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Overnight Rn Utilization Review Nurse Jobs (NOW HIRING)

Seh

Summary The Utilization Review Nurse screens medical records in accordance with contractual ... Current Registered Nurse license in the State of Alabama Minimum Education Preferred * Bachelor ...

Cobalt Benefits Group

Utilization Review Nurse

Current, unrestricted RN license (State license required). * Minimum 3 years of clinical nursing experience. * Minimum 1 year of Utilization Management (UM) or Utilization Review (UR) experience.

Midland Health

Nurse Utilization Review

Midland, TX · On-site

The utilization review (UR) nurse serves to maximize the quality and cost efficiency of health care ... The UR nurse will also assist Registered Nurse (RN) Case Managers and Social Workers with helping ...

Houston Methodist

At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent medical record review for medical ...

Wood County Hospital

Elevate your career at Wood County Hospital, where you're not just a number - you're a vital part of a team making a real difference. RN Utilization Review / Utilization Review / Per Diem Reviews ...

AbsoluteCare

Utilization Review Nurse

New Orleans, LA · On-site

The Utilization Review Nurse ensures appropriate utilization of health services by performing ... Active Registered Nurse license by the State of Louisiana and/or the state(s) in which the nurse is ...

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Overnight Rn Utilization Review Nurse information

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How much do overnight rn utilization review nurse jobs pay per hour?

As of Jun 30, 2026, the average hourly pay for overnight rn 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.

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

Overnight RN Utilization Review Nurses often work independently, reviewing medical records and ensuring appropriate patient care while adhering to insurance guidelines. Common challenges include limited access to on-site support staff and the need to make timely decisions with fewer resources available during night shifts. To manage these challenges, strong communication skills, detailed documentation, and familiarity with hospital protocols are essential. Leveraging remote communication tools and establishing clear escalation procedures can also help ensure effective collaboration with day teams and physicians.

What are the key skills and qualifications needed to thrive as an Overnight RN Utilization Review Nurse, and why are they important?

To thrive as an Overnight RN Utilization Review Nurse, you need a current RN license, strong clinical judgment, and experience in case management or utilization review. Familiarity with healthcare documentation systems, utilization management software, and knowledge of regulatory guidelines such as Medicare and Medicaid are typically required. Excellent analytical thinking, communication, and decision-making skills help you collaborate with providers and advocate effectively for patients. These skills ensure accurate assessments, regulatory compliance, and optimal resource use during overnight hours when independent decision-making is critical.

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

AspectOvernight Rn Utilization Review NurseOvernight Rn Case Manager
CertificationsRN license, Utilization Review certification (if applicable)RN license, Case Management certification (e.g., CCM)
Work EnvironmentHospitals, insurance companies, healthcare facilities, primarily reviewing patient cases overnightHospitals, clinics, insurance companies, coordinating patient care and discharge planning overnight
Job FocusReviewing medical necessity, insurance coverage, and utilization of resourcesManaging patient care plans, discharge planning, and coordinating services

While both roles require RN licensure and involve patient care, the Overnight Rn Utilization Review Nurse primarily focuses on reviewing medical necessity and insurance coverage overnight, whereas the Overnight Rn Case Manager concentrates on coordinating patient care and discharge planning during overnight shifts. Both roles are essential in healthcare settings but serve different functions within patient management and resource utilization.

What does an Overnight RN Utilization Review Nurse do?

An Overnight RN Utilization Review Nurse is a registered nurse who evaluates the necessity, appropriateness, and efficiency of medical services, procedures, and hospital admissions during the overnight shift. They review patient records, apply clinical guidelines, and collaborate with healthcare teams to ensure that care meets established standards and payer requirements. Their goal is to promote quality care while preventing unnecessary costs or hospital stays, often working with insurance companies and case management teams.
What cities are hiring for Overnight Rn Utilization Review Nurse jobs? Cities with the most Overnight Rn Utilization Review Nurse job openings:
What are the most commonly searched types of Rn Utilization Review Nurse jobs? The most popular types of Rn Utilization Review Nurse jobs are:
What states have the most Overnight Rn Utilization Review Nurse jobs? States with the most job openings for Overnight Rn Utilization Review Nurse jobs include:
Overnight Rn Utilization Review Nurse jobs near you
Local Contract Nurse Manager RN - Utilization Review

Local Contract Nurse Manager RN - Utilization Review

ProKatchers

Bronx, NY • On-site

Contractor

Posted 12 days ago

Key responsibilities

  • Coordinate inpatient care management activities.

  • Perform utilization review and ensure appropriate level of care.

  • Develop and facilitate discharge plans for patients.

Job description

ProKatchers is seeking a local contract nurse RN Utilization Review Manager for a local contract nursing job in Bronx, New York.

Job Description & Requirements
  • Specialty: Utilization Review
  • Discipline: RN
  • Duration: 8 weeks
  • 35 hours per week
  • Shift: 8 hours, days
  • Employment Type: Local Contract

Job Title: Inpatient Care Manager (RN) – Utilization Review & Discharge Planning
Location: Lincoln Hospital, New York, NY
Duration: 2-3 Months
Schedule: Monday–Friday | 9:00 AM – 5:00 PM (35 Hours/Week)
 

Job Description:

We are seeking an experienced Registered Nurse Care Manager to support its Inpatient Care Management team. 

The ideal candidate will have a strong background in Care Coordination, Utilization Review, and Discharge Planning within an acute care hospital setting.

Key Responsibilities:

  • Coordinate inpatient care management activities.
  • Perform utilization review and ensure appropriate level of care.
  • Develop and facilitate discharge plans for patients.
  • Collaborate with interdisciplinary healthcare teams.
  • Maintain accurate documentation and care management records.
  • Support patient-centered care and resource utilization initiatives.

Must-Have Qualifications: ✔ Active RN License in the State of New York ✔ Associate Degree from an accredited Nursing Program accepted per facility requirements ✔ Minimum 5 years of clinical experience as a Registered Nurse ✔ Inpatient Care Management experience (IP experience required; ED-only experience not preferred) ✔ Experience with Care Coordination, Utilization Review, and Discharge Planning ✔ Current BLS Certification ✔ NYSED Primary Source Verification of RN License and Registration ✔ PRI & Screen Certification (must be available at submission or obtainable per facility requirements)

About ProKatchers

Founded in 2016, ProKatchers Inc. is a JCC-certified organization and a recognized leader in healthcare staffing. Named one of the Fastest Growing Healthcare Staffing Firms by Staffing Industry Analysts (SIA) for 2023–2024, we are proud to be among the top-rated companies in our industry.

At ProKatchers, we offer both short- and long-term contracts, as well as travel opportunities for licensed and experienced healthcare professionals across the United States. We are committed to providing industry-leading benefits and personalized career support.

We understand that finding the right fit is about more than just a job—it’s about aligning your career with your lifestyle. That’s why our dedicated team of career specialists takes the time to get to know you and match you with assignments that meet your goals and aspirations.

ProKatchers has also been recognized by SIA as one of the Best Staffing Firms to Work For—a testament to our employee-first approach. We specialize in placing clinical and allied health professionals in a wide range of healthcare settings, including acute care hospitals, skilled nursing facilities, long-term care centres, rehabilitation facilities, behavioural health canters, home and community health programs, urgent care clinics, and more.

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