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Optum Rn Utilization Review Jobs (NOW HIRING)

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 ...

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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 13, 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.

Travel Nurse RN - Utilization Review

Fort Myers, FL • On-site

Health Advocates Network - Northeast
See more jobs at Health Advocates Network - Northeastexternal

$2.1K/wk

Contractor

Medical, Dental, Vision, Retirement

This job post has expired 2 days ago. Applications are no longer accepted.

Job description

Health Advocates Network - Northeast is seeking a travel nurse RN Utilization Review for a travel nursing job in Fort Myers, Florida.

Job Description & Requirements
  • Specialty: Utilization Review
  • Discipline: RN
  • Start Date: 10/05/2026
  • Duration: 12 weeks
  • 36 hours per week
  • Shift: 12 hours
  • Employment Type: Travel

Health Advocates Network is urgently hiring Utilization Review Registered Nurses (RNs) in the Fort Myers, FL area. Must have 2 years Utilization Review experience. 

  • Pay Rate: $2,110 weekly
  • Specialty: Utilization Review Registered Nurse (RN)
  • Shift: Day
  • 13 Week Contracts and more available!  
  • Radius Rule: 50 mile radius applies

Qualification and Requirements: 

  • Authorized to work in the United States.  
  • Graduate of an Accredited School of Nursing  
  • 2 years of experience as a Utilization Review Registered Nurse (RN)
  • American Heart Association BLS
  • CCM/CMCN required
  • Epic experience required
  • DragonFly experience is required
  • An active, current (FL) state license

Apply for this job now or to find out more about other opportunities with Health Advocates Network, Inc. reply to this posting, contact us at or call/text . We can provide you unparalleled access to exciting career opportunities. 

Benefits We Offer: 

Competitive pay rates, Referral Bonus, Medical, Dental, Vision and 401k. Travel reimbursement and per diem allowances, Employee discounts, educational opportunities, and more!

Who We Are: 

Health Advocates Network matches highly skilled applicants to positions at the best healthcare companies on a temporary and temporary-to-hire basis. Our mission is to provide you with a rewarding job that is well-matched to your skills – helping you advance in your career. Our experience, combined with our client relationships, makes Health Advocates Network a great resource for your career. 

Health Advocates Network, Inc. is an equal-opportunity employer. All qualified applicants shall receive consideration for employment without regard to any legally protected basis protected by applicable federal or state law except where a bona fide occupational qualification applies. 

Refer a Registered Nurse for a $1000.00 bonus opportunity! 

Health Advocates Network - Northeast Job ID #729286. Pay package is based on 12 hour shifts and 36.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN - Utilization Review

About Health Advocates Network - Northeast

Health Advocates Network was founded on the basis of a shared aspiration, to improve the way healthcare staffing is done. We are a company established and led by nurses. Our flexible approach enables us to develop solutions customized to your specific needs. From short- and long-term travel contracts to local and per diem assignments and more, we are here to get you to your next adventure! By solving challenges, providing the best placements, and advocating for you, we stand to help you thrive and pave the path forward in your career.

Benefits
  • 401k retirement plan

Apply