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Rn Case Manager Utilization Review Jobs (NOW HIRING)

Uniti Med

Travel Nurse RN - Case Management

Carmichael, CA · On-site

$3.2K - $3.3K/wk

Complete initial assessments and utilization reviews * Work with insured, uninsured, and homeless ... RN Case Manager looking for strong pay, day-shift hours, and a longer 17-week assignment! ` About ...

Centstone HC

Registered Nurse Case Manager

Tuba City, AZ · On-site

$67 - $70/hr

Case management, utilization review, fingerprint clearance, and weekend rotation with call required ... RN Case Manager opportunity where your care coordination experience can support safe transitions ...

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Rn Case Manager Utilization Review information

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$80

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 Nurse RN - Case Manager, Utilization Review - $2,402 per week

Portland, ME • On-site

GQR Healthcare
Recruiting and Staffing Services • 201 - 500 employees
Learn more about GQR Healthcareexternal

$2.4K/wk

Contractor

Medical, Dental, Vision

Posted 4 days ago

Job description

GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Portland, Maine.

Job Description & Requirements
  • Specialty: Utilization Review
  • Discipline: RN
  • Start Date: 09/28/2026
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 8 hours, days
  • Employment Type: Travel

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job
Location: Portland, Maine
Start Date: September 28, 2026
Profession: Registered Nurse (RN)
Facility: Hospital
Estimated Pay: $2402.2 - $2497.2
Duration:13 weeks
Specialty:Case Management/Utilization Review
Shift: Day
Shift Details: 5x8 Day
Job Type: Travel
*Estimated weekly pay includes projected hourly wages and weekly meal and lodging per diems for eligible clinicians based on nationally published GSA rates. Actual weekly pay and per diems may differ from the amount shown and are subject to change during an assignment.
Benefits:

  • Day 1 Insurance
  • Cigna medical, MetLife dental and vision insurance
  • License reimbursement for new licenses needed for each assignment
  • Discounts with hotels and rental cars
  • A dedicated recruiter and support team that will help you every step of the way to sure you start on time and have an exceptional experience
  • Referral bonus up to $700
About the Company:
Finding the right role is about more than just matching skills to a job—it’s about aligning with your goals, values, and the way you want to work.
As an award-winning talent partner, we support healthcare professionals through every step of that process, offering meaningful opportunities, clear guidance, and long-term partnership. From our first conversation to your first day on the job (and beyond!), we’re here to help you move forward with confidence.

GQR Healthcare Job ID #840174. Pay package is based on 8 hour shifts and 40.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Registered Nurse (RN)

About GQR Healthcare

GQR’s Healthcare team specializes in connecting experts within the industry to highly skilled healthcare professionals across the US market.

In the competitive healthcare market, we recognize that the industry’s common goals of improved quality of care and patient outcomes are wholly reliant upon the professionals directly supporting these initiatives. Leveraging our extensive candidate network, we deliver continuity of care for the communities our partners serve to ensure the patient experience is of the highest quality.

Through deep market specialization and a unique approach to talent acquisition, GQR Healthcare provides an unparalleled and personalized experience across all medical specialties in nursing and within diverse healthcare platforms across the industry.

GQR Healthcare logo

About GQR Healthcare

Sourced by ZipRecruiter

Leveraging our extensive candidate network, we deliver continuity of care for the communities our partners serve to ensure the patient experience is of the highest quality. Through deep market specialization and a unique approach to talent acquisition, GQR Healthcare provides an unparalleled and personalized experience across all medical specialties in nursing and within diverse healthcare platforms across the industry.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Austin, TX, US

Year founded

2019

Social media

Facebook

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