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Utilization Review Rn Jobs in Columbia, MO (NOW HIRING)

US Navy

Registered Nurse

Columbia, MO

... will be reviewed with you by a recruiter. Additional qualifications for this job may include ... registered nurse license or the ability to obtain one within established timelines for new ...

US Navy

Registered Nurse

Jefferson City, MO

... will be reviewed with you by a recruiter. Additional qualifications for this job may include ... registered nurse license or the ability to obtain one within established timelines for new ...

Encompass Health Corporation

Case Manager

Columbia, MO · On-site

$19 - $24.50/hr

Participate in utilization review process: data collection, trend review, and resolution actions ... For Nursing, must possess minimum of an Associate Degree in Nursing, RN licensure with BSN ...

Encompass Health

Case Manager

Columbia, MO

$19 - $24.50/hr

Participate in utilization review process: data collection, trend review, and resolution actions ... For Nursing, must possess minimum of an Associate Degree in Nursing, RN licensure with BSN ...

Encompass Health

Case Manager

Columbia, MO · On-site

$19 - $24.50/hr

Participate in utilization review process: data collection, trend review, and resolution actions ... For Nursing, must possess minimum of an Associate Degree in Nursing, RN licensure with BSN ...

PALMERS HOME CARE LLC

Community RN

Columbia, MO · On-site

Reviewing medications and health records for accuracy and compliance * Supporting clients at ... Active RN License (required) * Ability to pass a Family Care Safety Registry screening * Ability to ...

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All JobsUtilization Review Rn JobsUtilization Review Rn Jobs in Columbia, MO

Utilization Review Rn information

See Columbia, MO salary details

$20

$40

$65

How much do utilization review rn jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for utilization review rn in Columbia, MO is $40.24, according to ZipRecruiter salary data. Most workers in this role earn between $31.78 and $46.20 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 popular job titles related to Utilization Review Rn jobs in Columbia, MO?

For Utilization Review Rn jobs in Columbia, MO, the most frequently searched job titles are:

What job categories do people searching Utilization Review Rn jobs in Columbia, MO look for?

The top searched job categories for Utilization Review Rn jobs in Columbia, MO are:

What cities near Columbia, MO are hiring for Utilization Review Rn jobs?

Cities near Columbia, MO with the most Utilization Review Rn job openings:

Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in Columbia, MO as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 15% Part Time, 3% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $83,690 per year, or $40.2 per hour.

CRNA

National Coalition of Healthcare Recruiters

Columbia, MO • On-site

$134/hr

Other

Medical, Dental, Vision, Retirement, PTO

Re-posted 5 days ago

Job description

(Only QUALIFIED Healthcare Professionals accepted) Nurse Practitioner - Certified Registered Nurse Anesthetist - Columbia, Missouri (New|Recent Graduates Considered) Currently seeking a Certified Registered Nurse Anesthetist to join a well-respected anesthesia group in Columbia, MO. The ideal candidate will be a Certified Nurse Anesthetist (CRNA) from the National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA). The CRNA will work on General, Orthopedic, OB, Dental, and Vascular Surgery, no trauma or neurosurgery. Medical Supervision model and cover General, Ortho, OB, ENT, Dental, GI and Vascular cases. CRNAs work 2, 12 hour and 2, 8 hour shifts per week with a week of 10's occasionally. Responsibilities of the Certified Registered Nurse Anesthetists - CRNA • Select and prescribe post-anesthesia medications or treatments to patients. • Administer post-anesthesia medications or fluids to support patients' cardiovascular systems. • Evaluate patients' post-surgical or post-anesthesia responses, taking appropriate corrective actions or requesting consultation if complications occur. • Perform pre-anesthetic screenings, including physical evaluations and patient interviews and document results. • Select, order or administer pre-anesthetic medications. Requirements of the Certified Registered Nurse Anesthetists - CRNA • Bachelor's degree and current APRN licensure and registration • 1 year of CRNA experience (New Graduate CRNA Considered) • Certified as a Certified Nurse Anesthetist (CRNA) from the National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA). • Excellent clinical, organization and communication skills coupled with the ability to thrive in a fast paced environment • Experience in epidurals and blocks, moderate sedation, general and local anesthetic and analgesic techniques • Current BLS, ACLS, & PALS|APLS certifications • Experience in patient care setting Compensation of the Certified Registered Nurse Anesthetists - CRNA Salary: $188,000.00 plus annual performance review Employee shall participate in Employer's Employee Bonus Program. In addition to the base annual salary Employee shall receive overtime and call compensation as follows: Any hours worked in excess of 40 hours per week shall be considered overtime. Overtime pay shall be at the rate of $134 per hour range. Saturday and Sunday call pay shall be at the rate of $536 for each day, which includes up to being on site and rendering services up to 4 hours per day. Each hour in excess of 4 per day for which Employee is on site rendering services shall be compensated at the rate of $134 per hour. Full benefits package including Medical, Vision, Dental, 401K with Match, Generous PTO (8 weeks), STD, LTD, Malpractice Coverage at 100% and all dues fees and license re-certification paid for by the practice. Excellent schools, affordable housing and many amenities including shopping, dining and cultural activities $5,000 Signing Bonus or Relocation Assistance! Kurt Schussler Vice President and Managing Partner Medical Advantage Recruiters 15455 Dallas Parkway, Suite #600 Addison, TX 75001 Phone: (877) 490-5260 Direct: (817) 491-5260 Fax: (817) 491-5261 e-mail: kurt@medicaladvantage.net www.medicaladvantage.net
National Coalition Of Healthcare Recruiters logo

About National Coalition Of Healthcare Recruiters

Sourced by ZipRecruiter

The National Coalition of Healthcare Recruiters (NCHCR) is an established company based in Blennerhassett, West Virginia that operates within the healthcare industry. With a commitment to maintaining high standards of professionalism, they offer specialized recruitment services to healthcare professionals and institutions across the country. Operating as a coalition, they implement a powerful networking platform to connect employers and job seekers in the healthcare sector. The organization’s mission revolves around ensuring that healthcare services across the nation have access to the best talent available and potential candidates can find rewarding opportunities.

Industry

Recruiting and staffing services

Company size

1 - 10 Employees

Headquarters location

Blennerhassett, WV, US

Year founded

2005

Social media

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