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How much do utilization review np jobs pay per hour?

As of Jul 16, 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 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, MN? For Utilization Review Np jobs in Rochester, MN, the most frequently searched job titles are:
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What cities near Rochester, MN are hiring for Utilization Review Np jobs? Cities near Rochester, MN with the most Utilization Review Np job openings:
Utilization Review Np jobs near you
Infographic showing various Utilization Review Np job openings in Rochester, MN as of July 2026, with employment types broken down into 100% Full Time. Highlights an 83% In-person, and 17% Remote job distribution, with an average salary of $89,397 per year, or $43 per hour.
Nurse Practitioner or Physician Assistant - Transplant Infectious Diseases

Nurse Practitioner or Physician Assistant - Transplant Infectious Diseases

Mayo Clinic

Rochester, MN • On-site

$110K - $143K/yr

Full-time

Medical, Dental, Vision, Retirement

Re-posted yesterday

Mayo Clinic rating

7.9

Company rating: 7.9 out of 10

Based on 689 frontline employees who took The Breakroom Quiz

105th of 886 rated healthcare providers

Job description

This Advanced Practice Provider role offers a unique opportunity to work within a highly specialized transplant center caring for patients across all organ types, where clinical complexity and meaningful impact go hand in hand. We are seeking a highly motivated and clinically astute Nurse Practitioner or Physician Assistant to join our Transplant Infectious Disease team, providing comprehensive outpatient infectious disease management for solid organ transplant recipients. You will be part of a highly collaborative, multidisciplinary team deeply committed to excellence, exceptional patient care, mentorship, professional development, and continuous learning. Working alongside experienced providers invested in teaching and developing others, you will manage some of the most challenging and rewarding cases in medicine. This role is ideal for an Advanced Practice Provider who thrives in a dynamic, intellectually challenging environment, values autonomy, and is motivated by meaningful clinical impact.


The ideal candidate is proactive, adaptable, and comfortable managing nuanced infectious disease cases in immunocompromised transplant populations. They demonstrate strong clinical judgment, thrive in fast paced settings, and are committed to delivering high quality, specialized care while contributing positively to a collaborative and supportive team.


Key Responsibilities

  • Provide specialized outpatient care to solid organ transplant recipients with complex infectious disease needs
  • Evaluate, diagnose, and manage a broad range of pre and posttransplant infectious complications across all organ types
  • Collaborate closely with transplant physicians, surgeons, pharmacists, and interdisciplinary team members to develop and implement individualized care plans
  • Monitor patients longitudinally to ensure continuity, optimization, and quality of care
  • Participate in patient and caregiver education with emphasis on infection prevention and management strategies
  • Apply evidencebased practices and current clinical guidelines in transplant infectious disease care
  • Document patient encounters accurately and in a timely manner within the electronic medical record
  • Engage in quality improvement initiatives and support program development as appropriate


During the selection process you may participate in an OnDemand (pre-recorded) interview that you can complete at your convenience. During the OnDemand interview, a question will appear on your screen, and you will have time to consider each question before responding. You will have the opportunity to re-record your answer to each question - Mayo Clinic will only see the final recording. The complete interview will be reviewed by a Mayo Clinic staff member and you will be notified of next steps.

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.
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.

Nurse Practitioner: Masters-prepared graduate of an accredited school of nursing and Nurse Practitioner program. Current MN RN and APRN license and certification as a FNP, ANP or ACNP.  


Physician Assistant: Graduate of accredited Physician Assistant program with current PA certification by NCCPA and registration as a PA by the MN State Board of Medical Practice.  


Additional Qualifications:

  • Active BLS and ACLS certification from American Heart Association or American Red Cross at start date and DEA registration required
  • Prior experience in infectious disease, transplant, or complex medical care preferred
  • Strong clinical judgment and ability to manage complex patient populations
  • Excellent communication and teamwork skills


External applicants: To be considered for this position please upload a cover letter and personal statement along with 2-3 letters of reference with your online application. New Graduates: at least 2 letters must be from clinical preceptors.

Mayo Clinic employees: To be considered for this position please upload last 3 performance evaluations, cover letter, and personal statement with the online application.

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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

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