RN - Utilization Review
Tuba City, AZ · On-site
RN - Utilization Review Prime HealthCare Staffing, a national health care staffing company with over 20 years in the business, is looking for an experienced RN - Utilization Review for our customer ...
Tuba City, AZ · On-site
RN - Utilization Review Prime HealthCare Staffing, a national health care staffing company with over 20 years in the business, is looking for an experienced RN - Utilization Review for our customer ...
Tuba City, AZ · On-site
RN - Utilization Review Prime HealthCare Staffing, a national health care staffing company with over 20 years in the business, is looking for an experienced RN - Utilization Review for our customer ...
Cleveland, OH · On-site
$2.2K/wk
Details Client Name Southwest General Hospital Center Southwest General Health Center Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 18807560 Job Title RN - ...
Cleveland, OH · On-site
$2.2K/wk
Details Client Name Southwest General Hospital Center Southwest General Health Center Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 18807560 Job Title RN - ...
Fort Myers, FL · On-site
$2.0K/wk
Details Client Name Lee Health-Corporate Center Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 37756438 Job Title RN - Utilization Review Weekly Pay $2033.0 Shift ...
New
Fort Myers, FL · On-site
$2.0K/wk
Details Client Name Lee Health-Corporate Center Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 37756438 Job Title RN - Utilization Review Weekly Pay $2033.0 Shift ...
New
Tuba City, AZ · On-site
$2.4K/wk
Details Client Name Tuba City Regl Healthcare Corp Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 37695961 Job Title RN - Utilization Review Weekly Pay $2452.28 ...
Tuba City, AZ · On-site
$2.4K/wk
Details Client Name Tuba City Regl Healthcare Corp Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 37695961 Job Title RN - Utilization Review Weekly Pay $2452.28 ...
Tuba City, AZ · On-site
$2.6K/wk
Details Client Name Tuba City Regional Health Care Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 37695956 Job Title RN - Utilization Review Weekly Pay $2612.28 ...
Tuba City, AZ · On-site
$2.6K/wk
Details Client Name Tuba City Regional Health Care Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 37695956 Job Title RN - Utilization Review Weekly Pay $2612.28 ...
Eligible to enroll in Medical plan on date of hire! LVN or RN Utilization Review Nurse (Administrative Nursing) Are you looking for a challenging and impactful nursing career that will diversify your ...
Eligible to enroll in Medical plan on date of hire! LVN or RN Utilization Review Nurse (Administrative Nursing) Are you looking for a challenging and impactful nursing career that will diversify your ...
Alpharetta, GA · On-site
The ideal candidate is a licensed Registered Nurse (RN) with experience in utilization management ... Review medical records, physician documentation, treatment plans, and diagnostic results to ...
Alpharetta, GA · On-site
The ideal candidate is a licensed Registered Nurse (RN) with experience in utilization management ... Review medical records, physician documentation, treatment plans, and diagnostic results to ...
Las Vegas, NV · On-site
$40 - $63/hr
Utilization Review Nurse (RN) Las Vegas, NV | Full-Time Salary: $40 - $63/hour Position Summary Reviews patient admissions for medical necessity, appropriate resource utilization, and compliance with ...
Quick apply
Las Vegas, NV · On-site
$40 - $63/hr
Utilization Review Nurse (RN) Las Vegas, NV | Full-Time Salary: $40 - $63/hour Position Summary Reviews patient admissions for medical necessity, appropriate resource utilization, and compliance with ...
Utilization Review * Discipline: RN * Start Date: ASAP * Duration: 20 weeks * 40 hours per week * Shift: 10 hours, days * Employment Type: Travel Coast Medical Service is a nationwide travel nursing ...
Utilization Review * Discipline: RN * Start Date: ASAP * Duration: 20 weeks * 40 hours per week * Shift: 10 hours, days * Employment Type: Travel Coast Medical Service is a nationwide travel nursing ...
Atlanta, GA · On-site
$70/hr
Job Title: RN - Utilization Review (UR) | Home Health Location: Atlanta, GA (Onsite - No home visits are required) Contract: 13 Weeks of contract Shift: Days | 8:30 AM - 5:00 PM Pay rate: $70/hr. on ...
Atlanta, GA · On-site
$70/hr
Job Title: RN - Utilization Review (UR) | Home Health Location: Atlanta, GA (Onsite - No home visits are required) Contract: 13 Weeks of contract Shift: Days | 8:30 AM - 5:00 PM Pay rate: $70/hr. on ...
Utilization Review * Discipline: RN * Start Date: 09/07/2026 * Duration: 13 weeks * 40 hours per week * Shift: 9 hours, days * Employment Type: Travel Wellspring Nurse Source Job ID #37696242. Pay ...
Utilization Review * Discipline: RN * Start Date: 09/07/2026 * Duration: 13 weeks * 40 hours per week * Shift: 9 hours, days * Employment Type: Travel Wellspring Nurse Source Job ID #37696242. Pay ...
Medlivo is seeking a travel nurse RN Utilization Review for a travel nursing job in Atlanta, Georgia. & Requirements * Specialty: Utilization Review * Discipline: RN * Duration: 13 weeks * 40 hours ...
Medlivo is seeking a travel nurse RN Utilization Review for a travel nursing job in Atlanta, Georgia. & Requirements * Specialty: Utilization Review * Discipline: RN * Duration: 13 weeks * 40 hours ...
Registered Nurse-Utilization Review A Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI ...
Registered Nurse-Utilization Review A Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI ...
Utilization Review * Discipline: RN * Duration: 13 weeks * 40 hours per week * Shift: 8 hours, days * Employment Type: Travel Requirements: Active RN license (State License required) BLS ...
Utilization Review * Discipline: RN * Duration: 13 weeks * 40 hours per week * Shift: 8 hours, days * Employment Type: Travel Requirements: Active RN license (State License required) BLS ...
Troy, MI · On-site
Must be an RN Utilization Review background in either Managed Care of Provider environment (at least one year) Interqual experience Other basic computer skills necessary: Microsoft Office, Data Entry ...
Troy, MI · On-site
Must be an RN Utilization Review background in either Managed Care of Provider environment (at least one year) Interqual experience Other basic computer skills necessary: Microsoft Office, Data Entry ...
Omaha, NE · On-site
Utilization Review Nurse We have openings in our Omaha, Nebraska office for Utilization Review ... Licenses/Experience: A current RN license as well as 5+ years of recent, hands-on clinical ...
Omaha, NE · On-site
Utilization Review Nurse We have openings in our Omaha, Nebraska office for Utilization Review ... Licenses/Experience: A current RN license as well as 5+ years of recent, hands-on clinical ...
Tuba City, AZ · On-site
Utilization Review Nurse City/State: Tuba City, Arizona Shift: Monday - Friday from 8am - 5pm ... A valid, current, full and unrestricted Professional Nursing License to practice as a Registered ...
Tuba City, AZ · On-site
Utilization Review Nurse City/State: Tuba City, Arizona Shift: Monday - Friday from 8am - 5pm ... A valid, current, full and unrestricted Professional Nursing License to practice as a Registered ...
Fort Myers, FL · On-site
$2.1K/wk
Utilization Review * Discipline: RN * Duration: 13 weeks * 40 hours per week * Shift: 8 hours, days * Employment Type: Travel Utilization Management (UM) RN - Remote * Schedule: Monday-Friday, 8:00 ...
New
Fort Myers, FL · On-site
$2.1K/wk
Utilization Review * Discipline: RN * Duration: 13 weeks * 40 hours per week * Shift: 8 hours, days * Employment Type: Travel Utilization Management (UM) RN - Remote * Schedule: Monday-Friday, 8:00 ...
New
Olaro-Allied is seeking a travel nurse RN Utilization Review for a travel nursing job in Atlanta, Georgia. & Requirements * Specialty: Utilization Review * Discipline: RN * Start Date: 08/31/2026
New
Olaro-Allied is seeking a travel nurse RN Utilization Review for a travel nursing job in Atlanta, Georgia. & Requirements * Specialty: Utilization Review * Discipline: RN * Start Date: 08/31/2026
New
Tuba City, AZ · On-site
$2.6K/wk
Specialty: Utilization Review * Discipline: RN * Start Date: 09/07/2026 * Duration: 13 weeks * 40 hours per week * Shift: 8 hours, days * Employment Type: Travel Looking for a great Travel ...
Tuba City, AZ · On-site
$2.6K/wk
Specialty: Utilization Review * Discipline: RN * Start Date: 09/07/2026 * Duration: 13 weeks * 40 hours per week * Shift: 8 hours, days * Employment Type: Travel Looking for a great Travel ...
$21.39 - $25.72
2% of jobs
$25.72 - $30.05
9% of jobs
$33.01 is the 25th percentile. Wages below this are outliers.
$30.05 - $34.38
21% of jobs
The median wage is $37.88 / hr.
$34.38 - $38.70
23% of jobs
$38.70 - $43.03
13% of jobs
$46.39 is the 75th percentile. Wages above this are outliers.
$43.03 - $47.36
10% of jobs
$47.36 - $51.68
8% of jobs
$51.68 - $56.01
5% of jobs
$56.01 - $60.34
5% of jobs
$60.34 - $64.66
2% of jobs
$64.66 - $68.99
2% of jobs
$21
$42
$68
To thrive as an RN Utilization Review Nurse, a current RN license, strong clinical knowledge, and experience with healthcare regulations and insurance guidelines are essential. Familiarity with medical review software, EHR systems, and utilization management platforms—as well as certification such as CCM (Certified Case Manager)—is often required. Strong analytical thinking, attention to detail, and effective communication with interdisciplinary teams set outstanding candidates apart. These skills ensure accurate care assessments, compliance with insurance requirements, and effective coordination between providers, patients, and payers.
An RN Utilization Review Nurse evaluates patient care to ensure medical services are necessary, efficient, and compliant with healthcare regulations. They review medical records, collaborate with healthcare providers, and assess treatment plans to optimize patient outcomes while managing costs. These nurses often work for hospitals, insurance companies, or healthcare organizations, ensuring appropriate resource utilization. Their role helps prevent unnecessary procedures and supports quality patient care.
A typical day for an RN Utilization Review Nurse involves reviewing patient medical records to determine the medical necessity of hospital admissions or ongoing care, communicating with physicians, case managers, and insurance representatives, and documenting decisions in electronic health record systems. You will often spend a significant amount of time on critical assessments, phone or email correspondence, and ensuring compliance with regulatory and insurance guidelines. The work is generally office-based or remote, and you may collaborate closely with both clinical and administrative staff. This structured environment allows you to leverage your clinical background while supporting cost-effective, high-quality patient care.
Cities with the most Rn Utilization Review Nurse job openings:
The most popular types of Rn Utilization Review Nurse jobs are:
States with the most job openings for Rn Utilization Review Nurse jobs include:
The top searched job categories for Rn Utilization Review Nurse jobs are:

Other
Medical, Dental, Vision, Retirement
Posted 11 days ago
Prime HealthCare Staffing, a national health care staffing company with over 20 years in the business, is looking for an experienced RN - Utilization Review for our customer in Tuba City, Arizona. The ideal candidate will possess a current Arizona license. This is a RN position in the Utilization Review RN Unit. You must have a Nursing License and at least 2 years of recent Utilization Review US nursing experience as a RN - Utilization Review. Prime`s team of experienced health care professionals are here to guide you through the process 24/7.
Prime Benefits
Qualifications
Prime HealthCare Staffing has day and night shifts available. Submit your resume and experience the Prime difference.
Client Details Setting Hospital City Tuba City State AZ