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Internship Anthem 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

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 ...

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

Tempe, AZ · 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 ...

AbsoluteCare

Utilization Review Nurse

New Orleans, LA · On-site

The Utilization Review Nurse ensures appropriate utilization of health services by performing initial, concurrent and retrospective clinical case reviews. This role collaborates and communicates with ...

US Tech Solutions

Utilization Review Nurse

Canton, MA · On-site

$55 - $60/hr

... Nurse to support outpatient utilization review and prior authorization activities for a leading healthcare organization. The ideal candidate will have a strong background in managed care, utilization ...

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How much do internship anthem utilization review nurse jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for internship anthem utilization review nurse in the United States is $16.77, according to ZipRecruiter salary data. Most workers in this role earn between $14.42 and $18.75 per hour, depending on experience, location, and employer.

What is an Internship Anthem Utilization Review Nurse?

An Internship Anthem Utilization Review Nurse is a nursing student or recent graduate working in a learning capacity within Anthem’s Utilization Review department. Their primary role is to assist in evaluating medical necessity, appropriateness, and efficiency of healthcare services and procedures. Under the supervision of licensed nurses, they review clinical documentation, learn about health insurance policies, and help ensure that patients receive the right care at the right time. This internship provides hands-on experience in case management, healthcare policy, and the insurance review process, preparing interns for future roles as Utilization Review Nurses.

What are the typical responsibilities and learning opportunities for an Internship Anthem Utilization Review Nurse?

As an Internship Anthem Utilization Review Nurse, you can expect to assist with reviewing medical records, evaluating the necessity and appropriateness of healthcare services, and supporting the coordination of care between providers and insurance teams. Interns often learn how to apply evidence-based criteria to utilization decisions and gain exposure to the insurance side of healthcare, which is valuable experience for future roles in case management or utilization management. You’ll frequently collaborate with experienced nurses, physicians, and administrative staff, which helps develop both clinical and communication skills. This role offers a unique perspective on healthcare delivery while providing mentorship and professional growth opportunities within a large organization.

What are the key skills and qualifications needed to thrive as an Internship Anthem Utilization Review Nurse, and why are they important?

To thrive as an Internship Anthem Utilization Review Nurse, you need a solid foundation in nursing principles, strong analytical skills, and preferably an active RN license or enrollment in a nursing program. Familiarity with utilization review software, electronic health records (EHRs), and knowledge of insurance guidelines are commonly required. Excellent communication, attention to detail, and critical thinking are valuable soft skills for collaborating with providers and ensuring accurate assessments. These skills and qualities are essential to ensure appropriate care, cost-effective resource use, and regulatory compliance within a healthcare insurance setting.

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Internship Anthem Utilization Review Nurse jobs near you

Utilization Review Nurse

Fusion HCR

Las Vegas, NV • On-site

Other

This job post has expired today. Applications are no longer accepted.

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