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Travel Rn Utilization Review Jobs (NOW HIRING)

... utilization review reports and performance metrics as needed. What You Will Need Licensure / Certification / Registration: * Licensed Registered Nurse credentialed from the Texas Board of Nursing or ...

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Travel Rn Utilization Review information

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$68

How much do travel rn utilization review jobs pay per hour?

As of Jul 21, 2026, the average hourly pay for travel rn utilization review in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.

What is a Travel RN Utilization Review nurse?

A Travel RN Utilization Review nurse is a registered nurse who works on temporary assignments, often in various healthcare facilities, to evaluate the necessity, appropriateness, and efficiency of medical services provided to patients. They review patient records, coordinate with healthcare teams, and ensure that care provided aligns with established guidelines and insurance requirements. These nurses help control costs and promote quality care by making sure that treatments are medically necessary and documented properly. As travel nurses, they often fill staffing gaps and bring their expertise to different locations on a contract basis.

How does a Travel RN Utilization Review nurse typically collaborate with healthcare teams across different facilities?

As a Travel RN Utilization Review nurse, you'll regularly interact with multidisciplinary teams, including physicians, case managers, and insurance representatives, often across multiple healthcare settings. Effective communication is critical, as you'll review patient records, coordinate care plans, and ensure the appropriate use of medical resources. Adapting quickly to new teams and understanding each facility's processes are common challenges, but they also provide excellent opportunities to broaden your professional network and experience. You'll often participate in virtual meetings and use electronic health record (EHR) systems to share recommendations, supporting quality patient outcomes.

What are the key skills and qualifications needed to thrive as a Travel RN Utilization Review Nurse, and why are they important?

To thrive as a Travel RN Utilization Review Nurse, you need a current RN license, strong clinical expertise, and significant experience in case management or utilization review. Familiarity with medical management software, electronic health records (EHRs), and knowledge of insurance regulations and CMS guidelines are typically required. Exceptional critical thinking, communication, and organizational skills help you efficiently assess cases and collaborate with multidisciplinary teams. These competencies are crucial for ensuring patients receive appropriate care, optimizing resource utilization, and maintaining compliance with healthcare policies.
More about Travel Rn Utilization Review jobs
RN-Utilization Review

Full-time

Re-posted 24 days ago


Baptist Memorial Health Care rating

7.2

Company rating: 7.2 out of 10

Based on 112 frontline employees who took The Breakroom Quiz

327th of 886 rated healthcare providers


Job description

Overview
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

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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