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Prn Utilization Review Jobs (NOW HIRING)

P1083

PRN Utilization Review RN - M-F Days

Dallas, TX · On-site

PRN Utilization Review RN - M-F DaysMust be available to work daytime hours (between 8am-6:30pm) Monday - Friday WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas-Fort Worth, Texas, UT ...

Houston Methodist

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

Phenom People

RN Utilization Review PRN

Paris, KY · On-site

PRN, RN - Utilization Review Making Communities Healthier with Comprehensive Care... You can get to know who we are and what truly makes us different by our mission, 'Making Communities Healthier'

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How much do prn utilization review jobs pay per hour?

As of Jun 22, 2026, the average hourly pay for prn utilization review 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.

How to become a utilization reviewer?

To become a utilization reviewer, typically one needs a healthcare-related background such as nursing, medical assisting, or health administration, along with knowledge of insurance policies and medical coding. Relevant certifications like Certified Professional Coder (CPC) or Certified Utilization Review Professional (CURP) can enhance job prospects. Experience in clinical settings or insurance companies is often preferred, and strong analytical and communication skills are essential for reviewing medical records and making authorization decisions.

What type of nurse is the least stressful?

In the context of nursing roles, case management or utilization review nurses often experience less physical and emotional stress compared to bedside nurses, as they typically work in office settings with regular hours and less direct patient care. These roles focus on reviewing medical necessity and coordinating care, which can reduce the high-pressure environment found in acute care settings.

What are the key skills and qualifications needed to thrive in the Prn Utilization Review position, and why are they important?

To excel as a PRN Utilization Review professional, you need a background in nursing or a related healthcare field, along with knowledge of medical necessity criteria and insurance guidelines. Familiarity with electronic medical record (EMR) systems and utilization management software, as well as certification such as CCM or URAC, is often required. Strong analytical abilities, attention to detail, and effective communication are valuable soft skills in this role. These skills are crucial for accurately assessing patient care needs, ensuring compliance, and collaborating efficiently with healthcare teams and payers.

How to make $150,000 as a nurse?

To earn $150,000 as a PRN Utilization Review nurse, gaining extensive experience, obtaining relevant certifications such as CCM or ANCC, and working in high-demand healthcare settings can help increase earning potential. Some nurses supplement income through overtime, specialized roles, or working in multiple facilities, but PRN positions typically offer variable pay based on hours worked and experience.

What are the typical daily responsibilities for someone in a PRN Utilization Review role?

A PRN Utilization Review professional typically reviews patient medical records, assesses the appropriateness of hospital admissions and ongoing care, and ensures adherence to established criteria and payer requirements. They often communicate with physicians, nurses, case managers, and insurance representatives to gather information and provide recommendations. The role may involve balancing multiple cases, preparing case summaries, and documenting findings in electronic systems. While the schedule offers flexibility, time management and attention to deadlines are important, especially when working with fast-paced healthcare environments.

What is the highest paying non-clinical nursing job?

The highest paying non-clinical nursing jobs often include roles such as Nurse Executive, Nurse Informaticist, or Nurse Consultant, which typically require advanced degrees and leadership or specialized skills. These positions focus on management, policy, or technology and can offer salaries significantly higher than bedside nursing roles.
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Prn Utilization Review jobs near you
Utilization Review Coordinator - PRN position

Utilization Review Coordinator - PRN position

Georgetown Behavioral Health Institute

Georgetown, TX • On-site

Full-time, Per diem

Medical, Dental, Vision, Retirement, PTO

Posted 3 days ago

Job description

Our inpatient behavioral health hospital is seeking a PRN Utilization Review Coordinator.

This position is responsible for working with insurance companies and managed care systems for the initial authorization, concurrent and retrospective review of inpatient, partial, and intensive outpatient admissions and services. Previous experience in utilization review or case management desirable.

This position will obtain authorization for each admitted patient. Review and monitor each step of the authorization process to proactively identify potential problems to help patients access the full range of their benefits through the utilization review process.

Requirements

Education and/or Licensure – Bachelor’s degree or equivalent in nursing preferred.

Experience – 3-5 years Admitting or Financial Counseling preferred. Prefer two years clinical experience in a facility with medical terminology and in criteria for acute psychiatric inpatient care. Knowledgeable of insurance coverage and billing practices preferred. Previous experience in utilization review or case management desirable.

Additional Requirements – Must possess or obtain a valid CPR certification and certified in facility approved verbal de-escalation and physical crisis management techniques within 30 days of hire and prior to completion of orientation required.

Benefits

Full-time employees are eligible for medical, dental, vision, company paid disability, 401(k) and a generous amount of paid time off.