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Entry Level Utilization Review Nurse Jobs in Springfield, IL

Memorial Health

Registered Nurse (RN), Cath Lab

Auburn, IL · On-site

$48.37/hr

... utilization of the nursing process. Provides age-appropriate care. Participates in research when ... Sandy@mhsil.com To review Memorial's Benefits click here: Benefits - Memorial HR Qualifications ...

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Entry Level Utilization Review Nurse information

See Springfield, IL salary details

$21

$41

$68

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

As of Aug 18, 2026, the average hourly pay for entry level utilization review nurse in Springfield, IL is $41.91, according to ZipRecruiter salary data. Most workers in this role earn between $33.12 and $48.12 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 Springfield, IL?

The most popular types of Utilization Review Nurse jobs in Springfield, IL are:

What are popular job titles related to Entry Level Utilization Review Nurse jobs in Springfield, IL?

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

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

The top searched job categories for Entry Level Utilization Review Nurse jobs in Springfield, IL are:

What cities near Springfield, IL are hiring for Entry Level Utilization Review Nurse jobs?

Cities near Springfield, IL 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 Springfield, IL as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 13% Part Time, 4% Contract, and 1% Nights. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $87,164 per year, or $41.9 per hour.

Registered Nurse (RN) - Emergency Department Per-diem

Memorial Health

Lincoln, IL • On-site

$30.23 - $48.37/hr

Full-time, Part-time, Per diem

Posted 22 days ago

Memorial Health rating

7.0

Company rating: 7.0 out of 10

Based on 176 frontline employees who took The Breakroom Quiz

414th of 888 rated healthcare providers

Job description

MinUSD $30.23/Hr.MaxUSD $48.37/Hr.Overview

Registered Nurse (RN) - ED

Per-Diem

As a Registered Nurse-ED, you will be responsible for the care of a designated group of patients in a structured setting through the appropriate utilization of assessment, diagnosis, planning, implementation, and evaluation. Provides care appropriate to the age of the patients served on his/her assigned unit.

To review Memorial's Benefits click here: Benefits - Memorial HR

Qualifications

Licensure/Certification/Registry:

  • Current RN license in the State of Illinois required. Healthcare Provider BLS certification required within 30 days of hire.
  • Healthcare Provider or Instructor BLS certification required within 30 days of hire.
  • ACLS (provider or instructor), PALS (provider or instructor) or ENPC, TNCC or TNS, and ECRN certifications preferred within 1 year, and required within 2 years of hire date. ECRN certification is only required of full- and part-time staff.

Experience:

  • Meets credit range for Clinical Ladder levels as follows (12 months experience as a registered nurse is required in order to apply for promotion in the clinical ladder):
  • Clinical Nurse I: Registered Nurse who achieves a range of 0-12 credits on the Clinical Ladder Behavior Grid. BSN preferred.
  • Clinical Nurse II: Registered Nurse who achieves a range of 13-24 credits on the Clinical Ladder Behavior Grid with evidence of behaviors from at least two categories of the Grid. BSN preferred.
  • Clinical Nurse III: Registered Nurse who achieves at least 25 - 35 credits on the Clinical Ladder Behavior Grid with evidence of behaviors from at least three categories on the Grid. BSN required.
  • Clinical Nurse IV: Registered Nurse who achieves at least 36 credits on the Clinical Ladder with evidence of behaviors from at least three categories on the Grid. Enrollment in BSN or MSN program or completion of minimum of BSN require
Responsibilities
  • Provides direct patient care, evaluates outcome, consults with other specialists as required and adjusts nursing care processes as indicated to ensure optimal patient care.
  • Performs nursing bedside procedures including but not limited to accucheck and rapid strept.
  • Interviews patients and /or family to obtain required history and determine appropriate Triage status.
  • Initiates IV access and administers fluid therapy in safe manner.
  • Assists physicians with multiple bedside procedures including but not limited to chest tube insertion, intubation, suturing, lumbar puncture, etc.
  • Accurately cares for patients receiving forensic care, ie. Blood alcohol levels, workers compensation, rape, patient abuse.
  • Provides patient teaching relative to presenting conditions.
  • Completes 12 lead EKG's.
  • Completes process for admission, discharge and transfer appropriately.
  • Assures that department is survey-ready at all times.
  • Communicates effectively with ED physicians and team members.
  • Administers blood and blood components in a safe manner.
  • Provides safe patient care during patient transport utilizing appropriate protocols.
  • Performs other related work as required or requested.

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    The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job.  Incumbents may be requested to perform tasks other than those specifically presented in this description.

    Employment Type: OTHER

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