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
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
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
Fort Myers, FL · On-site
$1.8K - $2.5K/wk
Utilization Review * Discipline: RN * Duration: 13 weeks * 36 hours per week * Shift: 12 hours * Employment Type: Travel & Requirements RN Utilization Review StartDate: ASAP Pay Rate: $1800.00 ...
Fort Myers, FL · On-site
$1.8K - $2.5K/wk
Utilization Review * Discipline: RN * Duration: 13 weeks * 36 hours per week * Shift: 12 hours * Employment Type: Travel & Requirements RN Utilization Review StartDate: ASAP Pay Rate: $1800.00 ...
Huntsville, AL · On-site
Utilization Review or Case Management experience Required License/Registration/Certification: Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) or Licensed Registered Nurse Preferred ...
Huntsville, AL · On-site
Utilization Review or Case Management experience Required License/Registration/Certification: Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) or Licensed Registered Nurse Preferred ...
Omaha, NE · Hybrid
The Utilization Review Nurse ensures all aspects of an injured worker's treatment are effective ... LICENSES/EXPERIENCE: A current RN license as well as 5+ years of recent, hands-on clinical ...
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Omaha, NE · Hybrid
The Utilization Review Nurse ensures all aspects of an injured worker's treatment are effective ... LICENSES/EXPERIENCE: A current RN license as well as 5+ years of recent, hands-on clinical ...
Jackson Heights, NY · On-site
$2.8K/wk
Utilization Review Discipline: RN Start Date: 09/14/2026 Duration: 7 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel RN - Utilization Review Facility: Correctional Health ...
New
Jackson Heights, NY · On-site
$2.8K/wk
Utilization Review Discipline: RN Start Date: 09/14/2026 Duration: 7 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel RN - Utilization Review Facility: Correctional Health ...
New
Las Vegas, NV · On-site
$41 - $60/hr (+ commission)
- Utilization Review Nurse Position Summary The Utilization Review Nurse is responsible for reviewing ... Current, unrestricted Registered Nurse (RN) license in the State of Nevada. * Demonstrated ...
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Las Vegas, NV · On-site
$41 - $60/hr (+ commission)
- Utilization Review Nurse Position Summary The Utilization Review Nurse is responsible for reviewing ... Current, unrestricted Registered Nurse (RN) license in the State of Nevada. * Demonstrated ...
Hours: 8:30-5:30, Monday - Friday At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent ...
Hours: 8:30-5:30, Monday - Friday At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent ...
Memphis, TN · On-site
Utilization Review * Discharge planning * Readmission Reduction Participation * Payer Communication and denial reduction * Completes assigned goals. Specifications Experience Minimum Required * RN ...
Memphis, TN · On-site
Utilization Review * Discharge planning * Readmission Reduction Participation * Payer Communication and denial reduction * Completes assigned goals. Specifications Experience Minimum Required * RN ...
Bakersfield, CA · On-site
$43.51 - $68.56/hr
Utilization Review Nurse - Full Time Shift: 8:00am - 4:30pm with rotating weekend coverage ... Employment Standards: Possession of a valid license as a Registered Nurse in the State of ...
Bakersfield, CA · On-site
$43.51 - $68.56/hr
Utilization Review Nurse - Full Time Shift: 8:00am - 4:30pm with rotating weekend coverage ... Employment Standards: Possession of a valid license as a Registered Nurse in the State of ...
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 ...
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 ...
Houston, TX · On-site
$30 - $40/hr
Job Title: RN Clinical Review Nurse (Utilization Review Nurse) The Clinical Review Clinician for Appeals is responsible for performing clinical reviews to resolve and process appeals by examining ...
Houston, TX · On-site
$30 - $40/hr
Job Title: RN Clinical Review Nurse (Utilization Review Nurse) The Clinical Review Clinician for Appeals is responsible for performing clinical reviews to resolve and process appeals by examining ...
Queens, NY · On-site
$2.8K/wk
Job title: RN - Utilization Review Job location : East Elmhurst, NY 11370-1381 Shift : 8:30 AM-5:00 PM Length : 8 weeks, Possible extension Local Hourly pay: $60 - $63/hr Travel Weekly Pay upto ...
New
Queens, NY · On-site
$2.8K/wk
Job title: RN - Utilization Review Job location : East Elmhurst, NY 11370-1381 Shift : 8:30 AM-5:00 PM Length : 8 weeks, Possible extension Local Hourly pay: $60 - $63/hr Travel Weekly Pay upto ...
New
... Valid RN or LPN license * Must have 2 years of experience in a psychiatric health care setting, delivery of care to psychiatric and/or chemically dependent patients and utilization review EEO ...
... Valid RN or LPN license * Must have 2 years of experience in a psychiatric health care setting, delivery of care to psychiatric and/or chemically dependent patients and utilization review EEO ...
Las Vegas, NV · On-site
$55.10 - $86.79/hr
We are seeking an Utilization Review Nurse for a full time permanent role onsite in Las Vegas, NV ... Valid license by the State of Nevada to practice as a Registered Nurse. Additional Position ...
New
Las Vegas, NV · On-site
$55.10 - $86.79/hr
We are seeking an Utilization Review Nurse for a full time permanent role onsite in Las Vegas, NV ... Valid license by the State of Nevada to practice as a Registered Nurse. Additional Position ...
New
Memphis, TN · On-site
Utilization Review * Discharge planning * Readmission Reduction Participation * Payer Communication and denial reduction * Completes assigned goals. Specifications Experience Minimum Required * RN ...
Memphis, TN · On-site
Utilization Review * Discharge planning * Readmission Reduction Participation * Payer Communication and denial reduction * Completes assigned goals. Specifications Experience Minimum Required * RN ...
Madera, CA · On-site
$75 - $95/hr
Position Summary The Utilization Review Nurse assesses, plans, implements and evaluates the needs ... Current California Board of Nursing Registered Nurse License. * Current American Heart Association ...
Madera, CA · On-site
$75 - $95/hr
Position Summary The Utilization Review Nurse assesses, plans, implements and evaluates the needs ... Current California Board of Nursing Registered Nurse License. * Current American Heart Association ...
$46 - $60/hr
The Utilization Review Nurse assesses, plans, implements and evaluates the needs of patients for ... Requires Current California Board of Nursing Registered Nurse License. * Current American Heart ...
$46 - $60/hr
The Utilization Review Nurse assesses, plans, implements and evaluates the needs of patients for ... Requires Current California Board of Nursing Registered Nurse License. * Current American Heart ...
Madera, CA · On-site
$46 - $60/hr
The Utilization Review Nurse assesses, plans, implements and evaluates the needs of patients for ... Requires Current California Board of Nursing Registered Nurse License. * Current American Heart ...
Madera, CA · On-site
$46 - $60/hr
The Utilization Review Nurse assesses, plans, implements and evaluates the needs of patients for ... Requires Current California Board of Nursing Registered Nurse License. * Current American Heart ...
Job Summary The Utilization Review (UR) Nurse has acute knowledge and skills in areas of ... Registered Nurse (RN), with authorization to practice in the State of Texas * Preferred
Job Summary The Utilization Review (UR) Nurse has acute knowledge and skills in areas of ... Registered Nurse (RN), with authorization to practice in the State of Texas * Preferred
Utilization Review * Discipline: RN * Start Date: 09/14/2026 * Duration: 13 weeks * 40 hours per week * Shift: 8 hours, days * Employment Type: Travel Description In this role, you will manage ...
Utilization Review * Discipline: RN * Start Date: 09/14/2026 * Duration: 13 weeks * 40 hours per week * Shift: 8 hours, days * Employment Type: Travel Description In this role, you will manage ...
$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
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.
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.
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:

$2.1K/wk
Other
Medical, Dental, Vision, Retirement
This job post has expired 1 day ago. Applications are no longer accepted.
Health Advocates Network is urgently hiring Utilization Review Registered Nurses (RNs) in the Fort Myers, FL area. Must have 2 years Utilization Review experience.
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Recruiting and staffing services
201 - 500 Employees
Boca Raton, FL, US