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Utilization Review Case Management Rn Jobs (NOW HIRING)

Orison Solutions

RN - Utilization Review

New York, NY · On-site

$65 - $70/hr

Collaborate with Case Management, Quality Management, Medical Directors, and insurance companies ... Preferred Skills & Experience * RN experience. Skills * Non-acute utilization review.

American Traveler

Travel RN Case Management

Largo, FL · On-site

Travel RN - Case Management/Utilization Review - Case Management About American Traveler With over 25 years of experience, American Traveler has established a reputation for outstanding customer ...

TotalMed RN

Travel Utilization Review RN

Irvine, CA · On-site

TotalMed RN is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Irvine, California. & Requirements * Specialty: Utilization Review * Discipline: RN * Duration ...

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How much do utilization review case management rn jobs pay per hour?

As of Sep 14, 2026, the average hourly pay for utilization review case management rn in the United States is $47.53, according to ZipRecruiter salary data. Most workers in this role earn between $35.34 and $57.45 per hour, depending on experience, location, and employer.

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Infographic showing various Utilization Review Case Management Rn job openings in the United States as of June 2026, with employment types broken down into 5% As Needed, 58% Full Time, 32% Part Time, and 5% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $98,869 per year, or $47.5 per hour.

RN-Case Manager

Portales, NM • On-site

MTK Healthcare
See more jobs at MTK Healthcareexternal

$59 - $62/hr

Contractor

Re-posted 7 days ago

Job description

MTK Healthcare Inc. is Hiring

RN Case Manager – Utilization Review & Swing Bed | Portales, NM | Monday–Friday (8:00 AM–4:30 PM), Day Shift

Position Details

  • Position: RN Case Manager – Utilization Review & Swing Bed

  • Location: Portales, NM 88130

  • Contract Length: 13 Weeks

  • Shift: Monday–Friday, 8:00 AM–4:30 PM (Day Shift)

  • Pay Rate: $59–$62/hour

  • Guaranteed Hours: 40 Hours per Week

  • No On-Call Required

Requirements

  • Active RN License

  • Minimum 5 years of Case Management experience

  • Experience in Utilization Review and Discharge Planning

  • Knowledge of Medicare, Medicaid, HMO, Swing Bed, and Private Insurance coverage

  • Experience with InterQual criteria and MDS documentation
    Key Responsibilities

  • Perform utilization review, case management, discharge planning, and swing bed coordination.

  • Evaluate and screen patients for swing bed admissions.

  • Coordinate discharge planning with patients, families, physicians, and the interdisciplinary care team.

  • Obtain referrals and prior authorizations for post-acute services.

  • Complete utilization reviews and ensure appropriate level of care documentation.

  • Run InterQual reviews for inpatient and observation admissions.

  • Collaborate with healthcare providers to ensure timely, safe, and effective patient transitions.