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Utilization Review Rn Jobs in Alberta (NOW HIRING)

Extendicare

As a valued member of our RN team, you will provide care to residents in accordance with the ... Liaise with interdisciplinary team and care providers to develop, implement, review and evaluate ...

Extendicare

RN Permanent Part Time

Bonnyville, AB

... review and evaluate resident/patient care plans 3) Managing and evaluating the work of nursing and ... 2) Registered/eligible for registration with the Approved Professional Institutions for the ...

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All JobsUtilization Review Rn JobsUtilization Review Rn Jobs in Alberta

Utilization Review Rn information

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$23

$41

$62

How much do utilization review rn jobs pay per hour?

As of Jul 20, 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 - Transitional Graduate Nurse

Registered Nurse - Transitional Graduate Nurse

Alberta Health Services

Edmonton, AB • On-site

CA$40.76 - CA$55.79/hr

Other

Posted 7 days ago

Job description

Your Opportunity:

Step into your nursing career with confidence. Join Alberta's Graduate Nurse Transition Pilot Program. Have you recently graduated as a Registered Nurse and are ready to launch your nursing career? Whether you're drawn to the energy of urban centers or the close-knit feel of rural communities, opportunities await in our Graduate Nurse Transition Pilot Program (GNTPP). This isn't about "hitting the ground running". It's about growing into your role with the support you deserve. You'll be paired with experienced peers who guide you every step of the way, helping you build your skills, competence, and confidence in a safe and supportive environment. Start strong. Grow steadily. Thrive with support. The GNTPP is 12 months in duration and structured into two phases: Phase 1 - Enhanced Orientation: You will be in supernumerary (not counted in staffing numbers) and paired with a Clinical Guide (experienced RN) to develop and complete a personalized learning plan. The duration of this phase is flexible, based on your individual learning and transition needs. Phase 2 - Independent Practice with Support: After successfully completing Phase 1 - Enhanced Orientation, you will transition to independent practice while having access to an assigned mentor for ongoing support throughout the remaining 12 months of the program. After transitioning to independent practice, you will be required to apply for available vacant positions of no less than 0.5 FTE in a similar practice setting, ideally within the same unit, program, site, or office.

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 the organization. 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: SN Registered Nurse NGT2022.75
  • Union: United Nurses of Alberta
  • Unit and Program: Cardiac & GI Surgical Unit Sto
  • Primary Location: Stollery Children's Hospital
  • Location Details: As Per Location
  • Multi-Site: At (UNA only)
  • FTE: 1.00
  • Posting End Date: 27-JUL-2026
  • Temporary Employee Class: Temp F/T Benefits
  • Date Available: 27-AUG-2026
  • Temporary End Date: 27-AUG-2027
  • Hours per Shift: 11.63
  • Length of Shift in weeks: 12
  • Shifts per cycle: 40
  • Shift Pattern: Days, Nights, Weekends
  • 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. Eligibility is restricted to Graduate Nurses, Graduate Psychiatric Nurses, Registered Nurses and Registered Psychiatric Nurses who have graduated within 12 months prior to the anticipated start date of the program and who have not yet obtained a regular position with AHS, Covenant Health, or Recovery Alberta. Candidates selected for an interview must review the UNA Letter of Understanding #29 - Graduate Nurse Transition Pilot Program prior to the interview. For details, visit https://www.una.ca/collectiveagreements.

Additional Required Qualifications:

Demonstrated interest in pediatric nursing and a commitment to developing expertise in pediatric cardiology. Successful completion of a senior nursing practicum in pediatrics, pediatric critical care, neonatal care, or a related acute care setting is preferred. Demonstrated ability to apply critical thinking, clinical judgment, and sound decision-making in complex patient care situations. Strong communication and interpersonal skills, with the ability to establish therapeutic relationships with children, adolescents, and their families. Ability to work collaboratively within a multidisciplinary team in a dynamic, family-centered care environment. Demonstrated organizational and time management skills, with the ability to prioritize competing demands. Commitment to providing culturally safe, family-centred, and trauma-informed care. Demonstrated accountability, professionalism, and a willingness to seek feedback and engage in reflective practice. Ability to adapt to changing patient acuity and workload while maintaining patient safety. Basic computer proficiency and ability to document accurately using electronic health records.

Preferred Qualifications:

Demonstrates enthusiasm for caring for infants, children, and adolescents with congenital and acquired heart disease. Demonstrates resilience, emotional intelligence, and adaptability when caring for medically complex children and supporting families through challenging healthcare experiences.

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