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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 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:
What job categories do people searching Utilization Review Np jobs in Rochester, MN look for? The top searched job categories for Utilization Review Np jobs in Rochester, MN are:
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 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 - Cardiovascular CT

Nurse Practitioner or Physician Assistant - Cardiovascular CT

Mayo Clinic

Rochester, MN • On-site

$110K - $143K/yr

Full-time

Medical, Dental, Vision, Retirement

Posted 8 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
The Advanced Practice Provider (APP) - Cardiovascular CT independently manages cardiovascular CT imaging services, including exam protocoling, clinical oversight, medication management, and workflow optimization. This role supports patient safety, diagnostic image quality, and operational efficiency while serving as a key liaison among radiologists, technologists, nursing staff, trainees, and ordering providers across assigned locations.
Key Responsibilities
  • Independently protocol and oversee cardiovascular CT examinations based on clinical indications and patient specific factors
  • Review electronic health records to assess prior surgeries, cardiac devices, arrhythmias, renal function, body habitus, and contrast allergies
  • Communicate directly with ordering providers to clarify exam intent, resolve protocol questions, and address safety concerns
  • Provide on site clinical support for contrast reactions, medication administration, and IV access issues
  • Assess renal function and determine safety of iodinated contrast use
  • Manage cardiovascular CT related medications including beta blockers and nitroglycerin, with real time patient monitoring and dose adjustment
  • Monitor image acquisition at the scanner and assist technologists with protocol execution and technical modifications
  • Perform post processing of gated cardiovascular CT datasets to optimize diagnostic quality
  • Collaborate closely with cardiovascular radiologists to support efficient workflow and diagnostic accuracy
  • Educate fellows, residents, technologists, nursing staff, and new radiologists on cardiovascular CT protocols, image optimization, and safety
  • Support operational needs including scheduling coordination, workflow balancing, and billing or order correction guidance

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.
Qualifications
New Grads will not be considered at this time, 1-2+ years of APP experience
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
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.
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

Sourced by ZipRecruiter

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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