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Utilization Review Rn Jobs in Utah (NOW HIRING)

Canyon Home Care is hiring for Registered Nurses (RN) and Licensed Practical Nurses (LPN) to work 1 ... Participates in utilization review of medical records as assigned. * Gives total patient care as ...

Canyon Home Care is hiring for Registered Nurses (RN) and Licensed Practical Nurses (LPN) to work 1 ... Participates in utilization review of medical records as assigned. * Gives total patient care as ...

Canyon Home Care is hiring for Registered Nurses (RN) and Licensed Practical Nurses (LPN) to work 1 ... Participates in utilization review of medical records as assigned. * Gives total patient care as ...

Canyon Home Care is hiring for Registered Nurses (RN) and Licensed Practical Nurses (LPN) to work 1 ... Participates in utilization review of medical records as assigned. * Gives total patient care as ...

Canyon Home Care is hiring for Registered Nurses (RN) and Licensed Practical Nurses (LPN) to work 1 ... Participates in utilization review of medical records as assigned. * Gives total patient care as ...

Care Management Assistant

Pleasant View, UT · On-site

$19.87 - $28.31/hr

... utilization review RNs, revenue cycle, and payers as needed to coordinate processes and research payment sources. * Monitors the status of referrals and maintains ongoing communication. * Requests ...

Canyon Home Care is hiring for Registered Nurses (RN) and Licensed Practical Nurses (LPN) to work 1 ... Participates in utilization review of medical records as assigned. * Gives total patient care as ...

$50.97 - $78.69/hr

... utilization review, acute and emergency department care, and ambulatory/community settings ... REQUIRED: RN or LCSW LICENSURE * Location: LDS hospital, requires travel to Riverton and Alta View ...

RN Ambulatory Care Manager

Sandy, UT · On-site

$40.39 - $60.96/hr

The RN Ambulatory Care Manager I delivers comprehensive ambulatory care management services to ... Demonstrated experience in case management, utilization review, or discharge planning. Physical ...

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Utilization Review Rn information

See Utah salary details

$19

$38

$62

How much do utilization review rn jobs pay per hour?

As of Jun 6, 2026, the average hourly pay for utilization review rn in Utah is $38.49, according to ZipRecruiter salary data. Most workers in this role earn between $30.43 and $44.18 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.

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 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.

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 Utah? The most popular types of Utilization Review Rn jobs in Utah are:
What cities in Utah are hiring for Utilization Review Rn jobs? Cities in Utah with the most Utilization Review Rn job openings:

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 4 days ago


Job description

Canyon Home Care is hiring for Registered Nurses (RN) and Licensed Practical Nurses (LPN) to work 1 on 1 with pediatric patients on weekends for 8-12 hour day and Night shifts. Training available for new or inexperienced nurses.

Why Join the Canyon Team?

- Competitive pay & weekly paychecks

- Paid training and licensing

- Flexible scheduling - PT and FT

- College Partnership programs & opportunities for continuing education

- Benefits*: Health, dental, vision, and life insurance. 401(k) savings plan. PTO.

Responsibilities:

- Utilizes the nursing process to plan, implement, and evaluate patient/client care and/or services provided to client(s) receiving contracted services, as required

- Initiates the plan of care when directed and requests from prescriber any necessary revisions as patient status and needs change - Incorporates therapeutic, preventive, and rehabilitative nursing actions based on patient diagnosis and established goals

- Intervenes as applicable in response to changes in patient/client condition and reports such changes to appropriate physician or supervisor

- Administers medications and treatments as prescribed, as well as monitors and documents effectiveness of intervention - Reviews plan of care and program protocols and identifies areas for healthcare teaching/education, care coordination, goal setting and discharge planning needs, as applicable

Requirements:

- Current Registered Nurse (RN) or (LPN) License for the state in which the nurse practices.

- Current Health Certificate (per facility Registered Nurse (RN) contract or state regulation). - Current PPD or Chest X-Ray. - Current BLS card.

- One-year prior Registered Nurse (RN) or (LPN) experience preferred but not required.

Canyon Home Care has been making a difference in the lives of our patients, caregivers, employees and communities for more than 30 years. We offer private duty nursing, skilled nursing, physical rehabilitation, companion care, respite care and behavioral care for individuals with chronic and acute illnesses and disabilities. Our commitment to quality customer service, compassionate patient care, and filling critical healthcare needs makes us a trusted partner wherever care is needed.

Canyon Home Care is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.


RESPONSIBILITIES

  1. Provides services in accordance with the plan of care.
  2. Makes the initial evaluation visit, determines the immediate care and support needs of the patient, assesses
  3. eligibility and homebound status and develops the plan of care in coordination with other IDT members.
  4. Regularly reevaluates the patients nursing needs and revises the care plan to meet the patients needs.
  5. Initiates the plan of care and necessary revisions.
  6. Furnishes those services requiring substantial specialized nursing skill.
  7. Initiates appropriate preventive and rehabilitative nursing procedures.
  8. Prepares clinical and progress notes for each patient visit and summaries of care conferences on patients in a timely manner as per Agency policy.
  9. Coordinates services with other members of the IDT, all physicians involved in the patient care, other care providers, patient, representative and caregivers when appropriate.
  10. Informs physician and other personnel of changes in the patients condition and needs.
  11. Counsels the patient and family/significant others in meeting nursing related needs.
  12. Participates in in-service programs, supervising and teaching other nursing personnel.
  13. Understands and adheres to established Agency policies and procedures.
  14. Processes orders and notifies physician of patient needs and changes in condition. Completes certification/recertification orders and discharge summaries.
  15. Determines the amount and type of nursing needed by each individual patient.
  16. Refers to Physical Therapist, Speech Language Pathologist, Occupational Therapist and Medical Social Worker
  17. those patients requiring their specialized skills.
  18. Supervises the LPN/LVN every 30-days and supervises the HHA/CNA every 14-days (or per regulatory requirements) and teaches other nursing personnel.
  19. Assigns home health aides to specific patients with written patient care instructions.
  20. Conducts patient care conferences on patients assigned to his/her care.
  21. Participates in peer review and quality management as assigned.
  22. Participates in utilization review of medical records as assigned.
  23. Gives total patient care as needed.
  24. Takes on-call duty nights, weekends and holidays as assigned.
  25. Completes and submits OASIS assessments, reassessments, and transfers, resumptions of care, discharges and significant change in condition in accordance with Agency defined time frames.
  26. Appropriately utilizes ICD-10 diagnoses and codes.
  27. Observes confidentiality, safeguards all patient related information.
  28. Attends staff meetings and patient care conferences as scheduled.
  29. Completes documentation and paperwork in a timely manner per Agency policy.
  30. Immediately reports to Administrator/Clinical Manager any patient incidents/variances or complaints.
  31. Demonstrates competent performance of technical skills according to established procedures.
  32. Understands and adheres to established policies and procedures.
  33. Adheres to Agency standards and consistently interprets and accurately performs all assigned responsibilities.
  34. Maintains acceptable attendance status, per Agency policy.
  35. Reports all incomplete work assignments to Clinical Manager.
  36. Appearance is always within Agency standard; is clean and well-groomed.
  37. Demonstrates effective time management skills through daily documentation and infrequent overtime for routine assignments.
  38. Maintains clean and neat work environment.
  39. Demonstrates sound judgment, critical thinking and decision making.
  40. Maintains current CPR certification.
  41. Performs other duties as assigned.