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Trainee Rn Utilization Review Nurse Jobs (NOW HIRING)

Bracane Co

Utilization Review Nurse

Plano, TX · Remote

Austin area - Travis/Williamson Counties or Richardson area - Dallas/Collin Counties*** RN working ... This position is responsible for performing initial, concurrent review activities; discharge care ...

TEKsystems

Utilization Review Nurse

Bakersfield, CA · On-site

$51/hr

Position Overview The Utilization Review Nurse is responsible for coordinating care and ensuring ... Active, unrestricted Registered Nurse (RN) license (California) * Minimum of 2 years of clinical ...

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

As of Jun 7, 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

RN - Utilization Review & Care Coordination

MLee Healthcare Staffing and Recruiting, Inc

New Hill, NC • On-site

Full-time

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

RN - Utilization Review & Care Coordination

Join a dedicated healthcare team as a Registered Nurse specializing in Utilization Review and Coordination of Care. This role involves evaluating patient admissions and ongoing care to ensure medical necessity and appropriate treatment levels, collaborating closely with physicians and advanced practice providers.

Conduct initial and concurrent utilization reviews for admitted and observation patients, ensuring compliance with regulatory and payer requirements. Partner with interdisciplinary teams to facilitate clinical guidelines and optimize treatment outcomes in a cost-effective manner. Analyze patient records to determine admission appropriateness, treatment plans, and length of stay. Maintain up-to-date knowledge of regulatory changes affecting utilization management and perform reviews accordingly. Manage denials and appeals in collaboration with management and payors, ensuring timely responses.

Registered Nurse licensure is required. Certification in Case Management (CCM or ACM) is preferred.

Ideally, candidates will have three to five years of acute care nursing experience, with a background in medical/surgical or ICU settings. Experience in case management and managed care claims or reimbursement is advantageous.

Strong clinical knowledge and understanding of nursing principles, clinical processes, and interventions. Excellent communication, negotiation, and interpersonal skills to effectively interact with diverse populations. Proficiency with computer systems including Microsoft Office and various healthcare software platforms. Ability to prioritize multiple tasks, demonstrate sound judgment, and work collaboratively with healthcare professionals at all levels. Flexibility and adaptability to change, with a positive approach to team building and respect.

Some light lifting and walking may be required. The role involves extended periods of sitting and data entry.

This position serves a regional healthcare network in the Southeastern United States, providing comprehensive care across multiple facilities and specialties.

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