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International Utilization Review Nurse Jobs (NOW HIRING)

Fusion HCR

Utilization Review Nurse

Las Vegas, NV · On-site

Direct Hire - Utilization Review Nurse, this is an onsite position, working with our client in Acute Care. Overview Seeking an experienced Utilization Review Nurse (RN) to review patient admissions ...

Acrisure LLC

Utilization Review Nurse

Bradenton, FL · On-site

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 ...

Acrisure

Utilization Review Nurse

Bradenton, FL · On-site

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 ...

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 ...

Global Force

Utilization Review Nurse

Las Vegas, NV · On-site

About the job Utilization Review Nurse Sign on bonus may apply up to $15,000 Position Summary: Reviews patient admissions for appropriateness, efficiency of resource utilization and compliance with ...

Oscar Health

Utilization Review Nurse

Dallas, TX · Remote

$35 - $45.94/hr

We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You will perform frequent case reviews, check medical records and speak with care providers regarding ...

Oscar Health

Utilization Review Nurse

Miami, FL · Remote

$35 - $45.94/hr

We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You will perform frequent case reviews, check medical records and speak with care providers regarding ...

Oscar Health

Utilization Review Nurse

Atlanta, GA · Remote

$35 - $45.94/hr

We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You will perform frequent case reviews, check medical records and speak with care providers regarding ...

Penn Medicine

Utilization Review Nurse

West Chester, PA · On-site

The Utilization Review Nurse will provide utilization review for authorization, concurrent review and discharge review services using InterQual criteria guidelines to validate medical necessity and ...

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How much do international utilization review nurse jobs pay per hour?

As of Aug 19, 2026, the average hourly pay for international 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 an international utilization review nurse?

An International Utilization Review Nurse evaluates medical records to ensure healthcare services are necessary, efficient, and compliant with guidelines across different countries. They collaborate with medical teams, insurance providers, and regulatory agencies to review treatment plans and medical necessity. Their role helps control costs, prevent insurance fraud, and ensure patients receive appropriate care. Strong knowledge of global healthcare policies and insurance regulations is essential for success in this position.

What are some common challenges faced by international utilization review nurses?

International Utilization Review Nurses often encounter challenges such as navigating various international healthcare regulations, dealing with differences in medical terminology, and adapting to local policies or practices. The role may require frequent collaboration with multidisciplinary teams across different countries and time zones, which can be logistically complex but deeply rewarding. Cultural sensitivity and flexibility are essential to ensure effective communication and accurate review of patient cases. These challenges ultimately help International Utilization Review Nurses develop strong problem-solving skills and broaden their professional expertise in global healthcare management.

What are the key skills and qualifications needed to thrive in the international utilization review nurse position, and why are they important?

To thrive as an International Utilization Review Nurse, you need strong clinical assessment abilities, a thorough understanding of international healthcare regulations, and an active RN license, often with a bachelor's degree or higher. Familiarity with utilization management software, coding systems like ICD-10, and certifications such as CCM (Certified Case Manager) are highly beneficial. Excellent communication, cultural sensitivity, and analytical skills help you navigate diverse healthcare systems and collaborate across borders. These skills ensure accurate review of medical necessity, effective cross-cultural communication, and improved healthcare outcomes on a global scale.

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International Utilization Review Nurse jobs near you
Infographic showing various International Utilization Review Nurse job openings in the United States as of August 2026, with employment types broken down into 82% Full Time, 6% Part Time, 6% Temporary, and 6% Contract. Highlights an 62% In-person, 13% Hybrid, and 25% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Utilization Review Nurse

Fusion HCR

Las Vegas, NV • On-site

Other

Re-posted 12 days ago

Job description

Fusion HCR is hiring!Direct Hire - Utilization Review Nurse, this is an onsite position, working with our client in Acute Care.
Overview
Seeking an experienced Utilization Review Nurse (RN) to review patient admissions for medical necessity, appropriate level of care, and compliance with payer guidelines. This role works closely with clinical teams to ensure efficient resource utilization and quality patient outcomes.
Responsibilities
  • Review admissions using InterQual and/or Milliman criteria
  • Evaluate medical necessity, level of care, and documentation accuracy
  • Ensure compliance with Medicare, Medicaid, and regulatory guidelines
  • Collaborate with physicians, case management, and care teams
  • Support discharge planning and care coordination
  • Document findings and communicate recommendations

Requirements
  • Active RN license (Nevada)
  • 5+ years acute care nursing experience
  • 3+ years Utilization Review experience
  • 3+ years discharge planning experience (acute care)
  • Experience with InterQual (must be able to pass exam)
  • Experience with Milliman guidelines

Preferred
  • Background in Case Management or CDI
  • Strong knowledge of Joint Commission and CMS guidelines

Why Apply
  • Competitive pay
  • Stable, high-demand role
  • Collaborative healthcare environment

Apply Now
If you have strong Utilization Review, InterQual, and acute care experience, we want to hear from you!

Apply