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Seasonal Rn Utilization Review Nurse Jobs (NOW HIRING)

TEEMA Solutions Group

$104.83 - $110.34/hr

We're hiring experienced RN Utilization Review for a 13-week contract in Kinston, North Carolina -- earn up to ($2304 - $2425 per week) while providing essential care at a leading facility. Most ...

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Care Career

Travel Utilization Review RN

Fort Myers, FL · On-site

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

Care Career

Travel Utilization Review RN

Torrance, CA · On-site

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

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Voyage Health

Travel RN Utilization Review

Torrance, CA · On-site

$1.8K - $1.9K/wk

Position Details Specialty: RN Utilization Review Location: Torrance, California Employment Type: Travel/Contract Pay: $1816 - $1912 per week Shift: 5x8 Days Start Date: ASAP Contract Length: 13-week ...

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 ...

Sentara Health Plans

$65 - $85/hr

Registered Nurse (required) Experience * 3 years of acute care clinical experience (required) * Previous Utilization Review experience (preferred) * Milliman experience (preferred) * Knowledge of ...

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

As of Sep 2, 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 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 to get into utilization review as a seasonal RN utilization review nurse?

To become a seasonal RN utilization review nurse, you typically need a valid registered nurse license, experience in case management or clinical review, and familiarity with healthcare policies and documentation. Certification in case management or utilization review, such as the Certified Case Manager (CCM), can enhance your qualifications. Seasonal roles often require flexibility and the ability to adapt to temporary staffing needs within healthcare organizations.

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:

Seasonal Rn Utilization Review Nurse jobs near you

RN Utilization Review Nurse

Healthcare Support Staffing

Troy, MI

$33 - $37/hr

Full-time

Re-posted 24 days ago

Job description

Company Description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

Are you an experienced RN Utilization Review Nurse looking for a new opportunity with a prestigious healthcare company as a RN Utilization Review Nurse. Do you want the chance to advance your career by joining a rapidly growing company? If you answered "yes" to any of these questions - this is the RN Utilization Review Nurse position for you!


Company Job Description/Day to Day Duties:

  • Providing utilization review for the Medicaid and Medicare line of business. Primarily inpatient, skilled nurses facilities, rehab, behavioral health, and home healthcare.
  • Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing members with the right care at the right place at the right time. Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review. Assesses services for Members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and guidelines
  • Provider appeals and Utilization reviews and assist with Denial Letters
  • Provides concurrent review and prior authorizations (as needed) according to policy for members as part of the Utilization Management team.
  • Identifies appropriate benefits, eligibility, and expected length of stay for members requesting treatments and/or procedures.
  • Participates in interdepartmental integration and collaboration to enhance the continuity of care for members including Behavioral Health and Long Term Care.


Hours for this Position:

  • Mon-Fri: 8:30am - 5pm


Advantages of this Opportunity:

  • Great salary between $33 - 37!
  • Great benefits!!!
  • Fun and positive work environment!
Qualifications

Minimum Education/Qualifications/Licensures:

  • Must be an RN
  • Utilization Review background in either Managed Care of Provider environment (at least one year)
  • Interqual experience (at least one year)
  • Also has a background in patient, skilled nurses facilities, rehab, and home healthcare.
  • Other basic computer skills necessary: Microsoft Office, Data Entry, etc.
  • Minimum 2-4 years of clinical practice. Preferably hospital nursing, utilization management, and/or case management.
  • Great typing and data entry skills
Additional Information

Interested in being considered?

If you are interested in being considered for this position, please click the apply button below.  Or call John Wood 407-478-0332 ext 225

Healthcare Support logo

About Healthcare Support

Sourced by ZipRecruiter

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Maitland, FL, US

Year founded

2003

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