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Entry Level Utilization Review Nurse Jobs in Rochester, MN

Entry Level Utilization Review Nurse information

See Rochester, MN salary details

$21

$42

$70

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

As of Jul 26, 2026, the average hourly pay for entry level utilization review nurse in Rochester, MN is $42.98, according to ZipRecruiter salary data. Most workers in this role earn between $33.94 and $49.38 per hour, depending on experience, location, and employer.

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.

How to make $300,000 as a nurse?

An entry level utilization review nurse can increase earning potential by gaining specialized certifications, such as Certified Case Manager (CCM), and accumulating experience in high-demand settings. Advancing to senior or managerial roles, working overtime, or obtaining additional qualifications can also help reach higher salary levels, though earning $300,000 typically requires significant experience and specialization beyond entry level.

How to get into utilization review as a nurse?

To become an entry-level utilization review nurse, candidates typically need a registered nurse (RN) license and relevant clinical experience. Gaining knowledge of insurance processes, medical coding, and utilization review guidelines, along with completing any required certifications such as Certified Professional in Healthcare Quality (CPHQ), can improve job prospects.

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.

Is it hard to be a utilization review nurse?

Being an entry-level utilization review nurse involves reviewing medical records and determining coverage eligibility, which requires attention to detail, strong communication skills, and knowledge of healthcare policies. The role can be demanding due to the need for accuracy and adherence to regulations, but it often offers a structured environment with standard work hours. Certification in case management or utilization review can enhance job prospects and effectiveness.

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.

How to make an extra 2000 a month as a nurse?

An entry level utilization review nurse can increase income by taking on additional part-time or freelance review assignments, obtaining relevant certifications like the Certified Professional Coder (CPC), or working overtime if available. Developing specialized skills in medical coding, documentation, or telehealth can also open opportunities for higher-paying side work or contract roles.
What are the most commonly searched types of Utilization Review Nurse jobs in Rochester, MN? The most popular types of Utilization Review Nurse jobs in Rochester, MN are:
What are popular job titles related to Entry Level Utilization Review Nurse jobs in Rochester, MN? For Entry Level Utilization Review Nurse jobs in Rochester, MN, the most frequently searched job titles are:
What cities near Rochester, MN are hiring for Entry Level Utilization Review Nurse jobs? Cities near Rochester, MN with the most Entry Level Utilization Review Nurse job openings:
Infographic showing various Entry Level Utilization Review Nurse job openings in Rochester, MN as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $89,397 per year, or $43 per hour.
Registered Nurse - Consultative Medicine - RN

Registered Nurse - Consultative Medicine - RN

Mayo Clinic

Rochester, MN • On-site

Other

Medical, Dental, Vision, Retirement

Posted 6 days ago


Mayo Clinic rating

7.8

Company rating: 7.8 out of 10

Based on 691 frontline employees who took The Breakroom Quiz

103rd of 890 rated healthcare providers


Job description

Why Mayo Clinic

Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans - to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic.

Benefits Highlights
  • Medical: Multiple plan options.
  • Dental: Delta Dental or reimbursement account for flexible coverage.
  • Vision: Affordable plan with national network.
  • Pre-Tax Savings: HSA and FSAs for eligible expenses.
  • Retirement: Competitive retirement package to secure your future.

Responsibilities

The RN in this position collaborates with physicians, residents, mid-level providers, RNs, LPNs, and other allied health staff members to provide care in a team approach for patients traveling from the region, across the nation, or internationally to Mayo Rochester. Patients in this practice are either self-referred, or referred by a local provider for a consultative work up of multiple undifferentiated symptoms. Patients complete an outpatient evaluation with an internist from GIM as the coordinating provider of the episode, then return to their local care teams for longitudinal care.

The RN in this role collaborates with the multidisciplinary team to coordinate care for destination medical center patients. In addition, the RN provides care to patients utilizing face to face visits as well as non-visit care (telephonic and through online services). The RN is pivotal in coordinating care (including monitoring labs, consults, and tests), adjusting the plan of care, and triaging patient requests. Patient visits include, but are not limited to: review of patient health issues, personalized education, medication review/administration, and care planning. Non-visit care coordination consists of telephone triage, medical record review, pre-visit planning, and assessing symptom-based patient concerns.  The RN collaborates daily with providers, licensed practical nurses, desk operations specialists, patient appointment service specialists, and medical secretaries.

For New Graduate Nurses: Please apply through the Nurse Residency Program posting, which is specifically designed to support new graduate RNs. Visit the Nurse Residency webpage for program details including current and upcoming application windows. Within the Nurse Residency application process, you may indicate work units and specialties of interest. If selected to move forward, you will meet with a Nursing Placement Coordinator who will help you explore Mayo Clinic opportunities that are best aligned with your current and future professional goals. Together, we'll identify a work area that provides an excellent foundation for your nursing career.

The registered nurse (RN) is accountable for the coordination of nursing care, including direct patient care, patient/family education and transitions of care. The RN supports professional nursing practice across practice settings and across the continuum of care to meet the needs of the patient and family. The RN will function within the Mayo Clinic Nursing Professional Practice Model, which includes accountability for planning, implementing, evaluating and communicating all phases of nursing care for assigned patients. The ANA Nursing: Scope and Standards of Practice provide a basis for the practice of the RN. The RN provides leadership through activities such as preceptor role, informal and formal leadership roles, and quality improvement efforts. The RN delegates patient care according to skill level, experience, patient acuity, fiscal accountability and availability of resources. The RN possesses excellent communication skills; is skillful in mentoring and teaching; and may participate on committees or projects. A subset of employees may be required to drive their personal vehicle as a part of the responsibility of their role. 
This role is eligible for TN sponsorship. Successful sponsorship will require state licensure and completion of the VisaScreen or equivalent certification. 


Qualifications

Graduate of a nursing program, as recognized by the Accreditation Commission for Education in Nursing (ACEN), Commission on Collegiate Nursing Education (CCNE), National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA). One year of RN experience required.

All entry-level associate degree registered nurses with a RN start date of April 1, 2020 and after must provide documented evidence of program completion of the baccalaureate degree in nursing from an accredited nursing program within five years from the last day of the month of the RN start date.
All entry-level associate degree registered nurses with a RN start date prior to April 1, 2020 must provide documented evidence of program completion of the baccalaureate degree in nursing from an accredited nursing program as stipulated by the degree requirement program in place at time of hire.
1 year RN experience required.
Acute, direct patient care experience within the last 2 years.  Excellent communication skills (verbal and written). Experience working in a team environment. Computer skills required, prior experience with electronic medical record systems preferred. Must demonstrate high level of initiative, demonstrated leadership, effective communication, and excellent critical thinking skills. Ability to adapt to unpredictable situations within the work setting including innovations in the practice environment.
Internal applicants are required to attach their three most recent performance appraisals

License and Certification (Must obtain prior to start date): 

Current RN license by applicable state requirements. 

BLS (Basic Life Support) must be valid for 90 days post start date; acceptable certifications include: American Heart Association (AHA)/ Heartcode BLS, Military Training Network, Red Cross (CPR/AED for Professional Rescuers and Health Care Providers). 

Additional state licensure(s) and/or specialty certification/training as required by the work area.


Exemption Status
Nonexempt
Compensation Detail
The pay for this role is $35.84-$58.84. Mayo Clinic has an innovative nursing compensation model that rewards experience, education, and dedication to the organization. Combined with our competitive tuition reimbursement program, the compensation approach empowers nurses to grow professionally and maximize their earning potential.
Benefits Eligible
Yes
Schedule
Full Time
Hours/Pay Period
48-60
Schedule Details
Monday-Friday, Days, 8 hour shifts
Weekend Schedule
None
International Assignment
No
Site Description
Just as our reputation has spread beyond our Minnesota roots, so have our locations. Today, our employees are located at our three major campuses in Phoenix/Scottsdale, Arizona, Jacksonville, Florida, Rochester, Minnesota, and at Mayo Clinic Health System campuses throughout Midwestern communities, and at our international locations. Each Mayo Clinic location is a special place where our employees thrive in both their work and personal lives. Learn more about what each unique Mayo Clinic campus has to offer, and where your best fit is. 

Equal Opportunity

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status or disability status. Learn more about the 'EOE is the Law'.  Mayo Clinic participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization.

Recruiter
Brittany CrowsonQualifications:

Graduate of a nursing program, as recognized by the Accreditation Commission for Education in Nursing (ACEN), Commission on Collegiate Nursing Education (CCNE), National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA). One year of RN experience required.

All entry-level associate degree registered nurses with a RN start date of April 1, 2020 and after must provide documented evidence of program completion of the baccalaureate degree in nursing from an accredited nursing program within five years from the last day of the month of the RN start date.
All entry-level associate degree registered nurses with a RN start date prior to April 1, 2020 must provide documented evidence of program completion of the baccalaureate degree in nursing from an accredited nursing program as stipulated by the degree requirement program in place at time of hire.
1 year RN experience required.
Acute, direct patient care experience within the last 2 years.  Excellent communication skills (verbal and written). Experience working in a team environment. Computer skills required, prior experience with electronic medical record systems preferred. Must demonstrate high level of initiative, demonstrated leadership, effective communication, and excellent critical thinking skills. Ability to adapt to unpredictable situations within the work setting including innovations in the practice environment.
Internal applicants are required to attach their three most recent performance appraisals

License and Certification (Must obtain prior to start date): 

Current RN license by applicable state requirements. 

BLS (Basic Life Support) must be valid for 90 days post start date; acceptable certifications include: American Heart Association (AHA)/ Heartcode BLS, Military Training Network, Red Cross (CPR/AED for Professional Rescuers and Health Care Providers). 

Additional state licensure(s) and/or specialty certification/training as required by the work area.


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About Mayo Clinic

Sourced by ZipRecruiter

Mayo Clinic is the largest integrated, not-for-profit medical group practice in the world. We're building the future, one where the best possible care is available to everyone — and more people can heal at home. Our relentless research turns into earlier diagnoses and new cures. That's how we inspire hope in those who need it most. At Mayo Clinic, experts work together to solve the most challenging unmet needs of patients. Our history of innovation dates back almost 150 years, when brothers Will and Charlie Mayo pioneered an integrated, team-based approach to medicine. Today, that trailblazing spirit drives innovations like Mayo Clinic Platform — which powers new technologies to change how care is delivered to all.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Rochester, MN, US

Year founded

1919