ZipRecruiter

Log In

1

Prn Utilization Review Jobs (NOW HIRING)

Ascension

Registered Nurse Utilization Review

Austin, TX · Remote

$78K - $110K/yr

Days l PRN Salary range: $78,561.60 - $110,905.60 per year (Texas) | Pay ranges vary based on ... Managed admissions, case management, discharge planning, and utilization review to support quality ...

UHS

Utilization Coordinator PRN

Louisville, KY · On-site

$20/hr

Responsibilities The Brook Hospital Dupont located at 1405 Browns Ln is seeking a PRN Utilization Review Coordinator to join our team. Hourly pay: $20 Since 1985 The Brook Hospital has been offering ...

UK St Claire

Utilization Review Nurse

Morehead, KY · On-site +1

Supports utilization review processes by planning, analyzing data, and setting goals to ensure ... Part-time and PRN experience will be prorated based on hours worked per week. Volunteer work and ...

UK St Claire

Supports utilization review processes by planning, analyzing data, and setting goals to ensure ... Part-time and PRN experience will be prorated based on hours worked per week. Volunteer work and ...

next page

Showing results 1-20

All JobsPrn Utilization Review Jobs

Prn Utilization Review information

See salary details

$21

$42

$68

How much do prn utilization review jobs pay per hour?

As of Jul 23, 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.
More about Prn Utilization Review jobs
What cities are hiring for Prn Utilization Review jobs? Cities with the most Prn Utilization Review job openings:
What are the most commonly searched types of Prn Utilization Review jobs? The most popular types of Prn Utilization Review jobs are:
What states have the most Prn Utilization Review jobs? States with the most job openings for Prn Utilization Review jobs include:
What job categories do people searching Prn Utilization Review jobs look for? The top searched job categories for Prn Utilization Review jobs are:
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 21% As Needed, 26% Full Time, 41% Part Time, 1% Temporary, 8% Contract, and 3% Nights. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.
RN, Utilization Review - PRN

RN, Utilization Review - PRN

Saint Luke's Hospital of Kansas City

Kansas City, MO • Remote

Part-time

Posted 5 days ago

Saint Luke's Health System (Kansas City) rating

7.1

Company rating: 7.1 out of 10

Based on 109 frontline employees who took The Breakroom Quiz

373rd of 889 rated healthcare providers

Job description

Job DescriptionSaint Luke's is looking to add to the UR team!

Schedule: Day Shift

Status: PRN - 1 shift required every 2 weeks

  • MO/KS RN license required

  • Case Management experience preferred

  • Min of 2 years bedside experience preferred

  • Remote position; will cover all campuses

The Opportunity:

The Utilization Review RN is responsible for assuring the receipt of high quality, cost efficient medical outcomes through utilization review and management. This position includes monitoring patient charts and utilization of health care services. Collaborates and communicates with physicians, Care Coordinators, Social Workers and other members of the multidisciplinary and revenue cycle teams.

  • Completes initial and concurrent reviews; identifies appropriate level of service and length of stay, using clinical guidelines (InterQual).

  • Complies with CMS regulation regarding utilization review/management.

  • Obtains and manages insurance authorizations and proactively works denials to help mitigate financial impact.

  • Submits referrals for secondary level review as appropriate and follows through on process.

  • Documents communication and work in electronic medical record.

  • Works with physicians and members of the multidisciplinary and revenue cycle teams to ensure appropriate level of service, level of care and billing.

Why Saint Luke's?

  • We believe in work/life balance.

  • We are dedicated to innovation and always looking for ways to improve.

  • We believe in creating a collaborative environment where all voices are heard.

  • We are here for you and will support you in achieving your goals.

Job Requirements

Applicable Experience:

Less than 1 yearRegistered Nurse - VariousAssociate DegreeJob DetailsPRNDay (United States of America)

The best place to get care. The best place to give care. Saint Luke's 12,000 employees strive toward that vision every day. Our employees are proud to work for the only faith-based, nonprofit, locally owned health system in Kansas City. Joining Saint Luke's means joining a team of exceptional professionals who strive for excellence in patient care. Do the best work of your career within a highly diverse and inclusive workspace where all voices matter.

Join the Kansas City region's premiere provider of health services. Equal Opportunity Employer.

What Saint Luke's Health System (Kansas City) employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply