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Utilization Review Rn Jobs in Cleveland, OH (NOW HIRING)

talent4health

RN - Utilization Review

Cleveland, OH · On-site

$2.2K/wk

Details Client Name Southwest General Hospital Center Southwest General Health Center Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 18807560 Job Title RN - ...

Prime Time Healthcare

Utilization Review

Cleveland, OH · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

Now Hiring: RN Utilization Review - Middleburg Heights, OH Are you a passionate RN professional looking for a new adventure? Prime Time Healthcare is seeking dynamic individuals like you to join our ...

Southwest General

UTILIZATION SPECIALIST

Beachwood, OH · On-site

Minimum of five (5) years recent experience in clinical nursing or related nursing field. (e.g. Utilization Review or Case Management) * Previous Care Management, Case Management or Utilization ...

Southwest General

UTILIZATION SPECIALIST

Hudson, OH · On-site

Minimum of five (5) years recent experience in clinical nursing or related nursing field. (e.g. Utilization Review or Case Management) * Previous Care Management, Case Management or Utilization ...

Southwest General

UTILIZATION SPECIALIST

Hudson, OH

Minimum of five (5) years recent experience in clinical nursing or related nursing field. (e.g. Utilization Review or Case Management) * Previous Care Management, Case Management or Utilization ...

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All JobsUtilization Review Rn JobsUtilization Review Rn Jobs in Cleveland, OH

Utilization Review Rn information

See Cleveland, OH salary details

$21

$41

$68

How much do utilization review rn jobs pay per hour?

As of Aug 13, 2026, the average hourly pay for utilization review rn in Cleveland, OH is $41.98, according to ZipRecruiter salary data. Most workers in this role earn between $33.17 and $48.22 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 the most commonly searched types of Utilization Review Rn jobs in Cleveland, OH? The most popular types of Utilization Review Rn jobs in Cleveland, OH are:
What are popular job titles related to Utilization Review Rn jobs in Cleveland, OH? For Utilization Review Rn jobs in Cleveland, OH, the most frequently searched job titles are:
What job categories do people searching Utilization Review Rn jobs in Cleveland, OH look for? The top searched job categories for Utilization Review Rn jobs in Cleveland, OH are:
What cities near Cleveland, OH are hiring for Utilization Review Rn jobs? Cities near Cleveland, OH with the most Utilization Review Rn job openings:
Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in Cleveland, OH as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 14% Part Time, and 4% Contract. Highlights an 91% Physical, 3% Hybrid, and 6% Remote job distribution, with an average salary of $87,317 per year, or $42 per hour.

Utilization Review (UR) Registered Nurse RN

Genie Healthcare

Middleburg Heights, OH • On-site

$60.83/hr

Contractor

Posted 28 days ago

Job description

We are looking for a Travel Utilization Review RN for a great Travel nursing job in Middleburg Heights, OH.

This Utilization Review Travel nursing job pays for 40 hours a week for 13 weeks. With Wanderly you can compare Travel nurse salary from leading Travel nurse agencies in the United States.

With Wanderly you can chat and apply to any agency with Wanderly’s Universal Application, below are the details of this Travel Nursing Job including the Travel nurse salary:

  • Specialty: Utilization Review RN
  • Travel Utilization Review (UR) Registered Nurse : Middleburg Heights, OH
  • Travel Nurse Salary: $2433/Week
  • Start Date: September 07, 2026
  • Travel Nursing Job Assignment Length: 13 weeks
  • Travel Nurse Hours: 40 hours per week
  • Shift: 8 hours, Day

PK: AD-18695618

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