... Utilization, and Staff and Self Development as outlined in performance review. * 9. Performs other duties as assigned or directed to ensure smooth operation of the department/unit. * 10. Unit ...
... Utilization, and Staff and Self Development as outlined in performance review. * 9. Performs other duties as assigned or directed to ensure smooth operation of the department/unit. * 10. Unit ...
... Utilization, and Staff and Self Development as outlined in performance review. * 9. Performs other duties as assigned or directed to ensure smooth operation of the department/unit. * 10. Unit ...
... Utilization, and Staff and Self Development as outlined in performance review. * 9. Performs other duties as assigned or directed to ensure smooth operation of the department/unit. * 10. Unit ...
Resource Utilization: The RN utilizes appropriate resources to plan provide and sustain evidence-based nursing services that are safe, effective and fiscally responsible Environmental Health: The RN ...
Resource Utilization: The RN utilizes appropriate resources to plan provide and sustain evidence-based nursing services that are safe, effective and fiscally responsible Environmental Health: The RN ...
Resource Utilization: The RN utilizes appropriate resources to plan provide and sustain evidence-based nursing services that are safe, effective and fiscally responsible Environmental Health: The RN ...
Resource Utilization: The RN utilizes appropriate resources to plan provide and sustain evidence-based nursing services that are safe, effective and fiscally responsible Environmental Health: The RN ...
Resource Utilization: The RN utilizes appropriate resources to plan provide and sustain evidence-based nursing services that are safe, effective and fiscally responsible Environmental Health: The RN ...
Resource Utilization: The RN utilizes appropriate resources to plan provide and sustain evidence-based nursing services that are safe, effective and fiscally responsible Environmental Health: The RN ...
Resource Utilization: The RN utilizes appropriate resources to plan provide and sustain evidence-based nursing services that are safe, effective and fiscally responsible Environmental Health: The RN ...
Resource Utilization: The RN utilizes appropriate resources to plan provide and sustain evidence-based nursing services that are safe, effective and fiscally responsible Environmental Health: The RN ...
Resource Utilization: The RN utilizes appropriate resources to plan provide and sustain evidence-based nursing services that are safe, effective and fiscally responsible Environmental Health: The RN ...
Resource Utilization: The RN utilizes appropriate resources to plan provide and sustain evidence-based nursing services that are safe, effective and fiscally responsible Environmental Health: The RN ...
Resource Utilization: The RN utilizes appropriate resources to plan provide and sustain evidence-based nursing services that are safe, effective and fiscally responsible Environmental Health: The RN ...
Resource Utilization: The RN utilizes appropriate resources to plan provide and sustain evidence-based nursing services that are safe, effective and fiscally responsible Environmental Health: The RN ...
Resource Utilization: The RN utilizes appropriate resources to plan provide and sustain evidence-based nursing services that are safe, effective and fiscally responsible Environmental Health: The RN ...
Resource Utilization: The RN utilizes appropriate resources to plan provide and sustain evidence-based nursing services that are safe, effective and fiscally responsible Environmental Health: The RN ...
Resource Utilization: The RN utilizes appropriate resources to plan provide and sustain evidence-based nursing services that are safe, effective and fiscally responsible Environmental Health: The RN ...
Resource Utilization: The RN utilizes appropriate resources to plan provide and sustain evidence-based nursing services that are safe, effective and fiscally responsible Environmental Health: The RN ...
Resource Utilization: The RN utilizes appropriate resources to plan provide and sustain evidence-based nursing services that are safe, effective and fiscally responsibleEnvironmental Health: The RN ...
Resource Utilization: The RN utilizes appropriate resources to plan provide and sustain evidence-based nursing services that are safe, effective and fiscally responsibleEnvironmental Health: The RN ...
Resource Utilization: The RN utilizes appropriate resources to plan provide and sustain evidence-based nursing services that are safe, effective and fiscally responsible Environmental Health: The RN ...
Resource Utilization: The RN utilizes appropriate resources to plan provide and sustain evidence-based nursing services that are safe, effective and fiscally responsible Environmental Health: The RN ...
Resource Utilization: The RN utilizes appropriate resources to plan provide and sustain evidence-based nursing services that are safe, effective and fiscally responsible Environmental Health: The RN ...
Resource Utilization: The RN utilizes appropriate resources to plan provide and sustain evidence-based nursing services that are safe, effective and fiscally responsible Environmental Health: The RN ...
Resource Utilization: The RN utilizes appropriate resources to plan provide and sustain evidence-based nursing services that are safe, effective and fiscally responsibleEnvironmental Health: The RN ...
Resource Utilization: The RN utilizes appropriate resources to plan provide and sustain evidence-based nursing services that are safe, effective and fiscally responsibleEnvironmental Health: The RN ...
Resource Utilization: The RN utilizes appropriate resources to plan provide and sustain evidence-based nursing services that are safe, effective and fiscally responsible Environmental Health: The RN ...
Resource Utilization: The RN utilizes appropriate resources to plan provide and sustain evidence-based nursing services that are safe, effective and fiscally responsible Environmental Health: The RN ...
Resource Utilization: The RN utilizes appropriate resources to plan provide and sustain evidence-based nursing services that are safe, effective and fiscally responsible Environmental Health: The RN ...
Resource Utilization: The RN utilizes appropriate resources to plan provide and sustain evidence-based nursing services that are safe, effective and fiscally responsible Environmental Health: The RN ...
Resource Utilization: The RN utilizes appropriate resources to plan provide and sustain evidence-based nursing services that are safe, effective and fiscally responsible Environmental Health: The RN ...
Resource Utilization: The RN utilizes appropriate resources to plan provide and sustain evidence-based nursing services that are safe, effective and fiscally responsible Environmental Health: The RN ...
Resource Utilization: The RN utilizes appropriate resources to plan provide and sustain evidence-based nursing services that are safe, effective and fiscally responsible Environmental Health: The RN ...
Resource Utilization: The RN utilizes appropriate resources to plan provide and sustain evidence-based nursing services that are safe, effective and fiscally responsible Environmental Health: The RN ...
Resource Utilization: The RN utilizes appropriate resources to plan provide and sustain evidence-based nursing services that are safe, effective and fiscally responsible Environmental Health: The RN ...
Resource Utilization: The RN utilizes appropriate resources to plan provide and sustain evidence-based nursing services that are safe, effective and fiscally responsible Environmental Health: The RN ...
Resource Utilization: The RN utilizes appropriate resources to plan provide and sustain evidence-based nursing services that are safe, effective and fiscally responsible Environmental Health: The RN ...
Resource Utilization: The RN utilizes appropriate resources to plan provide and sustain evidence-based nursing services that are safe, effective and fiscally responsible Environmental Health: The RN ...
Utilization Review Rn information
See Connecticut salary details
$20.35 - $24.47
2% of jobs
$24.47 - $28.58
9% of jobs
$31.40 is the 25th percentile. Wages below this are outliers.
$28.58 - $32.70
21% of jobs
The median wage is $36.03 / hr.
$32.70 - $36.82
23% of jobs
$36.82 - $40.93
13% of jobs
$44.13 is the 75th percentile. Wages above this are outliers.
$40.93 - $45.05
10% of jobs
$45.05 - $49.17
8% of jobs
$49.17 - $53.28
5% of jobs
$53.28 - $57.40
5% of jobs
$57.40 - $61.51
2% of jobs
$61.51 - $65.63
2% of jobs
$20
$40
$65
How much do utilization review rn jobs pay per hour?
As of Jul 17, 2026, the average hourly pay for utilization review rn in Connecticut is $40.22, according to ZipRecruiter salary data. Most workers in this role earn between $31.78 and $46.20 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?
| Aspect | Utilization Review Rn | Case Manager |
|---|---|---|
| Credentials | RN license, certifications in utilization review | RN license, certifications in case management |
| Work Environment | Hospitals, insurance companies, healthcare facilities | Hospitals, community agencies, insurance companies |
| Primary Focus | Reviewing medical necessity and appropriateness of care | Coordinating 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 are the most commonly searched types of Utilization Review Rn jobs in Connecticut? The most popular types of Utilization Review Rn jobs in Connecticut are:
What are popular job titles related to Utilization Review Rn jobs in Connecticut? For Utilization Review Rn jobs in Connecticut, the most frequently searched job titles are:
- Remote Cvs Utilization Management Nurse
- Full Time Appeals Nurse Remote
- Independent Contractor Remote Utilization Management Nurse
- Part Time Utilization Review Nurse
- Remote Utilization Management
- Per Diem Utilization Review Nurse
- Physician Advisor Utilization Review
- Remote Utilization Review Rn
- Remote Utilization Review Nurse
- Seasonal Remote Hedis Review Nurse
What job categories do people searching Utilization Review Rn jobs in Connecticut look for? The top searched job categories for Utilization Review Rn jobs in Connecticut are:
What cities in Connecticut are hiring for Utilization Review Rn jobs? Cities in Connecticut with the most Utilization Review Rn job openings:
What are popular job titles related to Utilization Review Rn jobs in CT? For Utilization Review Rn jobs in CT, the most frequently searched job titles are:
Yale New Haven Health rating
7.3
Based on 228 frontline employees who took The Breakroom Quiz
263rd of 886 rated healthcare providers
Job description
Overview
To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.
Works under the supervision of the Nurse Manager/Clinical Coordinator. The Registered Nurse (RN) assesses, plans, implements, evaluates and supervises individual patient care on a nursing unit/department according to unit policies and procedures. Provides supervision of non-RN personnel on the assigned unit. When assuming the charge role, delegates and supervises unit activities. May be requires to work on other nursing units according to distribution of staff and patients. Performs other duties as assigned or requested in order to maintain a high level of service.
EEO/AA/Disability/Veteran
Responsibilities
EDUCATION
Graduate of an accredited school of nursing; BSN Preferred. Proficient in use of computer software to include electronic patient records. Must have ability to use internet for literature searches regarding care for patients.
LICENSURE
Valid State of Connecticut Registered Nurse license
SPECIAL SKILLS
BLS required
YNHHS Requisition ID
185590
To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.
Works under the supervision of the Nurse Manager/Clinical Coordinator. The Registered Nurse (RN) assesses, plans, implements, evaluates and supervises individual patient care on a nursing unit/department according to unit policies and procedures. Provides supervision of non-RN personnel on the assigned unit. When assuming the charge role, delegates and supervises unit activities. May be requires to work on other nursing units according to distribution of staff and patients. Performs other duties as assigned or requested in order to maintain a high level of service.
EEO/AA/Disability/Veteran
Responsibilities
- 1. Assesses the patient's physical and psychosocial condition on an ongoing basis throughout the continuum of care.
- 2. Develops, communicates and documents a plan of care reflecting individualized patient problems and interventions to achieve desired outcomes, involving the patient, family and healthcare team in this process.
- 3. Implements and coordinates this plan of care in collaboration with the healthcare team.
- 4. Evaluates the effectiveness of the plan of care, patient's response to care, and readiness for discharge. Revises the plan of care as needed and makes referrals where indicated.
- 5. Plans for education after assessing the individual learning needs and readiness of the patient and family. Provides educational opportunities and documents outcomes.
- 6. Functions as a preceptor to new staff.
- 7. Functions as a charge nurse.
- 8. Meets performance expectations for Customer Service, Teamwork, Resource Utilization, and Staff and Self Development as outlined in performance review.
- 9. Performs other duties as assigned or directed to ensure smooth operation of the department/unit.
- 10. Unit Specific Responsibilities
- 10.1 Demonstrates knowledge and skill in the care of the cardiac patient
EDUCATION
Graduate of an accredited school of nursing; BSN Preferred. Proficient in use of computer software to include electronic patient records. Must have ability to use internet for literature searches regarding care for patients.
LICENSURE
Valid State of Connecticut Registered Nurse license
SPECIAL SKILLS
BLS required
YNHHS Requisition ID
185590
What Yale New Haven Health employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Yale New Haven Health
Sourced by ZipRecruiter
Industry
Health care and social assistance and hospitals
Company size
10,000+ Employees
Headquarters location
New Haven, CT, US