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Utilization Review Rn Jobs in Alberta (NOW HIRING)

AgeCare

Registered Nurse - AgeCare Skypointe

Calgary, AB · On-site

Temporary Part Time The Opportunity The Registered Nurse (RN) provides professional nursing care to ... Reviews and processes physician orders as per procedure, ensuring orders are implemented as soon as ...

ParaMed

Clinical Supervisor - RN

Calgary, AB · On-site

In this valuable role, the Clinical Supervisor is accountable for the supervision of RN's and LPN's ... such as reviewing applications, analyzing resumes, or assessing candidate responses. These tools ...

Job Bridge Global

Nurse

Calgary, AB

CA$35 - CA$39/hr

Registered Nurses - Michigan & Indiana, USA Full Visa Sponsorship + Relocation Assistance $35 - $39 ... All applications will be reviewed fairly and without discrimination.

Job Bridge Global

Nurse

Red Deer, AB

CA$35 - CA$39/hr

Registered Nurses - Michigan & Indiana, USA Full Visa Sponsorship + Relocation Assistance $35 - $39 ... All applications will be reviewed fairly and without discrimination.

Job Bridge Global

Nurse

Airdrie, AB

CA$35 - CA$39/hr

Registered Nurses - Michigan & Indiana, USA Full Visa Sponsorship + Relocation Assistance $35 - $39 ... All applications will be reviewed fairly and without discrimination.

Job Bridge Global

Nurse

Edmonton, AB

CA$35 - CA$39/hr

Registered Nurses - Michigan & Indiana, USA Full Visa Sponsorship + Relocation Assistance $35 - $39 ... All applications will be reviewed fairly and without discrimination.

Job Bridge Global

Nurse

Lethbridge, AB

CA$35 - CA$39/hr

Registered Nurses - Michigan & Indiana, USA Full Visa Sponsorship + Relocation Assistance $35 - $39 ... All applications will be reviewed fairly and without discrimination.

Job Bridge Global

Nurse

Red Deer, AB · On-site

CA$35 - CA$39/hr

Registered Nurses - for work in Michigan & Indiana, USA This a TN Visa Recruitment Programme - ... All applications will be reviewed fairly and without discrimination.

Job Bridge Global

Nurse

Edmonton, AB · On-site

CA$35 - CA$39/hr

Registered Nurses - for work in Michigan & Indiana, USA This a TN Visa Recruitment Programme - ... All applications will be reviewed fairly and without discrimination.

Job Bridge Global

Nurse

Red Deer, AB

CA$35 - CA$39/hr

Registered Nurses - for work in Michigan & Indiana, USA This a TN Visa Recruitment Programme - ... All applications will be reviewed fairly and without discrimination.

Job Bridge Global

Nurse

Calgary, AB · On-site

CA$35 - CA$39/hr

Registered Nurses - for work in Michigan & Indiana, USA This a TN Visa Recruitment Programme - ... All applications will be reviewed fairly and without discrimination.

Job Bridge Global

Nurse

Airdrie, AB

CA$35 - CA$39/hr

Registered Nurses - for work in Michigan & Indiana, USA This a TN Visa Recruitment Programme - ... All applications will be reviewed fairly and without discrimination.

Job Bridge Global

Nurse

Lethbridge, AB · On-site

CA$35 - CA$39/hr

Registered Nurses - for work in Michigan & Indiana, USA This a TN Visa Recruitment Programme - ... All applications will be reviewed fairly and without discrimination.

Job Bridge Global

Nurse

Calgary, AB

CA$35 - CA$39/hr

Registered Nurses - for work in Michigan & Indiana, USA This a TN Visa Recruitment Programme - ... All applications will be reviewed fairly and without discrimination.

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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.

Registered Nurse - Calgary

Bayshore HealthCare

Calgary, AB

Other

Posted yesterday

Key responsibilities

  • Deliver and monitor specialized infusion, injectable, or oral pharmacological treatments in home and clinic settings.

  • Develop and review individualized nursing care plans and conduct patient health assessments.

  • Accurately document procedures, observe and report patient conditions, and report adverse events to the supervisor or required stakeholders.

Job description

JOB SUMMARY 
The Specialty Pharma Nurse - Registered Nurse, under the direction of the Specialty Pharma Supervisor and/or Specialty Pharma Nurse Manager, delivers and monitors specialized infusion, injectable or oral pharmacological treatments in the home and/or clinic setting. The infusion nurse is responsible for monitoring the patient for infusion related reactions (intervening as required), accurately documenting the procedure, and submitting reporting in a timely manner. The Specialty Pharma Nurse - Registered Nurse is expected to maintain effective communication with the Specialty Nursing Supervisor and/or Specialty Pharma Nurse Manager to ensure patient safety and satisfaction. Specialized pharmacological training will be provided. This career will allow you to develop a specialty in infusion services with opportunities to attend conferences and participate in clinical trials. Bayshore has a focus on nursing education and provides many opportunities for nurses to advance their professional growth.
DUTIES AND RESPONSIBILITIES 
Develop and review nursing care plans that are individualized to each patient. 
Conducts patient health assessments and medication administration teaching. 
Obtain IV access through peripheral IV initiation or central line access (PICC, IVAD, etc.). 
Prepares and administers a variety of specialized intravenous or injectable pharmacological treatments. 
Provide patient care by utilizing the skills of observation, assessment, nursing diagnosis, counseling, health teaching, and reporting any adverse events to immediate supervisor or required stakeholders. 
Perform routine nursing duties in accordance with company policies and procedures, and provincial body standards. 
Provide patient centered care according to the established care plan or medical directive. 
Perform specialized nursing procedures for which recognized training and current competencies have been demonstrated and updated per standards. 
Maintain role related, medication and pharmacovigilance training as required. 
Observe and document patient conditions.
Report and document Adverse Events as per Pharmacovigilance requirements. 
Complete all other duties as requested.

Qualifications - External

QUALIFICATIONS 
Education 
Graduated from an accredited nursing education program with a Bachelor of Science in Nursing (BSN) degree or equivalent. 
Current registration and in good standing with provincial nursing regulatory body. 
Current Basic Cardiac Life Support (BLS) certification. 
Current Advance Cardiac Life Support (ACLS) certification is required for clinic role. 
Chemotherapy - Biotherapy course completion is an asset. ** If the required qualifications are not possessed by the successful candidate; the candidate will be required to obtain certification necessary for the location of their work. Training for the certification will be completed on the successful candidates own time. ** 
Experience 
Experience in acute care and/or with administering specialty pharmaceuticals. 
Experience with home care is an asset. 
Critical care (e.g., ER or ICU), infusion clinic, or oncology experience is preferred. 
Exceptional peripheral IV initiation skills. Experience with central lines (IVAD, PICC, etc.) is an asset. 
Other Skills and Abilities 
Exceptional patient assessment skills. Strong communication skills. 
Able to manage relationships with exceptional customer service. 
Exceptional interpersonal skills and ability to handle difficult situations. 
Able to work independently and as part of an interdisciplinary team. 
Able to perform and prioritize multiple functions and tasks. 
Able to read and interpret technical instructions related to patient care. 
Able to transcribe physician's orders. 
Valid drivers license.

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