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Overnight Utilization Review Nurse Jobs (NOW HIRING)

Fusion HCR

Utilization Review Nurse

Las Vegas, NV · On-site

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 ...

Global Force

Utilization Review Nurse

Las Vegas, NV · On-site

About the job Utilization Review Nurse Sign on bonus may apply up to $15,000 Position Summary: Reviews patient admissions for appropriateness, efficiency of resource utilization and compliance with ...

Oscar Health

Utilization Review Nurse

Atlanta, GA · Remote

$35 - $45.94/hr

We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You will perform frequent case reviews, check medical records and speak with care providers regarding ...

Oscar Health

Utilization Review Nurse

Dallas, TX · Remote

$35 - $45.94/hr

We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You will perform frequent case reviews, check medical records and speak with care providers regarding ...

Oscar Health

Utilization Review Nurse

Miami, FL · Remote

$35 - $45.94/hr

We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You will perform frequent case reviews, check medical records and speak with care providers regarding ...

Oscar Health

Utilization Review Nurse

Tempe, AZ · Remote

$35 - $45.94/hr

We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You will perform frequent case reviews, check medical records and speak with care providers regarding ...

US Tech Solutions

Utilization Review Nurse

Canton, MA · On-site

$55 - $60/hr

... Nurse to support outpatient utilization review and prior authorization activities for a leading healthcare organization. The ideal candidate will have a strong background in managed care, utilization ...

AbsoluteCare

Utilization Review Nurse

New Orleans, LA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

The Utilization Review Nurse ensures appropriate utilization of health services by performing initial, concurrent and retrospective clinical case reviews. This role collaborates and communicates with ...

AbsoluteCARE Inc

Utilization Review Nurse

New Orleans, LA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

The Utilization Review Nurse ensures appropriate utilization of health services by performing initial, concurrent and retrospective clinical case reviews. This role collaborates and communicates with ...

AbsoluteCARE Inc

Utilization Review Nurse

New Orleans, LA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

The Utilization Review Nurse ensures appropriate utilization of health services by performing initial, concurrent and retrospective clinical case reviews. This role collaborates and communicates with ...

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All JobsUtilization Review Nurse JobsOvernight Utilization Review Nurse Jobs

Overnight Utilization Review Nurse information

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$21

$42

$68

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

As of Aug 14, 2026, the average hourly pay for overnight 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 is the difference between Overnight Utilization Review Nurse vs Utilization Review Nurse?

AspectOvernight Utilization Review NurseUtilization Review Nurse
CertificationsRegistered Nurse (RN), possibly case management certificationRegistered Nurse (RN), possibly case management certification
Work EnvironmentNight shifts, hospital or insurance setting, remote or onsiteDay shifts, hospital, insurance, or healthcare facility
Employer & IndustryHospitals, insurance companies, healthcare organizationsHospitals, insurance companies, healthcare organizations

The main difference is that the Overnight Utilization Review Nurse works primarily during night shifts, focusing on reviewing patient cases overnight, while the Utilization Review Nurse typically works during daytime hours. Both roles require similar credentials and are found in similar settings, but their schedules and shift timings distinguish them.

What are some unique challenges faced by overnight utilization review nurses, and how can they be managed?

Overnight Utilization Review Nurses often work independently during off-hours, which can present challenges such as limited immediate access to clinical teams and support staff. Managing urgent authorizations and coordinating care with providers who may not be readily available requires strong communication and problem-solving skills. Staying organized and utilizing clear documentation help ensure continuity of care between night and day shifts. Developing proficiency with electronic health record systems and maintaining effective handoff procedures are essential for success in this role.

What does an Overnight Utilization Review nurse do?

An Overnight Utilization Review Nurse is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services provided to patients during overnight hours. They review medical records, treatment plans, and insurance requirements to ensure that care meets established guidelines and is medically necessary. By working overnight, these nurses help healthcare facilities maintain 24/7 compliance with regulations and facilitate timely patient care decisions. Their role is critical in managing healthcare costs, preventing unnecessary treatments, and ensuring that patients receive appropriate care without delay.

What are the key skills and qualifications needed to thrive as an Overnight Utilization Review nurse?

To thrive as an Overnight Utilization Review Nurse, you need a solid clinical background, critical thinking skills, and an active RN license, often with experience in case management or utilization review. Familiarity with medical necessity criteria (such as InterQual or MCG), electronic health records (EHRs), and utilization management software is typically required. Excellent written communication, attention to detail, and the ability to work independently during overnight hours are valuable soft skills. These competencies ensure accurate assessment of care appropriateness, regulatory compliance, and efficient coordination between healthcare providers during non-traditional hours.
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Overnight Utilization Review Nurse jobs near you
Infographic showing various Overnight Utilization Review Nurse job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Utilization Review Nurse

Fusion HCR

Las Vegas, NV • On-site

Other

Re-posted 7 days ago

Job description

Fusion HCR is hiring!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 for medical necessity, appropriate level of care, and compliance with payer guidelines. This role works closely with clinical teams to ensure efficient resource utilization and quality patient outcomes.
Responsibilities
  • Review admissions using InterQual and/or Milliman criteria
  • Evaluate medical necessity, level of care, and documentation accuracy
  • Ensure compliance with Medicare, Medicaid, and regulatory guidelines
  • Collaborate with physicians, case management, and care teams
  • Support discharge planning and care coordination
  • Document findings and communicate recommendations

Requirements
  • Active RN license (Nevada)
  • 5+ years acute care nursing experience
  • 3+ years Utilization Review experience
  • 3+ years discharge planning experience (acute care)
  • Experience with InterQual (must be able to pass exam)
  • Experience with Milliman guidelines

Preferred
  • Background in Case Management or CDI
  • Strong knowledge of Joint Commission and CMS guidelines

Why Apply
  • Competitive pay
  • Stable, high-demand role
  • Collaborative healthcare environment

Apply Now
If you have strong Utilization Review, InterQual, and acute care experience, we want to hear from you!

Apply