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Seasonal Rn Utilization Review Nurse Jobs (NOW HIRING)

VillageCare

Utilization Review Nurse

Manhattan, NY · On-site

RN- Utilization Review Nurse Inpatient *Hybrid* Must reside within the New York Tri-State Area - NY, NJ, or CT COME WORK FOR THE LEADING, LOCAL MANAGED CARE COMPANY - VILLAGE CARE! VillageCare is ...

Fusion HCR

Utilization Review Nurse

Las Vegas, NV

Overview Seeking an experienced Utilization Review Nurse (RN) to review patient admissions for medical necessity, appropriate level of care, and compliance with payer guidelines. This role works ...

Midland Health

Nurse Utilization Review

Midland, TX · On-site

The utilization review (UR) nurse serves to maximize the quality and cost efficiency of health care ... The UR nurse will also assist Registered Nurse (RN) Case Managers and Social Workers with helping ...

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Seasonal Rn Utilization Review Nurse information

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

As of Jun 16, 2026, the average hourly pay for seasonal 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 chillest nursing jobs?

A seasonal RN utilization review nurse typically has a predictable schedule, often working regular hours with minimal on-call requirements. These roles usually involve reviewing patient cases and insurance claims, which can be less physically demanding and stressful compared to bedside nursing, making them considered relatively relaxed within the nursing field.

How to make 150,000 as a nurse?

A Seasonal Rn Utilization Review Nurse can reach a $150,000 salary by gaining extensive experience, obtaining advanced certifications, and working in high-paying healthcare settings or regions. Increasing hours, taking on leadership roles, or specializing in areas like case management can also boost earning potential.

What is the difference between Seasonal Rn Utilization Review Nurse vs Case Manager Nurse?

AspectSeasonal Rn Utilization Review NurseCase Manager Nurse
CredentialsRegistered Nurse (RN) license, utilization review certification (if applicable)Registered Nurse (RN) license, case management certification (e.g., CCM)
Work EnvironmentHospitals, insurance companies, healthcare facilities, often seasonal or temporary rolesHospitals, clinics, insurance companies, often ongoing roles
Industry UsageUsed mainly in insurance and healthcare for review of patient careUsed in healthcare for coordinating patient care and discharge planning

While both roles require RN licensure and involve patient care assessment, the Seasonal Rn Utilization Review Nurse focuses on reviewing medical necessity and insurance claims during specific seasons, whereas the Case Manager Nurse manages ongoing patient care and discharge planning. The roles differ mainly in scope and duration, with utilization review being more episodic and case management being continuous.

How do I get into utilization review nursing?

To become a utilization review nurse, you typically need to hold a registered nurse (RN) license and gain experience in clinical settings. Additional certifications such as the Certified Professional in Healthcare Quality (CPHQ) or case management credentials can improve job prospects, and familiarity with electronic health records (EHR) systems is often required.

How to make an extra 2000 a month as a nurse?

A Seasonal RN Utilization Review Nurse can increase income by taking on overtime shifts, working additional part-time or per diem assignments, or pursuing specialized certifications to qualify for higher-paying roles. Developing skills in case management or telehealth can also open opportunities for extra income outside regular hours.
What cities are hiring for Seasonal Rn Utilization Review Nurse jobs? Cities with the most Seasonal Rn Utilization Review Nurse job openings:
What are the most commonly searched types of Rn Utilization Review Nurse jobs? The most popular types of Rn Utilization Review Nurse jobs are:
What states have the most Seasonal Rn Utilization Review Nurse jobs? States with the most job openings for Seasonal Rn Utilization Review Nurse jobs include:
Seasonal Rn Utilization Review Nurse jobs near you

Travel Nurse RN - Utilization Review - $3,604 per week

Integrated Health Care LLC

Bakersfield, CA • On-site

$3.6K/wk

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

Integrated Healthcare Services is seeking a travel nurse RN Utilization Review for a travel nursing job in Bakersfield, California.

Job Description & Requirements

  • Specialty: Utilization Review
  • Discipline: RN
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 8 hours, days
  • Employment Type: Travel

Job Title: RN - Case Management (Utilization Review)

Location: California

Employment Type: Full-Time

Contract Length: Permanent

Job Summary: The Utilization Review Nurse II is responsible for evaluating medical records, discharge planning, and ensuring compliance with payor documentation requirements to maximize hospital reimbursement.

Job Responsibilities:

  • Evaluate medical records for inpatient admissions to ensure required documentation is present.
  • Initiate Physician Advisories for unwarranted admissions.
  • Conduct ongoing reviews and discuss care changes with attending physicians.
  • Formulate and document discharge plans.
  • Coordinate with hospital services to ensure efficient resource use.
  • Identify pay source issues and provide appropriate referrals.
  • Collaborate with admitting office to prevent inappropriate admissions.
  • Schedule specialized tests and authorize payments under Medically Indigent Adult programs.
  • Review and approve surgery schedules for elective procedures.
  • Coordinate with correctional facilities regarding elective procedures and medical goods.
  • Answer provider questions about reimbursement and documentation requirements.
  • Teach providers payor documentation requirements to maximize reimbursement.
  • Assist in training Utilization Review Nurse I staff.
  • Perform other job-related duties as assigned.

Required Qualifications:

  • Two (2) years of experience as an RN in an acute care hospital, including one (1) year on a medical/surgical ward or unit.
  • One (1) year of utilization review/discharge planning experience in an acute care hospital or two (2) years as a Case Manager in a clinic or physician's office.
  • Knowledge of payor source documentation requirements and governmental regulations.
  • Understanding of acute care nursing principles, patient disease processes, medical terminology, and hospital routines.
  • Ability to evaluate medical records, assess clinical performance, and communicate documentation needs effectively.
  • Proficiency in gathering and analyzing data for reports and recommendations.

Required Certifications & Licensure:

  • Valid Registered Nurse license in the State of California.
  • Current American Heart Association Healthcare Provider Basic Life Support (BLS) card.

Preferred Qualifications:

  • None specified.

Additional Information: This role requires strong interpersonal skills to collaborate with physicians, health providers, payor sources, and the general public.

QUALIFICATION/LICENSURE Work Authorization : US Citizen Preferred years of experience : 2 years Travel required : No travel required Shift timings : Days

RightSourcing IHS Job ID #37276836. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN - Utilization Review

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