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Rn Utilization Review Nurse Jobs (NOW HIRING)

Pacer Group

RN - UTILIZATION REVIEW

Everett, WA · On-site

$65/hr

Fully Remote Position Job Title : RN - UTILIZATION REVIEW Location: Everett, WA 98201 Start Date: 05/04/2026 Duration: 13 weeks Schedule Shift: Day 5x8-Hour (08:00 - 16:30) Shift Notes: Days (5×8 ...

HAN Staff

RN - Utilization Review

Fort Myers, FL · On-site

$2.1K/wk

Health Advocates Network is urgently hiring Utilization Review Registered Nurses (RNs) in the Fort Myers, FL area. Must have 2 years Utilization Review experience. * Pay Rate: $2,110 weekly

Oscar Health

Utilization Review Nurse

Tempe, AZ · Remote

$35 - $45.94/hr

We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate ...

UHS

Utilization Review Nurse (RN)

Augusta, GA · On-site

Utilization Review Nurse . Under the direction of the Director of Utilization Management. Website ... Registered Nurse (RN) preferred or License Professional Nurse (LPN) * Current GA or Multistate ...

KTI Health

Be Seen First

Registered Nurse Utilization Review - Remote

Torrance, CA · Remote

$2.1K - $2.2K/wk

Travel Registered Nurse - Utilization Review Location: Torrance, CA Position: Registered Nurse (RN) - Utilization Review Job Type: Remote Travel/Contract Contract: 13 weeks Start Date: September 21 ...

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Rn Utilization Review Nurse information

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

As of Aug 29, 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, 3% Contract, and 1% Nights. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Travel RN-Utilization Review in Kinston, North Carolina

Kinston, NC • On-site

Voyage Health
See more jobs at Voyage Healthexternal

$2.1K - $2.2K/wk

Full-time

Re-posted 8 days ago

Job description

Looking to level up your career and boost your income? At Voyage Healthcare, we help connect nurses, therapists, and allied health pros with high-paying travel jobs at top-rated facilities across the U.S. With thousands of openings nationwide, you can earn up to $3,500+ per week (depending on your specialty, location, housing, and benefits)—all while making a real impact on the communities that need you most. Let your next adventure start with us!
Position: RN-Utilization Review (Travel/Contract)
We're hiring experienced RN-Utilization Review for a 13-week contract in Kinston, North Carolina — earn up to ($2123 - $2235 per week) while providing essential care at a leading facility. Most candidates will need to have at least 2 years of recent experience in the specialty.
Apply & Call us today at 800-798-6035 for details on this opportunity.
Position Details
Specialty: RN-Utilization Review
Location: Kinston, North Carolina
Employment Type: Travel/Contract
Pay: $2123 - $2235 per week
Shift: 5x8 Days
Start Date: ASAP
Contract Length: 13-week