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Optum Rn Utilization Review Jobs (NOW HIRING)

Talent4Health

RN - Utilization Review

Fort Myers, FL · On-site

$2.0K/wk

Details Client Name Lee Health-Corporate Center Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 38068217 Job Title RN - Utilization Review Weekly Pay $2009.98 Shift ...

Voyage Health

Travel RN Utilization Review

Tuba City, AZ · On-site

$2.4K - $2.5K/wk

Position Details Specialty: RN Utilization Review Location: Tuba City, Arizona Employment Type: Travel/Contract Pay: $2467 - $2597 per week Shift: 5x8 Days Start Date: ASAP Contract Length: 13-week ...

Voyage Health

Travel RN Utilization Review

Kinston, NC · On-site

$2.3K - $2.4K/wk

Position Details Specialty: RN Utilization Review Location: Kinston, North Carolina Employment Type: Travel/Contract Pay: $2304 - $2425 per week Shift: 5x8 Days Start Date: ASAP Contract Length: 13 ...

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 ...

Talent4Health

RN - Utilization Review

East Elmhurst, NY · On-site

$2.9K/wk

Details Client Name HHC Correctional Health Services Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 19084478 Job Title RN - Utilization Review (000298) Weekly Pay ...

Hired by Matrix

RN Utilization Review

Portales, NM · On-site

Job Title: RN Utilization Review City: Portales State: NM Job Type: Travel Discipline: RN Speciality: Utilization Review Facility Setting: Short Term Actut Care (STAC) Accepting Locals per Radius ...

Mission Hospital

RN - Utilization Review

Tuba City, AZ · On-site

$2.7K/wk

Details Client Name Tuba City Regional Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 37699865 Job Title RN - Utilization Review Weekly Pay $2772.28 Shift Details ...

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Optum Rn Utilization Review information

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

As of Sep 14, 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, 81% Full Time, 16% Part Time, and 2% 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

Fort Myers, FL • On-site

Talent4Health
Recruiting and Staffing Services • 201 - 500 employees
Learn more about Talent4Healthexternal

$2.0K/wk

Other

Medical, Dental, Vision

Re-posted yesterday

Job description

Details
Client Name
Lee Health-Corporate Center
Job Type
Travel
Offering
Nursing
Profession
RN
Specialty
Utilization Review
Job ID
38068217
Job Title
RN - Utilization Review
Weekly Pay
$2009.98
Shift Details
Shift
8 HR Days
Scheduled Hours
40
Job Order Details
Start Date
10/05/2026
End Date
01/02/2027
Duration
13 Week(s)
Job Description
MedSource Travelers provides nationwide assignments and is currently seeking a qualified RN Utilization Review.
To apply, please submit your resume, completed skills checklist and 2-3 references from within the last 12 months.
The benefits of MedSource Travelers include,
Weekly Pay
Holiday Pay
Continuing Education
Referral Bonus
Medical Benefits
Dental Benefits
Vision Benefits
Let's get started!
Florida applicants: registration with the Florida Clearinghouse is required prior to placement -
https://info.flclearinghouse.com/
Client Details
Address
4211 Metro ParKway
City
Fort Myers
State
FL
Zip Code
33916
Job Board Disclaimer
Equal Opportunity Employer: MedSource LLC is an equal opportunity employer and does not discriminate against any individual based on race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status. All qualified candidates are encouraged to apply. Accuracy of Information: MedSource LLC strives to provide accurate and up-to-date job listings, but we do not guarantee the completeness, accuracy, or reliability of the information provided. Job listings are subject to change without notice.
Privacy and Confidentiality: Candidates and clients must adhere to strict confidentiality and privacy standards by the Health Insurance Portability and Accountability Act (HIPAA) and other relevant privacy laws.

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