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Apprentice Utilization Management Nurse Jobs (NOW HIRING)

Intus, Inc

Utilization Management Nurse

$80K - $95K/yr

Role Overview The Utilization Management Nurse plays a critical role in ensuring high-quality, cost-effective, and compliant care for PACE participants supported by IntusCare. This individual ...

UCLA Health

Utilization Management Nurse

Los Angeles, CA · On-site

$74.16 - $107.75/hr

The UM Nurse functions in two utilization management roles for coverage purposes utilization review/payor authorization and patient placement-ensuring continuity of operations, timely access to care ...

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Apprentice Utilization Management Nurse information

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$39K

$89.5K

$163K

How much do apprentice utilization management nurse jobs pay per year?

As of Jun 9, 2026, the average yearly pay for apprentice utilization management nurse in the United States is $89,483.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,500.00 and $104,500.00 per year, depending on experience, location, and employer.

What is the difference between Apprentice Utilization Management Nurse vs Utilization Management Nurse?

AspectApprentice Utilization Management NurseUtilization Management Nurse
CredentialsLicensed RN, in training or early certification stageLicensed RN with certification in utilization review
Work EnvironmentSupervised training setting, often in healthcare or insurance companiesIndependent review in healthcare or insurance organizations
Job ResponsibilitiesAssisting with case reviews, learning utilization review processesConducting case assessments, making coverage decisions

The Apprentice Utilization Management Nurse is in training, focusing on learning review procedures under supervision, while the Utilization Management Nurse is fully qualified, responsible for independent case evaluations and decision-making. The apprentice role is a stepping stone toward becoming a licensed Utilization Management Nurse.

What are the key skills and qualifications needed to thrive as an Apprentice Utilization Management Nurse, and why are they important?

To thrive as an Apprentice Utilization Management Nurse, you need a foundational understanding of nursing principles, strong analytical skills, and typically an RN license or progression toward one. Familiarity with utilization management software, electronic health records (EHR), and knowledge of insurance guidelines such as Medicare or Medicaid are often required. Attention to detail, critical thinking, and effective communication are essential soft skills for collaborating with healthcare teams and conveying clinical information. These competencies ensure accurate patient care reviews, compliance with regulations, and effective support in healthcare cost management.

What are some common challenges faced by Apprentice Utilization Management Nurses, and how can they be addressed?

Apprentice Utilization Management Nurses often encounter challenges such as learning to interpret complex medical records, understanding insurance policies, and adhering to strict regulatory guidelines. Balancing patient advocacy with cost-effective care decisions can also be demanding. These challenges can be addressed by actively participating in mentorship programs, seeking regular feedback from experienced colleagues, and utilizing ongoing training resources provided by employers. Developing strong communication and organizational skills will also help manage the workload and foster effective collaboration with physicians, case managers, and insurance representatives.

What is an Apprentice Utilization Management Nurse?

An Apprentice Utilization Management Nurse is a nursing professional in training who assists with the review and evaluation of healthcare services to ensure they are medically necessary and cost-effective. They work under the supervision of experienced utilization management nurses and follow established guidelines to assess patient care plans, medical records, and insurance policies. Their role is crucial in helping healthcare organizations maintain quality care while managing costs, and they may interact with physicians, patients, and insurance companies to clarify or justify treatment decisions. As apprentices, they are gaining hands-on experience to develop their skills and knowledge in utilization management.
More about Apprentice Utilization Management Nurse jobs
What cities are hiring for Apprentice Utilization Management Nurse jobs? Cities with the most Apprentice Utilization Management Nurse job openings:
What are the most commonly searched types of Utilization Management Nurse jobs? The most popular types of Utilization Management Nurse jobs are:
What states have the most Apprentice Utilization Management Nurse jobs? States with the most job openings for Apprentice Utilization Management Nurse jobs include:
What job categories do people searching Apprentice Utilization Management Nurse jobs look for? The top searched job categories for Apprentice Utilization Management Nurse jobs are:
Apprentice Utilization Management Nurse jobs near you
Infographic showing various Apprentice Utilization Management Nurse job openings in the United States as of May 2026, with employment types broken down into 7% Locum Tenens, 4% As Needed, 56% Full Time, 28% Part Time, 4% Nights, and 1% Summer. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $89,483 per year, or $43 per hour.

Utilization Management Nurse

Integrated Community Living and Par

Allentown, PA • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 22 days ago

Job description

Benefits:
  • Employee discounts
  • Paid time off
  • 401(k) matching
  • Competitive salary
  • Dental insurance
  • Health insurance
  • Training & development
  • Vision insurance
  • Wellness resources

Benefits/Perks
  • Competitive Compensation
  • Great Work Environment
  • Career Advancement Opportunities
Job Summary
We are seeking a Utilization Management Nurse to join our team! As a Utilization Management Nurse on the team, you will be responsible for reviewing patient files and treatment methods with an eye for efficiency and effectiveness. Your role will be to ensure we are running at optimal efficiency, and that all patients under our care are receiving the necessary treatments and procedures. The ideal candidate has deep experience in a similar medical setting, has a bachelor's or higher in Nursing, and has a certification in either Case Management or Utilization Management.
Responsibilities
  • Review patient files and treatment information for efficiency
  • Monitor the activity of staff to ensure effective patient treatment
  • Advocate for quality patient care to prevent complications
  • Review discharge information for outgoing patients
  • Work closely with clinical staff to provide excellent patient care
  • Prepare reports on patient management and cost assessments
Qualifications
  • Nurse, with state LPN licensure, required
  • Certificate in Case Management or Utilization Management desired
  • Strong communication and interpersonal skills
  • Strong analytical skills