ZipRecruiter

Log In

1

Utilization Review Rn Jobs in DuBois, PA (NOW HIRING)

GLC On-The-Go

Travel Telemetry RN

Du Bois, PA · On-site

$2.0K - $2.1K/day

Apply now and start your rewarding journey with GLC - a recruiter will connect quickly to review ... Telemetry Registered Nurse About GLC On-The-Go GLC is more than just a staffing agency - we're your ...

GLC On-The-Go

Travel Step Down RN

Du Bois, PA · On-site

$2.0K - $2.1K/day

Apply now and start your rewarding journey with GLC - a recruiter will connect quickly to review ... Step down Registered Nurse About GLC On-The-Go GLC is more than just a staffing agency - we're your ...

ESS

ESS Substitute Nurse - LPN

Punxsutawney, PA · On-site

Substitute School Nurse An ESS substitute school nurse (RN/LPN) assists in providing the fullest ... For details about our practices and your rights, please review our full Privacy Notices below.

Healthcare Nursing Center

MDS Coordinator

Clearfield, PA · On-site

$30 - $38.50/hr

Develop, review, and update resident care plans based on assessment findings * Collaborate with ... Registered Nurse (RN) license in the state of PA * Minimum of 2 years of experience in a skilled ...

Healthcare Nursing Center

MDS Coordinator

Clearfield, PA · On-site

$30 - $38.50/hr

Develop, review, and update resident care plans based on assessment findings * Collaborate with ... Registered Nurse (RN) license in the state of PA * Minimum of 2 years of experience in a skilled ...

Naven Health

PRN Home Infusion Nurse

Clymer, PA · On-site

$32.50 - $43/hr

... reviews, discipline, etc.) No- X Yes Basic Education and/or Experience Requirements * Active and unrestricted RN license in the state of practice. * Minimum of 0-2 years of infusion nursing ...

Naven Health

PRN Home Infusion Nurse

Clymer, PA · On-site

$32.50 - $43/hr

... reviews, discipline, etc.) No - X Yes Basic Education and/or Experience Requirements * Active and unrestricted RN license in the state of practice. * Minimum of 0-2 years of infusion nursing ...

next page

Showing results 1-20

All JobsUtilization Review Rn JobsUtilization Review Rn Jobs in DuBois, PA

Utilization Review Rn information

See DuBois, PA salary details

$18

$36

$60

How much do utilization review rn jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for utilization review rn in DuBois, PA is $36.97, according to ZipRecruiter salary data. Most workers in this role earn between $29.23 and $42.45 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 DuBois, PA?

For Utilization Review Rn jobs in DuBois, PA, the most frequently searched job titles are:

What cities near DuBois, PA are hiring for Utilization Review Rn jobs?

Cities near DuBois, PA with the most Utilization Review Rn job openings:

Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in DuBois, PA as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 17% Part Time, 3% Contract, and 1% Nights. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $76,897 per year, or $37 per hour.

Registered Nurse

Hillsdale Park Nursing Home

Marion Center, PA • On-site

Other

Posted 11 days ago

Job description

Registered Nurse (RN)

Join our team of highly skilled. We are currently seeking a passionate and dedicated Staff Nurse (RN) to make a difference in caring for patients in our community. Take pride in doing what you love as patients admit to our facility by monitoring, assisting, and encouraging their progress. We provide compassionate short- and long-term healthcare and specialized medical support.

Responsibilities:

  • Review, communicate and contribute to the day-to-day functions of the Certified Nursing Assistants (CNA) and Personal Care Attendants (PCA)
  • Provide medications by mouth, subcutaneous or intramuscular injections as ordered
  • Complete wound care as ordered to improve skin integrity
  • Make written and oral reports/recommendations concerning the activities of your shift for continuity of care
  • Communicate with family members of residents as needed in the event of receiving new orders, a change in condition or a simple check-in to ensure the resident is safe, well, and content
  • Participate and shine in center surveys (inspections)
  • Assist in planning the nursing services portion of the resident's discharge plans
  • Admit, transfer, and discharge residents
  • Complete accident/incident reports as necessary
  • Chart in electronic files using Point Click Care in an informative and descriptive manner that reflects the care provided as well as residents' responses to care
  • Receive telephone orders from physicians on duty
  • Order prescribed medications, supplies, and equipment as necessary
  • Ensure that narcotics are handled in accordance with federal, state, and local regulations
  • Participate in associate performance evaluations and make recommendations to the Nurse Supervisor
  • Develop work assignments
  • Make daily rounds of your unit/shift to ensure resident safety is a Top Priority
  • Meet with the nursing personnel on your shift a regularly to improve services
  • Administer professional services such as catheterizations, tube feedings, suction, applying and changing dressings/bandages, packs, colostomy, and drainage bags, etc
  • Attend and participate in all center in-service programs as required
  • Maintain professional competence through participation in continuing education programs, seminars, and training programs

Qualifications:

  • MUST hold a current and valid RN license

Apply