ZipRecruiter

Log In

1

Nursing Utilization Review Jobs (NOW HIRING)

Genesis Healcare

RN - Utilization Review

Albuquerque, NM · On-site

$2.4K/wk

Details Client Name Genesis - West Region - 103 Hospital Loop NE Albuquerque, NM Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 37450074 Job Title RN - Utilization ...

Cynet Health

Utilization Review

Eureka, CA · On-site

$1.9K/wk

Details Client Name Providence Health and Services Job Type Travel Offering Nursing Profession Registered Nurse Specialty Utilization Review Job ID 18635671 Job Title Utilization Review Weekly Pay ...

Pacer Group

RN - UTILIZATION REVIEW

Everett, WA · On-site

$65/hr

Fully Remote Position Job Title : RN - UTILIZATION REVIEW Location: Everett, WA 98201 Start Date: 05/04/2026 Duration: 13 weeks Schedule Shift: Day 5x8-Hour (08:00 - 16:30) Shift Notes: Days (5×8 ...

Ova Technologies

Utilization Review Nurse

Alpharetta, GA · On-site

Utilization Review Nurse Location: [City, State / Remote] Employment Type: Full-Time Experience: 2 ... Associate Degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN); BSN preferred.2+ years ...

New

Fusion HCR

Utilization Review Nurse

Las Vegas, NV · On-site

... 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 ...

Phenom People

RN Utilization Review PRN

Paris, KY · On-site

PRN, RN - Utilization Review Making Communities Healthier with Comprehensive Care... You can get to know who we are and what truly makes us different by our mission, 'Making Communities Healthier'

previous page

Showing results 41-60

All JobsNursing Utilization Review Jobs

Nursing Utilization Review information

See salary details

$21

$42

$68

How much do nursing utilization review jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for nursing 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 are the key skills and qualifications needed to thrive as a nursing utilization review nurse?

To thrive as a Nursing Utilization Review Nurse, you need strong clinical knowledge, critical thinking, and a current RN license, often complemented by experience in case management or utilization review. Familiarity with healthcare coding systems (ICD-10, CPT), utilization management software, and regulatory compliance tools is typical. Excellent communication, attention to detail, and negotiation skills make someone stand out in this position. These skills ensure accurate assessment of medical necessity, optimize resource use, and support patient care quality within regulatory guidelines.

What is nursing utilization review?

Nursing Utilization Review is a process where nurses evaluate the necessity, efficiency, and appropriateness of healthcare services provided to patients. These nurses review medical records, treatment plans, and patient progress to ensure that care meets established guidelines and is cost-effective. They play a key role in helping healthcare organizations maintain quality care while controlling costs and ensuring regulatory compliance. Utilization review nurses often work for hospitals, insurance companies, or government agencies.

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

Nurses in utilization review often face challenges such as balancing the need for cost-effective care with advocating for patients' clinical needs and navigating complex insurance guidelines. They must critically review medical records while ensuring compliance with evolving regulatory standards. Effective time management and strong communication skills are essential for liaising between healthcare providers, insurance companies, and patients. Ongoing education and collaboration with interdisciplinary teams can help address these challenges and ensure high-quality, patient-centered care.

What is the difference between Nursing Utilization Review vs Nursing Case Management?

AspectNursing Utilization ReviewNursing Case Management
Primary FocusAssessing medical necessity and appropriateness of care for insurance or healthcare providersCoordinating patient care plans and ensuring optimal health outcomes
Work EnvironmentInsurance companies, healthcare facilities, utilization review organizationsHospitals, clinics, community health settings
CredentialsRN license, often with certifications in utilization review or case managementRN license, case management certification often preferred

While both roles involve nursing expertise, Nursing Utilization Review primarily focuses on evaluating the necessity of care for insurance purposes, whereas Nursing Case Management emphasizes coordinating patient care to improve health outcomes. Both roles require RN licensure and related certifications, but their daily tasks and work environments differ.

More about Nursing Utilization Review jobs
What cities are hiring for Nursing Utilization Review jobs? Cities with the most Nursing Utilization Review job openings:
What states have the most Nursing Utilization Review jobs? States with the most job openings for Nursing Utilization Review jobs include:
What job categories do people searching Nursing Utilization Review jobs look for? The top searched job categories for Nursing Utilization Review jobs are:
Nursing Utilization Review jobs near you
Infographic showing various Nursing Utilization Review job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

RN - Utilization Review

Genesis Healcare

Albuquerque, NM • On-site

$2.4K/wk

Other

Posted 27 days ago

Job description

Details
Client Name
Genesis - West Region - 103 Hospital Loop NE Albuquerque, NM
Job Type
Travel
Offering
Nursing
Profession
RN
Specialty
Utilization Review
Job ID
37450074
Job Title
RN - Utilization Review
Weekly Pay
$2408.0
Shift Details
Shift
Days 5x8
Scheduled Hours
40
Job Order Details
Start Date
08/17/2026
End Date
11/09/2026
Duration
12 Week(s)
Job Description
Excel is seeking highly skilled healthcare professionals for travel assignments across the United States. As a Travel Healthcare Professional, you will have the opportunity to work in diverse healthcare settings, providing essential medical care while exploring new locations and cultures.
Key Responsibilities:
Provide direct patient care in accordance with healthcare facility policies and procedures.
Collaborate with interdisciplinary teams to ensure comprehensive patient care.
Maintain accurate patient medical records and documentation.
Adhere to infection control standards and other regulatory requirements.
Educate patients and their families on healthcare plans and treatments.
Qualifications:
Active state licensure in [specify relevant states] (e.g., RN, LPN, PT, OT).
Minimum [number] years of experience in [specialty].
BLS/CPR certification (ACLS, PALS, or others as required by specialty).
Excellent communication and interpersonal skills.
Ability to adapt to different environments and work independently.
Why Choose Excel Medical Staffing:
Trusted partner with a proven track record in healthcare staffing.
Competitive compensation package including hourly wages and stipends.
Access to a wide range of healthcare facilities and specialties.
Personalized support throughout your assignment.
Opportunity to enhance your skills and build a diverse professional portfolio.
Client Details
Address
103 Hospital Loop NE
City
Albuquerque
State
NM
Zip Code
87109

Apply