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Rn Utilization Review Nurse Jobs (NOW HIRING)

Slate Healthcare

RN - Utilization Review

Tuba City, AZ · On-site

Overview As a Utilization Review Nurse, you will play a vital role in ensuring that patients receive appropriate care by verifying medical necessity and monitoring the ongoing need for services. You ...

talent4health

RN - Utilization Review

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 - ...

Care Career

Travel Utilization Review RN

Tuba City, AZ · On-site

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

Voyage Health

Travel RN Utilization Review

Tuba City, AZ · On-site

$2.4K - $2.5K/wk

Position Details Specialty: RN Utilization Review Location: Tuba City, Arizona Employment Type: Travel/Contract Pay: $2467 - $2597 per week Shift: 5x8 Days Start Date: ASAP Contract Length: 13-week ...

Voyage Health

Travel RN Utilization Review

Kinston, NC · On-site

$2.3K - $2.4K/wk

Position Details Specialty: RN Utilization Review Location: Kinston, North Carolina Employment Type: Travel/Contract Pay: $2304 - $2425 per week Shift: 5x8 Days Start Date: ASAP Contract Length: 13 ...

Mission Hospital

RN - Utilization Review

Tuba City, AZ · On-site

$2.5K/wk

Details Client Name Tuba City Regional Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 37695980 Job Title RN - Utilization Review Weekly Pay $2552.28 Shift Details ...

Genesis Healcare

RN - Utilization Review

Albuquerque, NM · On-site

$2.4K/wk

Details Client Name Genesis - West Region - 103 Hospital Loop NE Albuquerque, NM Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 37450074 Job Title RN - Utilization ...

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

As of Aug 8, 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 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.

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.

How to get into utilization review as a registered nurse?

To become a utilization review nurse, registered nurses typically need clinical experience, knowledge of healthcare policies, and familiarity with medical records and insurance processes. Earning certifications such as the Certified Professional in Healthcare Quality (CPHQ) or Utilization Review Certification (URAC) can enhance qualifications. Strong analytical skills and understanding of medical necessity criteria are also important for success in this role.

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.

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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, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

RN - Utilization Review

Slate Healthcare

Tuba City, AZ • On-site

Other

Medical, Dental, Vision, Retirement

Posted 6 days ago

Job description

Overview
As a Utilization Review Nurse, you will play a vital role in ensuring that patients receive appropriate care by verifying medical necessity and monitoring the ongoing need for services. You will work closely with healthcare providers and the care team to coordinate discharge planning and manage resources effectively, all while aligning patient care with quality standards and reimbursement rules. Your expertise will directly impact patient outcomes and the overall efficiency of the hospital.
Benefits
  • Weekly Pay
  • Referral Bonus
  • Medical benefits
  • Dental benefits
  • Vision benefits
  • 401K retirement plan

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