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Home Health Utilization Review Rn Jobs (NOW HIRING)

Osceola-Medical-Center

WI · On-site

$80 - $100/hr

... home health agencies, rehabilitation facilities, and durable medical equipment providers ... Utilization Review RN functions in a collaborative clinical and administrative environment ...

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How much do home health utilization review rn jobs pay per hour?

As of Sep 9, 2026, the average hourly pay for home health utilization review rn 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 a home health utilization review RN?

A Home Health Utilization Review RN is a registered nurse who evaluates the necessity, appropriateness, and efficiency of home health care services. They review patient records, treatment plans, and clinical documentation to ensure care meets established guidelines and regulatory requirements. Their role is crucial in ensuring that patients receive the most appropriate care while helping agencies comply with insurance and Medicare standards. They also collaborate with care teams to optimize patient outcomes and manage healthcare costs.

How does a home health utilization review RN collaborate with other healthcare team members to ensure effective patient care?

A Home Health Utilization Review RN works closely with clinicians, case managers, and administrative staff to coordinate care and evaluate the necessity and efficiency of home health services. This collaboration often involves reviewing documentation, discussing care plans, and ensuring compliance with payer requirements. Regular meetings and communication help the team identify gaps in care, optimize resource use, and maintain high standards of patient outcomes. This teamwork is essential for balancing quality care with regulatory and reimbursement guidelines.

What are the key skills and qualifications needed to thrive as a home health utilization review RN, and why are they important?

To thrive as a Home Health Utilization Review RN, you need a current RN license, strong clinical assessment skills, and experience in home health care or case management. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of Medicare/insurance guidelines is essential. Excellent critical thinking, attention to detail, and effective communication skills help you interpret medical records and collaborate with interdisciplinary teams. These competencies ensure proper care coordination, cost-effective service delivery, and compliance with regulatory standards in home health settings.

What states have the most Home Health Utilization Review Rn jobs?

States with the most job openings for Home Health Utilization Review Rn jobs include:

What are popular job titles related to Home Health Utilization Review Rn jobs?

For Home Health Utilization Review Rn jobs, the most frequently searched job titles are:

Infographic showing various Home Health Utilization Review Rn job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 17% Part Time, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

RN UR (REGISTERED NURSE UTILIZATION REVIEW) - HOME HEALTH

Laurel, MS • On-site

South Central Health System
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Other

Posted 4 days ago

Job description

RN – Utilization Review (RN UR)

Registered Nurse – Utilization Review (RN UR)

Home Health

Full Time

Performs utilization review activities; coordinates with clinical teams, payers, and external agencies; ensures timely reviews and documentation in compliance with policy and HIPAA.

• RN/LPN or RHIT/RHIA trained/eligible OR non‑credentialed with UR experience and basic ICD‑10/InterQual knowledge.

• Prior UR experience and authorization process proficiency.

• Review cases per procedures/timelines; request additional info as needed.

• Communicate effectively; prioritize workload; follow up on incompletes.

• Operate office equipment and maintain confidentiality.

• Prolonged periods of sitting and computer work.

• Occasional standing, walking, bending, and reaching.

• Lift up to 25 lbs occasionally (files/supplies).

• Adequate vision, hearing, and speech to perform job duties and communicate effectively.

All candidates must be able to perform the essential functions of this position. The American with Disabilities Act (ADA) requires that reasonable accommodations be made for qualified individuals to help perform the essential functions of the position.

South Central Regional Medical Center is an equal opportunity employer and does not discriminate based on race, color, religion, sex, gender, national origin, age, disability, or genetic information.

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