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Overnight Utilization Review Nurse Jobs (NOW HIRING)

Pride Health

Utilization Review Nurse

Manhattan, NY · On-site

$60 - $61/hr

Minimum 5 years of clinical nursing experience * Experience in Care Coordination, Utilization Review, and Discharge Planning * MLTC experience required * Computer proficiency required * PRI and ...

Albany Medical College

Utilization Review Nurse

Albany, NY · On-site

$77 - $119/hr

## Utilization Review NurseApplylocations: 43 New Scotland Avenue Albany, NY 12208time type: Full ... Minimum Qualifications:** • Registered nurse with a New York State current license. • Associate ...

New

Pride Health

Utilization Review Nurse

Queens, NY · On-site

$2.8K/wk

Job title: RN - Utilization Review Job location : East Elmhurst, NY 11370-1381 Shift : 8:30 AM-5:00 PM Length : 8 weeks, Possible extension Local Hourly pay: $60 - $63/hr Travel Weekly Pay upto ...

New

Albanymed

Utilization Review Nurse

Albany, NY

$77K - $119K/yr

While performing utilization review identifies areas for clinical documentation improvement and ... Registered nurse with a New York State current license. Associate's degree required. Bachelor ...

silvercross

Utilization Review Nurse

$34.73 - $45.15/hr

Nurse, Registered (RN) licensure * BSN preferred. 2-5 years previous Utilization Review experience preferred. * Current CPR * Relevant hospital nursing; hospital case management; insurance case ...

Albany Medical College

$77 - $119/hr

## Utilization Review NurseApplylocations: 43 New Scotland Avenue Albany, NY 12208time type: Full ... Minimum Qualifications:** • Registered nurse with a New York State current license. • Associate ...

New

Medix

Utilization Review Nurse

Southfield, MI · On-site

$42 - $46/hr

Job Summary Our client is seeking a Utilization Review Nurse to manage the full lifecycle of Independent Review Organization (IRO) cases. The primary responsibilities include reviewing clinical ...

Actalent

Utilization Review Nurse

Houston, TX · On-site

$30 - $40/hr

Job Title: RN Clinical Review Nurse (Utilization Review Nurse) The Clinical Review Clinician for Appeals is responsible for performing clinical reviews to resolve and process appeals by examining ...

Medix

Utilization Review Nurse

Fort Worth, TX · On-site

$38.46 - $43.27/hr

Job Summary Our client is seeking a skilled Utilization Review Nurse to join their team. This role involves analyzing billing data, documenting work, and adhering to HIPAA regulations. The successful ...

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Overnight Utilization Review Nurse information

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

As of Sep 2, 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 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.

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 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.

More about Overnight Utilization Review Nurse jobs

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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, 81% Full Time, 14% Part Time, 1% Temporary, and 3% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Utilization Review Nurse

Houston Healthcare

Warner Robins, GA • On-site

$80 - $100/hr

Other

Posted 8 days ago

Job description

Work Shift

The Utilization Reviewer performs concurrent, extended stay and retrospective reviews of admissions using established criteria to determine appropriateness of admission and extended stay. The Utilization Reviewer serves as a resource to medical and hospital staff on utilization and regulatory issues and participates in coordination of individualized patient care services. The Utilization Reviewer plays an integral role in discharge planning and maximizing the continuum of care for patients assigned to his/her assigned unit. The Utilization Reviewer has the unique ability to follow the patient from admission to discharge and provide the physician and nursing staff with the best possible options for post hospital care for the patient.

Qualifications
  • Education & Training: Graduate of an accredited School of Nursing.
  • Experience: Three (3) years in an acute care setting.
  • Required Certification/Registration/Licensure: Current US state RN license with authorization to practice in the state of GA.

Knowledge, Skills & Abilities: Utilizes a variety of standard office equipment to include computer, printer, fax machine, copier, telephone etc. Basic knowledge of statistics encouraged.

Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.

Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request.

Scheduled Weekly Hours: 40 FTE: 1 Expanded Work Shift: On Call:

Please note that one week's advance notice is preferred.

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