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Full Time Rn Utilization Review Nurse Jobs (NOW HIRING)

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 ...

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 ...

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

Austin, TX

$1.6K - $1.7K/wk

Position Details Specialty: RN Utilization Review Location: Austin, Texas Employment Type: Travel/Contract Pay: $1662 - $1749 per week Shift: 5x8 Days Start Date: ASAP Contract Length: 13-week ...

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 ...

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.

UHS

Utilization Review Nurse (RN)

Augusta, GA · On-site

Utilization Review Nurse, RN Under the direction of the Director of Utilization Management. Website: Job Duties/ Responsibilities: * Review clinical content of medical records * Participate in ...

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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 Sep 14, 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:

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Full Time Rn Utilization Review Nurse jobs near you

Registered Nurse Utilization Review SCH

Buffalo, NY • On-site

Catholic Health System
Health Care and Social Assistance • 10K+ employees
Learn more about Catholic Health Systemexternal

$75K - $113K/yr

Full-time

This job post has expired today. Applications are no longer accepted.

Catholic Health rating

7.9

Company rating: 7.9 out of 10

Based on 181 frontline employees who took The Breakroom Quiz

Job description

Facility: Sisters of Charity Hospital
Shift: Shift 1
Status: Full Time FTE: 1.000000
Bargaining Unit: ACE Associates
Exempt from Overtime: Exempt: Yes
Work Schedule: Days with Weekend and Holiday Rotation
Hours:
8am -4 pm
Summary:
The Registered Nurse (RN), Utilization Review, as an active member of the Middle Revenue Cycle and interdisciplinary care team, provides comprehensive Utilization Review to patients and families in the hospital setting. Utilizing foundational nursing clinical skills Utilization Review nurse collaborates with the interdisciplinary team to maintain appropriate levels of care and to facilitate movement of the patient through the continuum. The Utilization Review RN identifies and removes barriers for delays of treatment. This individual also works to maintain third-party payer relationships related to Utilization Review Activities. This includes, but is not limited to, concurrent review, responding to inquiries, complaints, and other correspondence, and may include setting up discussions between parties. Knowledge of state and federal laws relating to contracts and utilization review process processes is vital.
Responsibilities:
EDUCATION
  • BSN degree or RN with a BS in health-related field and working knowledge/experience in documentation utilization review in an acute care/inpatient setting
  • Unrestricted NYS RN license
  • Holds, or will obtain within one year of hire, Certified Case Manager (CCM)
  • Certification in a Nationally Recognized Utilization Review Criteria set is preferred
  • At least one (1) year of experience in working with third party payers strongly preferred

EXPERIENCE
  • Minimum of three (3) years of experience working in an Acute Care Hospital Setting
  • Proficiency in utilization management and regulatory requirements preferred
  • Experience in working with people who are geographically dispersed preferred
  • Experience in working with third party payers strongly preferred

KNOWLEDGE, SKILL AND ABILITY
  • Strong clinical assessment skills and ability to articulate findings in a fast-paced environment. Possess the ability to make independent decisions within the professional scope of practice
  • Possess ability to educate, inform, advocate, promote and facilitate health care options, and demonstrate the willingness to work harmoniously with a team approach
  • Possesses ability to effectively and efficiently utilize technology within daily work with the care team and ability to quickly learn and adapt to new technology tools and software
  • Extensive knowledge of third-party payer guidelines, accreditation and regulatory requirements preferred
  • Knowledge of Managed Care Organization contracts/agreements preferred

WORKING CONDITIONS
  • Willingness to work beyond normal working hours, and in other positions temporarily, and/or at other locations when necessary
  • Variable schedule which may include weekends and holidays. May be requested to travel to multiple hospital and community sites

ENVIRONMENT
  • Normal heat, light space, and safe working environment; typical of most office jobs
  • Occasional exposure to one or more mildly unpleasant physical conditions
  • Minimum physical effort required, typical of most office work
  • Significant amount of walking within the acute care facility

What Catholic Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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About Catholic Health

Sourced by ZipRecruiter

Formed in 1998 under four religious sponsors, Catholic Health in Buffalo, NY is a non-profit healthcare system that provides care to Western New Yorkers across a network of hospitals, nursing homes, home care agencies, physician practices, and other community based ministries. Today, the system has two religious sponsors, the Diocese of Buffalo and the Franciscan Sisters of St. Joseph, who carried on its Mission across the Buffalo-Niagara region. Our mission sets us apart. It's the human side of healthcare – the touch, smile or comforting word that can help make your healthcare experience better. It's treating all people with respect and dignity, and providing comfort in times of greatest need. Catholic Health is making the largest investment in its history, dedicating more than $100 million in state-of-the- art technology that will connect our hospitals, home care, long-term care, clinician offices, health centers and ancillary services with patients throughout the area. This transformational investment marks a major milestone for our healing ministry, which dates back more than 165 years.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Buffalo, NY, US

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