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Full Time Rn Utilization Review Nurse Jobs (NOW HIRING)

Houston Methodist

At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent medical record review for medical ...

Bracane Co

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 ...

Ascension

Registered Nurse Utilization Review

Austin, TX · Remote

$84.06K - $118.67K/yr

Days l Full Time Salary range: $84,060.91 - $118,668.99per year (Texas) | Pay ranges vary based on ... Licensed Registered Nurse credentialed from the Texas Board of Nursing or current home state ...

Ascension

RN Utilization Review

Austin, TX · Remote

$84.06K - $118.67K/yr

Utilization Management Schedule: Full Time l Day Salary range: $84,060.91 - $118,668.99 per year ... Licensed Registered Nurse credentialed from the Texas Board of Nursing or current home state ...

Ascension

Registered Nurse Utilization Review

Appleton, WI · On-site

$40.41/hr

Behavioral Health Schedule: Full-time 0.9 FTE days | 8:00 AM-4:30 PM Monday-Friday | 1 week will be ... May prepare statistical analysis and utilization review reports as necessary. * Oversee and ...

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

As of Jun 3, 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.

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:
What states have the most Full Time Rn Utilization Review Nurse jobs? States with the most job openings for Full Time Rn Utilization Review Nurse jobs include:
Full Time Rn Utilization Review Nurse jobs near you

Travel RN - Utilization Review - Syracuse, NY - RNRR

NavitasPartners

Binghamton, NY

$2.61K/wk

Full-time

Posted 4 days ago

Job description

Job Title: RN - Utilization Review (Travel)
Location: Syracuse, NY
Type: Contract | 14 Weeks
Shift & Schedule: Day Shift | Monday–Friday

Position Overview:
Navitas Healthcare, LLC is seeking RN - Utilization Review for an exciting Travel or Local job in Syracuse, NY.

Responsibilities

  • Perform utilization review and utilization management activities to ensure appropriate patient admissions and continued stays
  • Apply MCG and InterQual screening criteria to evaluate medical necessity and level of care
  • Review and analyze patient records to support appropriate hospital admissions and discharge planning
  • Collaborate with healthcare providers, payers, and regulatory agencies to ensure compliance with CMS guidelines and hospital policies
  • Communicate effectively with physicians, case management teams, and insurance companies regarding patient status and care decisions
  • Ensure proper documentation and compliance with hospital, state, and federal regulations
  • Identify and report cases of overutilization or underutilization of healthcare services
  • Support care coordination and assist in reducing avoidable hospital readmissions
  • Maintain confidentiality and adhere to professional nursing standards

Requirements

  • Active New York State RN License required
  • Current BLS Certification required
  • Minimum 1.5 years of recent acute care hospital experience within the last 2 years required
  • Strong understanding of Utilization Review, Utilization Management, or Case Management
  • Knowledge of CMS regulations and hospital admission criteria
  • Excellent communication and interpersonal skills

Preferred Qualifications

  • Experience with MCG or InterQual screening tools preferred
  • EPIC EMR experience preferred
  • Experience working with insurance payers and regulatory agencies preferred
  • Experience in large acute care hospitals or trauma centers preferred

For more details contact at hdavda@navitashealth.com or Call / Text at 516-862-1169.

About Navitas Healthcare, LLC: It is a Joint Commission Certified / WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided and your salary will be discussed upfront.