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Optum Rn Utilization Review Jobs (NOW HIRING)

Harlem Hospital

RN - Utilization Review

Manhattan, NY · On-site

RN - Utilization Review About the Position Specialty: RN - Utilization Review Experience: 2+ years of experience in utilization review, case management, or acute care nursing License: Active State or ...

Bellevue Hospital

RN - Utilization Review

Manhattan, NY · On-site

$2.7K/wk

Details Client Name Bellevue Hospital Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 37956884 Job Title RN - Utilization Review Weekly Pay $2742.5 Shift Details ...

Hired by Matrix

RN Utilization Review

RN Utilization Review Location: Torrance, CA Job Type: Travel Discipline: RN Specialty: Utilization Review Facility Setting: Short Term Acute Care (STAC) Accepting Locals per Radius Rule?: Yes ...

Orison Solutions

RN - Utilization Review

New York, NY

$65 - $70/hr

Job Summary We are seeking an experienced Registered Nurse (RN) - Utilization Review to evaluate the medical necessity, appropriateness, and level of care for patients. The RN will review clinical ...

Orison

RN - Utilization Review

Elmhurst, NY · On-site

Job Summary We are seeking an experienced Registered Nurse (RN) - Utilization Review to evaluate the medical necessity, appropriateness, and level of care for patients. The RN will review clinical ...

Orison

RN - Utilization Review

Elmhurst, NY · On-site

Job Summary We are seeking an experienced Registered Nurse (RN) - Utilization Review to evaluate the medical necessity, appropriateness, and level of care for patients. The RN will review clinical ...

Trinity Health

RN - Utilization Review

Elmhurst, NY · On-site

$2.8K/wk

Details Client Name New York City Health and Hospitals Corporation-Rikers Island Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 19030015 Job Title RN - Utilization ...

Voyage Health

Travel RN Utilization Review

Pocatello, ID · On-site

$1.8K - $1.9K/wk

Position Details Specialty: RN Utilization Review Location: Pocatello, Idaho Employment Type: Travel/Contract Pay: $1859 - $1957 per week Shift: 5x8 Days Start Date: ASAP Contract Length: 13-week ...

Voyage Health

Travel RN Utilization Review

Torrance, CA · On-site

$1.8K - $1.9K/wk

Position Details Specialty: RN Utilization Review Location: Torrance, California Employment Type: Travel/Contract Pay: $1816 - $1912 per week Shift: 5x8 Days Start Date: ASAP Contract Length: 13-week ...

Voyage Health

Travel RN Utilization Review

Austin, TX · On-site

$1.6K - $1.7K/wk

Position Details Specialty: RN Utilization Review Location: Austin, Texas Employment Type: Travel/Contract Pay: $1662 - $1749 per week Shift: 5x8 Days Start Date: ASAP Contract Length: 13-week ...

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$68

How much do optum rn utilization review jobs pay per hour?

As of Sep 12, 2026, the average hourly pay for optum rn 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 does an Optum RN Utilization Review nurse do?

An Optum RN Utilization Review nurse is responsible for evaluating medical records and treatment plans to ensure that patients receive appropriate, cost-effective care. They assess the necessity, efficiency, and appropriateness of healthcare services according to established guidelines and insurance policies. These nurses collaborate with healthcare providers, insurance companies, and patients to coordinate care, reduce unnecessary hospitalizations, and support optimal patient outcomes. Their work helps manage healthcare costs while maintaining high-quality care standards.

What are the key skills and qualifications needed to thrive as an Optum RN Utilization Review nurse?

To excel as an Optum RN Utilization Review Nurse, you need an active RN license, clinical experience, and a thorough understanding of medical terminology and care standards. Familiarity with utilization management software, electronic health records, and knowledge of regulatory guidelines such as Medicare and Medicaid are typically required. Strong analytical thinking, attention to detail, and effective communication skills are crucial for collaborating with healthcare teams and advocating for patient care. These competencies ensure accurate assessments, compliance, and optimal resource utilization, directly impacting patient outcomes and organizational efficiency.

What are some common challenges faced by an Optum RN Utilization Review nurse, and how can they be managed?

RN Utilization Review nurses at Optum often encounter challenges such as balancing high caseloads, staying current with frequently updated insurance policies, and effectively communicating with both providers and patients. Managing these challenges typically involves strong organizational skills, ongoing education on policy changes, and leveraging team resources for support. Nurses also benefit from Optum’s collaborative work environment, which encourages regular communication and teamwork to ensure efficient case management and uphold quality patient care.

What is the difference between Optum Rn Utilization Review vs Optum Rn Case Manager?

AspectOptum Rn Utilization ReviewOptum Rn Case Manager
CertificationsRN license, Utilization Review certification (if applicable)RN license, Case Management certification (e.g., CCM)
Work EnvironmentReviewing medical records, insurance policies, telehealth or office settingCoordinating patient care, case planning, often in office or telehealth
Employer & Industry UsageHealth insurance companies, managed care organizationsHospitals, insurance companies, healthcare providers

Optum Rn Utilization Review focuses on evaluating medical necessity and approving or denying services, while Optum Rn Case Manager involves coordinating patient care and managing cases. Both roles require RN licensure and related certifications, but they differ in daily tasks and work focus within the healthcare industry.

How to get into utilization review as an optum RN utilization review?

To become an Optum RN in utilization review, candidates typically need a valid registered nurse license, experience in healthcare or case management, and knowledge of medical coding and insurance processes. Applying through Optum's career portal and highlighting relevant clinical and review skills can improve chances of entry into the role.

What are popular job titles related to Optum Rn Utilization Review jobs?

For Optum Rn Utilization Review jobs, the most frequently searched job titles are:

Infographic showing various Optum Rn Utilization Review job openings in the United States as of September 2026, with employment types broken down into 1% As Needed, 82% Full Time, 13% Part Time, 1% Temporary, and 3% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

RN - Utilization Review

Orange, CA • On-site

UC Irvine Medical Center
See more jobs at UC Irvine Medical Centerexternal

$24/hr

Other

Posted 7 days ago

Job description

Utilization Review Rn

Travel offering nursing profession RN specialty utilization review regular pay rate $24 shift details shift 8 hour days job order details start date 10/05/2026 end date 01/04/2027 duration 13 weeks client details city orange state ca

magnet medical is committed to providing accurate and transparent information regarding advertised pay for job positions. however, it's important to note the following factors, including health insurance elections by the employee:

  • health insurance impact: the overall compensation package may be affected by the health insurance plan elected by the employee. health insurance contributions, deductibles, or other related factors can influence the total compensation offered.
  • market conditions: compensation rates may be influenced by market conditions and industry standards.
  • errors and omissions: while we strive for accuracy, inadvertent errors or omissions may occur. magnet medical is not liable for any inaccuracies in the advertised pay.

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