Registered Nurse (RN) Case Manager — Utilization Review, PRN

Job overview

The Registered Nurse (RN) Case Manager — Utilization Review, PRN role is onsite in Chipley, FL. Compensation is not specified. The position supports Northwest Florida Community Hospital’s Med-Surg department and its commitment to quality community healthcare. The nurse reviews admissions and continued stays, coordinates care, and evaluates appropriate use of hospital resources. Collaboration with clinicians and payers supports compliant care decisions, discharge planning, and patient outcomes.

What you'll do

• Conduct utilization reviews for medical necessity, level of care, and admission or continued-stay appropriateness
• review records for payer and guideline compliance
• collaborate with physicians, nursing, and case management
• identify discharge planning needs and coordinate post-acute services
• communicate with payers
• document review activities
• support regulatory and reimbursement compliance.

What we're looking for

Skills & competencies

registered nurse (rn)

case manager

utilization review

prn

chipley fl

northwest florida community hospital

med-surg

medical necessity review

discharge planning

payer coordination

acute care nursing

patient care coordination

Work arrangement

• Weekend coverage required

Why this role

PRN, as-needed position; current Florida RN license or multistate license valid in Florida required; acute care nursing experience required; utilization review, case management, or discharge planning experience preferred.

About the employer

Northwest Florida Community Hospital is hiring for this role. Industry: Unclassified (placeholder). Sector: 99.