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Full Time Rn Utilization Review Nurse Jobs (NOW HIRING)

Seh

Summary The Utilization Review Nurse screens medical records in accordance with contractual ... Current Registered Nurse license in the State of Alabama Minimum Education Preferred * Bachelor ...

Southeast Health

Utilization Review Nurse

Dothan, AL · On-site

Summary The Utilization Review Nurse screens medical records in accordance with contractual ... Current Registered Nurse license in the State of Alabama Minimum Education Preferred * Bachelor ...

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 ...

AbsoluteCare

Utilization Review Nurse

New Orleans, LA · On-site

The Utilization Review Nurse ensures appropriate utilization of health services by performing ... Active Registered Nurse license by the State of Louisiana and/or the state(s) in which the nurse is ...

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 ...

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Full Time Rn Utilization Review Nurse information

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$68

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

As of Jun 24, 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
RN-Utilization Review

RN-Utilization Review

Baptist Memorial Health Care Corporation

Memphis, TN • On-site

Full-time

Posted 27 days ago

Baptist Memorial Health Care rating

7.2

Company rating: 7.2 out of 10

Based on 111 frontline employees who took The Breakroom Quiz

326th of 875 rated healthcare providers

Job description

Overview
Job Summary
Manages the care for a specific population; facilitates the safe transition of patients throughout the continuum of care for appropriate utilization of resources, service delivery and compliance with federal and other payer requirements. Provides early assessment of transitional needs identified during their hospitalization, illness, and/or life situation. Performs other duties as assigned.
Responsibilities
  • Utilization Review
  • Discharge planning
  • Readmission Reduction Participation
  • Payer Communication and denial reduction
  • Completes assigned goals.

Specifications
Experience
Minimum Required
  • RN with at least one (1) year of clinical experience

Preferred/Desired
  • RN with 3 years of clinical experience with Case Management experience in a hospital or payer setting

Education
Minimum Required
  • Diploma or Associate Degree in Nursing

Preferred/Desired
  • BSN or MSN

Training
Minimum Required
Preferred/Desired
  • Certified Case Manager

Special Skills
Minimum Required
  • Critical thinking skills, communication, organization, interpersonal and computer skills. Problem solving; and governmental regulations.

Preferred/Desired
  • Critical thinking skills, communication, organization, interpersonal and computer skills. Knowledge of payer requirements; problem solving; and governmental regulations.

Licensure
  • RN

Minimum Required
  • RN

Preferred/Desired
  • RN;CCM;ACM

What Baptist Memorial Health Care employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Baptist Memorial logo

About Baptist Memorial

Sourced by ZipRecruiter

Baptist Memorial, based in Memphis, TN, US, is a leading health care organization renowned in the healthcare industry. The company's official website is baptistonline.org which provides a comprehensive view of their services and operations. Baptist Memorial operates a myriad of hospitals, health clinics, and medical facilities providing expert and compassionate care. Founded in 1912, it has a rich legacy of over a hundred years of dedication to its community, offering services which include acute care, diagnostic services, and a broad range of speciality health services fulfilling various patient needs.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Memphis, TN, US

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