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Seasonal Rn Utilization Review Nurse Jobs (NOW HIRING)

Sedgwick

RN Utilization Review

Providence, RI · 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 ...

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 ...

Sedgwick

RN Utilization Review

Salem, OR · 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 ...

Sedgwick

RN Utilization Review

Dover, DE · 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 ...

Sedgwick

RN Utilization Review

Sacramento, CA · 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 ...

Sedgwick

RN Utilization Review

Richmond, VA · 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 ...

Sedgwick

RN Utilization Review

Honolulu, HI · 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 ...

Southeast Health

Utilization Review Nurse

Dothan, AL · On-site

Summary The Utilization Review Nurse screens medical records in accordance with contractual ... Current Registered Nurse license in the State of Alabama Minimum Education Preferred * Bachelor ...

Sedgwick

RN Utilization Review

Denver, CO · 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 ...

Sedgwick

RN Utilization Review

Helena, MT · 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 ...

Sedgwick

RN Utilization Review

Santa Fe, NM · 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 ...

Sedgwick

RN Utilization Review

Madison, WI · 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 ...

Sedgwick

RN Utilization Review

Austin, TX · 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 ...

Sedgwick

RN Utilization Review

Hartford, CT · 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 ...

Seh

Summary The Utilization Review Nurse screens medical records in accordance with contractual ... Current Registered Nurse license in the State of Alabama Minimum Education Preferred * Bachelor ...

Midland Health

Nurse Utilization Review

Midland, TX

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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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

Utilization Review Nurse

Berkshire Hathaway Homestate Companies

Omaha, NE • Hybrid

Other

Medical, Dental, Vision, Life, PTO

Posted 2 days ago

Job description

WHAT WE'RE LOOKING FOR
We have openings in our Omaha, Nebraska office for Utilization Review Nurses. The Utilization Review Nurse ensures all aspects of an injured worker's treatment are effective, efficient, and in accordance with applicable legal requirements.
This is a full-time, permanent position within our Medical Management team and that will allow experienced nurses to put their years of clinical knowledge to use in an office environment and learn new skills in this growing industry. No UR experience required!
ESSENTIAL RESPONSIBILITIES
  • Review complex workers compensation medical treatment requests to ensure accordance with evidence-based medical treatment guidelines, which are generally recognized by the national medical community and are scientifically based.
  • Research claim file in relation to the requested medical treatment while interpreting medical reports/claims summaries and applies appropriate established guidelines to requested treatment. Refers treatment requests, which do not meet guidelines, for peer review and determination.
  • Advocate for the injured worker and claims department, ensuring proposed treatment requests are appropriate for the diagnosis.
  • Performs daily tasks within the appropriate established workflow processes, utilizes accepted guidelines and meets legislative and departmental timeframes.
  • Maintain patient confidentiality in discussions of treatment, disease process and conditions.
  • Routinely contacts providers to clarify treatment requests, examination findings, as well as obtain additional medical information as needed.
  • Maintains clear, concise, and accurate documentation of requested medical treatments to include clinical findings, treatment guidelines, and determination.
  • Provide appropriate notices to providers, injured workers, claims staff, and attorneys.
  • Act as a medical resource in regards to utilization review to Claims Support Nurse, Bill Review, and Claims department.
  • Foster a positive and close working relationship with other Company staff, including the claims staff, medical bill review, claims support nurse, special investigations, legal, liens, the call center, and client services.
  • Communicate effectively with individuals outside the company, including clients, medical providers, and vendors.
WHAT WILL SET YOU APART
  • EDUCATION: Bachelor of Science Nursing degree (BSN), or Registered Nursing degree (RN) from four-year college or university, or an accredited college.
  • LICENSES/EXPERIENCE: A current RN license as well as 5+ years of recent, hands-on clinical experience in a Critical care unit such as Medical Surgery, Emergency Room, ICU, Oncology, Orthopedics, Neuro or other similar settings. Must have an active state license and eligible to obtain additional state licenses.
  • TECHNICAL SKILLS: Knowledge of current recognized evidence-based medicine guidelines required. Proficient in Microsoft Office suite of applications. Able to perform independent internet medical research. Able to quickly master proprietary and vendor software applications.
  • LANGUAGE ABILITY: Able to read, analyze, and interpret common scientific and technical journals, statutes, regulations, medical reports, medical coding, medical bills, financial reports, and legal documents. Able to respond to technical inquiries or complaints from Company employees, external sources, and regulatory or auditing entities.
  • REASONING ABILITY: Able to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Able to deal with problems involving several concrete variables in standardized situations.
 
WHAT WE OFFER
  • Work From Home (Up to 2 days per week upon eligibility)
  • Onsite Gym
  • Garage Parking
  • Within walking distance of the Old Market District
  • Paid Time Off
  • Paid Holidays
  • Retirements Savings Match
  • Group Health Insurance (Medical, Dental, and Vision)
  • Life and AD&D Insurance
  • Long Term Disability Insurance
  • Paid Community Volunteer Day
  • Employee Assistance Program
  • Tuition Reimbursement Program
  • Employee Referral Program
  • Diversity, Equity and Inclusion Program
ABOUT US
With more than 50 years in business, Berkshire Hathaway Homestate Companies (BHHC) has grown from a regional organization to a national insurance group, offering insurance products from coast to coast. Relationships are the cornerstone of our culture, and we believe in doing the right thing. That means we invest in our business in every way possible to deliver on our mission and demonstrate that people are what powers our success. Our commitment to financial strength and integrity means our customers can rest assured that we will be there when it counts.
 
At BHHC we embrace diversity and foster an environment where our people can be their authentic selves. Our differences make us stronger and better together, which fosters a harmonious workplace-something we truly value. We've created an approachable and collaborative atmosphere. Here you'll find a welcoming workplace where everyone can feel valued, supported, and inspired to do great work. Together, we raise the bar by being curious, remaining customer-focused, and operating with integrity.
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