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Internship Nurse Practitioner Utilization Review Jobs

$52.03 - $101.24/hr

Job Summary and Responsibilities As our Utilization Review Nurse, you will ensure the medical necessity and appropriateness of care for all hospitalized patients, promoting fiscal responsibility and ...

Utilization Review Nurse

Miami, FL ยท 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 ...

Utilization Review Nurse

Dallas, TX ยท 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 ...

Utilization Review Nurse

Atlanta, GA ยท 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 ...

Utilization Review Nurse

Tempe, AZ ยท 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 ...

Job Summary The Utilization Review (UR) Nurse has acute knowledge and skills in areas of utilization management (UM), medical necessity, and patient status determination. This individual supports the ...

Utilization Review Nurse Job Summary The Utilization Nurse is responsible for conducting prospective, concurrent, and retrospective clinical reviews to determine medical necessity, level of care, and ...

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Internship Nurse Practitioner Utilization Review information

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

As of Jul 31, 2026, the average hourly pay for internship nurse practitioner utilization review 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 Nurse Practitioner Utilization Review?

An Internship Nurse Practitioner Utilization Review is a temporary position where a nurse practitioner in training is involved in evaluating the necessity, efficiency, and appropriateness of healthcare services and treatments. The role typically involves reviewing medical records, collaborating with healthcare teams, and ensuring that patient care meets established guidelines and standards. This internship provides hands-on experience in the utilization review process, helping future nurse practitioners develop important skills in clinical assessment, decision-making, and healthcare management.

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

Success as an Internship Nurse Practitioner Utilization Review requires a strong clinical background, familiarity with healthcare regulations, and an advanced nursing degree or enrollment in a nurse practitioner program. Proficiency with utilization management software, electronic health records, and knowledge of CMS guidelines is essential. Critical thinking, attention to detail, and effective communication help interns collaborate with healthcare teams and justify care decisions. These skills ensure appropriate, cost-effective patient care while maintaining compliance and quality standards.

What is the difference between Internship Nurse Practitioner Utilization Review vs Nurse Practitioner Utilization Review?

AspectInternship Nurse Practitioner Utilization ReviewNurse Practitioner Utilization Review
CredentialsEnrolled in or recently completed nurse practitioner internshipLicensed Nurse Practitioner with certification
Work EnvironmentSupervised internship setting, training-focusedIndependent or team-based utilization review in healthcare settings
Employer & IndustryHospitals, clinics, or healthcare organizations during trainingInsurance companies, healthcare providers, utilization review organizations

Internship Nurse Practitioner Utilization Review roles are typically training positions for students or recent graduates gaining practical experience. In contrast, Nurse Practitioner Utilization Review positions require full licensure and involve independent review of healthcare services for appropriateness and coverage. The internship is a learning phase, while the full role focuses on decision-making and compliance in healthcare utilization management.

What are the typical responsibilities of an Internship Nurse Practitioner in Utilization Review, and how does this role support the healthcare team?

As an Internship Nurse Practitioner in Utilization Review, your main responsibilities include reviewing patient records, assessing the appropriateness of medical services, and ensuring treatments meet established guidelines for medical necessity. You will collaborate closely with physicians, nurses, and case managers to coordinate care and may participate in interdisciplinary meetings to discuss complex cases. This role provides valuable exposure to healthcare policy, insurance processes, and quality assurance, all while supporting the healthcare team in delivering cost-effective and appropriate care.
What cities are hiring for Internship Nurse Practitioner Utilization Review jobs? Cities with the most Internship Nurse Practitioner Utilization Review job openings:
What are the most commonly searched types of Nurse Practitioner Utilization Review jobs? The most popular types of Nurse Practitioner Utilization Review jobs are:
What states have the most Internship Nurse Practitioner Utilization Review jobs? States with the most job openings for Internship Nurse Practitioner Utilization Review jobs include:

Utilization Review Nurse

Access Healthcare Staffing & Recruitment

Las Vegas, NV โ€ข On-site

Full-time

Re-posted 24 days ago


Job description

Salary: $40-$63

Utilization Review Nurse (RN)

Las Vegas, NV | Full-Time

Salary: $40 $63/hour


Position Summary

Reviews patient admissions for medical necessity, appropriate resource utilization, and compliance with payer guidelines. Analyzes medical records to ensure care meets established clinical and regulatory standards.


Requirements:

Education/Experience:

  • Graduate of an accredited nursing program
  • 5+ years of acute care nursing experience
  • At least 1 year in Utilization Management, Case Management, or CDI
  • Minimum 3 years of Utilization Management experience
  • 3+ years of discharge planning experience in acute care


Licensure:

  • Active Nevada RN license


Additional Requirements:

  • Experience with InterQual (must be able to pass exam)
  • Experience with Milliman criteria


Key Skills & Knowledge

  • Utilization review criteria (InterQual/Milliman), Medicare/Medicaid guidelines
  • Chart review and clinical documentation analysis
  • Regulatory compliance and hospital standards
  • Strong communication, collaboration, and analytical skills


Work Environment

  • Office-based with extended sitting and computer use
  • May require shifts and weekends