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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- Shift: Days, 5x8hrs
- Hours: 40 hrs/wk
- Start Date: Aug 24, 2026
- Length: 13 weeks
- Openings: 1
Description
American Traveler is hiring a Case Management RN for a Utilization Review role requiring 2 years of acute care experience and a FL or compact RN license.
Details
- Work in the Utilization Review department of a 289-bed acute care hospital
- Team consists of a mix of RNs and Social Workers, approximately 10-13 staff on day shift
- RN patient ratio of approximately 1:25
- Documentation systems used include Meditech, Midas, and Wellsky
- Day shift schedule from 8:00 AM to 4:30 PM
- 13-week assignment length
- No on-call requirements
Requirements
- Active FL or compact RN license required
- Minimum 2 years of acute care experience required
- Strong multi-tasking, communication, and time management skills required
- Ability to work independently and collaboratively as part of a team
Additional Information
- Business casual dress code
- Must reside outside a 50-mile radius of the facility; no local candidates accepted
- No gaps in work history exceeding 90 days within the past 12 months
- Candidates should be adaptable, reliable, and maintain a positive attitude in a fast-paced environment
Assignment Overview
- Shift: Days, 5x8hrs
- Hours: 40 hrs/wk
- Start Date: Aug 24, 2026
- Length: 13 weeks
- Openings: 1
Description
American Traveler is hiring a Case Management RN for a Utilization Review role requiring 2 years of acute care experience and a FL or compact RN license.
Details
- Work in the Utilization Review department of a 289-bed acute care hospital
- Team consists of a mix of RNs and Social Workers, approximately 10-13 staff on day shift
- RN patient ratio of approximately 1:25
- Documentation systems used include Meditech, Midas, and Wellsky
- Day shift schedule from 8:00 AM to 4:30 PM
- 13-week assignment length
- No on-call requirements
Requirements
- Active FL or compact RN license required
- Minimum 2 years of acute care experience required
- Strong multi-tasking, communication, and time management skills required
- Ability to work independently and collaboratively as part of a team
Additional Information
- Business casual dress code
- Must reside outside a 50-mile radius of the facility; no local candidates accepted
- No gaps in work history exceeding 90 days within the past 12 months
- Candidates should be adaptable, reliable, and maintain a positive attitude in a fast-paced environment
See All 5 Clinical Case Review Jobs in Florida
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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 Baptist Health South Florida, based on current listings on Migrate Mate as of August 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?
Miami, Margate, 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 33% of clinical case review openings tied to Florida are remote or hybrid as of August 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 5 Clinical Case Review Jobs in Florida
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