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Evening Utilization Review Nurse Jobs (NOW HIRING)

Fusion HCR

Utilization Review Nurse

Las Vegas, NV · On-site

Direct Hire - Utilization Review Nurse, this is an onsite position, working with our client in Acute Care. Overview Seeking an experienced Utilization Review Nurse (RN) to review patient admissions ...

CommonSpirit Health

Utilization Review Nurse

Job Summary and Responsibilities As our Utilization Review Nurse, you will ensure the medical necessity and appropriateness of care for all hospitalized patients, promoting fiscal responsibility and ...

Oscar Health

Utilization Review Nurse

Miami, FL · Remote

$35 - $45.94/hr

We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You will perform frequent case reviews, check medical records and speak with care providers regarding ...

Oscar Health

Utilization Review Nurse

Dallas, TX · Remote

$35 - $45.94/hr

We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You will perform frequent case reviews, check medical records and speak with care providers regarding ...

Oscar Health

Utilization Review Nurse

Atlanta, GA · Remote

$35 - $45.94/hr

We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You will perform frequent case reviews, check medical records and speak with care providers regarding ...

Global Force

Utilization Review Nurse

Las Vegas, NV · On-site

About the job Utilization Review Nurse Sign on bonus may apply up to $15,000 Position Summary: Reviews patient admissions for appropriateness, efficiency of resource utilization and compliance with ...

AbsoluteCARE

Utilization Review Nurse

New Orleans, LA · On-site

The Utilization Review Nurse ensures appropriate utilization of health services by performing initial, concurrent and retrospective clinical case reviews. This role collaborates and communicates with ...

UNC Health

Utilization Review Nurse

Kinston, NC · On-site

Utilization Review Nurse Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: This ...

AbsoluteCare

Utilization Review Nurse

New Orleans, LA · On-site

The Utilization Review Nurse ensures appropriate utilization of health services by performing initial, concurrent and retrospective clinical case reviews. This role collaborates and communicates with ...

Oscar Health

Utilization Review Nurse

Tempe, AZ · Remote

$35 - $45.94/hr

We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You will perform frequent case reviews, check medical records and speak with care providers regarding ...

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Evening Utilization Review Nurse information

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

As of Aug 7, 2026, the average hourly pay for evening 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.

What are the typical work hours and workflow for an evening utilization review nurse?

Evening Utilization Review Nurses usually work later shifts, often between the late afternoon and midnight, to ensure continuous coverage for patient reviews outside standard business hours. Their workflow includes assessing medical records, evaluating the appropriateness of admissions and continued stays, and communicating findings to providers and insurance companies. While much of the work is independent, there is frequent collaboration with care managers, physicians, and other team members through calls or digital communication platforms. This schedule is ideal for those who prefer non-traditional hours and are comfortable making important decisions with limited onsite supervision.

What are the key skills and qualifications needed to thrive in the evening utilization review nurse position, and why are they important?

To thrive as an Evening Utilization Review Nurse, you need a registered nursing license, strong clinical judgment, and a solid understanding of medical necessity criteria and healthcare regulations. Familiarity with utilization review software, electronic health records (EHRs), and knowledge of regulatory guidelines such as Medicare and Medicaid is highly valued. Exceptional attention to detail, effective communication, and the ability to work independently during evening hours are important soft skills for this role. These competencies are crucial to accurately assess patient care, ensure compliance, and efficiently coordinate with healthcare teams while working outside typical business hours.

What is an evening utilization review nurse?

An Evening Utilization Review Nurse evaluates medical records and treatment plans during evening hours to ensure they meet regulatory and insurance requirements. They work with healthcare providers, insurance companies, and case managers to assess the necessity and efficiency of patient care. This role involves reviewing documentation, identifying discrepancies, and ensuring compliance with healthcare policies. It requires strong analytical skills, clinical expertise, and knowledge of insurance guidelines.

More about Evening Utilization Review Nurse jobs
What cities are hiring for Evening Utilization Review Nurse jobs? Cities with the most Evening Utilization Review Nurse job openings:
What are the most commonly searched types of Utilization Review Nurse jobs? The most popular types of Utilization Review Nurse jobs are:
What states have the most Evening Utilization Review Nurse jobs? States with the most job openings for Evening Utilization Review Nurse jobs include:
What job categories do people searching Evening Utilization Review Nurse jobs look for? The top searched job categories for Evening Utilization Review Nurse jobs are:
Evening Utilization Review Nurse jobs near you
Infographic showing various Evening Utilization Review Nurse job openings in the United States as of August 2026, with employment types broken down into 86% Full Time, and 14% Part Time. Highlights an 86% In-person, and 14% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Utilization Review Nurse

Fusion HCR

Las Vegas, NV • On-site

Other

Re-posted 8 hours ago

Job description

Fusion HCR is hiring!Direct Hire - Utilization Review Nurse, this is an onsite position, working with our client in Acute Care.
Overview
Seeking an experienced Utilization Review Nurse (RN) to review patient admissions for medical necessity, appropriate level of care, and compliance with payer guidelines. This role works closely with clinical teams to ensure efficient resource utilization and quality patient outcomes.
Responsibilities
  • Review admissions using InterQual and/or Milliman criteria
  • Evaluate medical necessity, level of care, and documentation accuracy
  • Ensure compliance with Medicare, Medicaid, and regulatory guidelines
  • Collaborate with physicians, case management, and care teams
  • Support discharge planning and care coordination
  • Document findings and communicate recommendations

Requirements
  • Active RN license (Nevada)
  • 5+ years acute care nursing experience
  • 3+ years Utilization Review experience
  • 3+ years discharge planning experience (acute care)
  • Experience with InterQual (must be able to pass exam)
  • Experience with Milliman guidelines

Preferred
  • Background in Case Management or CDI
  • Strong knowledge of Joint Commission and CMS guidelines

Why Apply
  • Competitive pay
  • Stable, high-demand role
  • Collaborative healthcare environment

Apply Now
If you have strong Utilization Review, InterQual, and acute care experience, we want to hear from you!

Apply