Nursing
- Minimum two years of clinical experience in acute care, managed care, or utilization review
- Familiarity with InterQual or Milliman care guidelines used in Florida payer environments
- Experience applying Medicare or Medicaid coverage criteria in a Florida or multi-state setting
- Strong documentation and electronic health record skills for case notation and reporting
- Knowledge of ICD-10 coding and medical necessity determination relevant to Florida payer contracts
Clinical Case Review Jobs in Florida: Frequently Asked Questions
How do you become a clinical case review in Florida?
The most direct path is holding an active clinical license recognized in Florida, typically a Registered Nurse license issued or endorsed by the Florida Board of Nursing, followed by at least two years of acute care or managed care experience. Some employers also accept licensed social workers credentialed through the Florida Board of Clinical Social Work. A certification such as the Accredited Case Manager credential strengthens most applications in Florida's payer and hospital markets.
Which companies hire clinical case reviews in Florida?
Employers hiring clinical case reviews in Florida right now include American Traveler, Memorial Healthcare System, and Broward Health, based on current listings on Migrate Mate as of October 2026. Florida's large managed care footprint means many of these openings come from health insurance plans and third-party review organizations serving Medicare Advantage and Medicaid recipients across the state.
Which Florida cities have the most clinical case review jobs?
Hudson, Chipley, and Miramar have the most clinical case review openings in Florida. Miami's concentration of national insurance carriers and managed care plans drives the largest share of postings, while Tampa and Jacksonville draw volume from major hospital systems and regional payers that maintain corporate operations in those metro areas.
Are there remote clinical case review jobs in Florida?
Yes, and more than most clinical roles, because case review work is largely documentation-based and phone-driven rather than hands-on. About 0% of clinical case review openings tied to Florida are remote or hybrid as of October 2026, reflecting how broadly payers and review organizations have moved this function off-site. Utilization review and insurance appeals positions are the segments most commonly offered as fully remote.
How can I get hired as a clinical case review in Florida with little or no experience?
The most realistic entry path is moving laterally from a bedside or care coordination role into a utilization review coordinator position, which many Florida hospital systems and payers treat as the training tier for case review work. AdventHealth, HCA Florida, and Florida Blue all post coordinator-level roles that do not require prior review experience. Building familiarity with InterQual criteria and earning a case management certificate through an accredited Florida program gives candidates a measurable edge over other applicants.
Where can I find and apply to clinical case review jobs in Florida?
You can find and apply to clinical case review jobs in Florida on Migrate Mate, which lists current openings from employers hiring across the state. Find roles that fit your experience and apply directly from the listing.
See All 9 Clinical Case Review Jobs in Florida
Find roles in Florida that match your experience and apply in just a few clicks.
Find Clinical Case Review Jobs