ZipRecruiter

Log In

1

Night Utilization Review Nurse Jobs (NOW HIRING)

Fusion HCR

Utilization Review Nurse

Las Vegas, NV · On-site

Direct Hire - Utilization Review Nurse, this is an onsite position, working with our client in Acute Care. Overview Seeking an experienced Utilization Review Nurse (RN) to review patient admissions ...

Merrimack Health

Utilization Review Nurse

Lawrence, 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 ...

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 ...

Sentara Health Plans

$60 - $80/hr

The Utilization Review Nurse is responsible for utilization management services within the scope of licensure. Conducts primary functions of prior authorization, retrospective review, medical ...

Acrisure

Utilization Review Nurse

Bradenton, FL · On-site

Acrisure is seeking a Utilization Review Nurse, LPN to evaluate treatment requests and help ensure injured workers receive appropriate, timely care in accordance with applicable clinical guidelines ...

Cobalt Benefits Group

Utilization Review Nurse

Utilization Review Nurse Join our team at Cobalt Benefits Group and start an exciting new career in employee benefits solutions. As a Utilization Review Nurse, you'll play an important role in ...

Acrisure, LLC

Utilization Review Nurse

Bradenton, FL · On-site

$60 - $80/hr

Utilization Review Nurse, LPN** to evaluate treatment requests and help ensure injured workers receive appropriate, timely care in accordance with applicable clinical guidelines and regulatory ...

Acrisure LLC

Utilization Review Nurse

Bradenton, FL · On-site

Acrisure is seeking a Utilization Review Nurse, LPN to evaluate treatment requests and help ensure injured workers receive appropriate, timely care in accordance with applicable clinical guidelines ...

Acrisure, LLC

$60 - $80/hr

Utilization Review Nurse, LPN** to evaluate treatment requests and help ensure injured workers receive appropriate, timely care in accordance with applicable clinical guidelines and regulatory ...

Acrisure

Utilization Review Nurse

Bradenton, FL

Acrisure is seeking a Utilization Review Nurse, LPN to evaluate treatment requests and help ensure injured workers receive appropriate, timely care in accordance with applicable clinical guidelines ...

next page

Showing results 1-20

All JobsHealthcare JobsNursing JobsNurse Case Manager JobsNight Utilization Review Nurse Jobs

Night Utilization Review Nurse information

See salary details

$21

$42

$68

How much do night utilization review nurse jobs pay per hour?

As of Sep 8, 2026, the average hourly pay for night 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 is a night utilization review nurse?

A Night Utilization Review Nurse is a registered nurse who works overnight shifts to assess the necessity, appropriateness, and efficiency of healthcare services provided to patients. They review medical records, treatment plans, and patient data to ensure that care meets established guidelines and regulatory standards. Their work helps healthcare facilities manage costs, comply with insurance requirements, and maintain high-quality patient care during nighttime hours. These nurses often collaborate with physicians, case managers, and insurance companies to determine whether hospital stays and treatments are medically necessary.

What are the key skills and qualifications needed to thrive as a night utilization review nurse, and why are they important?

To thrive as a Night Utilization Review Nurse, you need a valid RN license, strong clinical assessment skills, and a deep understanding of medical necessity criteria and insurance guidelines. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of regulatory frameworks such as Medicare and Medicaid are essential. Excellent critical thinking, attention to detail, and effective written communication enable you to make sound decisions and coordinate care after hours. These skills ensure appropriate healthcare utilization, compliance, and optimal patient outcomes during nighttime operations.

What are some common challenges faced by night utilization review nurses, and how can they be managed?

Night Utilization Review Nurses often contend with limited immediate access to on-site providers and ancillary departments, requiring strong independent decision-making and resourcefulness. Communication can be more challenging during night shifts, so effective documentation and timely escalation protocols are crucial. Nurses in this role can manage these challenges by leveraging electronic medical records, maintaining clear communication with the on-call team, and staying organized with case prioritization to ensure timely reviews and authorizations, even when support resources are less available.
More about Night Utilization Review Nurse jobs

What cities are hiring for Night Utilization Review Nurse jobs?

Cities with the most Night Utilization Review Nurse job openings:

What are the most commonly searched types of Utilization Review Nurse jobs?

The most popular types of Utilization Review Nurse jobs are:

What states have the most Night Utilization Review Nurse jobs?

States with the most job openings for Night Utilization Review Nurse jobs include:

What job categories do people searching Night Utilization Review Nurse jobs look for?

The top searched job categories for Night Utilization Review Nurse jobs are:

Night Utilization Review Nurse jobs near you
Infographic showing various Night Utilization Review Nurse job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 14% Part Time, 1% Temporary, and 3% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Utilization Review Nurse

Fusion HCR

Las Vegas, NV • On-site

Other

Re-posted 2 days ago

Job description

Fusion HCR is hiring!Direct Hire - Utilization Review Nurse, this is an onsite position, working with our client in Acute Care.
Overview
Seeking an experienced Utilization Review Nurse (RN) to review patient admissions for medical necessity, appropriate level of care, and compliance with payer guidelines. This role works closely with clinical teams to ensure efficient resource utilization and quality patient outcomes.
Responsibilities
  • Review admissions using InterQual and/or Milliman criteria
  • Evaluate medical necessity, level of care, and documentation accuracy
  • Ensure compliance with Medicare, Medicaid, and regulatory guidelines
  • Collaborate with physicians, case management, and care teams
  • Support discharge planning and care coordination
  • Document findings and communicate recommendations

Requirements
  • Active RN license (Nevada)
  • 5+ years acute care nursing experience
  • 3+ years Utilization Review experience
  • 3+ years discharge planning experience (acute care)
  • Experience with InterQual (must be able to pass exam)
  • Experience with Milliman guidelines

Preferred
  • Background in Case Management or CDI
  • Strong knowledge of Joint Commission and CMS guidelines

Why Apply
  • Competitive pay
  • Stable, high-demand role
  • Collaborative healthcare environment

Apply Now
If you have strong Utilization Review, InterQual, and acute care experience, we want to hear from you!

Apply