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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 · 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 · 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 ...

Houston Methodist

Utilization Review RN

Cypress, CA

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 ...

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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 Jun 26, 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 June 2026, with employment types broken down into 34% Full Time, 9% Part Time, and 57% 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.

Registered Nurse - Utilization Review - RNUR 0615 AR#01

NavitasPartners

Yonkers, NY • On-site

$2.5K - $2.8K/wk

Other

Posted 11 days ago

Job description

Job Title: Registered Nurse - Utilization Review (RN-UR)

Location: Syracuse, NY 13210
Schedule: Day Shift
Duration: 14 Weeks

Compensation
  • Local Candidates: $2,000 - $2,300 per week
  • Traveler Candidates: $2,500 - $2,800 per week
Position Overview

We are seeking an experienced Utilization Review Registered Nurse (RN) to support a fast-paced healthcare setting. This role involves reviewing patient cases across multiple levels of care to ensure medical necessity, appropriate resource utilization, and compliance with payer requirements.

Key Responsibilities
  • Perform a combination of Admission, Continued Stay, and Discharge reviews with a minimum productivity of 25 reviews per day
  • Review cases across Medical, Surgical, and Behavioral Health populations (pediatric through adult)
  • Evaluate patient care levels including:
    • Inpatient
    • Outpatient
    • Observation
    • Emergency
  • Work with multiple payer types, including:
    • Medicare & Managed Medicare
    • Medicaid & Managed Medicaid
    • Commercial Insurance
    • Workers' Compensation & No-Fault
  • Ensure accurate order and class alignment within the Epic EHR system throughout the patient stay
  • Apply InterQual criteria for medical necessity and level-of-care determinations
  • Utilize payer portals for authorization and review processes
Required Qualifications
  • Active, unrestricted New York State Registered Nurse (RN) license
  • BLS certification (AHA required)
  • Minimum 1.5 years of recent clinical experience
  • Prior experience in acute care or hospital-based Utilization Review
Preferred Skills & Experience
  • Hands-on experience with Epic Electronic Health Record (EHR)
  • Familiarity with InterQual first-level screening
  • Experience navigating and working with payer portals
  • Strong analytical, documentation, and communication skills

For more details reach at jknox@navitashealth.com or Call / Text at 732-791-4827.

About Navitas Healthcare, LLC: It is a Joint Commission Certified / WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided, and your salary will be discussed upfront.

Apply