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Trainee 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 ...

CommonSpirit Health

Job Summary and Responsibilities As our Utilization Review Nurse at the Utilization Management Hub ... Registered Nurse with current California License required. * Minimum two (2) years of acute ...

Pacer Group

RN - UTILIZATION REVIEW

Everett, WA · Remote

$65/hr

Fully Remote Position Job Title : RN - UTILIZATION REVIEW Location: Everett, WA 98201 Start Date: 05/04/2026 Duration: 13 weeks Schedule Shift: Day 5x8-Hour (08:00 - 16:30) Shift Notes: Days (5×8 ...

Sedgwick

RN Utilization Review

Providence, RI

$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 ...

New

Sedgwick

RN Utilization Review

Topeka, KS

$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 ...

New

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$39K

$89.5K

$163K

How much do trainee rn utilization review nurse jobs pay per year?

As of Jun 8, 2026, the average yearly pay for trainee rn utilization review nurse in the United States is $89,483.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,500.00 and $104,500.00 per year, depending on experience, location, and employer.

What is the difference between Trainee Rn Utilization Review Nurse vs Registered Nurse in Utilization Review?

AspectTrainee Rn Utilization Review NurseRegistered Nurse in Utilization Review
CredentialsLicensed RN, in training or early in careerLicensed RN with experience in utilization review
Work EnvironmentSupervised training setting, often in healthcare or insurance companiesIndependent review, case analysis, and decision-making in healthcare or insurance
Job ResponsibilitiesAssisting with reviews, learning policies, supporting senior staffConducting utilization reviews, making coverage decisions, ensuring compliance

The main difference is that the Trainee Rn Utilization Review Nurse is in training and gaining experience, while the Registered Nurse in Utilization Review is a fully qualified professional responsible for independent review and decision-making. The trainee role focuses on learning, whereas the registered nurse role involves applying expertise to evaluate patient care and insurance coverage.

What cities are hiring for Trainee Rn Utilization Review Nurse jobs? Cities with the most Trainee 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 Trainee Rn Utilization Review Nurse jobs? States with the most job openings for Trainee Rn Utilization Review Nurse jobs include:
Trainee Rn Utilization Review Nurse jobs near you

Travel Nurse RN - Utilization Review

Integrated Healthcare Services

Bakersfield, CA

Contractor

Posted 27 days ago

Job description

Integrated Healthcare Services is seeking a travel nurse RN Utilization Review for a travel nursing job in Bakersfield, California.

Job Description & Requirements
  • Specialty: Utilization Review
  • Discipline: RN
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 8 hours, days
  • Employment Type: Travel

Job Title: RN - Case Management (Utilization Review)

Location: California

Employment Type: Full-Time

Contract Length: Permanent

Job Summary: The Utilization Review Nurse II is responsible for evaluating medical records, discharge planning, and ensuring compliance with payor documentation requirements to maximize hospital reimbursement.

Job Responsibilities:

  • Evaluate medical records for inpatient admissions to ensure required documentation is present.
  • Initiate Physician Advisories for unwarranted admissions.
  • Conduct ongoing reviews and discuss care changes with attending physicians.
  • Formulate and document discharge plans.
  • Coordinate with hospital services to ensure efficient resource use.
  • Identify pay source issues and provide appropriate referrals.
  • Collaborate with admitting office to prevent inappropriate admissions.
  • Schedule specialized tests and authorize payments under Medically Indigent Adult programs.
  • Review and approve surgery schedules for elective procedures.
  • Coordinate with correctional facilities regarding elective procedures and medical goods.
  • Answer provider questions about reimbursement and documentation requirements.
  • Teach providers payor documentation requirements to maximize reimbursement.
  • Assist in training Utilization Review Nurse I staff.
  • Perform other job-related duties as assigned.

Required Qualifications:

  • Two (2) years of experience as an RN in an acute care hospital, including one (1) year on a medical/surgical ward or unit.
  • One (1) year of utilization review/discharge planning experience in an acute care hospital or two (2) years as a Case Manager in a clinic or physician’s office.
  • Knowledge of payor source documentation requirements and governmental regulations.
  • Understanding of acute care nursing principles, patient disease processes, medical terminology, and hospital routines.
  • Ability to evaluate medical records, assess clinical performance, and communicate documentation needs effectively.
  • Proficiency in gathering and analyzing data for reports and recommendations.

Required Certifications & Licensure:

  • Valid Registered Nurse license in the State of California.
  • Current American Heart Association Healthcare Provider Basic Life Support (BLS) card.

Preferred Qualifications:

  • None specified.

Additional Information: This role requires strong interpersonal skills to collaborate with physicians, health providers, payor sources, and the general public.


QUALIFICATION/LICENSURE
Work Authorization : US Citizen
Preferred years of experience : 2 years
Travel required : No travel required
Shift timings : Days

RightSourcing IHS Job ID #37276836. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN - Utilization Review

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