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Utilization Review Rn Jobs in Austin, TX (NOW HIRING)

Avir Health Group

Registered Nurse

Austin, TX · On-site

Voluntary Benefits reviewed and provided at your one-on-one benefit meeting. * Exceptional Corporate Support. Qualifications: * Valid Texas RN License. * Valid CPR Certification. * I.V. Certification ...

AVIR Health Group

Registered Nurse

Austin, TX · On-site

Voluntary Benefits reviewed and provided at your one-on-one benefit meeting. * Exceptional Corporate Support. Qualifications: * Valid Texas RN License. * Valid CPR Certification. * I.V. Certification ...

W3R

RN Prior Authorization

Austin, TX

The Registered Nurse conducts pre-service, concurrent/ retrospective reviews. * They will ... Conducts any utilization or medical management review activities which require the review of ...

Star Nursing

RN - Cath Lab

Pflugerville, TX · On-site

Helps evidence-based practice changes through research utilization and experiential learning ... Job Title: Experienced Cath Lab RN Status: Fulltime Shift: Monday - Friday Department:

Avir at Luling

Registered Nurse

San Marcos, TX

Voluntary Benefits reviewed and provided at your one-on-one benefit meeting . * Exceptional Corporate Support. Qualifications: * Valid Texas RN License. * Valid CPR Certification. * I.V.

Avir at Luling

Registered Nurse

San Marcos, TX · On-site

Voluntary Benefits reviewed and provided at your one-on-one benefit meeting . * Exceptional Corporate Support. Qualifications: * Valid Texas RN License. * Valid CPR Certification. * I.V.

Avir at Park Bend

Registered Nurse

Austin, TX

Voluntary Benefits reviewed and provided at your one-on-one benefit meeting . * Exceptional Corporate Support. Qualifications: * Valid Texas RN License. * Valid CPR Certification. * I.V.

Avir at Park Bend

Registered Nurse

Austin, TX · On-site

Voluntary Benefits reviewed and provided at your one-on-one benefit meeting . * Exceptional Corporate Support. Qualifications: * Valid Texas RN License. * Valid CPR Certification. * I.V.

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All JobsUtilization Review Rn JobsUtilization Review Rn Jobs in Austin, TX

Utilization Review Rn information

See Austin, TX salary details

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$41

$68

How much do utilization review rn jobs pay per hour?

As of Jul 14, 2026, the average hourly pay for utilization review rn in Austin, TX is $41.91, according to ZipRecruiter salary data. Most workers in this role earn between $33.12 and $48.12 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 are the most commonly searched types of Utilization Review Rn jobs in Austin, TX? The most popular types of Utilization Review Rn jobs in Austin, TX are:
What are popular job titles related to Utilization Review Rn jobs in Austin, TX? For Utilization Review Rn jobs in Austin, TX, the most frequently searched job titles are:
What job categories do people searching Utilization Review Rn jobs in Austin, TX look for? The top searched job categories for Utilization Review Rn jobs in Austin, TX are:
What cities near Austin, TX are hiring for Utilization Review Rn jobs? Cities near Austin, TX with the most Utilization Review Rn job openings:
Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in Austin, TX as of July 2026, with employment types broken down into 1% As Needed, 77% Full Time, 18% Part Time, 1% Temporary, and 3% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $87,173 per year, or $41.9 per hour.

Registered Nurse

Avir Health Group

Austin, TX • On-site

Other

Medical, Retirement, PTO

Posted 13 days ago

Job description

Registered Nurse (RN)

AVIR Health Group is seeking a qualified Registered Nurse (RN) to join our family!

Shifts Available:

  • 2PM-10PM
  • 10PM-6AM

We are searching for a Registered Nurse (RN) who thrives in an environment where dedicated team members bring comfort, dignity and exceptional care to those that need it most. The primary purpose of your job position is to provide direct nursing care to the residents and to supervise the day-to-day nursing activities of your assigned unit. This is the place where your work matters, and your growth is supported.

New grads are always welcome!

Exciting Benefits:

  • Competitive compensation.
  • 401k with a match!
  • Company paid holidays and Paid Time Off (PTO) Program.
  • Health insurance for the entire family!
  • Scrubs on Wheels.
  • Voluntary Benefits reviewed and provided at your one-on-one benefit meeting.
  • Exceptional Corporate Support.

Qualifications:

  • Valid Texas RN License.
  • Valid CPR Certification.
  • I.V. Certification Preferred.
  • Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to long-term care.

About the Company:

We strive to create an environment where people feel safe, heard and understood. Our leadership teams embrace our "Your Voice" philosophy.

Avir Health Group is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.

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