ZipRecruiter

Log In

1

Trainee Rn Utilization Review Nurse Jobs in Chicago, IL

US Tech Solutions

Utilization Review Nurse

Chicago, IL · On-site

Active and unrestricted RN licensure in state of residence Questionnaire: * Do you have experience ... Do you have experience with Utilization Review? * Do you have an Active Registered Nurse License?

AltaStaff, LLC

UM RN Care Review Clinician

Chicago, IL · Remote

$40 - $42/hr

Position Purpose: Care Review Clinician works with the Utilization Management team primarily ... Additional duties assigned Education/Experience: * RN license in IL required * Must have 2+ years ...

AltaStaff

UM Care Review Clinician

Chicago, IL · On-site

$40 - $42/hr

... RN license in Illinois Position Purpose: Care Review Clinician works with the Utilization ... Management team primarily responsible for medical necessity/utilization review aimed at providing ...

Insight

Transfer RN/UR

Chicago, IL

$70K/yr

Registered Nurse * Transfer Center Experience (Preferred ... Utilization Review Experience (Preferred) * Full time 11am-7 pm * Experience with Cerner (Preferred)

Insight

Transfer RN/UR

Chicago, IL · On-site

$70K/yr

Registered Nurse * Transfer Center Experience (Preferred ... Utilization Review Experience (Preferred) * Full time 11am-7 pm * Experience with Cerner (Preferred)

Clarity Clinic

Utilization Review Clinician

Chicago, IL · On-site

The Utilization Review Clinician owns the clinical utilization review function for Clarity Clinic ... Active, unrestricted Illinois license: LCSW, LCPC, LMFT, or RN. * 2 or more years of post licensure ...

next page

Showing results 1-20

All JobsRn Utilization Review Nurse JobsTrainee Rn Utilization Review Nurse JobsTrainee Rn Utilization Review Nurse Jobs in Chicago, IL

Trainee Rn Utilization Review Nurse information

See Chicago, IL salary details

$40.2K

$92.2K

$167.9K

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

As of Aug 30, 2026, the average yearly pay for trainee rn utilization review nurse in Chicago, IL is $92,180.00, according to ZipRecruiter salary data. Most workers in this role earn between $66,400.00 and $107,600.00 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 are the most commonly searched types of Rn Utilization Review Nurse jobs in Chicago, IL?

The most popular types of Rn Utilization Review Nurse jobs in Chicago, IL are:

Trainee Rn Utilization Review Nurse jobs near you
Infographic showing various Trainee Rn Utilization Review Nurse job openings in Chicago, IL as of August 2026, with employment types broken down into 91% Full Time, and 9% Contract. Highlights an 82% In-person, 9% Hybrid, and 9% Remote job distribution, with an average salary of $92,180 per year, or $44.3 per hour.

Utilization Review Nurse

Chicago, IL • On-site

US Tech Solutions
IT Services • 1 - 5K employees
Learn more about US Tech Solutionsexternal

Other

Re-posted 7 days ago

Job description

Chicago, IL

Contract

Job Description:

  • Participates in the development and ongoing implementation of QM Work Plan activities.

  • Improve quality products and services, by using measurement and analysis to process, evaluate and make recommendations to meet QM objectives

Responsibilities:

  • Reviews documentation and evaluates Potential Quality of Care issues based on clinical policies and benefit determinations.

  • Considers all documented system information as well as any additional records/data presented to develop a determination or recommendation.

  • Data gathering requires navigation through multiple system applications.

  • Staff may be required to contact the providers of record, vendors, or internal Aetna departments to obtain additional information.

  • Evaluates documentation/information to determine compliance with clinical policy, regulatory and accreditation guidelines.

  • Responsible for the review and evaluation of clinical information and documentation.

  • Reviews documentation and interprets data obtained form clinical records or systems to apply appropriate clinical criteria and policies in line with regulatory and accreditation requirements for member and/or provider issues.

  • Works Potential Quality of Care cases across all lines of business (Commercial and Medicare).

  • Independently coordinates the clinical resolution with internal/external clinician support as required.

  • Processes and evaluates complex data and information sets -Converts the results of data analysis into meaningful business information and reaches conclusions about the data

  • Prepares and completes QM documents based on interpretation and application of business requirements

  • Documents QM activities to demonstrate compliance with business, regulatory, and accreditation requirements

  • Assists in the development and implementation of QM projects and activities

  • Accountable for completing and implementation of QM Work Plan Activities

Experience:

  • 3+ years of experience as an RN

  • Registered Nurse in state of residence

  • Must have prior authorization utilization experience

  • Experience with Medcompass

Skills:

  • MUST HAVE MEDCOMPASS or ASSURECARE exp.

  • MUST HAVE MANAGED CARE exp and Medicare/Medicaid knowledge.

  • MUST HAVE UM experience, inpatient utilization management review.

  • MUST HAVE 1 YEAR OF UTILIZATION MANAGEMENT EXP, pref. knowledge of Milliman/MCG.

  • MUST HAVE 6 months of Prior Authorization.

Education:

  • Active and unrestricted RN licensure in state of residence

Questionnaire:

  • Do you have experience with Medcompass?

  • Do you have experience with Prior Authorization?

  • Do you have experience with Utilization Review?

  • Do you have an Active Registered Nurse License?

About US Tech Solutions:

US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com (http://www.ustechsolutionsinc.com) .

US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

US Tech Solutions logo

About US Tech Solutions

Sourced by ZipRecruiter

US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions.

Industry

It services

Company size

1,001 - 5,000 Employees

Headquarters location

Jersey City, NJ, US

Year founded

2000

Social media

FacebookTwitter

View All US Tech Solutions Jobs

Apply