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Full Time Rn Utilization Review Nurse Jobs (NOW HIRING)

Voyage Health

Travel RN Utilization Review

Kinston, NC · On-site

$2.3K - $2.4K/wk

Position Details Specialty: RN Utilization Review Location: Kinston, North Carolina Employment Type: Travel/Contract Pay: $2304 - $2425 per week Shift: 5x8 Days Start Date: ASAP Contract Length: 13 ...

Voyage Health

Travel RN Utilization Review

Pocatello, ID · On-site

$1.8K - $1.9K/wk

Position Details Specialty: RN Utilization Review Location: Pocatello, Idaho Employment Type: Travel/Contract Pay: $1859 - $1957 per week Shift: 5x8 Days Start Date: ASAP Contract Length: 13-week ...

Voyage Health

Travel RN Utilization Review

Tuba City, AZ · On-site

$2.4K - $2.5K/wk

Position Details Specialty: RN Utilization Review Location: Tuba City, Arizona Employment Type: Travel/Contract Pay: $2467 - $2597 per week Shift: 5x8 Days Start Date: ASAP Contract Length: 13-week ...

Virginia Gay Hospital

Utilization Tech

Vinton, IA · On-site

Would prefer candidate to have previous education and experience as an MA/RN/LPN, Utilization Review Nurse and/or have experience in physician office preauthorization and utilization review.

Oscar Health

Utilization Review Nurse

Miami, FL · Remote

$35 - $45.94/hr

Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate ... Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 ...

Oscar Health

Utilization Review Nurse

Dallas, TX · Remote

$35 - $45.94/hr

Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate ... Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 ...

Oscar Health

Utilization Review Nurse

Atlanta, GA · Remote

$35 - $45.94/hr

Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate ... Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 ...

UHS

Utilization Review Nurse (RN)

Augusta, GA · On-site

Utilization Review Nurse . Under the direction of the Director of Utilization Management. Website ... Registered Nurse (RN) preferred or License Professional Nurse (LPN) * Current GA or Multistate ...

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Full Time Rn Utilization Review Nurse information

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How much do full time rn utilization review nurse jobs pay per hour?

As of Aug 25, 2026, the average hourly pay for full time rn 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 the difference between Full Time Rn Utilization Review Nurse vs Full Time Rn Case Manager?

AspectFull Time Rn Utilization Review NurseFull Time Rn Case Manager
CredentialsRegistered Nurse (RN), often with certification in utilization reviewRegistered Nurse (RN), often with case management certification
Work EnvironmentHospitals, insurance companies, or healthcare organizations focusing on review and approval of careHospitals, clinics, or insurance companies coordinating patient care and discharge planning
Primary ResponsibilitiesReview medical records to determine necessity and appropriateness of servicesCoordinate patient care, develop care plans, and facilitate communication among providers

While both roles require RN credentials and involve patient care, the Full Time Rn Utilization Review Nurse primarily focuses on evaluating the necessity of treatments, whereas the Full Time Rn Case Manager manages overall patient care plans and coordination. Both roles are vital in healthcare settings but serve different functions within patient management and care optimization.

How to get into utilization review as a full time RN utilization review nurse?

To become a full-time RN in utilization review, candidates typically need a valid nursing license, experience in case management or clinical care, and knowledge of insurance and healthcare policies. Certification in case management or utilization review, such as the Certified Case Manager (CCM), can enhance job prospects. Strong analytical skills and familiarity with electronic health records (EHR) systems are also beneficial.

What cities are hiring for Full Time Rn Utilization Review Nurse jobs?

Cities with the most Full Time Rn Utilization Review Nurse job openings:

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

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

Full Time Rn Utilization Review Nurse jobs near you

RN Utilization Review Nurse

Healthcare Support Staffing

Troy, MI

$33 - $37/hr

Full-time

Re-posted 15 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

Are you an experienced RN Utilization Review Nurse looking for a new opportunity with a prestigious healthcare company as a RN Utilization Review Nurse. Do you want the chance to advance your career by joining a rapidly growing company? If you answered "yes" to any of these questions - this is the RN Utilization Review Nurse position for you!


Company Job Description/Day to Day Duties:

  • Providing utilization review for the Medicaid and Medicare line of business. Primarily inpatient, skilled nurses facilities, rehab, behavioral health, and home healthcare.
  • Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing members with the right care at the right place at the right time. Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review. Assesses services for Members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and guidelines
  • Provider appeals and Utilization reviews and assist with Denial Letters
  • Provides concurrent review and prior authorizations (as needed) according to policy for members as part of the Utilization Management team.
  • Identifies appropriate benefits, eligibility, and expected length of stay for members requesting treatments and/or procedures.
  • Participates in interdepartmental integration and collaboration to enhance the continuity of care for members including Behavioral Health and Long Term Care.


Hours for this Position:

  • Mon-Fri: 8:30am - 5pm


Advantages of this Opportunity:

  • Great salary between $33 - 37!
  • Great benefits!!!
  • Fun and positive work environment!
Qualifications

Minimum Education/Qualifications/Licensures:

  • Must be an RN
  • Utilization Review background in either Managed Care of Provider environment (at least one year)
  • Interqual experience (at least one year)
  • Also has a background in patient, skilled nurses facilities, rehab, and home healthcare.
  • Other basic computer skills necessary: Microsoft Office, Data Entry, etc.
  • Minimum 2-4 years of clinical practice. Preferably hospital nursing, utilization management, and/or case management.
  • Great typing and data entry skills
Additional Information

Interested in being considered?

If you are interested in being considered for this position, please click the apply button below.  Or call John Wood 407-478-0332 ext 225

Healthcare Support logo

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

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