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Utilization Review Rn Jobs in Alberta (NOW HIRING)

Alberta Health Services

Registered Nurse

Edmonton, AB

CA$40.76 - CA$55.79/hr

As a member of an interdisciplinary team, the Registered Nurse (Fetal-Neonate Cardiology Program ... Determine resource utilization and direct referrals to appropriate health care providers required.

Rochester Regional Health

CA$38.66 - CA$51.91/hr

Completes at least one clinical research utilization (CRU) form for submission to Nursing Research ... Registered Nurse license in New York State. * Basic Life Support (BLS) certification. PREFERRED ...

Rochester Regional Health

CA$38.66 - CA$51.91/hr

Completes at least one clinical research utilization (CRU) form for submission to Nursing Research ... Registered Nurse license in New York State. * Basic Life Support (BLS) certification. PREFERRED ...

Rochester Regional Health

CA$38.66 - CA$51.91/hr

Completes at least one clinical research utilization (CRU) form for submission to Nursing Research ... Registered Nurse license in New York State. * Basic Life Support (BLS) certification. PREFERRED ...

Alberta Health Services

Registered Nurse

Edmonton, AB

CA$40.76 - CA$55.79/hr

This Registered Nurse (RN) position will also be providing leadership roles within the team (such as but not limited to team meetings, literature review, policy and presentation developments)

Rochester Regional Health

CA$38.66 - CA$51.91/hr

Completes at least one clinical research utilization (CRU) form for submission to Nursing Research ... Registered Nurse license in New York State. * Basic Life Support (BLS) certification. PREFERRED ...

Rochester Regional Health

CA$38.66 - CA$51.91/hr

Completes at least one clinical research utilization (CRU) form for submission to Nursing Research ... Registered Nurse license in New York State. * Basic Life Support (BLS) certification. PREFERRED ...

Passport Health

Registered Nurse (RN)

Edmonton, AB · On-site

CA$31 - CA$35/hr

The Immunization Nurse will review each client's medical history and discuss the Centre for Disease ... Registered Nurse (RN) certification with current license in good standing. * Must have excellent ...

Passport Health

Registered Nurse (RN)

Edmonton, AB · On-site

CA$31 - CA$35/hr

The Immunization Nurse will review each client's medical history and discuss the Centre for Disease ... Registered Nurse (RN) certification with current license in good standing. * Must have excellent ...

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All JobsUtilization Review Rn JobsUtilization Review Rn Jobs in Alberta

Utilization Review Rn information

See Alberta salary details

$23

$41

$62

How much do utilization review rn jobs pay per hour?

As of Jul 19, 2026, the average hourly pay for utilization review rn in Alberta is $41.57, according to ZipRecruiter salary data. Most workers in this role earn between $31.73 and $48.80 per hour, depending on experience, location, and employer.

How to get into utilization review as a nurse?

To become a utilization review RN, candidates typically need a valid nursing license and experience in clinical settings. Additional certifications such as Certified Professional in Healthcare Quality (CPHQ) or case management credentials can enhance prospects, and familiarity with electronic health records and insurance policies is beneficial.

How does a Utilization Review RN collaborate with physicians and other healthcare professionals during the patient care review process?

A Utilization Review RN works closely with physicians, case managers, and other healthcare team members to ensure that patients receive appropriate care while adhering to regulatory and insurance guidelines. This collaboration often involves discussing clinical findings, clarifying documentation, and negotiating care plans to meet both patient needs and payer requirements. Effective communication and teamwork are essential, as Utilization Review RNs frequently serve as liaisons between clinical staff and insurance representatives to facilitate timely authorizations and prevent unnecessary delays in patient care.

What are the key skills and qualifications needed to thrive as a Utilization Review RN, and why are they important?

To thrive as a Utilization Review RN, you need a current RN license, strong clinical assessment skills, and knowledge of healthcare regulations and insurance guidelines. Familiarity with utilization management software, electronic health records (EHRs), and relevant certifications like CCM or ACM is often required. Excellent critical thinking, communication, and negotiation skills help you advocate for appropriate patient care while collaborating with providers and payers. These skills ensure cost-effective, quality care and compliance with regulatory standards in healthcare delivery.

How to make $300,000 as a nurse?

A Utilization Review RN can earn $300,000 by gaining extensive experience, obtaining certifications such as Certified Review Officer (CRO), working in high-paying settings like insurance companies or managed care organizations, and taking on leadership or specialized roles that offer higher compensation. Advanced skills in clinical assessment, documentation, and understanding of healthcare policies can also contribute to higher earnings.

What does an RN utilization review do?

An RN utilization review evaluates medical records and treatment plans to determine the necessity, appropriateness, and efficiency of healthcare services. They ensure compliance with insurance policies and clinical guidelines, often using electronic health records and requiring knowledge of coding and documentation standards. This role supports cost-effective patient care and involves collaboration with healthcare providers and insurance companies.

What is the difference between Utilization Review Rn vs Case Manager?

AspectUtilization Review RnCase Manager
CredentialsRN license, certifications in utilization reviewRN license, certifications in case management
Work EnvironmentHospitals, insurance companies, healthcare facilitiesHospitals, community agencies, insurance companies
Primary FocusReviewing medical necessity and appropriateness of careCoordinating patient care and discharge planning

Utilization Review Rns primarily focus on evaluating the necessity of medical treatments, while Case Managers coordinate patient care and discharge planning. Both roles require RN licensure and certifications, but their daily responsibilities and work environments differ slightly, with Utilization Review Rns concentrating on review processes and Case Managers on patient advocacy and care coordination.

How to make $150,000 as a nurse?

A Utilization Review RN can earn $150,000 by gaining extensive experience, obtaining certifications such as Certified Review Officer (CRO), working in high-demand settings, and possibly taking on leadership or specialized roles. Increasing your workload, working overtime, or pursuing advanced education can also contribute to higher earnings within this field.

What is a Utilization Review RN?

A Utilization Review RN is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services and treatments provided to patients. They review medical records, collaborate with healthcare teams, and ensure that patient care meets established guidelines and payer requirements. Their role helps control costs, optimize care, and support compliance with healthcare regulations. Utilization Review RNs often work in hospitals, insurance companies, or managed care organizations.
What job categories do people searching Utilization Review Rn jobs in Alberta look for? The top searched job categories for Utilization Review Rn jobs in Alberta are:
What are popular job titles related to Utilization Review Rn jobs in AB? For Utilization Review Rn jobs in AB, the most frequently searched job titles are:
Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in Alberta as of July 2026, with employment types broken down into 83% Full Time, and 17% Part Time. Highlights an 100% In-person job distribution, with an average salary of $86,469 per year, or $41.6 per hour.
Registered Nurse

Registered Nurse

Alberta Health Services

Edmonton, AB

CA$40.76 - CA$55.79/hr

Other

Re-posted 18 days ago

Job description

Your Opportunity:

The Stollery Children's Hospital Fetal-Neonate Cardiology Program is looking for a dynamic, highly skilled, detail and quality-oriented individual who thrives in a fast-paced environment. This is an exciting role and opportunity if you are looking to be part of a high performing team, dedicated to providing excellence in pediatric cardiac care. As a member of an interdisciplinary team, the Registered Nurse (Fetal-Neonate Cardiology Program Nurse) supports the Fetal-Neonate Cardiology Program at the Royal Alexandra Hospital, Lois Hole Pavilion site and works out of the Stollery Children's Hospital and Royal Alexandra Hospital sites.Reporting to the Unit Manager of the Stollery Pediatric Cardiology Ambulatory Services, the incumbent performs a variety of nursing duties in accordance with clinical policies and nursing care standards including coordination of care for maternal patients with complex fetal cardiac conditions, providingeducational counseling, safety instructions, and follow-up planning. Decisions are made in collaboration with the interdisciplinary team. Recognizes the value of and works with a Patient and Family Centered Care philosophy, providing safe, quality care while reflecting the shared vision and values of AHS.

Description:

As a Registered Nurse (RN), you will provide a wide variety of nursing services to patients, families, communities and populations, while taking necessary steps to ensure their safety and well-being. In your role, you will utilize nursing processes, through critical thinking, problem solving and decision making, as well as teach, counsel and advocate on behalf of patients and their families. You will play a leadership role in supporting an integrated and holistic approach to patient care, health promotion and maintenance. You will provide safe, quality patient and family centered care while reflecting the shared vision and values of AHS. PLEASE NOTE: Provisional Permit holders will be paid $40.76 to $55.79 per hour. Upon obtaining a full practice permit, the rate of pay will be adjusted to the applicable Registered Nurse rate in accordance with UNA Article 25.02(b)(i) or (ii), as applicable.

  • Classification: Registered Nurse (2022.75)
  • Union: United Nurses of Alberta
  • Unit and Program: Fetal Echo Clinic Nurse Coordinator
  • Primary Location: Stollery Children's Hospital
  • Location Details: As Per Location
  • Multi-Site: At (UNA only)
  • FTE: 0.80
  • Posting End Date: 27-JUL-2026
  • Temporary Employee Class: Temp P/T Benefits
  • Date Available: 06-AUG-2026
  • Temporary End Date: 28-APR-2028
  • Hours per Shift: 7.75
  • Length of Shift in weeks: 2
  • Shifts per cycle: 8
  • Shift Pattern: Days, Evenings
  • Days Off: As Per Rotation
  • Minimum Salary: $44.56
  • Maximum Salary: $60.98
  • Vehicle Requirement: Not Applicable
Required Qualifications:

Completion of an accredited nursing education program. Active or eligible for registration and practice permit with the College of Registered Nurses of Alberta (CRNA). Current Basic Cardiac Life Support - Health Care Provider (BCLS-HCP) certification. If you have not practiced as a Registered Nurse within the last five (5) years, you must complete the following free courses: CRNA Medication Management (Chapters 1-4), available at https://connect.nurses.ab.ca/home/learning-and-development/learning-modules/ and the NextGenU Health Assessment Resources Certification, available at https://courses.nextgenu.org/course/view.php?id=271.

Additional Required Qualifications:

Recent experience in past 2 years of Fetal-Neonate Cardiology Program required. Previous case management experience and knowledge required. Antenatal education experience specific to understanding Fetal-Neonate Cardiology required. Execute/manage quality improvement initiatives required. Understand and involvement with research required. Fetal Clinical database experience required. Knowledge of adult learning methodology is required. Program data management/develop program guidelines required. Determine resource utilization and direct referrals to appropriate health care providers required. Demonstrate assessment, critical-thinking, problem-solving, organization, and patient care skills required. Self-direction, adaptable and flexible working in a fast-paced, multi-faceted work environment required. Excellent interpersonal, written, and verbal communication skills required. Reliable, dependable and requires the ability to work independently and effectively in an interdisciplinary setting and maintain a high degree of confidentiality. Detail-oriented and able to establish priorities to meet deadlines in a timely manner required. Requires excellent working knowledge and experience with Microsoft Office including, Word, Excel, PowerPoint, Outlook email and Calendar. Required to lift, push, and pull to transport patients and equipment. Extended periods of sitting, standing, and walking required.

Preferred Qualifications:

Connect Care experience, including reporting a definite asset. Netcare training and experience preferred. Intelli-space CV-echo, advanced Excel and PowerPoint a definite asset.

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