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Memorial Health System Utilization Review Nurse Jobs

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

Asheboro, NC ยท On-site

$21.47 - $35/hr

... the Utilization Review Plan for Randolph Hospital. Review patient record and plan of care at ... Knowledge of treatment modalities and alternate healthcare delivery systems is preferred. Three ...

Collaborate with physicians, healthcare providers, claims professionals, and internal team members ... Proficiency with Microsoft Office applications and ability to learn new clinical and claims systems*

Utilization Management Nurse Complete utilization management functions for assigned patients as ... Knowledge of treatment modalities and alternate healthcare delivery systems is preferred. Three ...

Utilization Review Nurse

Manhattan, NY ยท On-site

$60 - $61/hr

... nursing experience * Experience in Care Coordination, Utilization Review, and Discharge Planning ... Equal Employment Opportunity Pride Health is an equal opportunity employer. We do not discriminate ...

... 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 ...

Considers all documented system information as well as any additional records/data presented to ... Do you have experience with Utilization Review? * Do you have an Active Registered Nurse License?

Utilization Review Nurse | Full Time

Las Vegas, NV ยท On-site

$41 - $60/hr (+ commission)

- Utilization Review Nurse Position Summary The Utilization Review Nurse is responsible for reviewing ... Stay current with healthcare regulations, accreditation standards, and utilization management best ...

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Memorial Health System Utilization Review Nurse information

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How much do memorial health system utilization review nurse jobs pay per hour?

As of Sep 9, 2026, the average hourly pay for memorial health system utilization review nurse 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 are popular job titles related to Memorial Health System Utilization Review Nurse jobs?

For Memorial Health System Utilization Review Nurse jobs, the most frequently searched job titles are:

Utilization Review Nurse

Lawrence, MA โ€ข On-site

Other

Posted 13 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
  • Bachelor's degree. - Preferred
  • Five years case management experience in an acute care setting with discharge planning, continuing care, care management, and utilization review.
  • Five years clinical nursing experience
  • Demonstrated verbal, written skills
  • Computer skills

Preferred:

  • Master's degree.