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

Imh

Registered Nurse Med Onc

New Roads, LA · On-site

$36.71 - $56.17/hr

The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability ... WhileHiredScore assists in reviewing applications, all final decisions are made byIntermountain ...

State of Louisiana

Registered Nurse 1-3

Baton Rouge, LA

$5.1K - $7.6K/mo

... Review medications/supplies stored in the medicine room for expiration date. Count/document ... This position may be filled as an RN 1, RN 2, or RN 3 based on experience Compensation: This ...

US Navy

Registered Nurse

Independence, LA

... will be reviewed with you by a recruiter. Additional qualifications for this job may include ... registered nurse license or the ability to obtain one within established timelines for new ...

US Navy

Registered Nurse

Maringouin, LA

... will be reviewed with you by a recruiter. Additional qualifications for this job may include ... registered nurse license or the ability to obtain one within established timelines for new ...

US Navy

Registered Nurse

Monticello, LA

... will be reviewed with you by a recruiter. Additional qualifications for this job may include ... registered nurse license or the ability to obtain one within established timelines for new ...

US Navy

Registered Nurse

Jackson, LA

... will be reviewed with you by a recruiter. Additional qualifications for this job may include ... registered nurse license or the ability to obtain one within established timelines for new ...

US Navy

Registered Nurse

Albany, LA

... will be reviewed with you by a recruiter. Additional qualifications for this job may include ... registered nurse license or the ability to obtain one within established timelines for new ...

US Navy

Registered Nurse

Livonia, LA

... will be reviewed with you by a recruiter. Additional qualifications for this job may include ... registered nurse license or the ability to obtain one within established timelines for new ...

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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

$18

$36

$60

How much do utilization review rn jobs pay per hour?

As of Jul 15, 2026, the average hourly pay for utilization review rn in Baton Rouge, LA is $37.00, according to ZipRecruiter salary data. Most workers in this role earn between $29.23 and $42.50 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 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
RN/LPN - Flu Clinic (PRN)

RN/LPN - Flu Clinic (PRN)

The Baton Rouge Clinic

Baton Rouge, LA • On-site

$23.50 - $32/hr

Per diem

Posted 6 days ago

New

Job description

Job Description
Registered Nurse (RN) / Licensed Practical Nurse (LPN) - Flu Clinic
Key Responsibilities:
  • Administer seasonal influenza and other routine immunizations in accordance with physician orders, clinical protocols, and CDC guidelines.
  • Assess patients prior to vaccination by reviewing medical history, allergies, contraindications, and obtaining informed consent when appropriate.
  • Educate patients on vaccine benefits, potential side effects, and post-vaccination care while addressing questions and concerns.
  • Monitor patients for adverse reactions following immunization and provide prompt nursing intervention when necessary.
  • Accurately document vaccinations, patient assessments, and immunization records within the electronic medical record (EMR) system.
  • Maintain vaccine inventory, ensure proper storage and handling, and monitor cold chain requirements to preserve vaccine integrity.

*Estimated Start for Flu Clinic will be in mid August / September*
Job Location
Baton Rouge Clinic - Perkins 7373 Perkins Rd
Baton Rouge, LA 70808
Department
Nursing
Class
PRN
Basic Skills Required
Active Registered Nurse (RN) or Licensed Practical Nurse (LPN) license in good standing.
Proficient in administering intramuscular and subcutaneous injections.
Strong patient assessment, communication, and education skills.
Ability to work efficiently in a fast-paced, high-volume clinic setting.
Excellent organizational skills, attention to detail, and accurate documentation practices.
Demonstrated ability to work independently while contributing effectively as part of a multidisciplinary healthcare team.
Specific Skills Required
Current LPN/RN license required
Job Requirements
Hiring Requirements
  • Drug Testing
  • Background Checks
  • Baton Rouge Clinic Credit Check

Education Required
Graduate of an accredited Registered Nursing (RN) or Practical Nursing (LPN) program. Current, unrestricted RN or LPN license in the state of practice.
Unit of Pay
Hourly
Shift
PRN - Days decided during hiring process
Additional Benefits
  • 20% discount for selected services rendered at the Clinic

If you need further information, please contact Human Resources at (225) 246-9308.

Apply