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Prn Utilization Review Jobs (NOW HIRING)

UHS

PRN UTILIZATION REVIEW COORDINATOR

Jacksonville, FL · On-site

PRN Utilization Review Coordinator, including weekends $26-$37 This position is responsible for monitoring the treatment activities offered to the patient, interfacing with the treatment team/managed ...

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 ...

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How much do prn utilization review jobs pay per hour?

As of Jul 21, 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 make an extra $2000 a month as a nurse?

A PRN Utilization Review nurse can increase income by taking on additional shifts, working overtime, or joining per diem pools. Gaining specialized certifications or experience in high-demand areas can also lead to higher pay rates and opportunities for extra earnings.

How to become a utilization reviewer?

To become a utilization reviewer, typically one needs a healthcare-related degree such as nursing, health administration, or a related field, along with experience in clinical or insurance settings. Certification in case management or utilization review, such as the Certified Professional in Healthcare Quality (CPHQ), can enhance job prospects. Strong analytical skills, knowledge of medical policies, and familiarity with electronic health records are also important.

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 300,000 dollars as a nurse online?

A PRN Utilization Review nurse can increase earnings by gaining specialized certifications, such as in case management or healthcare analytics, and working for multiple agencies or telehealth companies. Building a strong reputation and negotiating higher pay rates for remote or flexible shifts can also help reach higher income levels, though earning 300,000 annually may require additional roles or advanced 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.

Is utilization review a stressful job?

Utilization review is a role that involves evaluating healthcare services for appropriateness and coverage, which can be demanding due to strict deadlines and the need for accuracy. The job may involve high-pressure situations, especially when making critical decisions that impact patient care and insurance claims, but workload and stress levels vary depending on the employer and individual experience. Strong organizational skills and knowledge of healthcare policies can help manage stress in this role.
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Prn Utilization Review jobs near you
Infographic showing various Prn Utilization Review job openings in the United States as of July 2026, with employment types broken down into 17% As Needed, 17% Full Time, and 66% Part Time. Highlights an 100% In-person job distribution, with an average salary of $87,946 per year, or $42.3 per hour.
Utilization Review Coordinator - PRN position

Utilization Review Coordinator - PRN position

Georgetown Behavioral Health Institute

Georgetown, TX

Other

Medical, Dental, Vision, Retirement, PTO

Re-posted 2 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.

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