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Hca Utilization Review Jobs (NOW HIRING)

Cooperidge Consulting Firm

Perform utilization management reviews and communicate crucial information to third-party payors ... Ensure compliance with all regulatory requirements, HCA Ethics and Compliance policies, and quality ...

Cooperidge Consulting Firm

Perform utilization management reviews and communicate crucial information to third-party payors ... Ensure compliance with all regulatory requirements, HCA Ethics and Compliance policies, and quality ...

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How much do hca utilization review jobs pay per hour?

As of Jun 29, 2026, the average hourly pay for hca utilization review 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 an HCA Utilization Review job?

An HCA Utilization Review job involves evaluating medical services to ensure they are necessary, cost-effective, and meet quality standards. Professionals in this role review patient records, coordinate with healthcare providers, and ensure treatments align with insurance guidelines and hospital policies. They play a key role in optimizing resource utilization, preventing unnecessary procedures, and ensuring compliance with regulations. Strong analytical skills and knowledge of medical terminology are essential for success in this position.

What are the key skills and qualifications needed to thrive in the Hca Utilization Review position, and why are they important?

To thrive as a HCA Utilization Review professional, you need a solid foundation in medical terminology, clinical assessment, and insurance guidelines, often supported by a healthcare-related degree or nursing license. Familiarity with utilization review software, electronic health records (EHR) systems, and certifications like CCM (Certified Case Manager) are highly beneficial. Excellent analytical thinking, attention to detail, and strong communication skills help you effectively evaluate patient records and collaborate with providers. These competencies are key to ensuring appropriate care utilization, supporting cost-effective treatment decisions, and maintaining regulatory compliance.

What does a typical day look like for someone working in HCA Utilization Review?

In HCA Utilization Review, your day usually involves reviewing patient medical records, assessing the necessity and appropriateness of proposed treatments, and communicating decisions to physicians and case managers. You may also participate in interdisciplinary meetings, liaise with insurance providers for authorization, and document your findings in healthcare management systems. The role is collaborative, requiring you to interact with diverse medical and administrative teams to align patient care with policy guidelines. This blend of independent evaluation and team collaboration makes each day varied and impactful for patient outcomes.

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Hca Utilization Review jobs near you
Infographic showing various Hca Utilization Review job openings in the United States as of June 2026, with employment types broken down into 5% Full Time, 76% Part Time, 5% Temporary, and 14% Contract. Highlights an 90% Physical, 2% Hybrid, and 8% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Travel Nurse RN - Case Manager, Utilization Review - $2,250 per week

AMN Healthcare Nursing

Wichita, KS • On-site

$2.2K/wk

Other

Medical, Dental, Vision, Life, Retirement

Posted 12 days ago

Job description

AMN Healthcare Nursing is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Wichita, Kansas.

Job Description & Requirements
  • Specialty: Utilization Review
  • Discipline: RN
  • Start Date: 07/13/2026
  • Duration: 13 weeks
  • 36 hours per week
  • Shift: 12 hours
  • Employment Type: Travel

Job Description & Requirements
RN Case Manager
StartDate: 7/13/2026 Pay Rate: $1800.00 - $2700.00

POSITION SUMMARY – RN Case Manager

POSITION DUTIES – Coordinate patient care from admission through discharge, ensuring that treatments, services, and resources align with each patient’s medical needs and recovery goals. Collaborate closely with physicians, nurses, and external providers to remove barriers to care, streamline transitions, and support safe, efficient discharge planning.

MINIMUM REQUIRED QUALIFICATIONS –

  • KS/compact RN license
  • BLS
  • 2 years case manager experience in an acute hospital setting
  • Acute hospital experience during the past year with no more than a 90-day break
  • Midas & Meditech experience

PREFERRED QUALIFICATIONS – Prior HCA Hospital case management experience

LENGTH OF ASSIGNMENT – 13 weeks

SHIFT / HOURS PER WEEK – 8a-4:30p

SYSTEMS – Meditech & Midas

START DATE – ASAP


Facility Location
The largest city in the state of Kansas, Wichita is a place to find big-city life in the heart of the Midwest. Known as the “Air Capital of the World,” Wichita is a major hub for aircraft manufacturing and is also home to many other cultural and artistic events and attractions. Spend your free time browsing one of the city’s many shopping districts, or exploring the award-winning zoo or other interactive wildlife areas.
Job Benefits
Becoming an AMN Healthcare professional gives you the incredible opportunity to gain critical career experience, work with new people, and earn a highly competitive salary—but the perks don't stop there. There are many additional benefits to enjoy, including:
  • Medical, dental and vision benefits
  • Earned time off and paid holidays
  • Paid continuing education time
  • 401(K) retirement planning
  • Short-term disability, life insurance, paid jury duty
  • Access to the largest network of facilities and providers in the country
  • Industry experienced workforce management team
  • Licensure and certification reimbursement

About the Company
At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable.

American Mobile Healthcare Job ID #3519952. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN Case Manager

About AMN Healthcare Nursing

AMN Healthcare is a leader in Nurse staffing. Our relationships with numerous healthcare facilities - including hospitals, home health agencies, and long-term care facilities - enable us to offer the most current travel nurse, local staffing, rapid response and crisis nurse jobs nationwide. We''re committed to finding you the best nursing job to fit your career goals. AMN Healthcare is an EEO/AA/Disability/Protected Veteran Employer. We encourage minority and female applicants to apply.

Benefits
  • Company provided housing options
  • Medical benefits
  • Dental benefits
  • Continuing Education

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