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Rn Utilization Review Nurse Jobs (NOW HIRING)

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 ...

Talent4Health

RN - Utilization Review

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 ...

Voyage Health

Travel RN Utilization Review

Pocatello, ID · On-site

$1.8K - $1.9K/wk

Position Details Specialty: RN Utilization Review Location: Pocatello, Idaho Employment Type: Travel/Contract Pay: $1859 - $1957 per week Shift: 5x8 Days Start Date: ASAP Contract Length: 13-week ...

Hired by Matrix

RN Utilization Review

Portales, NM · On-site

RN Utilization Review Location: Portales, NM Job Type: Travel Discipline: RN Speciality: Utilization Review Facility Setting: Short Term Acute Care (STAC) Accepting Locals per Radius Rule?: Yes ...

Virginia Gay Hospital

Utilization Tech

Vinton, IA

Would prefer candidate to have previous education and experience as an MA/RN/LPN, Utilization Review Nurse and/or have experience in physician office preauthorization and utilization review.

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

As of Aug 18, 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, 82% Full Time, 13% Part Time, 3% Contract, and 1% Nights. 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

Wesley Medical Center

Tuba City, AZ • On-site

$2.5K/wk

Other

Medical, Dental, Vision, Retirement

Posted 16 days ago

Job description

Details
Client Name
Tuba City Regional - Tuba City, AZ - Medefis
Job Type
Travel
Offering
Nursing
Profession
RN
Specialty
Utilization Review
Job ID
37695957
Job Title
RN - Utilization Review
Weekly Pay
$2512.28
Shift Details
Shift
5x8 Days
Scheduled Hours
40
Job Order Details
Start Date
09/07/2026
End Date
12/07/2026
Duration
13 Week(s)
Job Description
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
  • First Day Medical, Dental, Vision and Rx benefits
  • Housing and Meal stipends
  • 401(k) Savings plan after 90 days
  • Travel/Licensure Reimbursement
  • Competitive pay rates
  • Referral Bonus Plan
  • Assignment Bonus on select assignments (ask your recruiter for details)
  • Weekly Direct Deposit
Qualifications
  • At least 2-years total experience in your specialty
  • Current BLS and/or ACLS (AHA Preferred) and/or Specialty Certifications
  • Active Nursing License per state
  • Current Updated Resume
  • Supervisory Professional References
  • Must complete Drug Screen and Background Screen

Prime HealthCare Staffing has day and night shifts available. Submit your resume and experience the Prime difference or call 866-991-0900 for more details.
Client Details
Address
167 N Main St
City
Tuba City
State
AZ
Zip Code
86045

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