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Apprentice Utilization Management Nurse Jobs (NOW HIRING)

Oak St. Health

Utilization Management Nurse Consultant

$26.01 - $68.55/hr

Utilization Management Nurse Consultant We're building a world of health around every individual -- shaping a more connected, convenient and compassionate health experience. At CVS Health ® , you'll ...

Oak St. Health

Utilization Management Nurse Consultant

$26.01 - $68.55/hr

Utilization Management Nurse Consultant We're building a world of health around every individual -- shaping a more connected, convenient and compassionate health experience. At CVS Health ® , you'll ...

Oak St. Health

Utilization Management Nurse Consultant

$29.10 - $62.32/hr

Utilization Management Nurse Consultant We're building a world of health around every individual -- shaping a more connected, convenient and compassionate health experience. At CVS Health ® , you'll ...

CVS Health

MI · On-site

$26.01 - $68.55/hr

As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. You would be ...

CVS Health

Utilization Management Nurse Consultant

$29.10 - $62.32/hr

Registered Nurse (RN) - Utilization Management (24/7 Operations) Step away from bedside care and make a system-wide impact. Join our Utilization Management team and help ensure members receive the ...

CVS Health

Utilization Management Nurse Consultant

$29.10 - $62.32/hr

Registered Nurse (RN) - Utilization Management (24/7 Operations) Leverage your clinical expertise to make a broader impact. Join our Utilization Management team and help ensure members receive the ...

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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 Jul 11, 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.
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