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Rn Utilization Review Nurse Jobs (NOW HIRING)

TEEMA Solutions Group

$104.83 - $110.34/hr

We're hiring experienced RN Utilization Review for a 13-week contract in Kinston, North Carolina -- earn up to ($2304 - $2425 per week) while providing essential care at a leading facility. Most ...

Care Career

Travel Utilization Review RN

Fort Myers, FL · On-site

Care Career 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 Date ...

Care Career

Travel Utilization Review RN

Torrance, CA · On-site

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

Voyage Health

Travel RN Utilization Review

Austin, TX · On-site

$1.6K - $1.7K/wk

Position Details Specialty: RN Utilization Review Location: Austin, Texas Employment Type: Travel/Contract Pay: $1662 - $1749 per week Shift: 5x8 Days Start Date: ASAP Contract Length: 13-week ...

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How much do rn utilization review nurse jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for rn utilization review nurse in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.

What is an RN Utilization Review Nurse?

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.

What does an RN Utilization Review Nurse do?

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.

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

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.

How to get into utilization review as a registered nurse?

To become a utilization review nurse, registered nurses typically need clinical experience and knowledge of healthcare policies. Earning certifications such as the Certified Professional in Healthcare Quality (CPHQ) or Utilization Review Certification (URC) can improve job prospects. Familiarity with medical records, insurance processes, and strong communication skills are also important for success in this role.
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Rn Utilization Review Nurse jobs near you
Infographic showing various Rn Utilization Review Nurse job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 14% Part Time, 1% Temporary, and 3% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Travel Nurse RN - Utilization Review

ALOIS Healthcare

Orange, CA • On-site

Contractor

Medical

Posted 4 days ago

Job description

ALOIS Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Orange, California.

Job Description & Requirements
  • Specialty: Utilization Review
  • Discipline: RN
  • Start Date: 09/21/2026
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 8 hours, days
  • Employment Type: Travel

A utilization review nurse is a registered nurse (RN) who is responsible for ensuring patients receive necessary care without performing unnecessary or duplicate services. The goal of utilization review nursing is to maximize the quality of patient care and cost-effectiveness.

ALOIS Healthcare Job ID #19072844. 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: RN Utilization Review

About ALOIS Healthcare

Why ALOIS Healthcare?

ALOIS means “brave warrior” and that’s what you are- Warrior in Scrubs! Just as you advocate for your patients, we will advocate for you. The pay you deserve. The support you need. We’re in your corner for every battle – because you shouldn’t settle for anything less when it comes to your career.

We offer:

·      Industry-leading pay

  • Generous cost of living and housing stipends

·      Opportunities for referral, sign-on, and extension bonuses

·      Weekly health insurance or health insurance Marketplace weekly bonus

·      Continuing education credits

We’re proud to be recognized globally as a certified minority-owned staffing supplier.

At ALOIS Healthcare:

·      Everyone Matters

·      We are Performance Driven

·      We are Open, Honest and Direct

·      We are Transparent

·      We are Inclusive

·      We Do the Right Thing

We care about you - and your success is our success.

Apply