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

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 · 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 · 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 ...

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

Utilization Review Rn information

See Cleveland, OH salary details

$20

$41

$66

How much do utilization review rn jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for utilization review rn in Cleveland, OH is $41.01, according to ZipRecruiter salary data. Most workers in this role earn between $32.40 and $47.12 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 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, 79% Full Time, 15% Part Time, 4% Contract, and 1% Nights. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $85,163 per year, or $40.9 per hour.

Registered Nurse / RN - Utilization Review

Solomon Page

Cleveland, OH • On-site

$2.3K/wk

Contractor

Medical, Dental, Vision, Retirement

Re-posted 22 days ago

Job description

Our client is looking to add a Registered Nurse to their team.
Job Details:
  • Location: Middleburg Heights, Ohio
  • Duration: 13 Weeks
  • Start Date: 09/21/2026
  • Shift: 5x8
  • Estimated Gross Weekly Pay: $2,340

Qualifications:
  • Current Ohio license
  • Excellent interpersonal skills including patience, empathy, and compassion
  • Effective communication skills, including active listening, writing, speaking and reading comprehension
  • Fast and adaptive problem-solving abilities
  • Ability to stand for long periods of time

If you meet the required qualifications and are interested in this role, please apply today.
Why Work with Us
The success of Solomon Page is defined by our people. Offering a comprehensive benefits package, travel nurses have immediate access to medical coverage and ReviveHealth virtual care. Additionally, you are offered access to dental and vision coverage, commuter benefits, a 401(k) plan, flexible spending, referral bonuses, ongoing training, and more. As an ESOP company, Solomon Page offers an employee stock ownership plan to all consultants. As a member of our traveler community, you will join a nurturing culture that fosters your career goals. Solomon Page can connect you with your next opportunity - whether it is in your hometown, or you are looking to travel to a new destination.
About Solomon Page Healthcare & Medical Staffing
Accredited by the Joint Commission with the Gold Seal of Approval, Solomon Page prides ourselves in developing long-term relationships with healthcare providers based on trust and respect. Our experienced Healthcare and Medical Staffing experts are committed to providing safe and quality patient care through our wide network of travel nurses, locum tenens, and allied resources. For more information and additional healthcare opportunities, visit: solomonpage.com and connect with Solomon Page on Instagram, Facebook, Twitter, LinkedIn, and TikTok.
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