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Er Utilization Review Nurse Jobs (NOW HIRING)

Randolph Health

Utilization Review Nurse

Asheboro, NC · On-site

$21.47 - $35/hr

... the Utilization Review Plan for Randolph Hospital. Review patient record and plan of care at ... Graduate from an accredited school of nursing. BSN preferred. Current license to practice as a ...

Shannon Health

Utilization Review Nurse

Big Spring, TX · On-site

Job Summary The Utilization Review (UR) Nurse has acute knowledge and skills in areas of utilization management (UM), medical necessity, and patient status determination. This individual supports the ...

Merrimack Health

Utilization Review Nurse

Lawrence, MA · On-site

... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...

Merrimack Health

Utilization Review Nurse

Lawrence, MA · On-site

... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...

Merrimack Health

Utilization Review Nurse

Methuen, MA · On-site

... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...

Merrimack Health

Utilization Review Nurse

Methuen, MA · On-site

... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...

US Tech Solutions

Utilization Review Nurse

Chicago, IL · On-site

Do you have experience with Utilization Review? * Do you have an Active Registered Nurse License? About US Tech Solutions: US Tech Solutions is a global staff augmentation firm providing a wide range ...

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How much do er utilization review nurse jobs pay per hour?

As of Sep 9, 2026, the average hourly pay for er utilization review nurse in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.

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Infographic showing various Er Utilization Review Nurse job openings in the United States as of July 2026, with employment types broken down into 2% Locum Tenens, 3% As Needed, 61% Full Time, 10% Part Time, and 24% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Utilization Review Nurse

Asheboro, NC • On-site

Randolph Health
Health Care and Social Assistance • 1 - 5K employees
Learn more about Randolph Healthexternal

$21.47 - $35/hr

Full-time

Posted 7 days ago

Randolph Health rating

4.9

Company rating: 4.9 out of 10

Based on 23 frontline employees who took The Breakroom Quiz

Job description

Complete utilization management functions for assigned patients as outlined in the Utilization Review Plan for Randolph Hospital. Review patient record and plan of care at admission or placement into observation utilizing the criteria set approved and adopted by the Medical Executive Committee. Facilitate any second level reviews for patients not meeting the criteria set for the assigned level of care. Conduct continued stay reviews on periodic basis to ensure level of care appropriateness. Identify outlier cases and refer for second level continued stay review. Timely notification of the admitting physician on any issues of status that need discussion and facilitation of changes required. Serve as resource to hospital staff and medical staff on issues related to utilization management and level of care decisions. Assist with case reviews for payer denials concurrently and retrospectively as needed. Facilitate insurance approval for services needed at discharge such as home health services, facility placement, oxygen or IV antibiotics, as requested by the RN Case Manager or Discharge Planning Case Manager. Graduate from an accredited school of nursing. BSN preferred. Current license to practice as a Registered Nurse in North Carolina required. Previous training in utilization management or case management preferred. Excellent assessment skills required. Excellent communication skills required. Ability to set priorities and work independently is required. Knowledge of treatment modalities and alternate healthcare delivery systems is preferred. Three years working experience in an acute care setting is required. Prior experience in medical/surgical nursing, critical care, emergency care or home health is preferred.

What Randolph Health employees say

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About Randolph Health

Sourced by ZipRecruiter

Randolph Health, owned by American Healthcare Systems, LLC, (AHS) is a community healthcare system which includes an acute care hospital, primary and specialty physician practices, home health services, a PACE facility and a freestanding MRI testing facility. American Healthcare Systems' goal is to improve each community by implementing new technologies, specialties and care, specific to the needs of each community we serve. AHS is a community-based hospital system committed to providing quality care to our patients. We provide compassionate care with respect and dignity to our patients and their families.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Asheboro, NC, US

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