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Night Shift Optum Utilization Review Jobs (NOW HIRING)

Mission Hospital

RN - Utilization Review

Tuba City, AZ · On-site

$2.4K/wk

Tuba City, Arizona Shift: Monday - Friday from 8am - 5pm. Callback on weekends/holidays Contract Length: 13 weeks Start Date: 09/07/2026 The Utilization Review (UR) Nurse ensures that patients ...

talent4health

RN - Utilization Review

Cleveland, OH · On-site

$2.2K/wk

... Utilization Review Job ID 18807560 Job Title RN - Utilization Review Weekly Pay $2214.0 Shift ... Middleburg Heights, Ohio Shift: 8 Hour Flex, 07:00:00-15:00:00 Contract Length: 12.71 weeks Start ...

Silver Cross Hospital

Utilization Review Nurse

New Lenox, IL · On-site +1

$34.73 - $45.15/hr

BSN preferred. 2-5 years previous Utilization Review experience preferred. * Current CPR * Relevant ... Work Shift Details: Days, Primarily remote; onsite orientation requirement; weekend and holiday ...

Albany Medical Center

Utilization Review Nurse

Albany, NY · On-site

$77K - $119K/yr

Care Management/Social Work Work Shift: Day (United States of America) Salary Range: $77,075.00 ... utilization review identifies areas for clinical documentation improvement and contacts appropriate ...

New

Albany Med

Utilization Review Nurse

Albany, NY · On-site

$77K - $119K/yr

Care Management/Social Work Work Shift: Day (United States of America) Salary Range: $77,075.00 ... utilization review identifies areas for clinical documentation improvement and contacts appropriate ...

silvercross

Utilization Review Nurse

$34.73 - $45.15/hr

BSN preferred. 2-5 years previous Utilization Review experience preferred. * Current CPR * Relevant ... Work Shift Details: Days, Primarily remote; onsite orientation requirement; weekend and holiday ...

Lancesoft INC

Utilization Review RN

Atlanta, GA · On-site

$3.0K - $3.1K/wk

Utilization Review Shift: 09:30 AM to 08:00 PM 13 weeks contract Description: * Utilization Review RN - Target Review * Health Plan Insurance (no acute care) * BLS (AHA) * RN state license Company ...

Medix

Utilization Review Nurse

Orange, CA · On-site

$38 - $53/hr

Job Summary Our client is seeking a Utilization Review Nurse responsible for managing the complete ... Schedule / Shift Standard Shift: 8:00 AM - 5:00 PM PST, Monday through Friday, including a 1-hour ...

Hired by Matrix

RN Utilization Review

Portales, NM · On-site

Days Shift Details: Day 5x8-Hour Weekly Schedule: 40 Hours Certifications/License: Mandatory Experience: * Routine case management, discharge planning, swing bed coordinator and utilization review ...

silvercross

Utilization Review Nurse

New Lenox, IL · On-site

$34.73 - $45.15/hr

BSN preferred. 2-5 years previous Utilization Review experience preferred. * Current CPR * Relevant ... Work Shift Details: Various, Day; weekend rotation; holiday rotation; occasional on site ...

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Night Shift Optum Utilization Review information

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$42

$68

How much do night shift optum utilization review jobs pay per hour?

As of Aug 18, 2026, the average hourly pay for night shift optum utilization review 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 is the difference between Night Shift Optum Utilization Review vs Night Shift UnitedHealth Group Utilization Review?

AspectNight Shift Optum Utilization ReviewNight Shift UnitedHealth Group Utilization Review
CertificationsTypically requires medical or healthcare-related certificationsSimilar healthcare certifications often required
Work EnvironmentNight shift, healthcare or insurance setting, remote or onsiteNight shift, healthcare or insurance setting, remote or onsite
Employer & IndustryOptum, healthcare and insurance industryUnitedHealth Group, healthcare and insurance industry
Job ResponsibilitiesReview medical claims, determine coverage, ensure complianceReview medical claims, determine coverage, ensure compliance

Both roles involve reviewing medical claims during night shifts within healthcare or insurance companies. While they share similar responsibilities and work environments, they are distinguished by their respective employers, Optum and UnitedHealth Group. Understanding these differences can help job seekers identify the right position aligned with their certifications and career goals.

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Night Shift Optum Utilization Review jobs near you
Infographic showing various Night Shift Optum Utilization Review job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 72% Full Time, 21% Part Time, 4% Contract, and 2% Nights. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

RN - Utilization Review

Mission Hospital

Tuba City, AZ • On-site

$2.4K/wk

Other

Posted 15 days ago

Mission Hospital (Asheville) rating

6.5

Company rating: 6.5 out of 10

Based on 45 frontline employees who took The Breakroom Quiz

721st of 1,060 rated hospitals

Job description

Details
Client Name
Tuba City Regional
Job Type
Travel
Offering
Nursing
Profession
RN
Specialty
Utilization Review
Job ID
18896863
Job Title
RN - Utilization Review
Weekly Pay
$2472.28
Shift Details
Shift
8 Hour Days
Scheduled Hours
40
Job Order Details
Start Date
09/07/2026
End Date
12/07/2026
Duration
13 Week(s)
Job Description
Job Title
City/State: Tuba City, Arizona
Shift: Monday - Friday from 8am - 5pm. Callback on weekends/holidays
Contract Length: 13 weeks
Start Date: 09/07/2026
Job Description:
The Utilization Review (UR) Nurse ensures that patients receive appropriate care by verifying medical necessity, confirming the correct patient status, and monitoring the ongoing need for services while working to reduce unnecessary length of stay and prevent delays; they support accurate clinical documentation for proper reimbursement, coordinate with providers and the care team on discharge planning and transitions, manage resource use to control costs, communicate with payers to prevent denials, and ensure compliance with CMS and Joint Commission requirements while contributing to reporting and quality improvement efforts. They also serve as a key liaison between clinical care, finance, and regulatory requirements, helping align patient care with both quality standards and reimbursement rules. Ultimately, their role has a direct impact on patient outcomes, hospital efficiency, and the organization's financial performance.
Responsibilities:
  • Verify medical necessity and confirm correct patient status.
  • Monitor ongoing need for services and reduce unnecessary length of stay.
  • Support accurate clinical documentation for proper reimbursement.
  • Coordinate with providers and care team on discharge planning and transitions.
  • Manage resource use to control costs and communicate with payers to prevent denials.
  • Ensure compliance with CMS and Joint Commission requirements.
  • Contribute to reporting and quality improvement efforts.
Requirements:
  • Bachelor's Degree in Nursing.
  • A valid, current, full and unrestricted Professional Nursing License to practice as a Registered Nurse (RN) in any state of the United States of America, The Commonwealth of Puerto Rico, or a territory of the United States.
  • Must have and maintain current Basic Life Support (BLS) certification by the American Heart Association (AHA) throughout employment.
  • Three (3) years of clinical nursing experience performing direct patient care with at least 2 years in an Inpatient setting on a medical-surgical unit, PACU, or higher acuity Inpatient unit (ICU, Step-Down, Telemetry, etc.) or home health (direct care).
  • Demonstrate knowledge of case management, purchased referred care and utilization review processes.
  • Demonstrate knowledge of electronic health record systems.

Client Details
Address
167 N Main Street
City
Tuba City
State
AZ
Zip Code
86045

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