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Utilization Review Rn Jobs in Bismarck, ND (NOW HIRING)

CommonSpirit Health

RN Case Manager

Bismarck, ND · On-site

$35.38 - $50.69/hr

RN Case Manager Partnering for a stronger, healthier world. At CommonSpirit Health, we believe in ... and utilization review * Basic Life Support (BLS) Certification within the orientation period and ...

CHI St Alexius Bismarck

RN Case Manager

Bismarck, ND · On-site

$35.38 - $50.69/hr

Job Summary and Responsibilities RN Case Manager As our RN Case Manager, you will help patients ... and utilization review * Basic Life Support (BLS) Certification within the orientation period and ...

CHI St Alexius Bismarck

RN Case Manager

Bismarck, ND

$35.38 - $50.69/hr

Job Summary and Responsibilities RN Case Manager As our RN Case Manager, you will help patients ... and utilization review * Basic Life Support (BLS) Certification within the orientation period and ...

Catholic Health Initiatives

RN Case Manager

Bismarck, ND · On-site

$35.38 - $50.69/hr

Job Summary and Responsibilities RN Case Manager As our RN Case Manager, you will help patients ... and utilization review * Basic Life Support (BLS) Certification within the orientation period and ...

CommonSpirit Health

RN Case Manager

Bismarck, ND · On-site

... RN Case Manager As our RN Case Manager, you will help patients navigate complex healthcare ... and utilization review * Basic Life Support (BLS) Certification within the orientation period and ...

CHI St. Alexius Bismarck

RN Case Manager

Bismarck, ND · On-site

$35.38 - $50.69/hr

Job Summary and Responsibilities RN Case Manager As our RN Case Manager, you will help patients ... and utilization review * Basic Life Support (BLS) Certification within the orientation period and ...

CommonSpirit Health

RN Care Coordinator

Bismarck, ND · On-site

RN Care Coordinator Job Summary and Responsibilities As our RN Care Coordinator, you will oversee ... Every day you will coordinate, communicate, and collaborate with utilization management, nursing ...

Interim HealthCare

Registered Nurse

Bismarck, ND · On-site

$47 - $52/hr

Review, interpret, transcribe and carry out physician orders for patients * Administer medication, operate medical equipment and maintain a safe environment Registered Nurse (RN) Qualifications

New

First Connect Health

RN - Float

Bismarck, ND · On-site

PROFILE REVIEW+MANAGER INTERVIEW *MUST HAVE PCU experience & be able to read strips* - # of Beds ... Duties?: Yes- 1:10 is the goal - RT Equipment (Vents, Cpap, BiPap, High Flow, etc.) Are RNs ...

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Utilization Review Rn information

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$38

$62

How much do utilization review rn jobs pay per hour?

As of Aug 26, 2026, the average hourly pay for utilization review rn in Bismarck, ND is $38.24, according to ZipRecruiter salary data. Most workers in this role earn between $30.24 and $43.89 per hour, depending on experience, location, and employer.

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.

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.

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 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 case management certification can enhance job prospects, and familiarity with electronic health records (EHR) systems is often required.

What are the most commonly searched types of Utilization Review Rn jobs in Bismarck, ND?

The most popular types of Utilization Review Rn jobs in Bismarck, ND are:

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For Utilization Review Rn jobs in Bismarck, ND, the most frequently searched job titles are:

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The top searched job categories for Utilization Review Rn jobs in Bismarck, ND are:

What cities near Bismarck, ND are hiring for Utilization Review Rn jobs?

Cities near Bismarck, ND with the most Utilization Review Rn job openings:

Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in Bismarck, ND as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 17% Part Time, 3% Contract, and 1% Nights. Highlights an 86% Physical, 2% Hybrid, and 12% Remote job distribution, with an average salary of $79,534 per year, or $38.2 per hour.

Travel Clinical Care Leader RN

Mandan, ND • On-site

American Traveler
Recruiting and Staffing Services • 501 - 1,000 employees
Learn more about American Travelerexternal

Contractor

Medical, Dental, Vision, Life, Retirement

Posted 2 days ago

New

Job description

American Traveler is seeking a travel nurse RN Skilled Nursing Facility (SNF) Long Term Care for a travel nursing job in Mandan, North Dakota.

Job Description & Requirements
  • Specialty: Long Term Care
  • Discipline: RN
  • Start Date: 09/14/2026
  • 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: Sep 14, 2026
  • Length: 13 weeks
  • Openings: 1
Description

American Traveler is hiring an experienced RN Case Manager for a Post Acute/LTC setting requiring 2+ years of experience and a ND or compact RN license.

Details
  • Post Acute/Long-Term Care (LTC) Management setting
  • Clinical Care Leader unit focused on case management and utilization review
  • Uses Point Click Care (PCC) as the charting system
  • Day shift schedule from 8:00 AM to 4:30 PM
  • On-call coverage required every 5th weekend
  • 13-week assignment at 40 guaranteed hours per week
Requirements
  • Active ND or compact RN license required
  • Current BLS certification required
  • Minimum 2 years of RN experience required
  • BSN not required for this position
  • Valid driver's license required for consideration
  • Two professional references required: one supervisor from within the last 12 months worked, and one peer or supervisor from within the last 3 years worked, both including dates of employment and eligibility for rehire
Additional Information
  • Oversee case management and utilization review functions within a post-acute care setting
  • Candidates must reside within an 80-mile radius of the facility for travel rate eligibility
  • Local candidates are accepted at a lower rate

American Traveler Job ID #P-747624. 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.

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About American Traveler

Sourced by ZipRecruiter

With over 20 years of success in healthcare staffing, American Traveler has established a reputation for outstanding customer service. Our full-service agency has earned top ratings from healthcare professionals in every specialty and setting. We offer travel assignments in the most sought-after locations and facilities in the country. We staff major medical centers, prestigious university teaching facilities, Magnet facilities, regional community hospitals, outpatient centers, rehab centers, skilled nursing facilities and more. With our expert team behind you every step of the way, you can enjoy a rewarding travel career that exceeds your expectations. With over 20 years of experience, American Traveler has established a reputation for outstanding customer service. With our team behind you, you can relax and enjoy a rewarding travel career.

Industry

Recruiting and staffing services

Company size

501 - 1,000 Employees

Headquarters location

Boca Raton, FL, US

Year founded

1999

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