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

LVN

Kountze, TX · On-site

$26.25 - $35.25/hr

Perform duties as described in the Nurse - RN or LVN , as applicable * Assist the Director of ... Monitors and reviews resident incidents to identify possible compliance issues and to identify ...

Plasma Center Nurse - RN

Beaumont, TX · On-site

$33.44 - $45.98/hr

You will determine donor eligibility to donate plasma, management of donor adverse events, review ... Registered Nurse (RN), Nurse Practitioner (NP) or Physician Assistant (PA) Current Cardiopulmonary ...

You will determine donor eligibility to donate plasma, management of donor adverse events, review ... Registered Nurse (RN), Nurse Practitioner (NP) or Physician Assistant (PA) Current Cardiopulmonary ...

Showing results 41-60

Utilization Review Rn information

See Beaumont, TX salary details

$20

$40

$66

How much do utilization review rn jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for utilization review rn in Beaumont, TX is $40.51, according to ZipRecruiter salary data. Most workers in this role earn between $32.02 and $46.54 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 popular job titles related to Utilization Review Rn jobs in Beaumont, TX? For Utilization Review Rn jobs in Beaumont, TX, the most frequently searched job titles are:
What job categories do people searching Utilization Review Rn jobs in Beaumont, TX look for? The top searched job categories for Utilization Review Rn jobs in Beaumont, TX are:
What cities near Beaumont, TX are hiring for Utilization Review Rn jobs? Cities near Beaumont, TX with the most Utilization Review Rn job openings:
Infographic showing various Utilization Review Rn job openings in Beaumont, TX as of August 2026, with employment types broken down into 50% Full Time, and 50% Part Time. Highlights an 100% In-person job distribution, with an average salary of $84,253 per year, or $40.5 per hour.

Registered Nurse (RN) - FT Days | Beaumont Rehab

PAM Health Rehabilitation Hospital of Beaumont

Beaumont, TX

Full-time

Medical, Dental, Vision, Life

Posted 16 days ago


Job description

Overview

"Remember why you became a nurse?"

We here at PAM Health are mindful of what it took for you to gain your nursing education and begin your career and we admire you and the countless others who have chosen this career path.

We want you to know that you are respected, admired, encouraged to grow, and rewarded here with us at PAM Health!

We offer the following to all our full-time employees:

  • Comprehensive Medical/Dental/Vision Insurance with plan options to choose from
  • Rx plans
  • Employee Assistance programs
  • Group legal assistance/Identify Theft Protection/Home and Auto Insurance/Pet Insurance
  • Disability Benefits
  • Life Insurance
  • Most Importantly: OPPORTUNITY TO GROW! WE LOVE TO PROMOTE FROM WITHIN! AND WITH OVER 70+ LOCATIONS AND GROWING! THERE ARE COUNTLESS OPPORTUNITIES FOR GROWTH AND A FUTURE WITH PAM HEALTH! 

Referral bonuses as well are offered for each full-time employee you refer! Up to $3,000 per employee referred! Ask a recruiter for more information.

We are currently hiring for a Registered Nurse- and would love to meet with you and discuss why we feel you would be a wonderful addition to our PAMily! Please take a moment to review the job opportunity and reach out to a recruiter with any questions you may have or for the next steps in furthering your career; apply directly to the post. We look forward to meeting you soon!

Responsibilities

Under the direction of the Chief Nursing Officer/Director of Nursing, Nurse Manager or Charge Nurse, the Registered Nurse (RN) is responsible for utilizing the nursing process while delivering, directing and supervising care to patients admitted to the nursing unit. The Registered Nurse plans, coordinates, and provides patient care to include interdisciplinary planning, discharge planning, patient and family teaching for post-hospitalization, and accessing community resources. May perform other related duties as assigned or requested, including Charge Nurse (ACLS certification required).

Qualifications

Education and Training: Holds a current licensure as a registered nurse (RN) in the state where the hospital resides, or compact licensure if state participates. Current BLS certification is required. Evidence of ACLS certification is required within 90 days of employment. BLS and ACLS certifications must be AHA approved within 90 days of employment. Current ACLS certification is required for Charge Nurses.

Experience: One year of inpatient medical-surgical nursing experience preferred but not required.

About PAM Health

PAM HEALTH (PAM) based in Enola, Pennsylvania, provides specialty healthcare services through more than 80 locations, as well as wound clinics and outpatient physical therapy locations, in 17 states. PAM Health is committed to providing high-quality patient care and outstanding customer service, coupled with the loyalty and dedication of highly trained staff, to be the most trusted source for post-acute services in every community it serves. Its mission is to serve people by providing compassionate, expert care, and to support recovery through education and research. Joining our PAMily allows you to work in a collaborative environment with colleagues and leadership with exposure to a variety of patient care levels. Aside from our competitive pay, generous paid benefit time, and excellent insurance options, you will also have opportunities for professional growth through our Education Advancement Program. We are excited to learn more about you and hope that you consider joining us on a shared mission to improve the lives of others by being an integral part of our We Care Program. Please take a moment to visit us online at www.PAMHealth.com for a comprehensive look at how we're able to positively impact our local communities.

PAM Health does not discriminate and does not permit discrimination, including, without limitation, bullying, abuse or harassment, on the basis of actual or perceived race, color, religion, national origin, ancestry, age, gender, physical or mental disability, sexual orientation, gender identity or expression or HIV status, or based on association with another person on account of that person's actual or perceived race, color, religion, national origin, ancestry, age, gender, physical or mental disability, sexual orientation, gender identity or expression or HIV status.

Employment Type: FULL_TIME