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Rn Case Review Jobs (NOW HIRING)

NCH

RN Case Manager Lead

Naples, FL · On-site

The RN Case Manager Lead will act as a resource for the RN Case Managers while ensuring the ... complex case review. • Promotes and fosters a collaborative, supportive and efficient team ...

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How much do rn case review jobs pay per hour?

As of Jun 9, 2026, the average hourly pay for rn case 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 does a typical day look like for an RN Case Review professional?

A typical day for an RN Case Review professional involves reviewing patient medical records, analyzing care plans, and ensuring treatment aligns with established guidelines. You’ll likely work closely with physicians, social workers, and other healthcare staff to discuss complex cases and recommend appropriate next steps. Regular tasks also include documenting findings, participating in team meetings, and addressing questions from providers or insurers. This role frequently balances independent work with collaborative discussions, making both clinical expertise and communication skills important for success.

What is an RN Case Review job?

An RN Case Review job involves assessing and evaluating patient care cases to ensure appropriate medical treatment and efficient resource utilization. Registered Nurses in this role review medical records, collaborate with healthcare teams, and ensure compliance with regulatory guidelines. They may work in hospitals, insurance companies, or other healthcare settings to improve patient outcomes and reduce unnecessary costs. The role requires clinical expertise, critical thinking, and strong communication skills.

What are the key skills and qualifications needed to thrive in the Rn Case Review position, and why are they important?

To thrive as an Rn Case Review professional, you need a valid RN license, strong clinical judgment, and expertise in patient assessment and medical record review. Familiarity with case management software, electronic health records (EHRs), and utilization review systems is often required. Excellent attention to detail, critical thinking, and effective interpersonal skills help you collaborate and communicate findings clearly. These abilities are essential to ensure accurate reviews, quality patient care recommendations, and regulatory compliance.

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Rn Case Review jobs near you
Infographic showing various Rn Case Review job openings in the United States as of June 2026, with employment types broken down into 5% As Needed, 68% Full Time, 21% Part Time, and 6% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $98,869 per year, or $47.5 per hour.
RN-Case Management (Utilization Review)

RN-Case Management (Utilization Review)

Integrated Resources

Bakersfield, CA

Other

Posted 4 days ago

Job description

Job Title: RN - Case Management (Utilization Review)
Location: Bakersfield, CA - 93306
Duration: 13 Weeks with possibility of extension
Schedule: Mon-Friday 8-4:30
Job Summary
The RN Case Manager performs advanced utilization review and discharge planning activities to ensure appropriate patient care, compliance with payer requirements, and optimal reimbursement.
Responsibilities
  • Evaluate inpatient admissions for medical necessity
  • Conduct ongoing case reviews and recommend care adjustments
  • Develop and implement discharge plans
  • Coordinate with physicians and healthcare teams
  • Resolve payer and authorization issues
  • Educate providers on documentation requirements
  • Review elective procedures for authorization compliance

Requirements
  • Minimum 2 years RN experience in acute care (Page 2)
  • At least 1 year Med/Surg experience (Page 2)
  • Plus either:
    • 1 year Utilization Review / Discharge Planning experience
    • OR 2 years Case Management experience (clinic/physician office)
  • Active CA RN License
  • BLS certification
  • Strong knowledge of payer guidelines and documentation
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About Integrated Resources

Sourced by ZipRecruiter

Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Edison, NJ, US

Year founded

1996

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