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

... a nurse practitioner, nurse anesthetist, or other advanced practice nurse when appropriately ... will be reviewed with you by a recruiter. Additional qualifications for this job may include:

... a nurse practitioner, nurse anesthetist, or other advanced practice nurse when appropriately ... will be reviewed with you by a recruiter. Additional qualifications for this job may include:

... a nurse practitioner, nurse anesthetist, or other advanced practice nurse when appropriately ... will be reviewed with you by a recruiter. Additional qualifications for this job may include:

... a nurse practitioner, nurse anesthetist, or other advanced practice nurse when appropriately ... will be reviewed with you by a recruiter. Additional qualifications for this job may include:

... a nurse practitioner, nurse anesthetist, or other advanced practice nurse when appropriately ... will be reviewed with you by a recruiter. Additional qualifications for this job may include:

... a nurse practitioner, nurse anesthetist, or other advanced practice nurse when appropriately ... will be reviewed with you by a recruiter. Additional qualifications for this job may include:

Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a ... Review completed charts with the provider between patients or at the completion of shift * Update ...

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Utilization Review Np information

See Rochester, MN salary details

$21

$42

$70

How much do utilization review np jobs pay per hour?

As of Jun 17, 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.

Can you make $500,000 as a nurse practitioner?

While nurse practitioners can earn high salaries, reaching $500,000 annually is uncommon and typically requires specialized roles, extensive experience, or working in high-paying settings such as executive or administrative positions. Most nurse practitioners earn between $100,000 and $150,000 per year, depending on location, specialization, and workload.

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 specialties tend to earn the highest compensation in the field.

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.

Can you make 300K as an NP?

Utilization Review Nurse Practitioners (NPs) can potentially earn $300,000 or more annually, especially with extensive experience, specialized certifications, and working in high-demand healthcare settings or management roles. However, such salaries are typically above the average for NPs and may require additional responsibilities, overtime, or leadership positions.

How to make $200,000 as an NP?

To earn $200,000 as a Utilization Review Nurse Practitioner (NP), professionals often work in high-demand specialties, gain extensive experience, and obtain certifications such as AANP or ANCC. Working in outpatient or hospital settings, taking on additional shifts, or pursuing leadership roles can also increase earning potential. Advanced skills in healthcare management and utilization review tools further support higher salaries.
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.
In-Home Clinician - Physician, Nurse Practitioner, Physician Assistant (Full Time) Minnesota

In-Home Clinician - Physician, Nurse Practitioner, Physician Assistant (Full Time) Minnesota

CVS Health

Rochester, MN • On-site

$87K - $374K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 17 days ago


CVS Health rating

5.8

Company rating: 5.8 out of 10

Based on 4,246 frontline employees who took The Breakroom Quiz

78th of 99 rated pharmacies


Job description

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselvesaccountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Do you have a passion for engaging with people and helping them on their journey to better health? Signify Health, part of CVS Health, is seeking a Full Time Clinician (Nurse Practitioner or Physician Assistant) to provide In-Home Health Evaluations, engaging with people in the comfort of their own homes and helping bridge gaps in care.

You'll play a critical role in building trusted relationships to make people healthier, helping bring flexible, comprehensive and personalized health evaluations right to people's front doors.

Job highlights

The visit, which lasts about 45 minutes, allows for time to connect one-on-one and answer health questions. It includes a medication and medical history review, a physical evaluation, and, if ordered by the person's health plan, additional diagnostic tests (i.e., diabetic eye exams, spirometry, etc.). You'll use an iPad and an intuitive clinical workflow for each evaluation and are not required to prescribe medicine, order lab tests or alter people's current treatment regimen.

In this role, you will:

  • Bring your heart into every visit, joining a national network of purpose-driven clinicians dedicated to improving health outcomes

  • Be part of our efforts to visit millions of people nationwide with the goal of providing connections to the right care for people's unique needs

  • Work with Signify Health as a clinician colleague, fulfilling the requirements of the specified role

  • Be flexible to travel locally and within licensed states, as needed

  • Conduct virtual visits as needed

  • Provide all Signify Health services as indicated including Diagnostic & Preventive Services products (i.e., spirometry, DEE, bone density screening, etc.)

A Note on Our Work Environment:

As an in-home clinician, your primary workplace is the private residence of health plan members. We are dedicated to meeting health plan members where they are, wherever they call home. These environments are diverse and may present a variety of conditions. Candidates must be able to comfortably and safely perform their duties in homes that may contain household pets, secondhand smoke and other potential airborne allergens or irritants.

Why Clinicians Enjoy Working with Signify Health

"I love seeing health plan members at home. You get a better picture of their health when you see where they live." - Erica R., PA

"At Signify Health, we have the time to help people and to truly listen to their questions and concerns. We can help guide them so they can take better care of themselves. We really can make a change in communities." - Ali B., NP

"I like how Signify Health manages my experience. I'm just doing the clinician part of my job without all the administrative responsibilities. I have the time to provide education so people have a better understanding of their health. I can answer their questions without rushing out the door." - Andrew K., PA

Full-time employees qualify for our comprehensive benefits package, including:

  • Health, dental and vision insurance

  • Paid time off

  • Annual CEU allowance

  • 401K

  • Supplies and other perks

  • Malpractice coverage

Required & Preferred Qualifications (MD/DO, NPs and PAs)

  • Active, unrestricted license(s) in coverage area(s)

  • Board certification (required)

  • Multi-state licenses (preferred)

  • 2080 hours completed for all Advanced Practice Clinicians

  • Able to cover the following primary locations: Minneapolis and surrounding area or other areas of Minnesota depending on candidate location

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$87,035.00 - $374,920.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This fulltime position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellbeing of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.


Additional details about available benefits are provided during the application process and on Benefits Moments.

This job does not have an application deadline, as CVS Health accepts applications on an ongoing basis.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.


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