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Utilization Review Rn Jobs in Alberta (NOW HIRING)

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 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). Description: As a ...

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 ...

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 ...

Bayshore HealthCare

Registered Nurse

Medicine Hat, AB · On-site

JOB SUMMARY The Specialty Pharma Nurse - Registered Nurse, under the direction of the Specialty ... DUTIES AND RESPONSIBILITIES Develop and review nursing care plans that are individualized to each ...

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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 Jun 29, 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 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.

How do I become a utilization review RN?

To become a utilization review RN, you typically need to hold a valid registered nurse (RN) license and have experience in clinical nursing. Additional certifications such as the Certified Professional in Healthcare Quality (CPHQ) or Utilization Review Certification (URAC) can enhance job prospects, and strong knowledge of medical coding, insurance policies, and healthcare regulations is important.

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.

What does an RN utilization review do?

An RN utilization review evaluates medical records and treatment plans to determine the appropriateness, necessity, 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.

How to make $300,000 a year as a nurse?

To earn $300,000 annually as a Utilization Review RN, professionals typically need extensive experience, advanced certifications such as CCM or ANCC, and may work in high-paying settings like insurance companies or healthcare consulting firms. Increasing specialization, taking on leadership roles, or working overtime can also boost income, but reaching this level often requires a combination of skills, experience, and strategic career moves.

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 CCM or ANCC, and working in high-paying settings like insurance companies or managed care organizations. Advanced skills in case management, strong clinical knowledge, and sometimes working overtime or in leadership roles can also contribute to higher earnings.

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 June 2026, with employment types broken down into 1% As Needed, 62% Full Time, 5% Part Time, 1% Temporary, 30% Contract, and 1% Nights. Highlights an 87% Physical, 2% Hybrid, and 11% Remote job distribution, with an average salary of $86,469 per year, or $41.6 per hour.
R.N. I

R.N. I

Rochester Regional Health

CA$38.66 - CA$51.91/hr

Part-time

Posted 4 days ago

Rochester Regional Health rating

7.4

Company rating: 7.4 out of 10

Based on 216 frontline employees who took The Breakroom Quiz

255th of 877 rated healthcare providers

Job description

Job Title: Registered Nurse (RN)Department: Long Term Care
Location:Demay - 100 Sunset Drive, Newark, NY 14513Hours Per Week: Per Diem - As Needed
Schedule:Per-Diem , 5 shifts per period, 8 hours shifts
SUMMARY:
As a Registered Nurse (RN), you're the engine and the heart of patient care at Rochester Regional Health. You make a positive difference every single day in the lives of our patients, their family members and visitors - going above and beyond to meet their needs with courtesy, kindness, respect and compassion.
RESPONSIBILITIES:
  • Provides high-quality, patient-centered, clinical care
  • Performs initial and ongoing assessment of the patient, utilizing appropriate data (i.e. physical, psychological, educational and risk-screen data appropriate for the chronological / developmental age of the patient).
  • Communicates and documents assessment of patient with the interdisciplinary team. Utilizes all available resources in order to meet the needs of the patient and family.
  • Develops and documents plan of care, treatment and services which is individualized and appropriate for the patient needs, strengths, limitations and goals.
  • Complies with organizational policies, procedures and protocols including policies governing safety, medication administration and documentation.
  • Revises plan of care based on ongoing evaluations and updates documentation appropriately.
  • Completes at least one clinical research utilization (CRU) form for submission to Nursing Research Department utilizing a research article from the last 5 years from research performed in the United States.
Compliance
  • Completes a minimum of 5 nationally approved contact hours (CNE or CEU) per year.
  • Completes mandatory in-services and health screens in timely manner.
  • Maintains Basic Life Support (BLS) certification.
REQUIRED QUALIFICATIONS:
  • Diploma or Associate's Degree in Nursing
  • Registered Nurse license in New York State.
  • Basic Life Support (BLS) certification.
PREFERRED QUALIFICATIONS:
  • Bachelor's Degree in Nursing preferred.

EDUCATION:

AS: Nursing (Required)

LICENSES / CERTIFICATIONS:

BLS - Basic Life Support - American Heart Association (AHA)American Heart Association (AHA), RN - Registered Nurse - New York State Education Department (NYSED)New York State Education Department (NYSED)

PHYSICAL REQUIREMENTS:

M - Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects; Requires frequent walking, standing or squatting.

For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements.

Any physical requirements reported by a prospective employee and/or employee's physician or delegate will be considered for accommodations.

PAY RANGE:

$38.66 - $51.91

CITY:

Newark

POSTAL CODE:

14513

The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts.

Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.

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