Los Angeles, CA · On-site
$60 - $75/hr
The ideal candidate has deep experience in a similar medical setting, has a bachelor's or higher in Nursing, and has a certification in either Case Management or Utilization Management. Compensation ...
Los Angeles, CA · On-site
$60 - $75/hr
The ideal candidate has deep experience in a similar medical setting, has a bachelor's or higher in Nursing, and has a certification in either Case Management or Utilization Management. Compensation ...
Utilization Management Nurse Des Moines, Iowa, United States Utilization Management Nurse Location ... Qualified candidates will have strong multitasking skills, RN and clinical experience, preferably ...
Utilization Management Nurse Des Moines, Iowa, United States Utilization Management Nurse Location ... Qualified candidates will have strong multitasking skills, RN and clinical experience, preferably ...
The ideal candidate has deep experience in a similar medical setting, has a bachelor's or higher in Nursing, and has a certification in either Case Management or Utilization Management.
The ideal candidate has deep experience in a similar medical setting, has a bachelor's or higher in Nursing, and has a certification in either Case Management or Utilization Management.
Utilization Management Nurse Reports To: Manager of Utilization Management Employment Type ... Plan experience highly preferred - Desire to work in a fast-paced environment with focus on ...
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Utilization Management Nurse Reports To: Manager of Utilization Management Employment Type ... Plan experience highly preferred - Desire to work in a fast-paced environment with focus on ...
Miami, FL · On-site
$60K - $70K/yr
Solis was born out of a desire to provide a more personal experience throughout all levels of the ... Under the supervision of the Health Services Director, the Utilization Management Nurse (LPN or RN) ...
New
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Miami, FL · On-site
$60K - $70K/yr
Solis was born out of a desire to provide a more personal experience throughout all levels of the ... Under the supervision of the Health Services Director, the Utilization Management Nurse (LPN or RN) ...
New
Utilization Management Nurse Location : Onsite in Dubuque, IA. Also accepting remote applicants. We ... Qualified candidates will have strong multitasking skills, RN and clinical experience, preferably ...
Utilization Management Nurse Location : Onsite in Dubuque, IA. Also accepting remote applicants. We ... Qualified candidates will have strong multitasking skills, RN and clinical experience, preferably ...
Dubuque, IA · On-site
Utilization Management Nurse Location : Onsite in Dubuque, IA. Also accepting remote applicants. We ... Qualified candidates will have strong multitasking skills, RN and clinical experience, preferably ...
Dubuque, IA · On-site
Utilization Management Nurse Location : Onsite in Dubuque, IA. Also accepting remote applicants. We ... Qualified candidates will have strong multitasking skills, RN and clinical experience, preferably ...
Miami, FL · On-site
Solis was born out of a desire to provide a more personal experience throughout all levels of the ... Under the supervision of the Health Services Director, the Utilization Management Nurse (LPN or RN) ...
New
Miami, FL · On-site
Solis was born out of a desire to provide a more personal experience throughout all levels of the ... Under the supervision of the Health Services Director, the Utilization Management Nurse (LPN or RN) ...
New
Utilization Management Nurse Location : Onsite in Dubuque, IA. Also accepting remote applicants. We ... Qualified candidates will have strong multitasking skills, RN and clinical experience, preferably ...
Utilization Management Nurse Location : Onsite in Dubuque, IA. Also accepting remote applicants. We ... Qualified candidates will have strong multitasking skills, RN and clinical experience, preferably ...
Asbury, IA · On-site
Utilization Management Nurse Onsite in Dubuque, IA. Also accepting remote applicants. We are ... Qualified candidates will have strong multitasking skills, RN and clinical experience, preferably ...
Asbury, IA · On-site
Utilization Management Nurse Onsite in Dubuque, IA. Also accepting remote applicants. We are ... Qualified candidates will have strong multitasking skills, RN and clinical experience, preferably ...
Utilization Management Nurse Location : Onsite in Dubuque, IA. Also accepting remote applicants. We ... Qualified candidates will have strong multitasking skills, RN and clinical experience, preferably ...
Utilization Management Nurse Location : Onsite in Dubuque, IA. Also accepting remote applicants. We ... Qualified candidates will have strong multitasking skills, RN and clinical experience, preferably ...
Madera, CA · On-site
$57.29 - $81.72/day
Pediatric experience and experience in Case Management and/or Utilization Review. (preferred ... No FTE %: 90 Scheduled Weekly Hours: 36 Daily Hours: 8 Have Questions? Call Recruitment Services at ...
Madera, CA · On-site
$57.29 - $81.72/day
Pediatric experience and experience in Case Management and/or Utilization Review. (preferred ... No FTE %: 90 Scheduled Weekly Hours: 36 Daily Hours: 8 Have Questions? Call Recruitment Services at ...
Dubuque, IA · On-site
Utilization Management Nurse Location : Onsite in Dubuque, IA. Also accepting remote applicants. We ... Qualified candidates will have strong multitasking skills, RN and clinical experience, preferably ...
Dubuque, IA · On-site
Utilization Management Nurse Location : Onsite in Dubuque, IA. Also accepting remote applicants. We ... Qualified candidates will have strong multitasking skills, RN and clinical experience, preferably ...
Utilization Management Nurse Location : Onsite in Dubuque, IA. Also accepting remote applicants. We ... Qualified candidates will have strong multitasking skills, RN and clinical experience, preferably ...
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Utilization Management Nurse Location : Onsite in Dubuque, IA. Also accepting remote applicants. We ... Qualified candidates will have strong multitasking skills, RN and clinical experience, preferably ...
$32.01 - $68.55/hr
We are seeking an experienced Registered Nurse (RN) to support our Utilization Management team. In this role, you will review clinical information, apply evidence-based criteria and clinical judgment ...
$32.01 - $68.55/hr
We are seeking an experienced Registered Nurse (RN) to support our Utilization Management team. In this role, you will review clinical information, apply evidence-based criteria and clinical judgment ...
Annapolis, MD · On-site
$32.01 - $68.55/hr
We are seeking an experienced Registered Nurse (RN) to support our Utilization Management team. In this role, you will review clinical information, apply evidence-based criteria and clinical judgment ...
Annapolis, MD · On-site
$32.01 - $68.55/hr
We are seeking an experienced Registered Nurse (RN) to support our Utilization Management team. In this role, you will review clinical information, apply evidence-based criteria and clinical judgment ...
... Nurse required ... Prior leadership experience preferred. One year of case management and/or utilization management ...
New
... Nurse required ... Prior leadership experience preferred. One year of case management and/or utilization management ...
New
$26.01 - $56.14/hr
Utilizes clinical experience and skills in a collaborative process to assess, plan, implement ... N licensure in state of residence Utilization Management is a 24/7 operation and work schedules ...
$26.01 - $56.14/hr
Utilizes clinical experience and skills in a collaborative process to assess, plan, implement ... N licensure in state of residence Utilization Management is a 24/7 operation and work schedules ...
... Nurse required ... Prior leadership experience preferred. One year of case management and/or utilization management ...
New
... Nurse required ... Prior leadership experience preferred. One year of case management and/or utilization management ...
New
... Nurse required ... Prior leadership experience preferred. One year of case management and/or utilization management ...
New
... Nurse required ... Prior leadership experience preferred. One year of case management and/or utilization management ...
New
$39K - $50.3K
15% of jobs
$50.3K - $61.5K
8% of jobs
$63.2K is the 25th percentile. Wages below this are outliers.
$61.5K - $72.8K
15% of jobs
The median wage is $79.9K / yr.
$72.8K - $84.1K
20% of jobs
$84.1K - $95.4K
11% of jobs
$101K is the 75th percentile. Wages above this are outliers.
$95.4K - $106.6K
13% of jobs
$106.6K - $117.9K
5% of jobs
$117.9K - $129.2K
3% of jobs
$129.2K - $140.5K
4% of jobs
$140.5K - $151.7K
3% of jobs
$151.7K - $163K
3% of jobs
$39K
$89.5K
$163K
As a No Experience Utilization Management Nurse, you'll typically receive comprehensive onboarding and training focused on utilization review protocols, clinical documentation requirements, and the use of review software tools. Many employers pair new nurses with mentors or experienced team members to guide you through the early learning curve and help you get comfortable with non-bedside aspects of nursing. Regular team meetings and ongoing education opportunities are common, allowing you to build expertise in reviewing medical necessity, insurance guidelines, and collaboration with physicians and case managers. This supportive environment is designed to help you confidently transition into the field and grow your skills in utilization management nursing.
A No Experience Utilization Management Nurse job is an entry-level role for registered nurses (RNs) transitioning into utilization management without prior experience in the field. These nurses review medical records, evaluate the necessity of treatments, and coordinate care to ensure patients receive appropriate services while managing healthcare costs. They typically work for insurance companies, hospitals, or healthcare organizations, often in remote or office-based settings. Training and mentorship are usually provided to help new nurses develop the required skills for the role.
To thrive as a No Experience Utilization Management Nurse, you generally need a current RN license, a strong understanding of clinical nursing concepts, and a willingness to learn about healthcare review processes. Familiarity with electronic health records (EHRs), utilization management software, and standard coding systems like ICD-10 is advantageous, though training is often provided for entry-level candidates. Attention to detail, critical thinking, strong organizational skills, and clear communication are important soft skills in this field. These qualifications ensure you can accurately review patient cases, coordinate effectively with healthcare teams, and make appropriate coverage determinations based on clinical criteria.
$60 - $75/hr
Other
Re-posted 9 days ago
We are seeking a Utilization Management Nurse to join our team! As a Utilization Management Nurse on the team, you will be responsible for reviewing patient files and treatment methods with an eye for efficiency and effectiveness. Your role will be to ensure we are running at optimal efficiency, and that all patients under our care are receiving the necessary treatments and procedures. The ideal candidate has deep experience in a similar medical setting, has a bachelor's or higher in Nursing, and has a certification in either Case Management or Utilization Management.
Compensation: $60.00 - $75.00 per hour
