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Senior Rn Utilization Review Nurse Jobs in Springfield, MO

NIXA NURSING & REHAB

Registered Nurse

Nixa, MO · On-site

Registered Nurse Charge Nurse Join our dedicated team at NIXA NURSING & REHAB, a leading provider of long-term care services in Nixa, Missouri, as a Registered Nurse. At NIXA NURSING & REHAB, we ...

Citizens Memorial

Registered Nurse

Bolivar, MO · On-site

... utilization of motivational interviewing to help initiate healthful behavior change, and ... Completion of an accredited program (Registered Nurse) * Experience: At least one year of related ...

Citizens Memorial

Registered Nurse

Bolivar, MO

... utilization of motivational interviewing to help initiate healthful behavior change, and ... Completion of an accredited program (Registered Nurse) * Experience: At least one year of related ...

Acadia Healthcare

RN Outpatient Program

Springfield, MO · On-site

Overview FT RN Outpatient Program/Clinic (M-F 8 hr shift) Lakeland Behavioral Health in Springfield ... Demonstrate knowledge and utilization of universal precautions in providing direct patient care.

Acadia Healthcare

RN Outpatient Program

Springfield, MO · On-site

Overview FT RN Outpatient Program/Clinic (M-F 8 hr shift) Lakeland Behavioral Health in Springfield ... Demonstrate knowledge and utilization of universal precautions in providing direct patient care.

Assured Nursing

Travel Endoscopy RN

Springfield, MO · On-site

Assured Nursing is seeking a travel nurse RN Endoscopy for a travel nursing job in Springfield, Missouri. & Requirements * Specialty: Endoscopy * Discipline: RN * Start Date: ASAP * Duration: 13 ...

NIXA NURSING & REHAB

RN Nurse Supervisor

Nixa, MO

Prepare/administer performance reviews for shift staff in consultation with unit managers; provide ... Graduate of an accredited nursing program and licensed RN. Nurse Supervisor Benefits: * Health ...

NHC

RN Registered Nurse/NIGHTS

Springfield, MO · On-site

$30 - $40/hr

Registered Nurse (RN) - $5,000 Sign-On Bonus! Springfield Rehabilitation & HealthCare Center ... For further information, please review the Know Your Rights notice from the Department of Labor.

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Senior Rn Utilization Review Nurse information

See Springfield, MO salary details

$19

$38

$62

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

As of Aug 8, 2026, the average hourly pay for senior rn utilization review nurse in Springfield, MO is $38.46, according to ZipRecruiter salary data. Most workers in this role earn between $30.38 and $44.18 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 a Senior RN Utilization Review Nurse 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.
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Senior Rn Utilization Review Nurse jobs near you
Infographic showing various Senior Rn Utilization Review Nurse job openings in Springfield, MO as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $79,999 per year, or $38.5 per hour.

Registered Nurse (RN)

SPRINGFIELD VILLA

Springfield, MO

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 26 days ago

Job description

SPRINGFIELD VILLA, located in Springfield, Missouri is currently seeking a Registered Nurse (RN)

to join our team.

SIGN ON BONUS!

Registered Nurse (RN) Duties and Responsibilities:

  • Provides nursing care to patients as assigned
  • Administers and records medications and treatments as assigned
  • Prepares for and assists Physicians and others with diagnostic procedures and treatments
  • Reinforce supports and provides health care instructions to patients and their families
  • Participates with other team members in planning, implementing and evaluating nursing care and other patient activities
  • Assists in the admission, transfer, and discharge of patients
  • Observes and reports patients' vital signs, symptoms and general condition to the appropriate individual(s)
  • Records on patient charts observation of patient’s responses to nursing care rendered
  • Maintains environmental conditions conducive to the comfort and safety of patients
  • Assists with unit management and/or assume charge of unit as assigned

Registered Nurse (RN) Qualifications and Skills:

  • RN Experience : 1 year (Preferred)
  • RN Licensure (Required)

Registered Nurse (RN) Benefits:

  • Health, Dental, and Vision Insurance
  • Life Insurance
  • Long-Term and Short-Term Disability
  • Vacation and Paid Sick Time
  • 401K
  • Tuition Reimbursement