Utilization Review Nurse
Methuen, MA · On-site
Utilization Review Nurse Responsible for determining the appropriateness of hospital admission, utilization of resources and medical necessity for continued stay. Responsible for working with the ...
Utilization Review Nurse
Methuen, MA · On-site
Utilization Review Nurse Responsible for determining the appropriateness of hospital admission, utilization of resources and medical necessity for continued stay. Responsible for working with the ...
Utilization Review Nurse
Methuen, MA · On-site
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
Utilization Review Nurse
Methuen, MA · On-site
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
Utilization Review Nurse
Methuen, MA · On-site
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
Utilization Review Nurse
Methuen, MA · On-site
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
Utilization Review Nurse
Methuen, MA · On-site
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
Utilization Review Nurse
Methuen, MA · On-site
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
UTILIZATION REVIEW NURSE
Norfolk, VA · On-site
$10K/mo
The Utilization Review Nurse is responsible for utilization management services within the scope of licensure. Conducts primary functions of prior authorization, retrospective review, medical ...
UTILIZATION REVIEW NURSE
Norfolk, VA · On-site
$10K/mo
The Utilization Review Nurse is responsible for utilization management services within the scope of licensure. Conducts primary functions of prior authorization, retrospective review, medical ...
Utilization Review Nurse
Lawrence, MA · On-site
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
Utilization Review Nurse
Lawrence, MA · On-site
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
Utilization Review Nurse
Methuen, MA · On-site
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
Utilization Review Nurse
Methuen, MA · On-site
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
Utilization Review Nurse
Lawrence, MA · On-site
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
Utilization Review Nurse
Lawrence, MA · On-site
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
UTILIZATION REVIEW NURSE
Norfolk, VA · On-site +1
The Utilization Review Nurse is responsible for utilization management services within the scope of licensure. Conducts primary functions of prior authorization, retrospective review, medical ...
UTILIZATION REVIEW NURSE
Norfolk, VA · On-site +1
The Utilization Review Nurse is responsible for utilization management services within the scope of licensure. Conducts primary functions of prior authorization, retrospective review, medical ...
Utilization Review Nurse
West Chester, PA · On-site
The Utilization Review Nurse will provide utilization review for authorization, concurrent review and discharge review services using InterQual criteria guidelines to validate medical necessity and ...
Utilization Review Nurse
West Chester, PA · On-site
The Utilization Review Nurse will provide utilization review for authorization, concurrent review and discharge review services using InterQual criteria guidelines to validate medical necessity and ...
Utilization Review Nurse
Tampa, FL · On-site
$29 - $30/hr
Responds in a timely manner to the providers and/or practitioners if there is a request for ... Utilization Review/Management, HEDIS, Chart Auditing, Medical Record Reviews] Additional ...
Utilization Review Nurse
Tampa, FL · On-site
$29 - $30/hr
Responds in a timely manner to the providers and/or practitioners if there is a request for ... Utilization Review/Management, HEDIS, Chart Auditing, Medical Record Reviews] Additional ...
$10K/mo
The Utilization Review Nurse is responsible for utilization management services within the scope of licensure. Conducts primary functions of prior authorization, retrospective review, medical ...
$10K/mo
The Utilization Review Nurse is responsible for utilization management services within the scope of licensure. Conducts primary functions of prior authorization, retrospective review, medical ...
UTILIZATION REVIEW NURSE
Norfolk, VA · On-site
$10K/mo
The Utilization Review Nurse is responsible for utilization management services within the scope of licensure. Conducts primary functions of prior authorization, retrospective review, medical ...
UTILIZATION REVIEW NURSE
Norfolk, VA · On-site
$10K/mo
The Utilization Review Nurse is responsible for utilization management services within the scope of licensure. Conducts primary functions of prior authorization, retrospective review, medical ...
Utilization Review Nurse
West Chester, PA · On-site
The Utilization Review Nurse will provide utilization review for authorization, concurrent review and discharge review services using InterQual criteria guidelines to validate medical necessity and ...
Utilization Review Nurse
West Chester, PA · On-site
The Utilization Review Nurse will provide utilization review for authorization, concurrent review and discharge review services using InterQual criteria guidelines to validate medical necessity and ...
Utilization Review Nurse
West Chester, PA · On-site
The Utilization Review Nurse will provide utilization review for authorization, concurrent review and discharge review services using InterQual criteria guidelines to validate medical necessity and ...
Utilization Review Nurse
West Chester, PA · On-site
The Utilization Review Nurse will provide utilization review for authorization, concurrent review and discharge review services using InterQual criteria guidelines to validate medical necessity and ...
Utilization Review Nurse
Troy, MI · On-site
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 ...
Utilization Review Nurse
Troy, MI · On-site
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 ...
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 ...
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 ...
Internship Nurse Practitioner Utilization Review information
See salary details
$9.13 - $10.38
1% of jobs
$10.38 - $11.63
0% of jobs
$11.63 - $12.87
3% of jobs
$12.87 - $14.12
11% of jobs
$14.49 is the 25th percentile. Wages below this are outliers.
$14.12 - $15.36
35% of jobs
The median wage is $15.41 / hr.
$15.36 - $16.61
13% of jobs
$17.78 is the 75th percentile. Wages above this are outliers.
$16.61 - $17.85
14% of jobs
$17.85 - $19.10
11% of jobs
$19.10 - $20.35
12% of jobs
$20.35 - $21.59
1% of jobs
$21.59 - $22.84
1% of jobs
$9
$16
$22
How much do internship nurse practitioner utilization review jobs pay per hour?
As of Sep 12, 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 typical responsibilities of an internship nurse practitioner 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 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?
| Aspect | Internship Nurse Practitioner Utilization Review | Nurse Practitioner Utilization Review |
|---|---|---|
| Credentials | Enrolled in or recently completed nurse practitioner internship | Licensed Nurse Practitioner with certification |
| Work Environment | Supervised internship setting, training-focused | Independent or team-based utilization review in healthcare settings |
| Employer & Industry | Hospitals, clinics, or healthcare organizations during training | Insurance 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 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:
What are popular job titles related to Internship Nurse Practitioner Utilization Review jobs?
For Internship Nurse Practitioner Utilization Review jobs, the most frequently searched job titles are:
What other helpful pages are available for Internship Nurse Practitioner Utilization Review?
Other pages related to Internship Nurse Practitioner Utilization Review:
Utilization Review Nurse
Methuen, MA • On-site
Merrimack Health
Other
Posted 16 days ago
Job description
Utilization Review Nurse
Responsible for determining the appropriateness of hospital admission, utilization of resources and medical necessity for continued stay. Responsible for working with the Clinical Care Coordinator and Complex Care Manager to facilitate timely discharge, assure medical documentation accurately reflects the patient's severity of illness; and ensures compliance with the conditions of participation as they relate to utilization review and discharge planning and payer regulations.
Minimum Education and Experience:
Required:
- Graduate of an accredited professional nursing school
- Current Massachusetts Nursing license
- Five years clinical nursing experience
- Demonstrated verbal, written skills
- Computer skills
Preferred:
- Master's degree.