ZipRecruiter

Log In

1

Maternity Utilization Review Nurse Rn Jobs (NOW HIRING)

Sentara Health Plans

$10K/mo

Registered Nurse (required) Experience * 3 years of acute care clinical experience (required) * Previous Utilization Review experience (preferred) * Milliman experience (preferred) * Knowledge of ...

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 ... Valid license by the State of Nevada to practice as a Registered Nurse. Additional Position ...

Merrimack Health

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 ...

Randolph Health

Utilization Review Nurse

Asheboro, NC · On-site

Current license to practice as a Registered Nurse in North Carolina required. Previous training in utilization management or case management preferred. Excellent assessment skills required. Excellent ...

next page

Showing results 1-20

All JobsHealthcare JobsNursing JobsNurse Case Manager JobsMaternity Utilization Review Nurse RN Jobs

Maternity Utilization Review Nurse Rn information

See salary details

$21

$42

$68

How much do maternity utilization review nurse rn jobs pay per hour?

As of Sep 14, 2026, the average hourly pay for maternity utilization review nurse 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 does a maternity utilization review nurse RN do?

A Maternity Utilization Review Nurse RN is a registered nurse who specializes in reviewing and evaluating the medical necessity and appropriateness of maternity-related healthcare services. They assess patient records, collaborate with healthcare providers, and ensure compliance with insurance guidelines and best practices. Their goal is to ensure that expectant mothers receive the necessary care while managing costs and preventing unnecessary procedures. This role often involves case management, patient education, and communication with insurance companies.

What are the key skills and qualifications needed to thrive as a maternity utilization review nurse RN?

To thrive as a Maternity Utilization Review Nurse RN, you need a solid background in obstetric nursing, case management, and utilization review, typically supported by an RN license and experience in maternal-child health. Familiarity with medical management software, electronic health records (EHRs), and knowledge of insurance guidelines and utilization review certifications like CCM or URAC is often required. Strong analytical thinking, attention to detail, and effective communication are crucial soft skills for evaluating care plans and collaborating with healthcare providers and insurers. These skills ensure medically appropriate, cost-effective care for patients while maintaining compliance with regulations and optimizing resource use.

What are some common challenges faced by maternity utilization review nurse RNs and how can they be managed?

Maternity Utilization Review Nurse RNs often face challenges such as balancing clinical judgment with insurance guidelines, staying current with evolving maternity care standards, and managing communication between healthcare providers and insurance companies. To manage these challenges, it’s important to stay updated through ongoing education, develop strong organizational and negotiation skills, and foster collaborative relationships with both clinical and administrative teams. Utilizing clinical software and reference tools can also help streamline the review process and ensure accuracy in decision-making.

What is the difference between Maternity Utilization Review Nurse Rn vs Labor and Delivery Nurse?

AspectMaternity Utilization Review Nurse RnLabor and Delivery Nurse
CertificationsRN license, possibly case management or utilization review certificationRN license, childbirth and neonatal certifications
Work EnvironmentInsurance companies, healthcare review organizationsHospitals, maternity wards, delivery rooms
Job FocusReviewing medical necessity for maternity services, ensuring appropriate utilizationProviding direct patient care during labor and delivery

The Maternity Utilization Review Nurse Rn primarily evaluates the necessity of maternity services from an insurance and case management perspective, working behind the scenes. In contrast, the Labor and Delivery Nurse provides hands-on care to mothers during childbirth. While both roles require RN licensure and knowledge of maternity care, their work environments and daily responsibilities differ significantly.

What are popular job titles related to Maternity Utilization Review Nurse Rn jobs?

For Maternity Utilization Review Nurse Rn jobs, the most frequently searched job titles are:

Infographic showing various Maternity Utilization Review Nurse Rn job openings in the United States as of September 2026, with employment types broken down into 6% As Needed, 64% Full Time, 12% Part 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.

RN - Utilization Review

Torrance, CA • On-site

Providence Administrative Offices
See more jobs at Providence Administrative Officesexternal

Other

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

Job description

Utilization Review Nurse

A utilization review nurse is a registered nurse (RN) who is responsible for ensuring patients receive necessary care without performing unnecessary or duplicate services. The goal of utilization review nursing is to maximize the quality of patient care and cost-effectiveness. Client Details City Torrance State CA

Apply