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Utilization Review Rn Jobs in Dallas, TX (NOW HIRING)

Referral bonus up to $700 Registered Nurse (RN),Case Management/Utilization Review, About the Company: Uniti Med is an award-winning healthcare staffing company with a mission to provide staffing ...

... utilization review and management, and discharge planning. Essential Functions Care Coordination ... BSN, MSN, BSW or MSW (Preferred) Licenses/Certifications * RN - Registered Nurse - State Licensure ...

Showing results 41-60

Utilization Review Rn information

See Dallas, TX salary details

$21

$41

$68

How much do utilization review rn jobs pay per hour?

As of Aug 22, 2026, the average hourly pay for utilization review rn in Dallas, TX is $41.83, according to ZipRecruiter salary data. Most workers in this role earn between $33.08 and $48.03 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 Dallas, TX?

The most popular types of Utilization Review Rn jobs in Dallas, TX are:

What cities near Dallas, TX are hiring for Utilization Review Rn jobs?

Cities near Dallas, TX with the most Utilization Review Rn job openings:

Infographic showing various Utilization Review Rn job openings in Dallas, TX as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 13% Part Time, 3% Contract, and 1% Nights. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $87,000 per year, or $41.8 per hour.

Registered Nurse - Case Management - Hospital

Concentric

Dallas, TX • On-site

Other

Posted 3 days ago

New


Job description

Job Title
Travel RN - Case Management
Location
Dallas, TX
Schedule / Job Type
Contract | Travel | 13 Weeks | Days | Saturday - Monday, 7:00 AM - 7:00 PM
Key Responsibilities
  • Perform hospital-based case management functions including assessment, planning, and coordination of patient care
  • Facilitate discharge planning and transitions of care to ensure appropriate post-acute placement and resource utilization
  • Collaborate with interdisciplinary care teams including physicians, social workers, and ancillary staff to support patient needs
  • Monitor patient progress and adjust care plans to promote quality outcomes and efficient length of stay
  • Ensure documentation of case management activities is accurate, timely, and compliant with facility standards
Required Qualifications
  • Active Registered Nurse (RN) license valid in the state of Texas or compact licensure eligibility
  • Minimum of 1 year of experience in a case management or related clinical nursing role
  • Experience in a hospital-based setting
  • Ability to work a weekend-focused schedule (Saturday through Monday, 12-hour day shifts)
Preferred Experience / Skills
  • Prior travel nursing experience in a case management specialty
  • Familiarity with utilization review, insurance authorization, and care coordination processes
  • Case Management certification (CCM or ACM) is a plus
Why Join Us
  • Opportunity to gain valuable travel nursing experience in a dynamic hospital-based case management environment in a major metropolitan area
  • Condensed weekend schedule offers an excellent work-life balance with three 12-hour shifts per week