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

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How much do utilization review np jobs pay per hour?

As of Jun 10, 2026, the average hourly pay for utilization review np in Rochester, MN is $42.98, according to ZipRecruiter salary data. Most workers in this role earn between $33.94 and $49.38 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 highest paid NP job?

The highest paid nurse practitioner (NP) roles are often in specialized fields such as anesthesiology, psychiatric-mental health, or neonatal care, with salaries exceeding $150,000 annually. NPs with advanced certifications, extensive experience, and in high-demand regions tend to earn the highest compensation, especially in hospital or surgical settings.

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 cities near Rochester, MN are hiring for Utilization Review Np jobs? Cities near Rochester, MN with the most Utilization Review Np job openings:
Infographic showing various Utilization Review Np job openings in Rochester, MN as of June 2026, with employment types broken down into 79% Full Time, and 21% Part Time. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $89,397 per year, or $43 per hour.
Nurse Practitioner or Physician Assistant - Hospital Internal Medicine

Nurse Practitioner or Physician Assistant - Hospital Internal Medicine

Mayo Clinic

Rochester, MN • On-site

$130K - $182K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 25 days ago


Mayo Clinic rating

7.8

Company rating: 7.8 out of 10

Based on 678 frontline employees who took The Breakroom Quiz

132nd of 870 rated healthcare providers


Job description

Job Description
Hospital Internal Medicine (HIM) is one of the largest NP/PA practices at Mayo Clinic- Rochester. As NP/PA hospitalists, we pride ourselves by working at the top of our scope of practice/licensure with a significant amount of autonomy. Our providers are required to stay up to date with the latest evidence-based medicine and provide comprehensive care for a medically complex, diverse patient population. NP/PAs participate in all aspects of care of the hospitalized patient including admission, discharge, daily rounding, and patient education.
HIM is comprised of various medical services specializing in general internal medicine, geriatrics, telemetry, perioperative medicine, medical hematology and oncology, and telemedicine. There are a variety of staffing models for the various medical services, enabling physicians, NP/PAs, and Desk Operation Specialists (DOS) to work collaboratively. Our NP/PAs participate in 24/7 care including nights, holidays, weekends, and an on-call structure.
In addition to clinical practice, many of the NP/PA's serve in respected positions within the division and institution. Leadership opportunities occur within administration, quality improvement, research, education, and personnel committees. Within the division, there are many opportunities to partner with colleagues, both physician and NP/PAs, in research and quality improvement projects. Additionally, the division of HIM serves as a training ground for NP and PA students, as well as Mayo medical students, visiting medical students, residents, and HIM fellows, providing ample opportunity to be involved in clinical education.
Ideal candidates for our NP/PA position have an extensive medical knowledge base, inpatient medical experience, and a continual desire to learn and grow as a health care provider. As a new provider in HIM, orientation is provided including learning the Mayo model of patient care, hospital medicine-focused learning modules reviewing current guidelines and standards of practice, in-person classes for EMR training, dictation training, ECG interpretation, ACLS/BLS, and simulation-based learning in our HIM Boot Camp.
Total Compensation:
CME
Benefit-eligible employees (50-100% FTE) receive up to 7 trip days (commensurate with time away from practice as approved off the schedule by a supervisor) and an annual allotment of $4,400.
  1. State License Renewal Fees.
  2. DEA License Renewal Fees.
  3. Required professional certification and recertification fees.
  4. Membership dues for professional organizations.
  5. Subscriptions to professional journals.
  6. Registration fees for professional conferences and on-line or self-study courses.
  7. One Apple iPad, iPad mini, or iPhone per year for patient care purposes.

Relocation
  1. Relocation is allotted for candidates 70 or more miles away from Rochester, MN.

Compensation
Compensation is based off of education and experience. The base salary for this position ranges from $130,000.00 to $182,000.00.
Shift Differential
This is a 24/7 position and would be eligible for shift differential.
Benefits (Pension AND 403b)
Benefits Link: https://jobs.mayoclinic.org/benefits
PTO
PTO Accrual for Salaried Employees Years of Service PTO Hours Annually PTO Hours per pay period Less than 2 224 8.62 2 264 10.15 10 280 10.77 15+ 304 11.69
Qualifications
Masters prepared graduate of an accredited school of nursing and Nurse Practitioner program. Current Minnesota RN license (or eligible) and certification (or eligible to be certified) as a FNP, ANP, or ACNP with ACNP certification preferred.
Or graduate of accredited Physician Assistant program with current PA certification by NCCPA and licensure as a PA by the Minnesota Board of Medical Practice (or eligible).
Must be eligible for DEA registration and billing privileges.
Minimum of three years' experience preferred in the care of medical and/or surgical inpatients.
Clinical rotations in inpatient settings highly preferred.
Prefer FNP applicants to have had RN experience in medicine and ICU care.
Strong communication skills are required and must have demonstrated skill in working collaboratively with all members of the healthcare team.
Please submit a letter of interest with your resume and 2-3 letters of reference. Applications will not be reviewed until these are received.
New graduates: letters of reference from preceptors that can attest to your clinical abilities.
Mayo Clinic employees: please upload your last 3 performance appraisals with your online application.
About Us
Why Mayo Clinic
Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans - to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic.
Benefits Highlights
  • Medical: Multiple plan options.
  • Dental: Delta Dental or reimbursement account for flexible coverage.
  • Vision: Affordable plan with national network.
  • Pre-Tax Savings: HSA and FSAs for eligible expenses.
  • Retirement: Competitive retirement package to secure your future.

About the Team
Just as our reputation has spread beyond our Minnesota roots, so have our locations. Today, our employees are located at our three major campuses in Phoenix/Scottsdale, Arizona, Jacksonville, Florida, Rochester, Minnesota, and at Mayo Clinic Health System campuses throughout Midwestern communities, and at our international locations. Each Mayo Clinic location is a special place where our employees thrive in both their work and personal lives. Learn more about what each unique Mayo Clinic campus has to offer, and where your best fit is.
Equal Opportunity
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status or disability status. Learn more about the "EOE is the Law". Mayo Clinic participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization.

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About Mayo Clinic

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Mayo Clinic is the largest integrated, not-for-profit medical group practice in the world. We're building the future, one where the best possible care is available to everyone — and more people can heal at home. Our relentless research turns into earlier diagnoses and new cures. That's how we inspire hope in those who need it most. At Mayo Clinic, experts work together to solve the most challenging unmet needs of patients. Our history of innovation dates back almost 150 years, when brothers Will and Charlie Mayo pioneered an integrated, team-based approach to medicine. Today, that trailblazing spirit drives innovations like Mayo Clinic Platform — which powers new technologies to change how care is delivered to all.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Rochester, MN, US

Year founded

1919