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Full Time Rn Utilization Review Nurse Jobs (NOW HIRING)

Randolph Health

Utilization Review Nurse

Asheboro, NC · On-site

Current license to practice as a Registered Nurse in North Carolina required. Previous training in utilization management or case management preferred. Excellent assessment skills required. Excellent ...

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 ...

silvercross

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 ...

Acrisure

Utilization Review Nurse

Bradenton, FL

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 ...

Ascension

Registered Nurse Utilization Review

Austin, TX · Remote

$78K - $110K/yr

Days l Full-Time Salary range: $78,561.60 - $110,905.60 per year (Texas) | Pay ranges vary based on ... Licensed Registered Nurse credentialed from the Texas Board of Nursing or current home state ...

UofL Health

RN Utilization Review

Louisville, KY · On-site

Position Summary and Purpose The Utilization Review RN performs activities which support the Utilization Management functions. They are responsible for the delivery of the Utilization Management ...

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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 15, 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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For Full Time Rn Utilization Review Nurse jobs, the most frequently searched job titles are:

Full Time Rn Utilization Review Nurse jobs near you

Utilization Review Nurse (RN)

Madera, CA • On-site

Madera Community Hospital
501 - 1,000 employees
Learn more about Madera Community Hospitalexternal

$46 - $60/hr

Full-time

Re-posted 29 days ago

Job description

Madera Community Hospital

Located in the heart of Central California, Madera Community Hospital is a General Acute Care, private, not-for-profit hospital dedicated to improving and maintaining the health and wellness of residents throughout the Central Valley. We are committed to identifying and serving our community's needs with compassion, concern, care and safety for every patient. Madera Community Hospital is a growing acute care facility seeking talented individuals with a drive to provide quality care and dedicated to making a difference in our community.

Position Summary: The Utilization Review Nurse assesses, plans, implements and evaluates the needs of patients for discharge planning and utilization review. This includes those who may have Medicare, Medicaid, HMO or private insurance to cover their stay at various units. Discharge planning is coordinated with physicians, Nursing, patient and family who have an ongoing caring relationship with the patient. Utilization review procedures include those stated for discharge planning in addition to knowledge of criteria for Medicare, Medicaid coverage and that of HMO or private insurers.

Qualifications:

  • Minimum of 1-3 years of related acute care nursing experience and completion of an accredited nursing program required.
  • Experience with Meditech Electronic Health Record (EHR) system preferred.
  • Must have working knowledge of criteria for Medicare, Medicaid, HMO and private insurance coverage.
  • Ability to maintain collaborative working relationships to ensure a positive and productive work environment.
  • Ability to plan and prioritize work with frequent interruptions.
  • Ability to provide exceptional customer service.
  • Effective verbal and written communication skills.
  • Knowledge and proficiency of hospital information technology applications.
  • Requires Current California Board of Nursing Registered Nurse License.
  • Current American Heart Association BCLS certificate required; ACLS certificate preferred.
  • CCM in Case Management preferred.

Madera Community Hospital provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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