North Carolina License as a Registered Nurse. Three years clinical nursing experience. One year utilization and review experience. Experience with MCG authorization criteria preferred. Knowledge of ...
North Carolina License as a Registered Nurse. Three years clinical nursing experience. One year utilization and review experience. Experience with MCG authorization criteria preferred. Knowledge of ...
Summary The Utilization Review Nurse RN conducts initial, concurrent and retrospective chart review for clinical, financial and resource utilization information. Provides intervention and ...
Summary The Utilization Review Nurse RN conducts initial, concurrent and retrospective chart review for clinical, financial and resource utilization information. Provides intervention and ...
Complex, high-risk, or ambiguous cases requiring clinical judgment are referred to a RN Utilization Review for review and determination. Essential Duties and Responsibilities These duties and ...
Complex, high-risk, or ambiguous cases requiring clinical judgment are referred to a RN Utilization Review for review and determination. Essential Duties and Responsibilities These duties and ...
Utilization Review Nurse RN
Randallstown, MD · On-site
$40.12 - $62.19/hr
Summary The Utilization Review Nurse RN conducts initial, concurrent and retrospective chart review for clinical, financial and resource utilization information. Provides intervention and ...
Utilization Review Nurse RN
Randallstown, MD · On-site
$40.12 - $62.19/hr
Summary The Utilization Review Nurse RN conducts initial, concurrent and retrospective chart review for clinical, financial and resource utilization information. Provides intervention and ...
Utilization Review Nurse RN - NE * Randallstown, MD * NORTHWEST HOSPITAL * NW CARE MANAGEMENT * Part-time - Weekends - Weekend shifts - 8:00am-4:30pm * RN OTHER * 95496 * $40.12-$62.19 Experience ...
Utilization Review Nurse RN - NE * Randallstown, MD * NORTHWEST HOSPITAL * NW CARE MANAGEMENT * Part-time - Weekends - Weekend shifts - 8:00am-4:30pm * RN OTHER * 95496 * $40.12-$62.19 Experience ...
Remote Utilization Review Registered Nurse (UR RN) Nexus Health Systems is seeking an experienced Utilization Review Registered Nurse (UR RN) to join our growing Utilization Management team. This ...
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Remote Utilization Review Registered Nurse (UR RN) Nexus Health Systems is seeking an experienced Utilization Review Registered Nurse (UR RN) to join our growing Utilization Management team. This ...
New
Remote Utilization Review Registered Nurse (UR RN) Location: Remote (Texas RN License or Compact License Required) Company: Nexus Health Systems Employment Type: Full-Time Make an Impact from ...
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Remote Utilization Review Registered Nurse (UR RN) Location: Remote (Texas RN License or Compact License Required) Company: Nexus Health Systems Employment Type: Full-Time Make an Impact from ...
Utilization Review Nurse San Jacinto Plaza - Sunflower Building - El Paso, TX 79901; El Paso ... Current RN License to practice in the State of Texas. Education and Training: * Associate's Degree ...
Utilization Review Nurse San Jacinto Plaza - Sunflower Building - El Paso, TX 79901; El Paso ... Current RN License to practice in the State of Texas. Education and Training: * Associate's Degree ...
Utilization Review Nurse
$34.73 - $45.15/hr
Nurse, Registered (RN) licensure * BSN preferred. 2-5 years previous Utilization Review experience preferred. * Current CPR * Relevant hospital nursing; hospital case management; insurance case ...
Utilization Review Nurse
$34.73 - $45.15/hr
Nurse, Registered (RN) licensure * BSN preferred. 2-5 years previous Utilization Review experience preferred. * Current CPR * Relevant hospital nursing; hospital case management; insurance case ...
Utilization Review Nurse
New Lenox, IL · On-site +1
$34.73 - $45.15/hr
Nurse, Registered (RN) licensure * BSN preferred. 2-5 years previous Utilization Review experience preferred. * Current CPR * Relevant hospital nursing; hospital case management; insurance case ...
Utilization Review Nurse
New Lenox, IL · On-site +1
$34.73 - $45.15/hr
Nurse, Registered (RN) licensure * BSN preferred. 2-5 years previous Utilization Review experience preferred. * Current CPR * Relevant hospital nursing; hospital case management; insurance case ...
Clinical Utilization Review Nurse II
Fairfield, CA · On-site
$544.78/wk
Gale Wilson Boulevard Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 18899553 Job Title Clinical Utilization Review Nurse II Weekly Pay $544.78 Shift Details Shift ...
Clinical Utilization Review Nurse II
Fairfield, CA · On-site
$544.78/wk
Gale Wilson Boulevard Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 18899553 Job Title Clinical Utilization Review Nurse II Weekly Pay $544.78 Shift Details Shift ...
Utilization Review Nurse American Health Plans, a division of Franklin, Tennessee-based American ... Required Registered Nurse Equal Opportunity Employer This employer is required to notify all ...
Utilization Review Nurse American Health Plans, a division of Franklin, Tennessee-based American ... Required Registered Nurse Equal Opportunity Employer This employer is required to notify all ...
Utilization Review Nurse
New Lenox, IL · On-site
$34.73 - $45.15/hr
Nurse, Registered (RN) licensure * BSN preferred. 2-5 years previous Utilization Review experience preferred. * Current CPR * Relevant hospital nursing; hospital case management; insurance case ...
Utilization Review Nurse
New Lenox, IL · On-site
$34.73 - $45.15/hr
Nurse, Registered (RN) licensure * BSN preferred. 2-5 years previous Utilization Review experience preferred. * Current CPR * Relevant hospital nursing; hospital case management; insurance case ...
Utilization Review Nurse for Workers' Comp Office Location - Montgomery County Area Job Purpose ... Valid current RN license in good standing * Able to perform the professional and technical skills ...
Utilization Review Nurse for Workers' Comp Office Location - Montgomery County Area Job Purpose ... Valid current RN license in good standing * Able to perform the professional and technical skills ...
Utilization Review Nurse
Las Vegas, NV · On-site
Valid license by the State of Nevada to practice as a Registered Nurse. Additional Position ... Interquel or Milliman utilization review criteria, Medicare/Medicaid guidelines, hospital policies ...
Utilization Review Nurse
Las Vegas, NV · On-site
Valid license by the State of Nevada to practice as a Registered Nurse. Additional Position ... Interquel or Milliman utilization review criteria, Medicare/Medicaid guidelines, hospital policies ...
Come work at the best place to give and receive care! RN Utilization Review Who We Are: Elliot Health System's Care Coordination Department, located in Manchester, NH, plays a vital role in ensuring ...
Come work at the best place to give and receive care! RN Utilization Review Who We Are: Elliot Health System's Care Coordination Department, located in Manchester, NH, plays a vital role in ensuring ...
RN - Utilization Review
Cedar Rapids, IA · On-site
The Utilization Management Specialist in the Behavioral Health Hospital Outpatient Departments ... State of Iowa Licensed RN * Two years of behavioral health work experience. * Professional ...
RN - Utilization Review
Cedar Rapids, IA · On-site
The Utilization Management Specialist in the Behavioral Health Hospital Outpatient Departments ... State of Iowa Licensed RN * Two years of behavioral health work experience. * Professional ...
Utilization Management Schedule: Day-Shift | Full-Time | Monday-Friday 8:00AM-4:30PM | Weekend ... Registered Nurse credentialed from the Maryland Board of Nursing obtained prior to hire date or job ...
Utilization Management Schedule: Day-Shift | Full-Time | Monday-Friday 8:00AM-4:30PM | Weekend ... Registered Nurse credentialed from the Maryland Board of Nursing obtained prior to hire date or job ...
Registered Nurse (RN) - Utilization Review
Tuba City, AZ · On-site
$2.6K/wk
Travel Registered Nurse (RN) - Utilization Review Weekly Pay: $2,612 Shift Details: Days - 5 x 8 Job Order Details: * Start Date: 09/07/2026 * End Date: 12/07/2026 * Duration: 13 Week(s) * Float ...
Registered Nurse (RN) - Utilization Review
Tuba City, AZ · On-site
$2.6K/wk
Travel Registered Nurse (RN) - Utilization Review Weekly Pay: $2,612 Shift Details: Days - 5 x 8 Job Order Details: * Start Date: 09/07/2026 * End Date: 12/07/2026 * Duration: 13 Week(s) * Float ...
Qualifications Associates RN degree required, Bachelor's degree preferred Two years of experience in managed care quality assurance or utilization review RN must have two years of experience in an ...
Qualifications Associates RN degree required, Bachelor's degree preferred Two years of experience in managed care quality assurance or utilization review RN must have two years of experience in an ...
Entry Level Rn Utilization Review Nurse information
See salary details
$21.39 - $25.72
2% of jobs
$25.72 - $30.05
9% of jobs
$33.01 is the 25th percentile. Wages below this are outliers.
$30.05 - $34.38
21% of jobs
The median wage is $37.88 / hr.
$34.38 - $38.70
23% of jobs
$38.70 - $43.03
13% of jobs
$46.39 is the 75th percentile. Wages above this are outliers.
$43.03 - $47.36
10% of jobs
$47.36 - $51.68
8% of jobs
$51.68 - $56.01
5% of jobs
$56.01 - $60.34
5% of jobs
$60.34 - $64.66
2% of jobs
$64.66 - $68.99
2% of jobs
$21
$42
$68
How much do entry level rn utilization review nurse jobs pay per hour?
- International Utilization Review Rn
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- Prior Authorization Review Nurse
- Flexible Cigna Utilization Review Nurse
- Utilization Review Nurse Lvn
- Per Diem Chart Review Nurse Practitioner
- Fulltime Cigna Utilization Review Nurse
- Utilization Review Registered Nurse Rn
- Volunteer Rn Utilization Review Nurse
- Utilization Review Nurse Consultant

Granville Health System rating
8.6
Based on 5 frontline employees who took The Breakroom Quiz
Job description
Position Summary:
Conducts patient reviews as specified in review plan using screening criteria; identifies and documents actual and potential delays in services or treatment and works with departments and other providers to resolve problems; communicates to attending physician need for documentation for admission or continuation of hospitalization; refers cases that do not meet criteria to Director when needed. Screens all cases against high risk screens for discharge planning; conduct concurrent and retrospective reviews.
Qualifications:
North Carolina License as a Registered Nurse. Three years clinical nursing experience. One year utilization and review experience. Experience with MCG authorization criteria preferred. Knowledge of current nursing principles, techniques, procedures; knowledge of current utilization management criteria and standards. Excellent communication skills. Ability to work with physicians and hospital staff. Maintains professional knowledge and skills related to areas of responsibility. Self direction with the ability to work with minimal supervision and manage multiple tasks. Demonstrates understanding of variations in care of the following age groups - newborn, infant, child, adolescent, adult and geriatric.
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