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Utilization Review Rn Jobs in Baton Rouge, LA (NOW HIRING)

Imh

Registered Nurse Surgical

New Roads, LA · On-site

$37.45 - $57.29/hr

The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability ... Evaluates patient response to interventions through review of achievement of goals, clinical ...

New

Imh

Registered Nurse Pediatrics

New Roads, LA · On-site

$36.71 - $56.17/hr

The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability ... Evaluates patient response to interventions through review of achievement of goals, clinical ...

State of Louisiana

REGISTERED NURSE 3

Baton Rouge, LA · On-site

$4.8K - $8.7K/mo

This posting may be used to fill other RN vacancies within ELMHS The Mission of ELMHS is to provide ... Review medications/supplies stored in the medicine room for expiration date. * Count/document ...

AMSURG

Registered Nurse-Hourly

Baton Rouge, LA · On-site

We are looking for an RN that has a desire to be part of a team and grow in the nursing profession ... Review medical records, provide continuity of care, collaborate with other members of the health ...

Imh

New Graduate Registered Nurse Oncology

New Roads, LA · On-site

$36.71 - $56.17/hr

The New Grad RN position is for recent RN graduates or those with less than one year of RN ... WhileHiredScore assists in reviewing applications, all final decisions are made byIntermountain ...

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All JobsUtilization Review Rn JobsUtilization Review Rn Jobs in Baton Rouge, LA

Utilization Review Rn information

See Baton Rouge, LA salary details

$16

$33

$54

How much do utilization review rn jobs pay per hour?

As of Jun 24, 2026, the average hourly pay for utilization review rn in Baton Rouge, LA is $33.17, according to ZipRecruiter salary data. Most workers in this role earn between $26.20 and $38.08 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.

How do I become a utilization review RN?

To become a utilization review RN, you typically need to hold a valid registered nurse (RN) license and have experience in clinical nursing. Additional certifications such as the Certified Professional in Healthcare Quality (CPHQ) or Utilization Review Certification (URAC) can enhance job prospects, and strong knowledge of medical coding, insurance policies, and healthcare regulations is important.

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 does an RN utilization review do?

An RN utilization review evaluates medical records and treatment plans to determine the appropriateness, necessity, 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.

How to make $300,000 a year as a nurse?

To earn $300,000 annually as a Utilization Review RN, professionals typically need extensive experience, advanced certifications such as CCM or ANCC, and may work in high-paying settings like insurance companies or healthcare consulting firms. Increasing specialization, taking on leadership roles, or working overtime can also boost income, but reaching this level often requires a combination of skills, experience, and strategic career moves.

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 CCM or ANCC, and working in high-paying settings like insurance companies or managed care organizations. Advanced skills in case management, strong clinical knowledge, and sometimes working overtime or in leadership roles can also contribute to higher earnings.

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 Baton Rouge, LA? The most popular types of Utilization Review Rn jobs in Baton Rouge, LA are:
What are popular job titles related to Utilization Review Rn jobs in Baton Rouge, LA? For Utilization Review Rn jobs in Baton Rouge, LA, the most frequently searched job titles are:
What job categories do people searching Utilization Review Rn jobs in Baton Rouge, LA look for? The top searched job categories for Utilization Review Rn jobs in Baton Rouge, LA are:
What cities near Baton Rouge, LA are hiring for Utilization Review Rn jobs? Cities near Baton Rouge, LA with the most Utilization Review Rn job openings:
Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in Baton Rouge, LA as of June 2026, with employment types broken down into 88% Full Time, 10% Part Time, and 2% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $68,998 per year, or $33.2 per hour.
Registered Nurse - MedSurg/Tele - FT Nights

Registered Nurse - MedSurg/Tele - FT Nights

Lane Regional Medical Center

Zachary, LA • On-site

Full-time

Posted 6 days ago

Job description

Under the supervision of the Director/House Supervisor and/or Charge Nurse, the RN shall oversee day-today functions of assigned personnel to ensure that appropriate nursing care is provided to each patient in accordance with the assigned employees job description and competencies. The RN is responsible for managing the care of patients by direct caregiving or supervising other nursing personnel utilizing the Nursing Process. The RN may provide direct nursing care using the Nursing Process.
Education and Experience:
• Nursing Diploma, Associates of Science in Nursing, Bachelors of Science in Nursing, or Masters of Science in Nursing
• Licensed in the State of Louisiana or Privilege to Practice with license in primary state of residence.
• One year of clinical nursing experience preferred
• Basic Life Support (BLS)
• ACLS within one year of employment
• PALS within 6 months of orientation for Emergency Room, ICU, Med-Surg/Telemetry departments
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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