Utilization Review Nurse
$28.85 - $31.25/hr
Provide outpatient or pharmacy services utilization review Qualifications * Current Florida RN License * 3+ years in recent medical/surgical or critical care experience * 3+ years of Utilization ...
Utilization Review Nurse
$28.85 - $31.25/hr
Provide outpatient or pharmacy services utilization review Qualifications * Current Florida RN License * 3+ years in recent medical/surgical or critical care experience * 3+ years of Utilization ...
Utilization Review Nurse
$34.73 - $45.15/hr
Nurse, Registered (RN) licensure * BSN preferred. 2-5 years previous Utilization Review experience ... for Full-time and Part-time employees which includes: Medical, Dental and Vision plans Life ...
Utilization Review Nurse
$34.73 - $45.15/hr
Nurse, Registered (RN) licensure * BSN preferred. 2-5 years previous Utilization Review experience ... for Full-time and Part-time employees which includes: Medical, Dental and Vision plans Life ...
Utilization Review Registered Nurse Opportunity: \n \n * Full\-time, permanent position \n * Schedule: Monday\-Friday, 9:00AM\-5:00PM \n * Collaborates with providers, departments, and community ...
Utilization Review Registered Nurse Opportunity: \n \n * Full\-time, permanent position \n * Schedule: Monday\-Friday, 9:00AM\-5:00PM \n * Collaborates with providers, departments, and community ...
Review, analyze, and identify utilization patterns and trends, problems, or inappropriate utilization of resources Qualifications Required * Current and unrestricted RN license * At least 3 years ...
Review, analyze, and identify utilization patterns and trends, problems, or inappropriate utilization of resources Qualifications Required * Current and unrestricted RN license * At least 3 years ...
Utilization Review
Marlboro, NJ · On-site
Work collaboratively with Admissions, Clinical, Nursing, and Billing departments. * Verify ... Participate in utilization review meetings and case conferences. * Generate reports on ...
Utilization Review
Marlboro, NJ · On-site
Work collaboratively with Admissions, Clinical, Nursing, and Billing departments. * Verify ... Participate in utilization review meetings and case conferences. * Generate reports on ...
Work collaboratively with Admissions, Clinical, Nursing, and Billing departments. * Verify ... Participate in utilization review meetings and case conferences. * Generate reports on ...
Quick apply
Work collaboratively with Admissions, Clinical, Nursing, and Billing departments. * Verify ... Participate in utilization review meetings and case conferences. * Generate reports on ...
Utilization Review Nurse
New Lenox, IL · On-site +1
$34.73 - $45.15/hr
Nurse, Registered (RN) licensure * BSN preferred. 2-5 years previous Utilization Review experience ... Full-time and Part-time employees which includes: • Medical, Dental and Vision plans • Life ...
Utilization Review Nurse
New Lenox, IL · On-site +1
$34.73 - $45.15/hr
Nurse, Registered (RN) licensure * BSN preferred. 2-5 years previous Utilization Review experience ... Full-time and Part-time employees which includes: • Medical, Dental and Vision plans • Life ...
Carondelet Medical Group is seeking a full-time Nurse Practitioner or Physician Assistant to join ... Assists the physician as follows, but not limited to Utilization Review, Quality Assurance, Program ...
New
Carondelet Medical Group is seeking a full-time Nurse Practitioner or Physician Assistant to join ... Assists the physician as follows, but not limited to Utilization Review, Quality Assurance, Program ...
New
Carondelet Medical Group is seeking a full-time Nurse Practitioner or Physician Assistant to join ... Assists the physician as follows, but not limited to Utilization Review, Quality Assurance, Program ...
New
Carondelet Medical Group is seeking a full-time Nurse Practitioner or Physician Assistant to join ... Assists the physician as follows, but not limited to Utilization Review, Quality Assurance, Program ...
New
Work collaboratively with Admissions, Clinical, Nursing, and Billing departments. * Verify ... Participate in utilization review meetings and case conferences. * Generate reports on ...
Work collaboratively with Admissions, Clinical, Nursing, and Billing departments. * Verify ... Participate in utilization review meetings and case conferences. * Generate reports on ...
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 ...
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 ...
Utilization Review Nurse
Salt Lake City, UT · On-site
Refers to UR committee any case that surpasses expected LOS, expected cost, or over/under-utilization of resources. * Performs verbal/fax clinical review with payer as determined by nursing judgment ...
Utilization Review Nurse
Salt Lake City, UT · On-site
Refers to UR committee any case that surpasses expected LOS, expected cost, or over/under-utilization of resources. * Performs verbal/fax clinical review with payer as determined by nursing judgment ...
RN - Utilization Review
Torrance, CA · Remote
Registered Nurse - Utilization Review (Remote)This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient ...
New
RN - Utilization Review
Torrance, CA · Remote
Registered Nurse - Utilization Review (Remote)This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient ...
New
RN - Utilization Review
Torrance, CA · Remote
Registered Nurse - Utilization Review (Remote)This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient ...
New
RN - Utilization Review
Torrance, CA · Remote
Registered Nurse - Utilization Review (Remote)This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient ...
New
Utilization Review Nurse
Plano, TX · Remote
Austin area - Travis/Williamson Counties or Richardson area - Dallas/Collin Counties*** RN working ... This position is responsible for performing initial, concurrent review activities; discharge care ...
Utilization Review Nurse
Plano, TX · Remote
Austin area - Travis/Williamson Counties or Richardson area - Dallas/Collin Counties*** RN working ... This position is responsible for performing initial, concurrent review activities; discharge care ...
Reviews patient admissions for appropriateness, efficiency of resource utilization and compliance ... Graduation from an accredited school of nursing and five (5) years of acute hospital clinical ...
Quick apply
Reviews patient admissions for appropriateness, efficiency of resource utilization and compliance ... Graduation from an accredited school of nursing and five (5) years of acute hospital clinical ...
Utilization Review Nurse
Roseburg, OR · On-site +1
$85K - $105K/yr
UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR ... EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At Umpqua Health, we're more than a health ...
Utilization Review Nurse
Roseburg, OR · On-site +1
$85K - $105K/yr
UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR ... EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At Umpqua Health, we're more than a health ...
Registered Nurse - Utilization Review (Remote)This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient ...
New
Registered Nurse - Utilization Review (Remote)This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient ...
New
Utilization Review Nurse
Roseburg, OR · Remote
$85K - $105K/yr
UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR ... EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At Umpqua Health, we're more than a health ...
Quick apply
Utilization Review Nurse
Roseburg, OR · Remote
$85K - $105K/yr
UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR ... EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At Umpqua Health, we're more than a health ...
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 ...
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 ...
Full Time Nurse Practitioner Utilization Review information
See salary details
$71K - $83.7K
3% of jobs
$83.7K - $96.4K
7% of jobs
$96.4K - $109K
12% of jobs
$110K is the 25th percentile. Wages below this are outliers.
$109K - $121.7K
34% of jobs
$121.7K - $134.4K
9% of jobs
$145.4K is the 75th percentile. Wages above this are outliers.
$134.4K - $147.1K
12% of jobs
$147.1K - $159.8K
6% of jobs
$159.8K - $172.5K
5% of jobs
$172.5K - $185.1K
5% of jobs
$185.1K - $197.8K
3% of jobs
$197.8K - $210.5K
3% of jobs
$71K
$134.4K
$210.5K
How much do full time nurse practitioner utilization review jobs pay per year?
As of Aug 21, 2026, the average yearly pay for full time 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 does a full time nurse practitioner utilization review do?
A Full Time Nurse Practitioner Utilization Review is responsible for assessing the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They review clinical documentation, apply evidence-based criteria, and collaborate with healthcare providers to ensure patients receive the most appropriate care. Their work helps manage healthcare costs, prevent unnecessary procedures, and maintain quality standards within healthcare organizations. This role combines clinical expertise with administrative and analytical skills to support optimal patient outcomes.
What are the key skills and qualifications needed to thrive as a full time nurse practitioner utilization review?
To excel as a Full Time Nurse Practitioner in Utilization Review, you need advanced clinical knowledge, strong analytical abilities, and a current NP license, often complemented by experience in case management or utilization review. Familiarity with utilization management systems, electronic health records (EHRs), and industry certifications such as CCM (Certified Case Manager) or URAC accreditation is valuable. Exceptional communication, critical thinking, and attention to detail set top performers apart in this role. These skills ensure appropriate, cost-effective patient care decisions while maintaining compliance with regulatory standards and optimizing healthcare resource utilization.
How does a nurse practitioner in utilization review typically collaborate with other healthcare professionals to ensure effective patient care?
As a Nurse Practitioner specializing in Utilization Review, you will work closely with physicians, case managers, insurance representatives, and other members of the healthcare team to assess the necessity and efficiency of patient care plans. Frequent collaboration is required to review medical records, provide clinical input on treatment appropriateness, and facilitate communication between providers and payers. This teamwork helps ensure patients receive quality care that meets both clinical and regulatory standards while managing healthcare resources responsibly.
What is the difference between Full Time Nurse Practitioner Utilization Review vs Full Time Physician Utilization Review?
| Aspect | Full Time Nurse Practitioner Utilization Review | Full Time Physician Utilization Review |
|---|---|---|
| Credentials | Registered Nurse (RN) with Nurse Practitioner certification | Medical Degree (MD or DO) and medical license |
| Work Environment | Hospitals, insurance companies, healthcare facilities | Hospitals, insurance companies, healthcare facilities |
| Employer & Industry Usage | Commonly employed in insurance and healthcare organizations for review roles | Often employed in similar settings for medical review and decision-making |
| Work Focus | Assessing medical necessity, reviewing patient records, applying clinical guidelines | Evaluating complex medical cases, making clinical judgments, approving or denying services |
While both roles involve utilization review, Nurse Practitioners focus on applying clinical guidelines with nursing expertise, whereas Physicians provide in-depth medical assessments. The choice depends on the complexity of cases and organizational needs.
What cities are hiring for Full Time Nurse Practitioner Utilization Review jobs?
Cities with the most Full Time 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 Full Time Nurse Practitioner Utilization Review jobs?
States with the most job openings for Full Time Nurse Practitioner Utilization Review jobs include:
$28.85 - $31.25/hr
Full-time
Medical, Dental, Vision, Retirement, PTO
Re-posted 18 days ago
Job description
Company Description
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Job Description
- Conducts pre-admission, concurrent and retrospective acute care, sub-acute, hospice, qualification of transitional care and long-term care needs for medical necessity
- Perform case reviews and complete all required documentation in appropriate database
- Collaborate with primary or attending physician, case managers, patient and/or family to provide continuity and quality of care in the most cost-effective manner.
- Timely completion of admission reviews (within 48-hours for weekday, 72-hours for weekend)
- Provide outpatient or pharmacy services utilization review
Qualifications
- Current Florida RN License
- 3+ years in recent medical/surgical or critical care experience
- 3+ years of Utilization Review / Case Management experience
- Strong reasoning ability: define problems, collect data, establish facts, and draw conclusions
Additional Information
 Hours for this Position:
- M-F 8-5
Advantages of this Opportunity:
Competitive salaryÂ
- $28.85/hr - $31.25/hr pending experience
- Excellent Medical benefits Offered, Medical, Dental, Vision, 401k, and PTO
- Growth potential
- Fun and positive work environment
About Healthcare Support
Sourced by ZipRecruiter
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Industry
Recruiting and staffing services
Company size
201 - 500 Employees
Headquarters location
Maitland, FL, US
Year founded
2003