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Utilization Review Rn Jobs in Alberta (NOW HIRING)

TELUS

Registered Nurse

Calgary, AB

Our Team and What We'll Accomplish Together As a Registered Nurse, you'll be the clinical ... Provide one-on-one travel health consultations: vaccine reviews, risk mitigation, medication ...

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

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

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

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

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

Airdrie, 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

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

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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Showing results 1-20

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 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 Casual AgeCare Jasper Place

Registered Nurse Casual AgeCare Jasper Place

AgeCare

Edmonton, AB

Part-time

Medical, PTO

Posted 29 days ago

Job description

The Opportunity

The Registered Nurse (RN) provides professional nursing care to residents in accordance with required medical care and professional nursing practice. This role supervises the activities and provides direction to the Registered Practical Nurses and Personal Support Workers.

Apply today to become a valued member of our team!

What You Will Do

Coordinates nursing and other services for the residents within the neighbourhood and with other services within the residence.

Leads shift report with members of the health care team, ensuring that all team members are informed of changes in residents' status.

Records significant changes in residents' condition; ensures documentation in the residents' chart adheres to AgeCare policies and procedures and Provincial College of Nurses and Standards of Practice.

Reviews and processes physician orders as per procedure, ensuring orders are implemented as soon as possible. Immediately communicates difficulties in processing physician orders to the Director of Care/Assistant Director of Care.

What You Bring

A sound knowledge and background in geriatric, rehabilitation or long-term care nursing including activation, nursing, and personnel administration.

Bachelor's Degree in Nursing.

Knowledge of the Fixing Long-Term Care Act and Regulations, the appropriate sections of the Health Disciplines Act, Occupation Health and Safety Act, Pharmacy Act, Food and Drugs Act (Canada), Controlled Substances Act (Canada) Health Promotion and Protection Act,

Personal Health Protection Act, Coroners Act, Provincial College of Nurses and Standards of Practice and other pertinent Federal, Provincial and Municipal Statues which influence the operation of the Nursing Home and more specifically the nursing department.

Registration and membership in good standing with provincial registry.

What We Offer

Great Pay & Benefits: Competitive salary with health benefits and paid time off.

Career Growth: Opportunities for training, education, and advancement.

Supportive Culture: A diverse and inclusive team where everyone is valued.

Meaningful Work: Make a real impact on our residents' lives.

Community Feel: Build strong connections with residents, their families, and your colleagues.

Recognition: Your hard work is celebrated and rewarded

About Us

For over 25 years, AgeCare has been dedicated to creating vibrant and supportive communities, providing high-quality care and fostering meaningful connections. With over 50 communities across Alberta, BC and Ontario, we offer a comfortable, home-like atmosphere where residents can age with dignity and respect. Guided by our values of trust, quality, respect and teamwork, our compassionate and dedicated team is at the core of our success, ensuring that residents enjoy a rich quality of life in an environment tailored to their needs.

What are you waiting for?

If you are passionate about providing exceptional care and want to be part of a dedicated team, we would love to hear from you! Join AgeCare and help us create a warm and nurturing home for our residents. Apply today!

At AgeCare, we value diversity and inclusion and encourage all qualified individuals to apply. We thank all applicants for their interest; however, only those selected for an interview will be contacted.

If you're motivated by the privilege of serving our seniors with dignity, respect and compassion, come join us!

Apply