ZipRecruiter

Log In

1

Prn Utilization Review Jobs (NOW HIRING)

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 ...

UHS

Utilization Coordinator PRN

Louisville, KY

$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 ...

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 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.
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
Remote - Utilization Review Nurse PRN

Remote - Utilization Review Nurse PRN

Mercy

Chesterfield, MO • Remote

Other

Medical, Dental, Vision, Retirement, PTO

Posted 3 days ago

Mercy rating

6.7

Company rating: 6.7 out of 10

Based on 201 frontline employees who took The Breakroom Quiz

525th of 875 rated healthcare providers

Job description

Find your calling at Mercy! Overview
Utilization Management for the assigned inpatient Care Management population. This position is designed to facilitate an effective process of the Mercy Care Management model; supporting quality patient care, safety and financial components; promoting integration of a seamless care model; assisting with patient throughput; collaborating to include coordination as evidenced by metrics, optimizing performance and adoption of best practice Position Details:

Qualifications
Education: Graduate of an accredited school of nursing.

Licensure: Current license in the state of residence and/or employment


Experience: 2-3 years acute care hospital setting


Other: Must have the ability to work independently and meet deadlines, giving attention to detail and follow up.

Excellent time management skills, organizational skills, able to coordinate multiple tasks and prioritize work.

Must have a good understanding of medical terminology with the ability to read, discuss and understand patient medical information.

Excellent verbal and written communication skills, particularly telephone

Advanced computer skills and have the ability to interact effectively with a variety of people and situations at all levels of the organization.
Preferred Experience: Care Management or Utilization Review experience,
Preferred Certifications: Case Management or Utilization Review, Preferred

Why Mercy?

From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period.

Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us.

What Mercy employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Mercy logo

About Mercy

Sourced by ZipRecruiter

Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service. At Mercy, we believe in careers that match the unique gifts of unique individuals - careers that not only make the most of your skills and talents, but also your heart.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Chesterfield, MO, US

Year founded

1827

View All Mercy Jobs

Apply