Active RN license (state-specific requirement applies) * Minimum of 2 years of acute care nursing experience * Prior utilization review, case management, or payer review experience preferred * Strong ...
Active RN license (state-specific requirement applies) * Minimum of 2 years of acute care nursing experience * Prior utilization review, case management, or payer review experience preferred * Strong ...
Utilization Review * Discipline: RN * Start Date: 07/20/2026 * Duration: 13 weeks * 40 hours per week * Shift: 8 hours * Employment Type: Travel ID: 63654011 Shift: Day 5x8-Hour (08:30 - 17:00 ...
Utilization Review * Discipline: RN * Start Date: 07/20/2026 * Duration: 13 weeks * 40 hours per week * Shift: 8 hours * Employment Type: Travel ID: 63654011 Shift: Day 5x8-Hour (08:30 - 17:00 ...
Registered Nurse, Utilization Review
Syracuse, NY · On-site
$72K - $83K/yr
The Utilization Review Nurse assists the utilization review process taking on various tasks ... Current NYS RN licensure, BSN preferred. * Five or more years of home health care or long term care ...
Registered Nurse, Utilization Review
Syracuse, NY · On-site
$72K - $83K/yr
The Utilization Review Nurse assists the utilization review process taking on various tasks ... Current NYS RN licensure, BSN preferred. * Five or more years of home health care or long term care ...
Registered Nurse, Utilization Review
Syracuse, NY · On-site
$72K - $83K/yr
The Utilization Review Nurse assists the utilization review process taking on various tasks ... Current NYS RN licensure, BSN preferred. * Five or more years of home health care or long term care ...
Registered Nurse, Utilization Review
Syracuse, NY · On-site
$72K - $83K/yr
The Utilization Review Nurse assists the utilization review process taking on various tasks ... Current NYS RN licensure, BSN preferred. * Five or more years of home health care or long term care ...
Utilization Review Nurse Join Martin's Point Health Care - an innovative, not-for-profit health ... Compact RN License * Certification in managed care nursing or care management desired (CMCN or CCM)
Utilization Review Nurse Join Martin's Point Health Care - an innovative, not-for-profit health ... Compact RN License * Certification in managed care nursing or care management desired (CMCN or CCM)
Utilization Review Nurse
Plano, TX · Remote
Austin area - Travis/Williamson Counties or Richardson area - Dallas/Collin Counties*** RN working ... This position is responsible for performing initial, concurrent review activities; discharge care ...
Utilization Review Nurse
Plano, TX · Remote
Austin area - Travis/Williamson Counties or Richardson area - Dallas/Collin Counties*** RN working ... This position is responsible for performing initial, concurrent review activities; discharge care ...
Utilization Review * Discipline: RN * Start Date: ASAP * Duration: 13 weeks * 40 hours per week * Shift: 8 hours * Employment Type: Travel American Medical Staffing Job ID #102975. Pay package is ...
Utilization Review * Discipline: RN * Start Date: ASAP * Duration: 13 weeks * 40 hours per week * Shift: 8 hours * Employment Type: Travel American Medical Staffing Job ID #102975. Pay package is ...
Utilization Review Nurse
Chicago, IL · On-site
Active and unrestricted RN licensure in state of residence Questionnaire: * Do you have experience ... Do you have experience with Utilization Review? * Do you have an Active Registered Nurse License?
Utilization Review Nurse
Chicago, IL · On-site
Active and unrestricted RN licensure in state of residence Questionnaire: * Do you have experience ... Do you have experience with Utilization Review? * Do you have an Active Registered Nurse License?
Utilization Review * Discipline: RN * Start Date: ASAP * Duration: 13 weeks * 36 hours per week * Shift: 12 hours * Employment Type: Travel American Medical Staffing Job ID #102973. Pay package is ...
Utilization Review * Discipline: RN * Start Date: ASAP * Duration: 13 weeks * 36 hours per week * Shift: 12 hours * Employment Type: Travel American Medical Staffing Job ID #102973. Pay package is ...
Utilization Review Nurse
Dallas, TX · On-site
$90K - $98K/yr
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.
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Utilization Review Nurse
Dallas, TX · On-site
$90K - $98K/yr
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.
Utilization Review * Discipline: RN * Start Date: 07/13/2026 * Duration: 13 weeks * 40 hours per week * Shift: 8 hours, days * Employment Type: Travel 2 year(s) acute care management experience ...
Utilization Review * Discipline: RN * Start Date: 07/13/2026 * Duration: 13 weeks * 40 hours per week * Shift: 8 hours, days * Employment Type: Travel 2 year(s) acute care management experience ...
Utilization Review * Discipline: RN * Start Date: 07/13/2026 * Duration: 13 weeks * 40 hours per week * Shift: 8 hours * Employment Type: Travel ID: 63678685 Shift: Day 5x8-Hour (09:00 - 17:00 ...
Utilization Review * Discipline: RN * Start Date: 07/13/2026 * Duration: 13 weeks * 40 hours per week * Shift: 8 hours * Employment Type: Travel ID: 63678685 Shift: Day 5x8-Hour (09:00 - 17:00 ...
Description The Clinical Utilization Review Nurse Preceptor (UR RN Preceptor) will be responsible for training, mentoring, and coaching for the Utilization Review Department. The UR RN Preceptor must ...
Description The Clinical Utilization Review Nurse Preceptor (UR RN Preceptor) will be responsible for training, mentoring, and coaching for the Utilization Review Department. The UR RN Preceptor must ...
Description The Clinical Utilization Review Nurse Preceptor (UR RN Preceptor) will be responsible for training, mentoring, and coaching for the Utilization Review Department. The UR RN Preceptor must ...
Description The Clinical Utilization Review Nurse Preceptor (UR RN Preceptor) will be responsible for training, mentoring, and coaching for the Utilization Review Department. The UR RN Preceptor must ...
Registered Nurse - Utilization Review - RNUR 0615 AR#01
Liverpool, NY · On-site
$2.5K - $2.8K/wk
Registered Nurse - Utilization Review (RN-UR) Location: Syracuse, NY 13210 Schedule: Day Shift Duration: 14 Weeks Compensation * Local Candidates: $2,000 - $2,300 per week * Traveler Candidates: $2 ...
Registered Nurse - Utilization Review - RNUR 0615 AR#01
Liverpool, NY · On-site
$2.5K - $2.8K/wk
Registered Nurse - Utilization Review (RN-UR) Location: Syracuse, NY 13210 Schedule: Day Shift Duration: 14 Weeks Compensation * Local Candidates: $2,000 - $2,300 per week * Traveler Candidates: $2 ...
Registered Nurse - Utilization Review - RNUR 0615 AR#01
Cheektowaga, NY · On-site
$2.5K - $2.8K/wk
Registered Nurse - Utilization Review (RN-UR) Location: Syracuse, NY 13210 Schedule: Day Shift Duration: 14 Weeks Compensation * Local Candidates: $2,000 - $2,300 per week * Traveler Candidates: $2 ...
Registered Nurse - Utilization Review - RNUR 0615 AR#01
Cheektowaga, NY · On-site
$2.5K - $2.8K/wk
Registered Nurse - Utilization Review (RN-UR) Location: Syracuse, NY 13210 Schedule: Day Shift Duration: 14 Weeks Compensation * Local Candidates: $2,000 - $2,300 per week * Traveler Candidates: $2 ...
Utilization Review Nurse
Syracuse, NY · On-site
Qualifications RN License in NY with 2 years of experience Computer literate. This includes ... Utilization Review Experience, the nurse can come from a Hospital, Home Health, or Managed Care ...
Utilization Review Nurse
Syracuse, NY · On-site
Qualifications RN License in NY with 2 years of experience Computer literate. This includes ... Utilization Review Experience, the nurse can come from a Hospital, Home Health, or Managed Care ...
Utilization Review Nurse
Newark, NJ · Remote
$38 - $40/hr
Serves as mentor/trainer to new RN's and other staff as needed, completes audits, reviews and ... Understands fiscal accountability and its impact on the utilization of resources, proceeding to ...
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Utilization Review Nurse
Newark, NJ · Remote
$38 - $40/hr
Serves as mentor/trainer to new RN's and other staff as needed, completes audits, reviews and ... Understands fiscal accountability and its impact on the utilization of resources, proceeding to ...
Registered Nurse - Utilization Review - RNUR 0615 AR#01
Utica, NY · On-site
$2.5K - $2.8K/wk
Registered Nurse - Utilization Review (RN-UR) Location: Syracuse, NY 13210 Schedule: Day Shift Duration: 14 Weeks Compensation * Local Candidates: $2,000 - $2,300 per week * Traveler Candidates: $2 ...
Registered Nurse - Utilization Review - RNUR 0615 AR#01
Utica, NY · On-site
$2.5K - $2.8K/wk
Registered Nurse - Utilization Review (RN-UR) Location: Syracuse, NY 13210 Schedule: Day Shift Duration: 14 Weeks Compensation * Local Candidates: $2,000 - $2,300 per week * Traveler Candidates: $2 ...
RN - Utilization Review
Kinston, NC · On-site
$28/hr
Travel Nursing Position Nursing Profession: RN Specialty: Utilization Review Pay Rate: $28 Shift Details: 8 hour days Job Order Details: Start Date: 07/06/2026 End Date: 10/05/2026 Duration: 13 Week ...
RN - Utilization Review
Kinston, NC · On-site
$28/hr
Travel Nursing Position Nursing Profession: RN Specialty: Utilization Review Pay Rate: $28 Shift Details: 8 hour days Job Order Details: Start Date: 07/06/2026 End Date: 10/05/2026 Duration: 13 Week ...
Overnight Rn Utilization Review Nurse information
See salary details
$21.39 - $25.72
2% of jobs
$25.72 - $30.05
9% of jobs
$33.01 is the 25th percentile. Wages below this are outliers.
$30.05 - $34.38
21% of jobs
The median wage is $37.88 / hr.
$34.38 - $38.70
23% of jobs
$38.70 - $43.03
13% of jobs
$46.39 is the 75th percentile. Wages above this are outliers.
$43.03 - $47.36
10% of jobs
$47.36 - $51.68
8% of jobs
$51.68 - $56.01
5% of jobs
$56.01 - $60.34
5% of jobs
$60.34 - $64.66
2% of jobs
$64.66 - $68.99
2% of jobs
$21
$42
$68
How much do overnight rn utilization review nurse jobs pay per hour?
What are some common challenges faced by an Overnight RN Utilization Review Nurse, and how can they be managed?
What are the key skills and qualifications needed to thrive as an Overnight RN Utilization Review Nurse, and why are they important?
What is the difference between Overnight Rn Utilization Review Nurse vs Overnight Rn Case Manager?
| Aspect | Overnight Rn Utilization Review Nurse | Overnight Rn Case Manager |
|---|---|---|
| Certifications | RN license, Utilization Review certification (if applicable) | RN license, Case Management certification (e.g., CCM) |
| Work Environment | Hospitals, insurance companies, healthcare facilities, primarily reviewing patient cases overnight | Hospitals, clinics, insurance companies, coordinating patient care and discharge planning overnight |
| Job Focus | Reviewing medical necessity, insurance coverage, and utilization of resources | Managing 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?
Other
Medical, Dental, Vision, Life, Retirement, PTO
This job post has expired today. Applications are no longer accepted.
Trinity Health rating
6.5
Based on 351 frontline employees who took The Breakroom Quiz
595th of 877 rated healthcare providers
Job description
Employment Type:
Part time
Shift:
Rotating Shift
Description:
This is a remote position but will need onsite training in Mishawaka Indiana.
Shift: PRN/Days - 8 hr shift
Considering local candidates only!!!
Why Choose Saint Joseph Health System?
- At Saint Joseph Health System, our values guide every decision we make. Even when challenges arise, we remain committed to our mission: caring for every person who needs us. We invest in our people, our technology, and our capabilities so we can continue delivering exceptional, compassionate care to our communities.
What We Offer
-
Tuition reimbursement for all full-time and part-time colleagues starting on day one
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Comprehensive benefits beginning day one (Medical, Dental, Vision, PTO, Life Insurance, STD/LTD, and more)
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Retirement savings plan with employer match
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Generous paid time off program plus 7 paid holidays
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No mandatory overtime
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Employee referral incentive program
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Access to state-of-the-art equipment, unlimited CEUs, and a supportive team-focused work environment
What You Will Do
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Conduct clinical reviews of patient records to evaluate medical necessity, appropriateness of admission, treatment, and length of stay across all payor types
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Apply standardized criteria, regulatory guidelines, and insurance requirements to support reimbursement and compliance
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Collaborate with physicians, nursing staff, and interdisciplinary teams to ensure appropriate resource utilization and care planning
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Review admissions and ongoing patient cases; recommend or escalate cases that do not meet criteria to leadership or the Utilization Review Committee
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Facilitate timely discharges, transfers, and recertifications when level of care is no longer appropriate
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Partner with Medicare, Medicaid, and private insurers to ensure accurate documentation and reimbursement processes
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Respond to denials and authorization changes by reviewing medical records and communicating outcomes to care teams and patients
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Identify trends and utilization concerns; contribute to performance improvement and quality initiatives
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Maintain accurate records, compile reports, and support utilization review program operations
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Provide education to clinical staff on documentation requirements, coverage guidelines, and utilization processes
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Support compliance with all regulatory, accreditation, and organizational standards
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Participate in committee meetings and assist in development of utilization review plans and processes
What You Will Need
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Graduate of an accredited Registered Nurse (RN) program; Bachelor's Degree in Nursing preferred
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Active RN license (state-specific requirement applies)
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Minimum of 2 years of acute care nursing experience
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Prior utilization review, case management, or payer review experience preferred
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Strong knowledge of Medicare, Medicaid, and commercial insurance guidelines
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Solid understanding of clinical care practices, diagnoses, treatment modalities, and hospital operations
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Excellent communication skills with the ability to collaborate effectively across teams
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Strong analytical and critical thinking skills to assess clinical appropriateness and compliance
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Proficiency in computer systems and Microsoft Office applications
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Ability to manage multiple priorities in a fast-paced healthcare environment
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Flexibility to adapt to changing schedules, workflows, and departmental needs
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Our Commitment to Diversity and Inclusion
Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.
EOE including disability/veteran
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Benefits
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About Trinity Health
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Trinity Health Ann Arbor is a 537 -bed teaching hospital located on 340 acre campus. Recognized by IBM Watson as a Top 100 Hospital and #1 Teaching Hospital, Trinity Health Ann Arbor has been a leading health care provider for more than 100 years. Trinity Health has received numerous local and national awards in recognition of our leadership, quality outcomes, and clinical excellence.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Livonia, MI, US