ZipRecruiter

Log In

1

Rn Case Manager Utilization Review Jobs (NOW HIRING)

FutureSoft Consulting Inc

RN Case Manager

Juneau, AK · On-site

This role is ideal for an RN with recent hospital case management experience who is skilled in care coordination, discharge planning, utilization review, and interdisciplinary collaboration.

MedStar Health

RN Team Lead Utilization Review

Clinton, MD · On-site

$89K - $162K/yr

Collaborates with the physician nurse case manager social worker and other members of the health ... Acts as a resource and mentor to the Utilization Review staff. Primary Duties and Responsibilities

GQR Global Markets

RN - Case Manager

Baltimore, MD · On-site

$1.5K - $1.6K/wk

RN - Case Manager Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Baltimore, Maryland Start Date: August 17, 2026 Profession: Registered Nurse (RN) Facility:

previous page

Showing results 41-60

All JobsRn Case Utilization Review JobsRn Case Manager Utilization Review Jobs

Rn Case Manager Utilization Review information

See salary details

$19

$47

$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 Utilization Review RN - $2,745 per week

Orange, CA • On-site

Care Team Solutions
Recruiting and Staffing Services • 11 - 50 employees
Learn more about Care Team Solutionsexternal

$2.7K/wk

Other

Medical, Dental, Vision, Retirement

Posted yesterday

New

Job description

Care Team Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Orange, California.

Job Description & Requirements
  • Specialty: Utilization Review
  • Discipline: RN
  • Start Date: 10/05/2026
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 8 hours
  • Employment Type: Travel

Registered Nurse must have 2+ years of recent experience in particular specialty

Details: Must Have 2+ Years of recent Case Manager experience.

  • Specialty: Case Manager

  • Discipline: Registered Nurse

  • Start Date: 2026-10-05

  • Duration: 13 Weeks

  • Shift: 8 Hours Day shift

  • Hours Per Week: 40 Hours

  • Employment Type: Contract

  • Gross Weekly Pay: $2516.57

Six things that won’t happen if you apply to this job:

  1. You won’t have to guess what the downsides are. We’ll tell you up front.
  2. You won’t show up on day 1 and find out this is not what you signed up for.
  3. We won't leave your phone call ringing when it's inconvenient. Business hours for you are business hours for us.
  4. You won’t get shuffled to some customer service rep when a problem pops up.
  5. If we screw up something in securing your placement, we'll own it. That means it's on us to make it right.
  6. You won’t figure out your credentials alone. Our credentialing experts will walk you through it step by step.

We've talked to thousands of travel nurses like you. We know you want good pay. You want to choose when you work. But the one thing nurse after nurse has said they want and don't have is someone in their corner.

There's a lot in this business that’s messed up. We’re trying to be the people that fix it. You and every nurse with the guts to travel deserve it.

We've worked hard for you to enjoy some one-of-a-kind benefits you'll not likely find anywhere else, because they benefit you more than they benefit us:

  • Our early pay program
  • Student loan reimbursement
  • Free well-being tele-visits with a psychologist

Care Team Solutions Job ID #611232. 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-Case Manager

About Care Team Solutions

Two brothers who give an enormous damn.

We're Justin and Kyle. Neither of us are nurses. It doesn’t take a nurse to

see that the way travel nurses are treated sucks.

Nursing is already hard enough. Travel nursing takes serious guts. You get the toughest assignments

in places you’ve never been. Which can be fun, but it’s also stressful. You’re

in your element but outside of your hometown. You can be a stranger on the

team. 

If anyone deserves someone in their corner, it’s

you. 

But that’s not how most agencies operate. Which is why travel nurses hate working with them. We got into this

business because we saw bucket-loads of nurses moving through the "churn

and burn" travel machinery. We absolutely hate that. 

You'll do your best work when you have the placements you want and feel fully supported in

your work. 

We pay our people well because we want them to

treat you well.

Our recruiters are amazing (we picked each of them

ourselves), but if you've got a problem too big for them, they can come

straight to us.

We

work like ten feet away.

The "Churners and Burners" promise you

the same benefits. They might as well copy/paste them from each other. We have

them too:  

  • 401k, holiday pay, healthcare, dental, travel
  • reimbursement, etc

But we've worked hard for you to enjoy some one-of-a-kind

benefits

you'll not likely find anywhere else, because they benefit you more than they

benefit us:

  • Our early pay program
  • Student loan reimbursement
  • Free well-being tele-visits with a psychologist
Benefits
  • Weekly pay
  • Holiday Pay
  • Guaranteed Hours
  • 401k retirement plan
  • Wellness and fitness programs
  • Referral bonus
  • Medical benefits
  • Dental benefits
  • Vision benefits
  • School loan reimbursement

Apply