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

Cleveland Clinic

PRN RN Case Manager

Cleveland, OH · On-site

$45/hr

As a Registered Nurse (RN) Case Manager, you will work collaboratively with inter-professional ... Two years of recent experience in utilization review, quality or care management Physical ...

Avenue at Brooklyn

Unit Manager Registered Nurse

Brooklyn, OH · On-site

$38.50 - $51/hr

Must be a Registered Nurse (RN) or Licensed Practical Nurse (LPN) currently licensed in the State ... Oversee Utilization Review activities in accordance with Medicare and Medicaid guidelines * Review ...

Imh

RN Care Manager PRN

Cleveland, OH · Remote

$41.20 - $62.17/hr

The RN Hospital Care Manager I delivers comprehensive care management services to designated ... Demonstrated experience in case management, utilization review, value-based care, and/or discharge ...

Wellstar Health System

Registered Nurse

Hiram, OH · On-site

... rounds, case review, etc); completion of timely documentation and promotion of a respectful ... utilization to promote safe, quality patient care including initiating and/or leading such ...

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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.

Travel Nurse RN - Med Surg - $2,139 per week

Trusted Talent

Middleburg Heights, OH • On-site

$2.1K/wk

Other

Medical, Dental, Vision, Life, Retirement

Posted 19 days ago

Job description

Trusted Talent is seeking a travel nurse RN Med Surg for a travel nursing job in Middleburg Heights, Ohio.

Job Description & Requirements
  • Specialty: Med Surg
  • Discipline: RN
  • Start Date: ASAP
  • Duration: 13 weeks
  • Shift: days
  • Employment Type: Travel
Position Overview
  • Minimum of five years of recent experience in the nursing field.
  • Previous experience in Case Management or Utilization Management is essential.
  • Familiarity with screening criteria, including Cerner, InterQual, and MCG, is required.
Education Requirements
  • Graduation from an accredited School of Nursing is required.
  • BSN graduate is preferred.
Experience Requirements
  • Minimum of five years of recent experience in clinical nursing or related fields such as Utilization Review or Case Management.
  • Experience in Care Management, Case Management, or Utilization Management is necessary.
  • Must be experienced with conducting over 30 reviews a day.
  • Strong critical thinking and communication skills.
  • Proficiency in computer skills is required.
Licensure and Certification
  • Must hold current licensure by the Ohio State Board of Nursing.
  • ACM/CCM Certification is helpful.
Desired Characteristics
  • Excellent critical thinking and communication skills.
  • Proficiency in technology and related software.
Skills Overview

| Skill Description | Requirement Level | |-------------------|-------------------| | 5+ years of nursing experience | Required | | Care or Utilization Management Experience | Required | | Screening criteria experience with Interqual, MCG | Required | | ACM/CCM Certification | Highly desired | | Locality to the facility | Highly desired | | Conducting 30+ reviews daily | Required |

Trusted Talent Job ID #JN -062026-904354. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN - Care Management

About Trusted Talent

A Better Route for Travel Healthcare

Founded in Buffalo, NY in 2008, Trusted Talent has spent nearly two decades building a different kind of healthcare staffing company — one where travel nurses, allied professionals, and locum providers are treated like family, not file numbers. The Joint Commission has awarded Trusted Talent its Gold Seal of Approval for Health Care Staffing Services, the industry's most rigorous credential. We are also the Official Healthcare Staffing Partner of the Buffalo Sabres, named to the 2025 SIA Fastest-Growing US Staffing Firms list, the 2024 SIA Largest US Staffing Firms list, and recognized as a 2023 Inc. Best Workplace.

From day one, our mission has been simple: get every traveler the right assignment, the right pay, and the right support — fast. That's how we earned a 100% application response rate and a within-the-hour response time on Vivian. It's also why so many of our travelers come back assignment after assignment.

Why Travelers Choose Trusted Talent

  • 24/7 dedicated recruiter (your Talent Advisor) — one point of contact, day or night, every assignment
  • Dedicated Compliance, Benefits, Payroll, and QA teams — separate specialists handling each piece, so nothing falls through the cracks
  • Pronto, our proprietary job-search platform — see real pay, real housing, and real assignment details upfront at app.prontojobs.com
  • Weekly pay and full transparency on every package — what we quote is what you take home
  • Medical, dental, and vision coverage plus an HRA card to help cover medical bills
  • 401(k) with a 4% company match (after 1,000 hours and one year of employment)
  • License, certification, and CEU reimbursement
  • $1,500 referral bonus when you bring a friend onto a Trusted Talent assignment
  • Loyalty program with rewards for travelers who keep coming back
  • VIP events, Camp NurseCon, and the Trusted Gives community-giving program — because the relationship goes beyond the contract

What Makes Us Different

After almost 20 years, we still answer the phone like a small Buffalo company — because that's what we are. But we have the scale, the certifications, and the technology of a national leader. That combination — local heart, national reach — is what we mean by "A Better Route."

Whether you're heading out on your first travel contract or your 50th, the Trusted Talent team is ready to find your next assignment. Browse our jobs below or chat with a Talent Advisor to get started.

Benefits: 

  • Medical benefits
  • Dental benefits
  • Vision benefits
  • Health savings account / HRA
  • Life insurance
  • 401(k) retirement plan (with company match)
  • Weekly pay
  • Holiday pay
  • Guaranteed hours (where contract specifies)
  • Referral bonus ($1,500)
  • Sign-on bonus (where applicable per contract)
  • License and certification reimbursement
  • Continuing education / CEU reimbursement
  • Travel reimbursement
  • Housing or housing stipend
  • 24/7 recruiter access
  • Loyalty / completion bonus program

Awards & Recognition  

  • The Joint Commission — Certified for Health Care Staffing Services
  • 2025 SIA Fastest-Growing US Staffing Firms
  • 2024 SIA Largest US Staffing Firms
  • 2023 Inc. Best Workplaces
  • 2020 Inc. 5000 — fastest-growing private companies
  • Buffalo Business First Best Places to Work — multi-year
  • Top Workplaces — Democrat & Chronicle (2022, 2023)
  • Best Travel Nursing Companies — BluePipes (2020-2025)
  • Official Healthcare Staffing Partner of the Buffalo Sabres

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