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International Utilization Review Rn Jobs (NOW HIRING)

Job Summary and Responsibilities As our Utilization Management Professional, you will be a critical ... review outcomes. * Collaborates with facility RN Care Coordinators to ensure progression of care.

Utilization Review RN

Houston, TX · On-site

$41.14 - $61.20/hr

Job Summary and Responsibilities As our Utilization Management Professional, you will be a critical ... review outcomes. * Collaborates with facility RN Care Coordinators to ensure progression of care.

Utilization Review RN

Houston, TX · On-site

$41.14 - $61.20/hr

Job Summary and Responsibilities As our Utilization Management Professional, you will be a critical ... review outcomes. * Collaborates with facility RN Care Coordinators to ensure progression of care.

Job Summary and Responsibilities As our Utilization Management Professional, you will be a critical ... review outcomes. * Collaborates with facility RN Care Coordinators to ensure progression of care.

Showing results 41-60

International Utilization Review Rn information

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$21

$42

$68

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

As of Aug 6, 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?

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
Infographic showing various International Utilization Review Rn job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Full-time

Re-posted 9 days ago


Job description

Company Description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Molina Healthcare members with the right care at the right place at the right time. Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review. Assesses services for Molina Members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and guidelines


Provider appeals and Utilization reviews and assist with Denial Letters 


Provides concurrent review and prior authorizations (as needed) according to Molina policy for Molina members as part of the Utilization Management team.

Identifies appropriate benefits, eligibility, and expected length of stay for members requesting treatments and/or procedures.

Participates in interdepartmental integration and collaboration to enhance the continuity of care for Molina members including Behavioral Health and Long Term Care. 

Qualifications

Must be an RN 

Utilization Review background in either Managed Care of Provider environment (at least one year) 

Interqual experience 

Other basic computer skills necessary: Microsoft Office, Data Entry, etc. 

Minimum 2-4 years of clinical practice. Preferably hospital nursing, utilization management, and/or case management.

Also has a background in patient, skilled nurses facilities, rehab, and home healthcare.

Additional Information

Are you an experienced RN looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career In Nursing by joining a rapidly growing company? If you answered "yes" to any of these questions - this is the RN position for you!

If you are interested, reach out to me (Krishna) at 321-574-6926

The greatest compliment to our business is a referral.If you know of someone looking for a new opportunity, please pass along my contact information!



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About Healthcare Support

Sourced by ZipRecruiter

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Maitland, FL, US

Year founded

2003

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