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Entry Level Utilization Management Nurse information

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$39K

$89.5K

$163K

How much do entry level utilization management nurse jobs pay per year?

As of Jun 9, 2026, the average yearly pay for entry level 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 are some common challenges faced by Entry Level Utilization Management Nurses during their first year on the job?

Entry Level Utilization Management Nurses often encounter challenges such as adapting to the fast-paced decision-making required in assessing medical necessity, interpreting insurance policies, and learning to communicate effectively with both providers and insurance representatives. Navigating complex healthcare regulations and documentation requirements can also be overwhelming at first. However, most organizations provide thorough onboarding, mentorship, and ongoing training to help new nurses build confidence and proficiency in these areas.

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

To thrive as an Entry Level Utilization Management Nurse, you need an active RN license, a solid understanding of clinical guidelines, and a basic knowledge of healthcare regulations such as Medicare and Medicaid. Familiarity with utilization review software, electronic health records (EHRs), and clinical documentation systems is typically required. Strong analytical thinking, attention to detail, effective communication, and the ability to collaborate with healthcare teams are essential soft skills in this role. These skills and qualifications ensure accurate patient care reviews, compliance with regulations, and the delivery of cost-effective, quality healthcare.

What is an Entry Level Utilization Management Nurse?

An Entry Level Utilization Management Nurse is a registered nurse who works within healthcare organizations or insurance companies to review medical cases and ensure that patients receive appropriate, cost-effective care. They assess treatment plans, evaluate the necessity of medical procedures, and help coordinate services to avoid unnecessary hospitalizations. These nurses use clinical guidelines and their medical knowledge to make recommendations, often working closely with physicians, healthcare providers, and insurance representatives. The position is typically suited for nurses who are early in their careers and interested in the intersection of clinical practice and healthcare administration.

What is the difference between Entry Level Utilization Management Nurse vs Utilization Review Nurse?

AspectEntry Level Utilization Management NurseUtilization Review Nurse
CertificationsRN license, possibly some utilization management trainingRN license, often additional certifications like CCM or URAC
Work EnvironmentHospitals, insurance companies, healthcare organizationsInsurance companies, healthcare facilities, third-party review organizations
Job FocusAssessing patient needs for appropriate care, initial reviewReviewing medical necessity, approving or denying services

While both roles involve reviewing healthcare services, the Entry Level Utilization Management Nurse typically focuses on initial assessments and coordinating patient care, whereas the Utilization Review Nurse often concentrates on detailed reviews for approval or denial of services, often requiring additional certifications.

More about Entry Level Utilization Management Nurse jobs
What cities are hiring for Entry Level Utilization Management Nurse jobs? Cities with the most Entry Level 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 Entry Level Utilization Management Nurse jobs? States with the most job openings for Entry Level Utilization Management Nurse jobs include:
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Entry Level Utilization Management Nurse jobs near you
Travel Utilization Management Nurse

Travel Utilization Management Nurse

GQR Healthcare

Orono, ME

$1K/day

Contractor

Medical, Dental, Vision

Posted 4 days ago

Job description

GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Orono, Maine.

Job Description & Requirements
  • Specialty: Utilization Review
  • Discipline: RN
  • Start Date: ASAP
  • Duration: 13 weeks
  • 36 hours per week
  • Shift: 12 hours, days
  • Employment Type: Travel

Job

Location: Orono, ME

Profession: Nurse Supervisor

Estimated Pay: $1858.32

Duration (weeks): 13

Specialty:

Shift Details: Day

*Estimated weekly pay includes projected hourly wages and weekly meal and lodging per diems for eligible clinicians based on nationally published GSA rates. Actual weekly pay and per diems may differ from the amount shown and are subject to change during an assignment.

Benefits:

  • Day 1 Insurance
  • Cigna medical, MetLife dental and vision insurance
  • License reimbursement for new licenses needed for each assignment
  • Discounts with hotels and rental cars
  • A dedicated recruiter and support team that will help you every step of the way to sure you start on time and have an exceptional experience
  • Referral bonus up to $700

    About the Company:

    Finding the right role is about more than just matching skills to a job—it’s about aligning with your goals, values, and the way you want to work. As an award-winning talent partner, we support healthcare professionals through every step of that process, offering meaningful opportunities, clear guidance, and long-term partnership. From our first conversation to your first day on the job (and beyond!), we’re here to help you move forward with confidence.

    • GQR Job ID #815796. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined.

    About GQR Healthcare

    GQR’s Healthcare team specializes in connecting experts within the industry to highly skilled healthcare professionals across the US market.

    In the competitive healthcare market, we recognize that the industry’s common goals of improved quality of care and patient outcomes are wholly reliant upon the professionals directly supporting these initiatives. Leveraging our extensive candidate network, we deliver continuity of care for the communities our partners serve to ensure the patient experience is of the highest quality.

    Through deep market specialization and a unique approach to talent acquisition, GQR Healthcare provides an unparalleled and personalized experience across all medical specialties in nursing and within diverse healthcare platforms across the industry.

    GQR Healthcare logo

    About GQR Healthcare

    Sourced by ZipRecruiter

    Leveraging our extensive candidate network, we deliver continuity of care for the communities our partners serve to ensure the patient experience is of the highest quality. Through deep market specialization and a unique approach to talent acquisition, GQR Healthcare provides an unparalleled and personalized experience across all medical specialties in nursing and within diverse healthcare platforms across the industry.

    Industry

    Recruiting and staffing services

    Company size

    201 - 500 Employees

    Headquarters location

    Austin, TX, US

    Year founded

    2019

    Social media

    Facebook

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