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Rn Case Manager Utilization Review Jobs (NOW HIRING)

Prime Staffing

Travel Utilization Review RN

Orange, CA · On-site

Prime Staffing is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Orange, California. & Requirements * Specialty: Utilization Review * Discipline: RN * Start ...

MTK HealthCare

RN-Case Manager

Portales, NM · On-site

$59 - $62/hr

MTK Healthcare Inc. is Hiring RN Case Manager - Utilization Review & Swing Bed | Portales, NM | Monday-Friday (8:00 AM-4:30 PM), Day Shift Position Details * Position: RN Case Manager - Utilization ...

GQR Healthcare

Travel Utilization Review RN

Fort Myers, FL · On-site

$1.7K - $1.8K/wk

GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Fort Myers, Florida. & Requirements * Specialty: Utilization Review * Discipline: RN * Start ...

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Rn Case Manager Utilization Review information

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How much do rn case manager utilization review jobs pay per hour?

As of Sep 13, 2026, the average hourly pay for rn case manager utilization review in the United States is $47.53, according to ZipRecruiter salary data. Most workers in this role earn between $35.34 and $57.45 per hour, depending on experience, location, and employer.

What is an RN Case Manager Utilization Review?

RN Case Manager Utilization Review nurses are registered nurses who assess the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They review patient records, collaborate with healthcare teams, and ensure that care meets established guidelines and insurance requirements. Their goal is to optimize patient outcomes while managing healthcare costs and resources. These professionals often work in hospitals, insurance companies, or other healthcare settings to support quality and cost-effective care.

How does an RN Case Manager Utilization Review collaborate with interdisciplinary teams to optimize patient care?

As an RN Case Manager Utilization Review, you will regularly work with physicians, social workers, therapists, and insurance representatives to ensure patients receive appropriate and cost-effective care. This collaboration often involves daily meetings or case conferences to discuss patient progress, discharge planning, and resource utilization. Effective communication and negotiation skills are crucial, as you’ll need to advocate for both patient needs and organizational policies. Building strong relationships with team members enhances the care coordination process and helps resolve any barriers to efficient patient care.

What are the key skills and qualifications needed to thrive as an RN Case Manager Utilization Review?

To thrive as an RN Case Manager in Utilization Review, you need a current RN license, experience in clinical nursing, and a deep understanding of medical necessity criteria and healthcare regulations. Familiarity with utilization management software, electronic health records (EHRs), and certifications such as CCM (Certified Case Manager) or ACM (Accredited Case Manager) are often required. Strong analytical thinking, attention to detail, and effective communication skills help in collaborating with healthcare teams and advocating for appropriate patient care. These skills are crucial to ensure proper resource utilization, compliance with policies, and optimal patient outcomes.

What is the difference between Rn Case Manager Utilization Review vs Rn Case Manager?

AspectRn Case Manager Utilization ReviewRn Case Manager
CertificationsRN license, possibly certifications in case management or utilization reviewRN license, case management certification optional
Work EnvironmentUtilization review departments, insurance companies, hospitalsHospitals, clinics, community health settings
Primary FocusAssessing medical necessity, reviewing patient records for insurance approvalCoordinating patient care, discharge planning, case management

The main difference is that Rn Case Manager Utilization Review focuses on evaluating medical necessity for insurance purposes, while Rn Case Manager handles broader patient care coordination. Both roles require RN licensure, but their daily tasks and work environments differ significantly.

What cities are hiring for Rn Case Manager Utilization Review jobs?

Cities with the most Rn Case Manager Utilization Review job openings:

What states have the most Rn Case Manager Utilization Review jobs?

States with the most job openings for Rn Case Manager Utilization Review jobs include:

What are popular job titles related to Rn Case Manager Utilization Review jobs?

For Rn Case Manager Utilization Review jobs, the most frequently searched job titles are:

Travel RN Case Manager Utilization Review - $2,150 per week

Atlanta, GA • On-site

AMN Healthcare Revenue Cycle
See more jobs at AMN Healthcare Revenue Cycleexternal

$2.1K/wk

Contractor

Medical, Dental, Vision, Life, Retirement

Posted 10 days ago

Job description

AMN Healthcare Revenue Cycle is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Atlanta, Georgia.

Job Description & Requirements
  • Specialty: Utilization Review
  • Discipline: RN
  • Start Date: 09/14/2026
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 8 hours
  • Employment Type: Travel

Job Description & Requirements
RN Case Manager Utilization Review (UR)
StartDate: 9/14/2026 Pay Rate: $1800.00 - $2500.00
POSITION SUMMARY Utilization Review (UR)
POSITION DUTIES Non-Core Continuum
Utilization Management experience needed
MINIMUM REQUIRED QUALIFICATIONS RN 
PREFERRED QUALIFICATIONS Kaiser Experience Preferred
LENGTH OF ASSIGNMENT 13 weeks
SHIFT / HOURS PER WEEK 08:30 AM to 05:00 PM (40 hours); EOW
SYSTEMS EPIC
START DATE 09/14/26
Facility Location
With its alluring charm and energetic buzz, Atlanta beckons newcomers from near and far. Part Southern belle, part economic powerhouse, the capital of Georgia is a favorite destination for travel nurses in search of career-boosting assignments, while the city’s numerous entertainment options and warm Southern hospitality make it a great place to call home.
Job Benefits
Becoming an AMN Healthcare professional gives you the incredible opportunity to gain critical career experience, work with new people, and earn a highly competitive salary—but the perks don't stop there. There are many additional benefits to enjoy, including:

  • Medical, dental and vision benefits
  • Earned time off and paid holidays
  • Paid continuing education time
  • 401(K) retirement planning
  • Short-term disability, life insurance, paid jury duty
  • Access to the largest network of facilities and providers in the country
  • Industry experienced workforce management team
  • Licensure and certification reimbursement

About the Company
At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable.

AMN Healthcare Revenue Cycle Job ID #3580116. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN Case Manager Utilization Review (UR)

About AMN Healthcare Revenue Cycle

AMN Healthcare is a leading force in the healthcare industry, committed to being the most trusted, innovative, and influential partner for healthcare organizations. With a focus on providing quality patient care, AMN Healthcare offers holistic solutions that reduce costs, streamline processes, and improve efficiencies. The company boasts over 30 years of experience and takes pride in staffing leading healthcare facilities with the nation's best travelers. As an industry leader, AMN Healthcare offers a diverse team dedicated to supporting healthcare workers and facilities, ensuring a personalized and supportive experience for both clients and candidates.

Benefits
  • Medical benefits
  • Dental benefits
  • Company provided housing options
  • Continuing Education

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