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Utilization Review Nurse Compact License Jobs (NOW HIRING)

Oscar Health

Utilization Review Nurse

Tempe, AZ · Remote

$35 - $45.94/hr

We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate ...

Fusion HCR

Utilization Review Nurse

Las Vegas, NV

Active RN license (Nevada) * 5+ years acute care nursing experience * 3+ years Utilization Review experience * 3+ years discharge planning experience (acute care) * Experience with InterQual (must be ...

Fusion HCR

Utilization Review Nurse

Las Vegas, NV

Active RN license (Nevada) * 5+ years acute care nursing experience * 3+ years Utilization Review experience * 3+ years discharge planning experience (acute care) * Experience with InterQual (must be ...

Village Care

Utilization Review Nurse

Manhattan, NY · Remote

$95K - $105K/yr

We would like to speak to those who have a current unrestricted NYS RN license to practice ... utilization review experience at a Managed Care Organization or Health Plan required. Working ...

CommonSpirit Health

Utilization Review RN

Chandler, AZ · On-site

... Compact License * Ability to pass annual Inter-rater reliability test for Utilization Review ... At least five (5) years of nursing experience * Certified Case Manager (CCM), Accredited Case ...

CommonSpirit Health

... Compact License * Ability to pass annual Inter-rater reliability test for Utilization Review ... At least five (5) years of nursing experience * Certified Case Manager (CCM), Accredited Case ...

Village Care

Utilization Review Nurse

Manhattan, NY · On-site

$95K - $105K/yr

We would like to speak to those who have a current unrestricted NYS RN license to practice ... utilization review experience at a Managed Care Organization or Health Plan required. Working ...

Houston Methodist

At Houston Methodist, the Utilization Review Nurse (URN) PRN position is a licensed registered ... of Nursing_PSV Compact Licensure - Must obtain permanent Texas license within 60 days (if ...

PSNYC , INC.

RN - Utilization Review

Kinston, NC · On-site

RN - Utilization Review Utilization Review Nurse*THIS IS NOT A REMOTE POSITION. It is an in person ... compact state RN licenseBLS RequiredACM/CCM Preferred Average daily census : 30Orientation: 24 ...

Umpqua Health

Utilization Review Nurse

Roseburg, OR · On-site +1

$85K - $105.34K/yr

UTILIZATION REVIEW NURSE REMOTE, ability to travel to 3031 NE STEPHENS ST. ROSEBURG, OR 97470, as ... Active, unrestricted RN license (BSN or MSN) in Oregon or a compact state * Graduation from an ...

Umpqua Health

Utilization Review Nurse

Roseburg, OR · Remote

$85K - $105.34K/yr

UTILIZATION REVIEW NURSE REMOTE, ability to travel to 3031 NE STEPHENS ST. ROSEBURG, OR 97470, as ... Active, unrestricted RN license (BSN or MSN) in Oregon or a compact state * Graduation from an ...

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How much do utilization review nurse compact license jobs pay per hour?

As of May 28, 2026, the average hourly pay for utilization review nurse compact license in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.

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

To thrive as a Utilization Review Nurse with a Compact License, you need a current RN license (valid under the Nurse Licensure Compact), strong clinical judgment, and in-depth knowledge of medical necessity criteria and healthcare regulations. Familiarity with utilization management software, electronic health records (EHRs), and standardized review tools like InterQual or Milliman is typically required. Excellent communication, critical thinking, and attention to detail are essential soft skills for collaborating with healthcare providers and ensuring accurate documentation. These skills and qualifications are vital to ensure cost-effective, quality patient care while maintaining compliance with regulatory standards across multiple states.

What are the typical challenges Utilization Review Nurses with a Compact License face when managing cases across multiple states?

Utilization Review Nurses with a Compact License often manage cases for patients located in various states, which can present challenges such as staying updated on differing state-specific regulations, payer policies, and healthcare guidelines. Navigating multiple systems and ensuring compliance with each state’s requirements can be complex and requires strong organizational skills. Collaboration with multidisciplinary teams and timely communication with providers in different locations are essential for effectively coordinating care and maintaining efficiency. Many employers offer robust onboarding and ongoing training to help UR nurses stay current and confident in managing cross-state cases.

What is a Utilization Review Nurse with a Compact License?

A Utilization Review Nurse with a Compact License is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services provided to patients, ensuring they meet established criteria and guidelines. Holding a Compact License means the nurse is authorized to practice in multiple states that are part of the Nurse Licensure Compact (NLC), making them eligible for remote or multi-state utilization review positions. This role involves reviewing medical records, collaborating with healthcare providers, and helping ensure patients receive appropriate care while controlling healthcare costs.

What is the difference between Utilization Review Nurse Compact License vs Utilization Review Nurse State License?

AspectUtilization Review Nurse Compact LicenseUtilization Review Nurse State License
CredentialsMulti-state license valid in participating statesLicense specific to one state
Work EnvironmentAllows practice across multiple states without multiple licensesLimited to practicing within the issuing state
Employer & Industry UsagePreferred for telehealth and multi-state employersRequired for in-state employment or non-participating states
Search & Comparison IntentCommonly compared for flexibility in multi-state rolesStandard license for local practice

The Utilization Review Nurse Compact License enables nurses to work across multiple states with a single license, increasing flexibility for telehealth and multi-state employers. In contrast, a Utilization Review Nurse State License restricts practice to one state, suitable for local or in-state roles. Choosing between them depends on your work location and employer needs.

More about Utilization Review Nurse Compact License jobs
What cities are hiring for Utilization Review Nurse Compact License jobs? Cities with the most Utilization Review Nurse Compact License job openings:
What states have the most Utilization Review Nurse Compact License jobs? States with the most job openings for Utilization Review Nurse Compact License jobs include:
What job categories do people searching Utilization Review Nurse Compact License jobs look for? The top searched job categories for Utilization Review Nurse Compact License jobs are:
Utilization Review Nurse Compact License jobs near you
Infographic showing various Utilization Review Nurse Compact License job openings in the United States as of May 2026, with employment types broken down into 2% Locum Tenens, 2% As Needed, 24% Full Time, 57% Part Time, and 15% Contract. Highlights an 85% Physical, and 15% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.
Utilization Review Nurse

Utilization Review Nurse

Oscar Health

Tempe, AZ • Remote

$35 - $45.94/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 15 days ago

Oscar Health rating

6.9

Company rating: 6.9 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

225th of 258 rated insurance

Job description

Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review team.

About the role:

You will perform frequent case reviews, check medical records and speak with care providers regarding treatment as needed. You will make recommendations regarding the appropriateness of care for identified diagnoses based on the research results for those conditions.

You will report into the Supervisor, Utilization Review.

Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois; Iowa; Kansas; Michigan; Missouri; Nebraska; New Jersey; North Carolina; Ohio; Oklahoma; Pennsylvania; South Carolina; Tennessee; Texas; or Virginia. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events.

Pay Transparency: The base pay for this role is: $35.00 - $45.94 per hour. You are also eligible for employee benefits and monthly vacation accrual at a rate of 15 days per year.

Responsibilities:

  • Complete medical necessity reviews and level of care reviews for requested services using clinical judgment and Oscar Clinical Guidelines, Milliman Care Guidelines
  • Obtain the information necessary (via telephone and fax) to assess a member's clinical condition, and apply the appropriate evidence-based guidelines
  • Meet required decision-making SLAs
  • Refer members for further care engagement when needed
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Requirements:

  • Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC)
  • Associate Degree - Nursing or Graduate of Accredited School of Nursing Or Successful completion of Diploma Program in Practical Nursing of Accredited School of Nursing
  • Ability to obtain additional state licenses to meet business needs
  • 1+ year of utilization review experience in a managed care setting
  • Strong experience utilizating MCG (Milliman Care Gudielines)
  • 1+ years of clinical experience (including at least 1+ year clinical practice in an acute care setting, i.e., ER or hospital)

Bonus points:

  • BSN
  • Previous experience conducting concurrent or inpatient reviews for a managed care plan

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.

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