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Seasonal Rn Utilization Review Nurse Jobs (NOW HIRING)

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 ...

Sedgwick

RN Utilization Review

Juneau, AK · On-site

$73K - $75K/yr

Maintains a score of 90% or higher on monthly internal utilization review audits. * Meets productivity goals as outlined by supervisor. Education & Licensing Active unrestricted RN license in a state ...

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

As of Jun 11, 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
RN Utilization Review Nurse

RN Utilization Review Nurse

Healthcare Support Staffing

Troy, MI

$33 - $37/hr

Full-time

Posted 13 hours 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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