RN-Utilization Review
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 ...
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 ...
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 ...
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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 ...
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
New Orleans, LA · On-site
The Utilization Review Nurse ensures appropriate utilization of health services by performing ... Active Registered Nurse license by the State of Louisiana and/or the state(s) in which the nurse is ...
New Orleans, LA · On-site
The Utilization Review Nurse ensures appropriate utilization of health services by performing ... Active Registered Nurse license by the State of Louisiana and/or the state(s) in which the nurse is ...
Fort Myers, FL · On-site
$2.1K/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
$2.1K/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 ...
Carmel, IN · On-site +1
$50 - $52/hr
Active Indiana or compact RN License * Bachelors in Nursing * Minimum of 3 years hospital based bedside nursing experience in Med/Surg, ER, or critical care * Utilization Review OR Case Management ...
Carmel, IN · On-site +1
$50 - $52/hr
Active Indiana or compact RN License * Bachelors in Nursing * Minimum of 3 years hospital based bedside nursing experience in Med/Surg, ER, or critical care * Utilization Review OR Case Management ...
The Utilization Reviewer performs concurrent, extended stay and retrospective reviews of admissions ... Current US state RN license with authorization to practice in the state of GA. Knowledge, Skills ...
The Utilization Reviewer performs concurrent, extended stay and retrospective reviews of admissions ... Current US state RN license with authorization to practice in the state of GA. Knowledge, Skills ...
Plano, TX · Remote
Austin area - Travis/Williamson Counties or Richardson area - Dallas/Collin Counties*** RN working ... This position is responsible for performing initial, concurrent review activities; discharge care ...
Plano, TX · Remote
Austin area - Travis/Williamson Counties or Richardson area - Dallas/Collin Counties*** RN working ... This position is responsible for performing initial, concurrent review activities; discharge care ...
New Bedford, MA · On-site
$32 - $39/hr
LPN - Utilization Review Nurse Program & Location: Central Utilization Review Department - New Bedford, MA Qualifications: Graduate of an Accredited Professional School or Nursing or; master's degree ...
New Bedford, MA · On-site
$32 - $39/hr
LPN - Utilization Review Nurse Program & Location: Central Utilization Review Department - New Bedford, MA Qualifications: Graduate of an Accredited Professional School or Nursing or; master's degree ...
North Carolina License as a Registered Nurse. Three years clinical nursing experience. One year utilization and review experience. Experience with MCG authorization criteria preferred. Knowledge of ...
North Carolina License as a Registered Nurse. Three years clinical nursing experience. One year utilization and review experience. Experience with MCG authorization criteria preferred. Knowledge of ...
The Utilization Review Nurse ensures appropriate utilization of health services by performing ... Active Registered Nurse license by the State of Louisiana and/or the state(s) in which the nurse is ...
The Utilization Review Nurse ensures appropriate utilization of health services by performing ... Active Registered Nurse license by the State of Louisiana and/or the state(s) in which the nurse is ...
Randallstown, MD · On-site
$40.12 - $62.19/hr
Summary: The Utilization Review Nurse RN conducts initial, concurrent and retrospective chart review for clinical, financial and resource utilization information. Provides intervention and ...
Randallstown, MD · On-site
$40.12 - $62.19/hr
Summary: The Utilization Review Nurse RN conducts initial, concurrent and retrospective chart review for clinical, financial and resource utilization information. Provides intervention and ...
Oxford, NC · On-site
North Carolina License as a Registered Nurse. Three years clinical nursing experience. One year utilization and review experience. Experience with MCG authorization criteria preferred. Knowledge of ...
Oxford, NC · On-site
North Carolina License as a Registered Nurse. Three years clinical nursing experience. One year utilization and review experience. Experience with MCG authorization criteria preferred. Knowledge of ...
Fort Myers, FL · On-site
$2.1K/wk
Utilization Review Discipline: RN Start Date: 09/28/2026 Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel Requirements 2 years of RN/Utilization Management experience ...
New
Fort Myers, FL · On-site
$2.1K/wk
Utilization Review Discipline: RN Start Date: 09/28/2026 Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel Requirements 2 years of RN/Utilization Management experience ...
New
The Utilization Reviewer performs concurrent, extended stay and retrospective reviews of admissions ... Current US state RN license with authorization to practice in the state of GA. Knowledge, Skills ...
The Utilization Reviewer performs concurrent, extended stay and retrospective reviews of admissions ... Current US state RN license with authorization to practice in the state of GA. Knowledge, Skills ...
Utilization Review * Discipline: RN * Start Date: 09/07/2026 * Duration: 13 weeks * 40 hours per week * Shift: 8 hours, days * Employment Type: Travel 🚨 Care Management Coordinator | Remote ...
Utilization Review * Discipline: RN * Start Date: 09/07/2026 * Duration: 13 weeks * 40 hours per week * Shift: 8 hours, days * Employment Type: Travel 🚨 Care Management Coordinator | Remote ...
$55 - $90/hr
Utilization Review Nurse, LPN** to evaluate treatment requests and help ensure injured workers receive appropriate, timely care in accordance with applicable clinical guidelines and regulatory ...
New
$55 - $90/hr
Utilization Review Nurse, LPN** to evaluate treatment requests and help ensure injured workers receive appropriate, timely care in accordance with applicable clinical guidelines and regulatory ...
New
Randallstown, MD · On-site
$40.12 - $62.19/hr
Summary: The Utilization Review Nurse RN conducts initial, concurrent and retrospective chart review for clinical, financial and resource utilization information. Provides intervention and ...
Randallstown, MD · On-site
$40.12 - $62.19/hr
Summary: The Utilization Review Nurse RN conducts initial, concurrent and retrospective chart review for clinical, financial and resource utilization information. Provides intervention and ...
$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
| Aspect | Seasonal Rn Utilization Review Nurse | Case Manager Nurse |
|---|---|---|
| Credentials | Registered Nurse (RN) license, utilization review certification (if applicable) | Registered Nurse (RN) license, case management certification (e.g., CCM) |
| Work Environment | Hospitals, insurance companies, healthcare facilities, often seasonal or temporary roles | Hospitals, clinics, insurance companies, often ongoing roles |
| Industry Usage | Used mainly in insurance and healthcare for review of patient care | Used 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.
Cities with the most Seasonal Rn Utilization Review Nurse job openings:
The most popular types of Rn Utilization Review Nurse jobs are:
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