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Entry Level Utilization Review Nurse Jobs in Washington

Prime Time Healthcare

Utilization Review

Washington, DC · On-site

Now Hiring: RN Utilization Review - Washington, DC Are you a passionate RN professional looking for a new adventure? Prime Time Healthcare is seeking dynamic individuals like you to join our team in ...

MedStar Health

RN Team Lead Utilization Review

Clinton, MD · On-site

$89K - $162K/yr

... Utilization Review Team. Manages daily assignment ensuring all UM tasks are completed each day. Collaborates with the physician nurse case manager social worker and other members of the health care ...

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Entry Level Utilization Review Nurse information

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$24

$47

$78

How much do entry level utilization review nurse jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for entry level utilization review nurse in Washington is $47.89, according to ZipRecruiter salary data. Most workers in this role earn between $37.84 and $55.00 per hour, depending on experience, location, and employer.

What is an entry level utilization review nurse?

An Entry Level Utilization Review Nurse is a registered nurse (RN) who is new to the field of utilization review. Their main responsibilities include assessing medical records, ensuring that patients receive appropriate and necessary care, and verifying that health services are delivered according to established guidelines and insurance requirements. They typically work for hospitals, insurance companies, or managed care organizations and collaborate with healthcare providers to support quality patient outcomes while managing costs. This role often serves as a stepping stone to more advanced positions in healthcare administration or case management.

What are the key skills and qualifications needed to thrive as an entry level utilization review nurse, and why are they important?

To thrive as an Entry Level Utilization Review Nurse, you need a registered nurse (RN) license, knowledge of clinical guidelines, and an understanding of healthcare regulations. Familiarity with utilization management software, electronic health records (EHR), and relevant certifications such as Certified Case Manager (CCM) or Accredited Case Manager (ACM) are often beneficial. Strong analytical thinking, attention to detail, and effective communication skills help you review cases accurately and collaborate with providers. These skills ensure appropriate care decisions, compliance with payer requirements, and optimal patient outcomes.

What are some common challenges faced by entry level utilization review nurses, and how can they overcome them?

Entry level Utilization Review Nurses often encounter challenges such as adapting to complex insurance policies, learning to review medical records efficiently, and communicating effectively with physicians and case managers. To overcome these challenges, new nurses should seek mentorship from experienced colleagues, participate in ongoing training sessions, and familiarize themselves with the organization's review protocols and documentation systems. Building strong communication skills and staying up to date with regulatory changes will also help in navigating the learning curve and ensuring successful case reviews.

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

AspectEntry Level Utilization Review NurseUtilization Review Nurse
CredentialsRN license, possibly some certificationRN license, often with additional certifications
Work EnvironmentHospitals, insurance companies, healthcare facilitiesInsurance companies, healthcare organizations
Job ResponsibilitiesAssist in reviewing patient cases, gather data, support senior staffEvaluate medical necessity, review patient records, make coverage decisions

The Entry Level Utilization Review Nurse typically supports the more experienced Utilization Review Nurse by gathering information and assisting in case reviews. Both roles require an RN license and work within healthcare or insurance settings, but the entry-level position involves more support tasks, while the Utilization Review Nurse makes critical coverage decisions.

What are the most commonly searched types of Utilization Review Nurse jobs in Washington?

The most popular types of Utilization Review Nurse jobs in Washington are:

What are popular job titles related to Entry Level Utilization Review Nurse jobs in Washington?

For Entry Level Utilization Review Nurse jobs in Washington, the most frequently searched job titles are:

What job categories do people searching Entry Level Utilization Review Nurse jobs in Washington look for?

The top searched job categories for Entry Level Utilization Review Nurse jobs in Washington are:

What cities in Washington are hiring for Entry Level Utilization Review Nurse jobs?

Cities in Washington with the most Entry Level Utilization Review Nurse job openings:

Entry Level Utilization Review Nurse jobs near you
Infographic showing various Entry Level Utilization Review Nurse job openings in Washington as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 14% Part Time, 4% Contract, and 1% Nights. Highlights an 86% Physical, 3% Hybrid, and 11% Remote job distribution, with an average salary of $99,608 per year, or $47.9 per hour.

UTILIZATION REVIEW NURSE THP

Korak Healthsource Group

Washington, DC • On-site

Full-time

Re-posted 13 days ago

Job description

Additional Information

All your information will be kept confidential according to EEO guidelines.

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About Korak Healthsource Group

Sourced by ZipRecruiter

Korak Healthsource Group Inc., looks beyond today’s challenges and creates values for the future. Today’s Claims Management clients need the organizational flexibility for all staffing solutions to drive cost savings, efficiencies improvements and enhancement to process effectiveness. Korak Healthsource is dedicated to developing innovative partnerships, creating customized staffing solutions, cost-effective and efficient health care claims administration outsourcing and support services to meet your business goals. Our focus is on your business goals to drive business process improvement, solution effectiveness and technology enhancements to accelerate results.

Industry

Recruiting and staffing services

Company size

11 - 50 Employees

Headquarters location

Forest Hill, MD, US

Year founded

1996

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