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International Utilization Review Rn Jobs (NOW HIRING)

Memorial Health

Utilization Review RN

Springfield, IL · On-site

$32.95 - $52.73/hr

... RN licensure in the State of Illinois required Experience: Minimum of 3- 5 years of recent acute care and/or home health nursing or case management experience required. Previous utilization review ...

Memorial Health

Utilization Review RN

Springfield, IL

$32.95 - $52.73/hr

... RN licensure in the State of Illinois required Experience: Minimum of 3- 5 years of recent acute care and/or home health nursing or case management experience required. Previous utilization review ...

Memorial Health

Utilization Review RN

Springfield, IL · On-site

$32.95 - $52.73/hr

... RN licensure in the State of Illinois required Experience: Minimum of 3- 5 years of recent acute care and/or home health nursing or case management experience required. Previous utilization review ...

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International Utilization Review RN information

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

As of Jul 20, 2026, the average hourly pay for international 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 the difference between International Utilization Review Rn vs Utilization Review Nurse?

AspectInternational Utilization Review RnUtilization Review Nurse
CredentialsRN license, possibly international certificationsRN license, state-specific certifications
Work EnvironmentHospitals, clinics, insurance companies, often internationallyHospitals, insurance companies, primarily domestic
Employer & Industry UsageGlobal healthcare and insurance sectorsPrimarily U.S. healthcare and insurance sectors
Search & Comparison IntentInternational roles, global healthcare standardsDomestic healthcare utilization review

The International Utilization Review Rn and Utilization Review Nurse roles share core RN credentials and involve assessing patient care for insurance or healthcare providers. However, the International Utilization Review Rn often works in global or cross-border settings, requiring international certifications and experience, while the Utilization Review Nurse typically operates within domestic healthcare systems. Both roles focus on ensuring appropriate care and resource utilization but differ mainly in scope and geographic focus.

How does an International Utilization Review RN collaborate with multidisciplinary teams across different countries?

An International Utilization Review RN regularly communicates with physicians, care managers, and administrative staff both locally and abroad to assess patient care plans and ensure appropriate resource utilization. This collaboration often involves virtual meetings, detailed documentation, and navigating varying healthcare regulations and cultural practices. The role requires strong communication skills and adaptability to coordinate care efficiently across time zones and healthcare systems. Building effective relationships with international colleagues is crucial to ensure seamless patient care and compliance with diverse policies.

What is an International Utilization Review RN?

An International Utilization Review RN is a registered nurse who specializes in evaluating the medical necessity, appropriateness, and efficiency of healthcare services for patients in an international or global context. They review clinical information, compare it to established guidelines, and coordinate with healthcare providers, insurance companies, and sometimes patients to ensure optimal use of healthcare resources. Their goal is to ensure quality care while managing costs and compliance with international healthcare standards. This role often requires strong clinical knowledge, cultural competence, and familiarity with international health regulations.

What are the key skills and qualifications needed to thrive as an International Utilization Review RN, and why are they important?

To thrive as an International Utilization Review RN, you need a valid RN license, strong clinical knowledge, and expertise in medical necessity criteria and care coordination. Familiarity with utilization management software, case management systems, and international healthcare regulations is typically required, along with certifications such as CCM or URAC accreditation. Strong analytical skills, cultural sensitivity, and effective communication are vital to collaborate with diverse teams and advocate for patients across global healthcare settings. These skills ensure appropriate resource use, regulatory compliance, and high-quality patient care worldwide.
More about International Utilization Review RN jobs
What job categories do people searching International Utilization Review Rn jobs look for? The top searched job categories for International Utilization Review Rn jobs are:
International Utilization Review RN jobs near you
Infographic showing various International Utilization Review Rn job openings in the United States as of July 2026, with employment types broken down into 6% As Needed, 76% Full Time, and 18% Contract. Highlights an 76% In-person, and 24% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.
Registered Nurse Utilization Review SCH

Registered Nurse Utilization Review SCH

Catholic Health System

Buffalo, NY • On-site

Other

Re-posted 16 days ago

Catholic Health rating

7.9

Company rating: 7.9 out of 10

Based on 177 frontline employees who took The Breakroom Quiz

105th of 886 rated healthcare providers

Job description

Facility: Sisters of Charity Hospital
Shift: Shift 1
Status: Full Time FTE: 1.000000
Bargaining Unit: ACE Associates
Exempt from Overtime: Exempt: Yes
Work Schedule: Days with Weekend and Holiday Rotation
Hours:
8am -4 pm
Summary:
The Registered Nurse (RN), Utilization Review, as an active member of the Middle Revenue Cycle and interdisciplinary care team, provides comprehensive Utilization Review to patients and families in the hospital setting. Utilizing foundational nursing clinical skills Utilization Review nurse collaborates with the interdisciplinary team to maintain appropriate levels of care and to facilitate movement of the patient through the continuum. The Utilization Review RN identifies and removes barriers for delays of treatment. This individual also works to maintain third-party payer relationships related to Utilization Review Activities. This includes, but is not limited to, concurrent review, responding to inquiries, complaints, and other correspondence, and may include setting up discussions between parties. Knowledge of state and federal laws relating to contracts and utilization review process processes is vital.
Responsibilities:
EDUCATION
  • BSN degree or RN with a BS in health-related field and working knowledge/experience in documentation utilization review in an acute care/inpatient setting
  • Unrestricted NYS RN license
  • Holds, or will obtain within one year of hire, Certified Case Manager (CCM)
  • Certification in a Nationally Recognized Utilization Review Criteria set is preferred
  • At least one (1) year of experience in working with third party payers strongly preferred
EXPERIENCE
  • Minimum of three (3) years of experience working in an Acute Care Hospital Setting
  • Proficiency in utilization management and regulatory requirements preferred
  • Experience in working with people who are geographically dispersed preferred
  • Experience in working with third party payers strongly preferred
KNOWLEDGE, SKILL AND ABILITY
  • Strong clinical assessment skills and ability to articulate findings in a fast-paced environment. Possess the ability to make independent decisions within the professional scope of practice
  • Possess ability to educate, inform, advocate, promote and facilitate health care options, and demonstrate the willingness to work harmoniously with a team approach
  • Possesses ability to effectively and efficiently utilize technology within daily work with the care team and ability to quickly learn and adapt to new technology tools and software
  • Extensive knowledge of third-party payer guidelines, accreditation and regulatory requirements preferred
  • Knowledge of Managed Care Organization contracts/agreements preferred
WORKING CONDITIONS
  • Willingness to work beyond normal working hours, and in other positions temporarily, and/or at other locations when necessary
  • Variable schedule which may include weekends and holidays. May be requested to travel to multiple hospital and community sites
ENVIRONMENT
  • Normal heat, light space, and safe working environment; typical of most office jobs
  • Occasional exposure to one or more mildly unpleasant physical conditions
  • Minimum physical effort required, typical of most office work
  • Significant amount of walking within the acute care facility

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About Catholic Health

Sourced by ZipRecruiter

Formed in 1998 under four religious sponsors, Catholic Health in Buffalo, NY is a non-profit healthcare system that provides care to Western New Yorkers across a network of hospitals, nursing homes, home care agencies, physician practices, and other community based ministries. Today, the system has two religious sponsors, the Diocese of Buffalo and the Franciscan Sisters of St. Joseph, who carried on its Mission across the Buffalo-Niagara region. Our mission sets us apart. It's the human side of healthcare – the touch, smile or comforting word that can help make your healthcare experience better. It's treating all people with respect and dignity, and providing comfort in times of greatest need. Catholic Health is making the largest investment in its history, dedicating more than $100 million in state-of-the- art technology that will connect our hospitals, home care, long-term care, clinician offices, health centers and ancillary services with patients throughout the area. This transformational investment marks a major milestone for our healing ministry, which dates back more than 165 years.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Buffalo, NY, US

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