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Utilization Mgmt Spec Rn Jobs (NOW HIRING)

Registered Nurse (RN) license with 3+ years experience in utilization review or case management Necessary Skills • Knowledge of healthcare utilization guidelines and compliance • Experience ...

Utilization Management Registered Nurse (UM RN) We're seeking a dedicated and detail-oriented Utilization Management Registered Nurse (UM RN) to join our growing healthcare team. In this role, you'll ...

PA RN License Required We are seeking an experienced Care Management Coordinator to join our Infusion Therapy team. This role is responsible for performing utilization management reviews to determine ...

As a Utilization Management Registered Nurse: * You will use clinical nursing skills to interpret and support the coordination, documentation and communication of medical services and benefit ...

As a Utilization Management Registered Nurse: * You will use clinical nursing skills to interpret and support the coordination, documentation and communication of medical services and benefit ...

As a Utilization Management Registered Nurse: * You will use clinical nursing skills to interpret and support the coordination, documentation and communication of medical services and benefit ...

About this position The Utilization Management RN, under the supervision of the Utilization Management Manager, acts as a support resource to the Medical Staff of North Memorial Health (NMH) and ...

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Utilization Mgmt Spec Rn information

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How much do utilization mgmt spec rn jobs pay per hour?

As of Sep 11, 2026, the average hourly pay for utilization mgmt spec rn 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 are popular job titles related to Utilization Mgmt Spec Rn jobs?

For Utilization Mgmt Spec Rn jobs, the most frequently searched job titles are:

Infographic showing various Utilization Mgmt Spec Rn job openings in the United States as of August 2026, with employment types broken down into 3% As Needed, 51% Full Time, 13% Part Time, and 33% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

RN, Utilization Management

Saint Johns, FL • On-site

UF Health
Health Care and Social Assistance • 10K+ employees

Temporary

Re-posted 23 days ago


Job description

Overview
Plays a critical role in evaluating patient medical records to ensure the necessity and appropriateness of healthcare services. Involves coordinating with healthcare providers to maintain compliance with utilization management guidelines and optimizing treatment plans for effective patient care and resource utilization. Requires clear communication of authorization decisions and ongoing monitoring to support timely discharge planning. Analyzes utilization data to identify trends and collaborates with interdisciplinary teams to enhance care coordination while ensuring accurate documentation and regulatory compliance.
Responsibilities
Evaluates patient medical records to ensure necessity and appropriateness of healthcare services.
• Coordinates with healthcare providers to maintain compliance with utilization management guidelines.
• Optimizes treatment plans for effective patient care and resource utilization.
• Communicates authorization decisions clearly and supports timely discharge planning.
• Analyzes utilization data to identify trends and improve care coordination.
• Collaborates with interdisciplinary teams to ensure accurate documentation and regulatory compliance.
Qualifications
Required Education. Graduate from an accredited Nursing school
Required experience: Registered Nurse (RN) license with 3+ years experience in utilization review or case management
Necessary Skills
• Knowledge of healthcare utilization guidelines and compliance
• Experience evaluating medical necessity and treatment plans
• Strong communication skills for authorization decisions
• Ability to analyze utilization data and support care coordination
License Requirement: Registered Nurse (RN) with a current Florida nursing license required.