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Utilization Review Np Jobs in Rochester, MI (NOW HIRING)

Matrix Medical Network

Nurse Practitioner

Warren, MI · On-site

$1.8K - $11K/mo

About the Role During a visit that can last up to one hour, Matrix providers review and observe a ... NP licensure in state of practice to include prescription authority or the ability to obtain ...

Matrix Medical Network

Nurse Practitioner

Warren, MI · On-site

$1.8K - $11K/mo

About the Role During a visit that can last up to one hour, Matrix providers review and observe a ... NP licensure in state of practice to include prescription authority or the ability to obtain ...

Matrix Medical Network

Nurse Practitioner

Warren, MI · On-site

$1.8K - $11K/mo

About the Role During a visit that can last up to one hour, Matrix providers review and observe a ... NP licensure in state of practice to include prescription authority or the ability to obtain ...

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Showing results 21-40

All JobsUtilization Review Np JobsUtilization Review Np Jobs in Rochester, MI

Utilization Review Np information

See Rochester, MI salary details

$19

$38

$63

How much do utilization review np jobs pay per hour?

As of Jul 25, 2026, the average hourly pay for utilization review np in Rochester, MI is $38.92, according to ZipRecruiter salary data. Most workers in this role earn between $30.77 and $44.71 per hour, depending on experience, location, and employer.

What are some common challenges Utilization Review Nurse Practitioners face when collaborating with healthcare providers and insurance companies?

Utilization Review Nurse Practitioners often navigate the challenge of balancing patient advocacy with payer requirements. They must effectively communicate clinical justifications to both healthcare providers and insurance representatives, sometimes mediating disagreements over the necessity of certain treatments or hospital stays. Staying up-to-date with ever-changing insurance guidelines and ensuring timely documentation can also be demanding, but strong organizational and interpersonal skills help facilitate smooth collaboration and successful patient outcomes.

What does a Utilization Review NP do?

A Utilization Review Nurse Practitioner (NP) evaluates the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They review patient records, treatment plans, and insurance coverage to ensure that care meets established guidelines and regulatory requirements. Utilization Review NPs help coordinate care, prevent unnecessary procedures, and support cost-effective healthcare delivery while ensuring patient safety and quality outcomes.

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

To thrive as a Utilization Review Nurse Practitioner (NP), you need expert clinical judgment, a strong understanding of healthcare regulations, and advanced assessment skills, typically supported by an active NP license and clinical experience. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of insurance guidelines such as Medicare and Medicaid are commonly required. Excellent communication, attention to detail, and critical thinking are vital soft skills for effective case evaluations and collaboration with providers. These competencies ensure accurate, efficient reviews that support quality care, compliance, and cost-effective treatment decisions.

What is the difference between Utilization Review Np vs Utilization Review Nurse?

AspectUtilization Review NpUtilization Review Nurse
CredentialsMaster's degree in Nursing, Nurse Practitioner certification, state licensureRegistered Nurse (RN) license, possibly with certification in utilization review
Work EnvironmentHealthcare facilities, insurance companies, utilization review organizationsHospitals, insurance companies, outpatient clinics
Job ResponsibilitiesAssess medical necessity, authorize treatments, make clinical decisions, often with greater autonomyReview medical records, support authorization processes, follow established guidelines

Utilization Review NPs typically have advanced clinical training and greater decision-making authority compared to Utilization Review Nurses. Both roles focus on evaluating medical necessity, but NPs often perform more complex assessments and can make independent recommendations, whereas nurses support the review process under supervision or guidelines.

What are popular job titles related to Utilization Review Np jobs in Rochester, MI? For Utilization Review Np jobs in Rochester, MI, the most frequently searched job titles are:
What job categories do people searching Utilization Review Np jobs in Rochester, MI look for? The top searched job categories for Utilization Review Np jobs in Rochester, MI are:
What cities near Rochester, MI are hiring for Utilization Review Np jobs? Cities near Rochester, MI with the most Utilization Review Np job openings:
Utilization Review Np jobs near you
Infographic showing various Utilization Review Np job openings in Rochester, MI as of July 2026, with employment types broken down into 1% Locum Tenens, 2% As Needed, 80% Full Time, 15% Part Time, and 2% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $80,950 per year, or $38.9 per hour.

Nurse Practitioner (NP) or Physician Assistant (PA)

Primary Vascular Care

Detroit, MI

$107K - $139K/yr

Full-time

Posted 15 days ago

Job description

Primary Vascular Care is a specialized vascular group dedicated exclusively to serving the long-term care space. We bring a clinic-like experience—providing advanced vascular care—directly into nursing homes.   

  • Personalized bedside care minimizes the need for patients to leave their familiar environment. 

  • From routine vascular assessments to advanced procedures,
    our team ensures comprehensive, high-quality care for all our patients

Primary Vascular Care is looking for a Nurse Practitioner (NP) or Physician Assistant (PA) to perform on-site clinical assessments to determine appropriate patient treatment plans of residents of client facilities. This position reports to the Lead Nurse Practitioner.

The NP/PA will work in a mobile practice, primarily serving a long-term care setting.

ESSENTIAL FUNCTIONS: 

  • Performs on-site screening clinical assessments to determine appropriate patient treatment plans of residents of client facilities by the completion of a comprehensive assessment form 

  • Functions independently to perform appropriate history and physical for complex acute, critical, and chronically ill perioperative patients 

  • Orders and reviews diagnostic and therapeutic tests relative to patient’s age-specific needs 

  • Assists with the provision of care in accordance with facility, state, and federal regulations 

  • Monitors the effectiveness of interventions 

  • Maintains relationships with all appropriate contacts in facilities 

  • Educates family members, clients, and prospective accounts regarding services and programs offered by Primary Vascular Care

  • Assists with the development and maintenance of physician relations, as assigned

  • Completes weekly, monthly, and other reports, as assigned, in a timely and comprehensive manner 

QUALIFICATIONS: 

  • Bachelor’s Degree required 

  • Degree from an accredited Nurse Practitioner or Physician Assistant Program required 

  • Current NP License required 

  • BLS – Basic Life Support through American Heart Association required 

  • ACLS – Advanced Cardiac Life Support through American Heart Association preferred 

  • Current Infection Control Certification required 

  • Board Certified/Board Eligible required 

  • Physical, Vaccines and Titers: PPD/TB, Hep B, MMR, Varicella required 

  • COVID and Flu Vaccine preferred 

  • 1 year of NP experience preferred 

  • Reliable transportation (personal vehicle) required