ZipRecruiter

Log In

1

International Utilization Review Rn Jobs (NOW HIRING)

CareConnect

Utilization Review RN

Greenvale, NY

Reviews and coordinates prospective, concurrent and retrospective activities related to utilization ... Bachelor's Degree in Nursing, preferred. Must be enrolled in an accredited program within 24 months ...

CareConnect

Utilization Review RN

Greenvale, NY · On-site

Reviews and coordinates prospective, concurrent and retrospective activities related to utilization ... Bachelor's Degree in Nursing, preferred. Must be enrolled in an accredited program within 24 months ...

LifeBridge Health

Utilization Review Nurse RN

Baltimore, MD · On-site

$40.12 - $62.19/hr

The Utilization Review RN at Sinai Hospital works with stakeholders in the Revenue Cycle Management process and payors to ensure efficiency of utilization of resources, minimize losses and maximize ...

next page

Showing results 1-20

All JobsInternational Utilization Review Rn Jobs

International Utilization Review Rn information

See salary details

$21

$42

$68

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

As of Jul 17, 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

Registered Nurse, Utilization Review

MMC Group

Austin, TX • On-site

Other

Medical, Dental, Vision, Life

Posted 28 days ago

Job description

Registered Nurse, Utilization Review (Remote)
Local Candidates in the Austin, TX Area Only
Long Term Opportunity | High Potential for Extension
Use Your Clinical Expertise to Improve Healthcare Outcomes, Without Providing Direct Patient Care
Are you an experienced Registered Nurse looking to transition away from bedside care while continuing to make a meaningful impact on patients' healthcare journeys? If you have a strong clinical background and experience evaluating medical necessity, this is an excellent opportunity to utilize your nursing expertise in a remote, collaborative environment.
Join a team dedicated to ensuring members receive medically appropriate, high quality, and cost-effective healthcare services while working alongside physicians, healthcare providers, and interdisciplinary teams.
Why You'll Love This Opportunity
  • Remote position for candidates living in the Austin, Texas area
  • No direct patient care
  • Long term contract with a high likelihood of extension
  • Monday through Friday schedule with occasional approved overtime
  • Opportunity to use your clinical knowledge to improve healthcare quality and outcomes
  • Collaborative and supportive team environment
  • Work with leading healthcare professionals and providers across Texas
Schedule
  • Must be available to work any 8-hour shift between 7:00 AM and 7:00 PM
  • Required shift availability includes 10:00 AM to 7:00 PM
  • Occasional overtime may be required and approved based on business needs
What You'll Do
As a Utilization Review Registered Nurse, you will use your clinical judgment to evaluate medical services and ensure members receive appropriate, medically necessary care.
Your responsibilities will include:
  • Conduct pre-service, concurrent, and retrospective utilization reviews
  • Evaluate medical necessity for outpatient services and out-of-network care
  • Assess the appropriateness of treatment settings using evidence based clinical guidelines
  • Collaborate with physicians, healthcare providers, and interdisciplinary teams
  • Promote high-quality, cost-effective healthcare outcomes
  • Optimize member benefits while ensuring compliance with Medicaid requirements
  • Apply Texas Administrative Code (TAC) guidelines and medical necessity criteria
  • Document review decisions accurately and thoroughly
  • Maintain productivity, quality, and compliance standards
  • Participate in team meetings, training, and continuous improvement initiatives
Qualifications
We're looking for professionals who have:
  • Current Registered Nurse (RN) license in good standing
  • Experience performing Utilization Review, Case Management, Care Management, or Medical Necessity reviews
  • Knowledge of Medicaid programs and utilization management principles
  • Experience applying medical necessity criteria
  • Understanding of the Texas Administrative Code (TAC)
  • Strong clinical assessment and critical thinking skills
  • Excellent written and verbal communication abilities
  • Strong organizational and time management skills
  • Ability to work independently in a remote environment
Technical Skills
  • Microsoft Word
  • Microsoft Excel
  • Electronic documentation systems
  • Ability to navigate multiple computer applications simultaneously
Ideal Candidate
You'll thrive in this role if you:
  • Enjoy using clinical expertise to improve healthcare outcomes
  • Have exceptional analytical and critical thinking skills
  • Are detail oriented and able to make sound clinical decisions
  • Communicate professionally with providers and interdisciplinary teams
  • Can manage multiple priorities in a fast-paced environment
  • Work independently while remaining engaged with a collaborative remote team
Apply Today!
If you're ready to leverage your nursing experience in a rewarding remote role that supports quality healthcare delivery, we'd love to hear from you.
This is an outstanding opportunity for an experienced Registered Nurse seeking a professional, non-bedside position with long term potential and meaningful impact!
Job Requirements
Throughout the past 35+ years, MMC, one of the most trusted names in workforce management services, has successfully delivered strategic solutions to large and small businesses in numerous industries.
We have built our reputation on partnering with our clients and candidates to achieve the desired results. Our recruiting professionals have extensive experience matching the right candidate, to the right client, for the right position. We provide the best opportunities to the most talented candidates in a multitude of industries.
MMC is a privately owned business with corporate headquarters in Irving, Texas. With 2,000+ employees, working in 40+ states, MMC is able to support all United States locations, and some international locations.
We appreciate your interest in reviewing this particular position and we encourage you to visit our website where you can always search and apply for opportunities at www.mmcgrp.com
Benefits with MMC Group
MMC offers health insurance plans for our active candidates on assignment, including:
  • Medical, dental, and vision coverage
  • Life and disability insurance
  • Additional voluntary benefits

Join MMC and enjoy the support of a team that values your well-being, both on and off the job!
MMC strives to ensure all job postings confirm details of the position, the rate of pay, and acknowledge that medical benefits are offered.
Get started on your career journey today! Apply to become a part of the MMC Team!
We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.

Apply