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Freelance 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 ...

Merrimack Health

Utilization Review Nurse

Lawrence, MA · On-site

Utilization Review Nurse Responsible for determining the appropriateness of hospital admission, utilization of resources and medical necessity for continued stay. Responsible for working with the ...

Merrimack Health

Utilization Review Nurse

Methuen, MA · On-site

Utilization Review Nurse Responsible for determining the appropriateness of hospital admission, utilization of resources and medical necessity for continued stay. Responsible for working with the ...

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 ...

Acrisure

Utilization Review Nurse

Bradenton, FL · On-site

Acrisure is seeking a Utilization Review Nurse, LPN to evaluate treatment requests and help ensure injured workers receive appropriate, timely care in accordance with applicable clinical guidelines ...

Cobalt Benefits Group

Utilization Review Nurse

Utilization Review Nurse Join our team at Cobalt Benefits Group and start an exciting new career in employee benefits solutions. As a Utilization Review Nurse, you'll play an important role in ...

Acrisure, LLC

Utilization Review Nurse

Bradenton, FL · On-site

$60 - $80/hr

Utilization Review Nurse, LPN** to evaluate treatment requests and help ensure injured workers receive appropriate, timely care in accordance with applicable clinical guidelines and regulatory ...

Acrisure LLC

Utilization Review Nurse

Bradenton, FL · On-site

Acrisure is seeking a Utilization Review Nurse, LPN to evaluate treatment requests and help ensure injured workers receive appropriate, timely care in accordance with applicable clinical guidelines ...

Acrisure, LLC

$60 - $80/hr

Utilization Review Nurse, LPN** to evaluate treatment requests and help ensure injured workers receive appropriate, timely care in accordance with applicable clinical guidelines and regulatory ...

Acrisure

Utilization Review Nurse

Bradenton, FL · On-site

Acrisure is seeking a Utilization Review Nurse, LPN to evaluate treatment requests and help ensure injured workers receive appropriate, timely care in accordance with applicable clinical guidelines ...

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

As of Sep 7, 2026, the average hourly pay for freelance 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 is a freelance utilization review nurse?

A Freelance Utilization Review Nurse is a registered nurse who independently reviews medical records to determine the necessity, efficiency, and appropriateness of healthcare services. They work on a contract basis for insurance companies, healthcare organizations, or third-party review agencies. Their primary role is to ensure that treatments meet established guidelines and are cost-effective. Unlike full-time utilization review nurses, freelancers have the flexibility to choose their workload and clients. This role requires strong analytical skills, clinical experience, and knowledge of insurance policies and healthcare regulations.

What skills and qualifications are needed to thrive as a freelance utilization review nurse?

To thrive as a Freelance Utilization Review Nurse, you need a valid RN license, strong clinical assessment skills, and experience in care management or utilization review. Familiarity with electronic medical records (EMRs), utilization management software, and understanding of insurance guidelines or regulations such as Medicare and Medicaid are crucial. Attention to detail, critical thinking, and effective verbal and written communication help you excel when working independently and reviewing complex medical records. These abilities ensure accurate case evaluations, regulatory compliance, and constructive collaboration with healthcare providers and insurance representatives.

What are the common work environments and daily responsibilities of a freelance utilization review nurse?

Freelance Utilization Review Nurses typically work remotely, reviewing patient medical records, evaluating treatment plans for medical necessity, and documenting findings for insurance or healthcare organizations. Daily tasks often involve communicating with physicians and case managers to gather additional information or clarify details in patient care. You may also handle a flexible caseload, prioritize urgent reviews, and ensure all documentation meets regulatory standards. This independent work structure offers flexibility but requires organization and strong self-motivation to manage priorities and deadlines. Collaboration is usually virtual, using secure platforms to connect with healthcare team members and clients.

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Freelance Utilization Review Nurse jobs near you
Infographic showing various Freelance Utilization Review Nurse job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 14% Part Time, 1% Temporary, and 3% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% 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 2 days 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