ZipRecruiter

Log In

1

Freelance Nurse Practitioner Utilization Review Jobs

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 ...

Houston Healthcare

$80 - $100/hr

The Utilization Reviewer has the unique ability to follow the patient from admission to discharge and provide the physician and nursing staff with the best possible options for post hospital care for ...

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

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

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 ...

Bestica Healthcare

RN Utilization Review

Tuba City, AZ · On-site

... nurse practitioners, nurse midwives, CRNA, and community health medics. Position Summary The ... Utilization Review (UR) Nurse ensures that patients receive appropriate care by verifying medical ...

Sentara Health Plans

$60 - $80/hr

The Utilization Review Nurse is responsible for utilization management services within the scope of licensure. Conducts primary functions of prior authorization, retrospective review, medical ...

previous pagenext page

Showing results 21-40

All JobsFreelance JobsFreelance Nurse Practitioner Utilization Review Jobs

Freelance Nurse Practitioner Utilization Review information

See salary details

$71K

$134.4K

$210.5K

How much do freelance nurse practitioner utilization review jobs pay per year?

As of Sep 8, 2026, the average yearly pay for freelance nurse practitioner utilization review in the United States is $134,369.00, according to ZipRecruiter salary data. Most workers in this role earn between $111,000.00 and $152,500.00 per year, depending on experience, location, and employer.

What is a freelance nurse practitioner utilization review?

A Freelance Nurse Practitioner Utilization Review is a nurse practitioner who works independently to assess the necessity, appropriateness, and efficiency of healthcare services, procedures, and treatments. They review patient records, insurance claims, and medical documentation to ensure that care provided meets established guidelines and is medically necessary. Working as a freelancer means they are not tied to a single employer and may contract with various hospitals, insurance companies, or healthcare organizations. This role helps control healthcare costs and ensures patients receive appropriate care without unnecessary procedures.

What are the key skills and qualifications needed to thrive as a freelance nurse practitioner utilization review, and why are they important?

To thrive as a Freelance Nurse Practitioner Utilization Review, you need advanced clinical knowledge, a nurse practitioner license, and experience in case management or utilization review. Familiarity with electronic medical record (EMR) systems, interqual or MCG guidelines, and relevant utilization review software is typically required. Strong analytical thinking, attention to detail, and clear written and verbal communication skills help set you apart in this role. These competencies ensure accurate and efficient evaluation of medical necessity, compliance with regulations, and effective collaboration with healthcare stakeholders.

What are some common challenges faced by freelance nurse practitioner utilization reviewers, and how can they be managed?

Freelance nurse practitioner utilization reviewers often encounter challenges such as managing fluctuating workloads, staying updated with constantly changing healthcare regulations, and ensuring timely communication with insurance companies and healthcare providers. To address these, it's helpful to establish a structured daily schedule, use project management tools to track cases, and participate in ongoing education or professional forums. Building strong relationships with clients and maintaining clear documentation also helps streamline the review process and manage expectations.

What is the difference between Freelance Nurse Practitioner Utilization Review vs Freelance Nurse Practitioner Case Management?

AspectFreelance Nurse Practitioner Utilization ReviewFreelance Nurse Practitioner Case Management
CredentialsRN, Nurse Practitioner, Certification in Utilization ReviewRN, Nurse Practitioner, Case Management Certification
Work EnvironmentInsurance companies, third-party review organizations, healthcare facilitiesHospitals, insurance companies, healthcare agencies, community health programs
Employer & Industry UsagePrimarily used for reviewing medical necessity and insurance claimsFocused on coordinating patient care, discharge planning, and resource allocation

Freelance Nurse Practitioner Utilization Review involves evaluating medical records to determine insurance coverage and necessity, while Freelance Nurse Practitioner Case Management centers on coordinating patient care and resources. Both roles require similar credentials but serve different functions within healthcare and insurance industries.

What cities are hiring for Freelance Nurse Practitioner Utilization Review jobs?

Cities with the most Freelance Nurse Practitioner Utilization Review job openings:

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

The most popular types of Nurse Practitioner Utilization Review jobs are:

What states have the most Freelance Nurse Practitioner Utilization Review jobs?

States with the most job openings for Freelance Nurse Practitioner Utilization Review jobs include:

What are popular job titles related to Freelance Nurse Practitioner Utilization Review jobs?

For Freelance Nurse Practitioner Utilization Review jobs, the most frequently searched job titles are:

What other helpful pages are available for Freelance Nurse Practitioner Utilization Review?

Other pages related to Freelance Nurse Practitioner Utilization Review:

Freelance Nurse Practitioner Utilization Review jobs near you

Utilization Review Nurse

MerrimackHealth Lawrence Hospital

Lawrence, MA • On-site

Other

Posted 4 days ago

Job description

Position Summary
Responsible for determining the appropriateness of hospital admission, utilization of resources and medical necessity for continued stay. Responsible for working with the Clinical Care Coordinator and Complex Care Manager to facilitate timely discharge, assure medical documentation accurately reflects the patient's severity of illness; and ensures compliance with the conditions of participation as they relate to utilization review and discharge planning and payer regulations.
MINIMUM EDUCATION AND EXPERIENCE:
Required:

  • Graduate of an accredited professional nursing school
  • Current Massachusetts Nursing license
  • Bachelor's degree. - Preferred
  • 5 years case management experience in an acute care setting with discharge planning, continuing care, care management, and utilization review.
  • Five years clinical nursing experience
  • Demonstrated verbal, written skills
  • Computer skills
Preferred:
  • Master's degree.

Apply