Utilization Review * Discharge planning * Readmission Reduction Participation * Payer Communication and denial reduction * Completes assigned goals. Specifications Experience Minimum Required * RN ...
Utilization Review * Discharge planning * Readmission Reduction Participation * Payer Communication and denial reduction * Completes assigned goals. Specifications Experience Minimum Required * RN ...
Utilization Review Nurse (RN)
Madera, CA · On-site
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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Utilization Review Nurse (RN)
Madera, CA · On-site
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 ...
At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent medical record review for medical ...
At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent medical record review for medical ...
Utilization Review * Discipline: RN * Start Date: 08/03/2026 * Duration: 13 weeks * 40 hours per week * Shift: 8 hours, days * Employment Type: Travel Minimum Years of Experience: 5 (ur) Minimum ...
Utilization Review * Discipline: RN * Start Date: 08/03/2026 * Duration: 13 weeks * 40 hours per week * Shift: 8 hours, days * Employment Type: Travel Minimum Years of Experience: 5 (ur) Minimum ...
Utilization Review Nurse
Big Spring, TX · On-site
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
Utilization Review Nurse
Big Spring, TX · On-site
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
Complex, high-risk, or ambiguous cases requiring clinical judgment are referred to a RN Utilization Review for review and determination. Essential Duties and Responsibilities These duties and ...
Complex, high-risk, or ambiguous cases requiring clinical judgment are referred to a RN Utilization Review for review and determination. Essential Duties and Responsibilities These duties and ...
Registered Nurse, Utilization Review
$72K - $83K/yr
The Utilization Review Nurse assists the utilization review process taking on various tasks ... Current NYS RN licensure, BSN preferred. * Five or more years of home health care or long term care ...
Registered Nurse, Utilization Review
$72K - $83K/yr
The Utilization Review Nurse assists the utilization review process taking on various tasks ... Current NYS RN licensure, BSN preferred. * Five or more years of home health care or long term care ...
Utilization Review Nurse
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 ...
Utilization Review Nurse
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 ...
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 ...
The Utilization Review Nurse RN conducts initial, concurrent and retrospective chart review for clinical, financial and resource utilization information. Provides intervention and coordination to ...
The Utilization Review Nurse RN conducts initial, concurrent and retrospective chart review for clinical, financial and resource utilization information. Provides intervention and coordination to ...
POSITION SUMMARY: The Utilization Review Specialist is responsible for assisting in the ... Follows through on the assessment of the RN Case Manager for discharge planning and educational ...
POSITION SUMMARY: The Utilization Review Specialist is responsible for assisting in the ... Follows through on the assessment of the RN Case Manager for discharge planning and educational ...
POSITION SUMMARY: The Utilization Review Specialist is responsible for assisting in the ... Follows through on the assessment of the RN Case Manager for discharge planning and educational ...
POSITION SUMMARY: The Utilization Review Specialist is responsible for assisting in the ... Follows through on the assessment of the RN Case Manager for discharge planning and educational ...
Ur Rn Weekend Shifts Weekend requirements - UR RN 4 weekend shifts (days) in a six-week period but ... performing utilization review in a hospital setting (not health plan/medical group) • First ...
Ur Rn Weekend Shifts Weekend requirements - UR RN 4 weekend shifts (days) in a six-week period but ... performing utilization review in a hospital setting (not health plan/medical group) • First ...
Description The Clinical Utilization Review Nurse Preceptor (UR RN Preceptor) will be responsible for training, mentoring, and coaching for the Utilization Review Department. The UR RN Preceptor must ...
Description The Clinical Utilization Review Nurse Preceptor (UR RN Preceptor) will be responsible for training, mentoring, and coaching for the Utilization Review Department. The UR RN Preceptor must ...
Utilization Review Nurse RN
Baltimore, MD · On-site
The Utilization Review RN at Sinai Hospital works with stakeholders in the Revenue Cycle Management process and payors to ensure efficiency of utilization of resources, minimize losses and maximize ...
Utilization Review Nurse RN
Baltimore, MD · On-site
The Utilization Review RN at Sinai Hospital works with stakeholders in the Revenue Cycle Management process and payors to ensure efficiency of utilization of resources, minimize losses and maximize ...
Valid license by the State of Nevada to practice as a Registered Nurse. Additional Position ... Interquel or Milliman utilization review criteria, Medicare/Medicaid guidelines, hospital policies ...
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Valid license by the State of Nevada to practice as a Registered Nurse. Additional Position ... Interquel or Milliman utilization review criteria, Medicare/Medicaid guidelines, hospital policies ...
Utilization Review Nurse
Roseburg, OR · Remote
$85K - $105K/yr
UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR ... Active, unrestricted RN license (BSN or MSN) in Oregon or a compact state * Graduation from an ...
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Utilization Review Nurse
Roseburg, OR · Remote
$85K - $105K/yr
UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR ... Active, unrestricted RN license (BSN or MSN) in Oregon or a compact state * Graduation from an ...
Travel Registered Nurse Utilization Review Job
Pocatello, ID · On-site
$1.6K - $1.8K/wk
Overview Registered Nurse - Utilization Review Case Manager | Pocatello, Idaho, United States | Start 07/27/2026 | Assignment duration: weeks (travel - temporary) | Weekly pay $1,678 - $1,801 per ...
Travel Registered Nurse Utilization Review Job
Pocatello, ID · On-site
$1.6K - $1.8K/wk
Overview Registered Nurse - Utilization Review Case Manager | Pocatello, Idaho, United States | Start 07/27/2026 | Assignment duration: weeks (travel - temporary) | Weekly pay $1,678 - $1,801 per ...
Travel Nurse RN - Utilization Review
Fort Worth, TX · On-site
$500/wk
Utilization Review * Discipline: RN * Start Date: ASAP * Duration: 13 weeks * 36 hours per week * Shift: 12 hours * Employment Type: Travel The right role can make all the difference in your career.
Travel Nurse RN - Utilization Review
Fort Worth, TX · On-site
$500/wk
Utilization Review * Discipline: RN * Start Date: ASAP * Duration: 13 weeks * 36 hours per week * Shift: 12 hours * Employment Type: Travel The right role can make all the difference in your career.
Travel Utilization Review RN
Nyack, NY · On-site
Utilization Review * Discipline: RN * Start Date: 07/27/2026 * Duration: 13 weeks * 40 hours per week * Shift: 8 hours * Employment Type: Travel Healthcare Support Job ID #512338. Pay package is ...
Travel Utilization Review RN
Nyack, NY · On-site
Utilization Review * Discipline: RN * Start Date: 07/27/2026 * Duration: 13 weeks * 40 hours per week * Shift: 8 hours * Employment Type: Travel Healthcare Support Job ID #512338. Pay package is ...
Trainee Rn Utilization Review Nurse information
See salary details
$39K - $50.3K
15% of jobs
$50.3K - $61.5K
8% of jobs
$63.2K is the 25th percentile. Wages below this are outliers.
$61.5K - $72.8K
15% of jobs
The median wage is $79.9K / yr.
$72.8K - $84.1K
20% of jobs
$84.1K - $95.4K
11% of jobs
$101K is the 75th percentile. Wages above this are outliers.
$95.4K - $106.6K
13% of jobs
$106.6K - $117.9K
5% of jobs
$117.9K - $129.2K
3% of jobs
$129.2K - $140.5K
4% of jobs
$140.5K - $151.7K
3% of jobs
$151.7K - $163K
3% of jobs
$39K
$89.5K
$163K
How much do trainee rn utilization review nurse jobs pay per year?
What is the difference between Trainee Rn Utilization Review Nurse vs Registered Nurse in Utilization Review?
| Aspect | Trainee Rn Utilization Review Nurse | Registered Nurse in Utilization Review |
|---|---|---|
| Credentials | Licensed RN, in training or early in career | Licensed RN with experience in utilization review |
| Work Environment | Supervised training setting, often in healthcare or insurance companies | Independent review, case analysis, and decision-making in healthcare or insurance |
| Job Responsibilities | Assisting with reviews, learning policies, supporting senior staff | Conducting 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.
Job description
Job Summary
Manages the care for a specific population; facilitates the safe transition of patients throughout the continuum of care for appropriate utilization of resources, service delivery and compliance with federal and other payer requirements. Provides early assessment of transitional needs identified during their hospitalization, illness, and/or life situation. Performs other duties as assigned.
Responsibilities
- Utilization Review
- Discharge planning
- Readmission Reduction Participation
- Payer Communication and denial reduction
- Completes assigned goals.
Specifications
Experience
Minimum Required
- RN with at least one (1) year of clinical experience
Preferred/Desired
- RN with 3 years of clinical experience with Case Management experience in a hospital or payer setting
Education
Minimum Required
- Diploma or Associate Degree in Nursing
Preferred/Desired
- BSN or MSN
Training
Minimum Required
Preferred/Desired
- Certified Case Manager
Special Skills
- .
Minimum Required
- Critical thinking skills, communication, organization, interpersonal and computer skills. Problem solving; and governmental regulations.
Preferred/Desired
- Critical thinking skills, communication, organization, interpersonal and computer skills. Knowledge of payer requirements; problem solving; and governmental regulations.
Licensure
- RN
Minimum Required
- RN
Preferred/Desired
- RN;CCM;ACM
About Baptist Memorial
Sourced by ZipRecruiter
Baptist Memorial, based in Memphis, TN, US, is a leading health care organization renowned in the healthcare industry. The company's official website is baptistonline.org which provides a comprehensive view of their services and operations. Baptist Memorial operates a myriad of hospitals, health clinics, and medical facilities providing expert and compassionate care. Founded in 1912, it has a rich legacy of over a hundred years of dedication to its community, offering services which include acute care, diagnostic services, and a broad range of speciality health services fulfilling various patient needs.
Industry
Hospitals
Company size
10,000+ Employees
Headquarters location
Memphis, TN, US