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Utilization Review Rn Jobs in Arlington, VA (NOW HIRING)

American Traveler

Travel Case Manager RN

Lanham, MD · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Travel RN - Case Management/Utilization Review - Case Management About American Traveler With over 25 years of experience, American Traveler has established a reputation for outstanding customer ...

UHS

QUALITY PEER REVIEW (RN) - OB/ORTHO

Washington, DC · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Website: www.gwuhospital.com Quality Peer Review - RN - OB/ORTHO Assist in the implementation of Hospital Quality Assurance, Management and Improvement by collecting, reporting, and analyzing data ...

UHS

QUALITY PEER REVIEW (RN) - OB/ORTHO

Washington, DC · On-site

$76K - $115K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Website: www.gwuhospital.com Quality Peer Review - RN - OB/ORTHO Assist in the implementation of Hospital Quality Assurance, Management and Improvement by collecting, reporting, and analyzing data ...

Kensington Senior Living, LLC

RN

Reston, VA · On-site

$40 - $42/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Participates in utilization review of medical records as assigned. 13. Completes and submits ... RN in the state(s) in which practicing

Kensington Senior Living

RN

Reston, VA · On-site

$40 - $42/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Participates in utilization review of medical records as assigned. 13. Completes and submits ... RN in the state(s) in which practicing

CINQCARE

Transition of Care RN

Washington, DC · Remote

$76K - $94K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Overview The Transition of Care RN reports to the Director of Clinical Operations or designee, with ... Experience: Experience with utilization review either in the hospital or with a managed care ...

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All JobsUtilization Review Rn JobsUtilization Review Rn Jobs in Arlington, VA

Utilization Review Rn information

See Arlington, VA salary details

$24

$48

$79

How much do utilization review rn jobs pay per hour?

As of Aug 13, 2026, the average hourly pay for utilization review rn in Arlington, VA is $48.62, according to ZipRecruiter salary data. Most workers in this role earn between $38.41 and $55.82 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.

How to get into utilization review as a registered nurse?

To become a utilization review RN, you typically need a valid registered nurse license and experience in clinical settings. Additional certifications such as the Certified Professional in Healthcare Quality (CPHQ) or knowledge of medical coding and insurance processes can enhance your qualifications. Gaining experience in case management or health insurance companies can also improve your chances of entering the field.

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 Arlington, VA?

The most popular types of Utilization Review Rn jobs in Arlington, VA are:

What are popular job titles related to Utilization Review Rn jobs in Arlington, VA?

For Utilization Review Rn jobs in Arlington, VA, the most frequently searched job titles are:

What job categories do people searching Utilization Review Rn jobs in Arlington, VA look for?

The top searched job categories for Utilization Review Rn jobs in Arlington, VA are:

What cities near Arlington, VA are hiring for Utilization Review Rn jobs?

Cities near Arlington, VA with the most Utilization Review Rn job openings:

Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in Arlington, VA as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 15% Part Time, and 4% Contract. Highlights an 89% Physical, 4% Hybrid, and 7% Remote job distribution, with an average salary of $101,125 per year, or $48.6 per hour.

Travel Case Manager RN

American Traveler

Lanham, MD • On-site

Contractor

Medical, Dental, Vision, Life, Retirement

This job post has expired today. Applications are no longer accepted.

Job description

American Traveler is seeking a travel nurse RN Case Management for a travel nursing job in Lanham, Maryland.

Job Description & Requirements
  • Specialty: Case Management
  • Discipline: RN
  • Start Date: 08/24/2026
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 8 hours, days
  • Employment Type: Travel
Assignment Overview
  • Shift: Days, 5x8hrs
  • Hours: 40 hrs/wk
  • Start Date: Aug 24, 2026
  • Length: 13 weeks
  • Openings: 1
Description

American Traveler is seeking an experienced RN Case Manager with an active MD or compact license and Epic charting experience for a 13-week assignment.

Details
  • Work within the Case Management unit of a hospital setting
  • Day shift schedule, 5x8 hours, Monday through Friday with rotating weekends and holidays
  • Shift hours are either 8:00am-4:30pm or 8:30am-5:00pm
  • Floating required within scope of practice
Requirements
  • Active MD state RN license or compact license required in-hand
  • Epic charting system experience required, with a test-out option available
  • One professional reference required for consideration
Additional Information
  • No mile radius rule for this position
  • Local candidates accepted at the same rate
  • Completion of orientation and annual training modules via HealthStream portal, averaging 4.5-5 hours
  • Former travelers must wait 6 months before returning to this facility, with case-by-case review considered within a 1-year timeframe

American Traveler Job ID #P-741215. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Travel RN - Case Management/Utilization Review - Case Management

About American Traveler

With over 25 years of experience, American Traveler has established a reputation for outstanding customer service. Our team ensures a smooth, worry-free experience for those starting on or expanding their travel nursing and allied careers.

With thousands of travel nursing and allied jobs nationwide, our attentive and approachable recruiters find positions that align perfectly with your career aspirations and personal requirements.

American Traveler offers exceptional benefits, including premium medical, dental, vision and life insurance beginning day one of your assignment, generous 401(k) match, substantial housing stipends, and more. Additionally, with 24/7 support and access to our in-house clinicians, you are assured confidence and comfort throughout your assignment.

With our team behind you, you can relax and enjoy a rewarding travel career.

Apply