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Outpatient Utilization Review Nurse Jobs (NOW HIRING)

Utilization Review Nurse

Canton, MA · On-site

$55 - $60/hr

... Nurse to support outpatient utilization review and prior authorization activities for a leading ... Perform outpatient utilization management (UM) and medical necessity reviews for prior ...

Knowledge of outpatient utilization review preferred Education & Experience: * Graduate of accredited school of nursing with an associate's degree, Bachelor of Science degree or Bachelor of Science ...

The Utilization Review Nurse is responsible for utilization management services within the scope of ... therapy, outpatient surgery centers, and an 858,000 member health plan. The people of the ...

$60 - $80/hr

The Utilization Review Nurse is responsible for utilization management services within the scope of ... therapy, outpatient surgery centers, and an 858,000 member health plan. The people of the ...

Direct Hire - Utilization Review Nurse, this is an onsite position, working with our client in Acute Care. Overview Seeking an experienced Utilization Review Nurse (RN) to review patient admissions ...

Utilization Review Nurse Responsible for determining the appropriateness of hospital admission, utilization of resources and medical necessity for continued stay. Responsible for working with the ...

Utilization Review Nurse Responsible for determining the appropriateness of hospital admission, utilization of resources and medical necessity for continued stay. Responsible for working with the ...

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Outpatient Utilization Review Nurse information

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How much do outpatient utilization review nurse jobs pay per hour?

As of Sep 8, 2026, the average hourly pay for outpatient utilization review nurse 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.

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What states have the most Outpatient Utilization Review Nurse jobs?

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Infographic showing various Outpatient Utilization Review Nurse job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 14% Part Time, 3% Contract, and 1% Nights. 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.

Registered Nurse - Outpatient Utilization Review Nurse - SUNYWNYRN at NavitsPartners Auburn, NY

Auburn, NY • On-site

$100 - $125/hr

Other

Posted 21 days ago


Job description

Registered Nurse – Outpatient Utilization Review Nurse

Job Location: Auburn, NY. Qualified for the SUNYWNYRN role at NavitsPartners.

Qualifications
  • RN license with experience in outpatient case management or utilization review.
  • Minimum of 2 years of experience in ambulatory or outpatient settings.
  • Strong understanding of medical necessity criteria for outpatient services.
  • Familiarity with managed care policies and insurance guidelines.
  • Excellent organizational and analytical skills.
Duties
  • Evaluate the appropriateness of outpatient procedures and treatments.
  • Work with healthcare providers to streamline pre-authorization processes.
  • Monitor resource utilization and recommend cost-effective care strategies.
  • Analyze outpatient case data and ensure compliance with payer regulations.
  • Assist in coordinating referrals and follow-up care.
  • Educate providers on best practices for utilization management.
Pay
  • Medium weekly pay range: $2,000 - $2,500
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