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Senior Rn Utilization Review Nurse Jobs in Rochester, MN

Registered Nurse (RN) Edenbrook Pine Haven is seeking a dedicated and compassionate Registered Nurse (RN) to join our team in providing high-quality care to our residents. As an RN at Edenbrook, you ...

Float RN, Registered Nurse Job Locations USA-MN-Rochester (Madonna Meadows) Campus Name Benedictine ... senior care organization founded by the sisters of St. Scholastica that operates on four core ...

Float RN, Registered Nurse Job Locations USA-MN-Rochester (Madonna Meadows) Campus Name Benedictine ... senior care organization founded by the sisters of St. Scholastica that operates on four core ...

RN

Rochester, MN · On-site

$29.99 - $35.64/hr

... senior care organization founded by the sisters of St. Scholastica that operates on four core ... EEO/AA/Vet Friendly Salary Range LPN ranges $29.99-35.64 RN ranges $37.49-45.70 Benefits Statement ...

RN

Rochester, MN · On-site

$37.49 - $45.70/hr

... senior care organization founded by the sisters of St. Scholastica that operates on four core ... EEO/AA/Vet Friendly Salary Range RN ranges $37.49-45.70 Benefits Statement A robust benefits ...

RN

Rochester, MN

$38 - $42/hr

... senior care organization founded by the sisters of St. Scholastica that operates on four core ... RN license in MN 2. Valid BLS certification within 90 days of hire #BHSMadonnaMeadows

RN

Rochester, MN · On-site

$38 - $42/hr

... senior care organization founded by the sisters of St. Scholastica that operates on four core ... RN license in MN 2. Valid BLS certification within 90 days of hire #BHSMadonnaMeadows

RN

Rochester, MN

$38 - $42/hr

... senior care organization founded by the sisters of St. Scholastica that operates on four core ... RN license in MN 2. Valid BLS certification within 90 days of hire #BHSMadonnaMeadows

RN

Rochester, MN · On-site

$38 - $42/hr

... senior care organization founded by the sisters of St. Scholastica that operates on four core ... RN license in MN 2. Valid BLS certification within 90 days of hire #BHSMadonnaMeadows

We're looking for a dedicated Registered Nurse (RN) Float to join our compassionate, care-giving ... senior care organization founded by the sisters of St. Scholastica that operates on four core ...

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Senior Rn Utilization Review Nurse information

See Rochester, MN salary details

$21

$42

$70

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

As of Jun 9, 2026, the average hourly pay for senior rn utilization review nurse in Rochester, MN is $42.98, according to ZipRecruiter salary data. Most workers in this role earn between $33.94 and $49.38 per hour, depending on experience, location, and employer.

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

AspectSenior Rn Utilization Review NurseRn Case Manager
CertificationsRN license, possibly UR or case management certificationRN license, often case management certification
Work EnvironmentHospitals, insurance companies, healthcare organizationsHospitals, community health, insurance providers
Primary FocusReviewing medical necessity and utilization of servicesCoordinating patient care and discharge planning
Common UsageUsed in insurance and healthcare review settingsUsed in patient care coordination and discharge planning

The Senior Rn Utilization Review Nurse primarily focuses on evaluating the necessity and appropriateness of healthcare services, often working within insurance companies or healthcare organizations. In contrast, Rn Case Managers concentrate on coordinating patient care, discharge planning, and ensuring smooth healthcare delivery. Both roles require RN licensure and relevant certifications, but their daily responsibilities and work environments differ slightly.

What does a Senior RN Utilization Review Nurse do?

A Senior RN Utilization Review Nurse is a registered nurse who evaluates the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They review patient records, apply clinical guidelines, and collaborate with healthcare providers to ensure that treatments are cost-effective and meet established standards of care. Additionally, they often mentor junior staff, participate in policy development, and help optimize resource utilization within healthcare organizations. Their work supports quality patient care while managing healthcare costs.

What are some typical challenges faced by Senior RN Utilization Review Nurses when coordinating with multidisciplinary teams?

Senior RN Utilization Review Nurses often collaborate with physicians, case managers, and insurance representatives to ensure patients receive appropriate, cost-effective care. A common challenge is balancing clinical guidelines with payer requirements, which can sometimes lead to differing opinions on the necessity of certain treatments or services. Effective communication, strong negotiation skills, and up-to-date knowledge of regulatory standards are essential to navigate these situations successfully. Being proactive and maintaining strong professional relationships helps facilitate smoother approvals and promotes patient-centered care.

What are the key skills and qualifications needed to thrive as a Senior RN Utilization Review Nurse, and why are they important?

To thrive as a Senior RN Utilization Review Nurse, you need a strong clinical nursing background, active RN licensure, and in-depth knowledge of medical necessity criteria and healthcare regulations. Familiarity with utilization review software, electronic health records (EHRs), and certifications like CCM (Certified Case Manager) or URAC are highly beneficial. Exceptional critical thinking, attention to detail, and effective communication skills distinguish top performers in this role. These skills ensure accurate case evaluations, compliance with regulations, and optimized patient care while controlling healthcare costs.
What are popular job titles related to Senior Rn Utilization Review Nurse jobs in Rochester, MN? For Senior Rn Utilization Review Nurse jobs in Rochester, MN, the most frequently searched job titles are:
What cities near Rochester, MN are hiring for Senior Rn Utilization Review Nurse jobs? Cities near Rochester, MN with the most Senior Rn Utilization Review Nurse job openings:
Registered Nurse (RN) - Casual

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 25 days ago


Fairview Health Services rating

7.8

Company rating: 7.8 out of 10

Based on 240 frontline employees who took The Breakroom Quiz

132nd of 870 rated healthcare providers


Job description

Job Overview
The Registered Nurse (RN) provides for and assists in meeting the TCU (transitional care unit) adult patients' physical, emotional and psycho-social needs while adhering to facility, state and federal guidelines for Mayo health services skilled nursing facility - Lake City Care Center in Lake City, MN.
Nursing schedule includes;
  • Casual / on call
  • Day, evening, overnight
  • Must work a minimum of three shifts per month, which includes two weekend shifts per month and one holiday per year
Lake City Care Center is nestled near the picturesque Lake Pepin in southeast Minnesota. As part of the esteemed Mayo Clinic Health System and managed by Ebenezer, Minnesota's leading senior living operator with a century-long commitment to exceptional service. Our skilled nursing facility can provide care for up to 90 residents across our Transitional Care and Long-term care units, supported by a dedicated team committed to Ebenezer's mission of fostering longer, healthier, and more meaningful lives through healing, discovery, and education. Join our experienced healthcare professionals and help us expand our TCU unit.
2023 Deficiency Free MN MDH Annually Survey
CMS 3-star facility with a 4-star rating for staffing excellence and 4 star quality rating
Lake City Care Center Careers (ebenezercares.org)
  • Monitors personal cares provided to assure consistency with each individual plan of care
  • Administers medications and performs treatments per physician orders and facility policies
  • Provides data relevant to the development of the plan of care
  • RN - Assesses plan of care, resident goals and revises, modify plan of care as necessary
  • Provides reports and documentation related to incidents, change of status and cares provided
Required:
  • Vocational/Technical Training or Associate Degree - Registered Nurse
  • Current MN RN license
  • AHA BLS for Healthcare Providers or Red Cross CPR for Professional Rescuers
    • BLS is required upon hire and/or new hire must show proof that they are currently enrolled in a BLS class to renew or obtain their certification. BLS certification must be obtained within three-weeks of hire date and before nurse can perform independent practice
  • 0-1 years of experience
Preferred:
  • 0-3 years of experience
  • TCU LPN/RN experience
  • Basic computer skillsPoint Click Care knowledge

Benefit Overview
Ebenezer offers a generous benefits package, including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link for additional information:http://www.ebenezercares.org/employee-benefits
Compensation Disclaimer
This position provides one flat hourly rate, with regular reviews to ensure competitiveness with themarket. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored.
EEO Statement
EEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status

What Fairview Health Services employees say

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About Fairview Health Services

Sourced by ZipRecruiter

Fairview Health Services is an industry-leading, award-winning nonprofit that offers an entire network of healthcare services. Fairview is one part of M Health Fairview, a partnership between the University of Minnesota, M Physicians and Fairview Health Services. Together, we combine the University's deep history of clinical innovation and training with Fairview's extensive roots in community medicine. Our care portfolio includes community hospitals, academic hospitals, primary and specialty care clinics, senior facilities, facilitated living centers, rehabilitation centers, home health care services, counseling, pharmacies and benefit management services.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Minneapolis, MN, US