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Utilization Review Rn Jobs in Fargo, ND (NOW HIRING)

Interim HealthCare

Registered Nurse (RN)

Fargo, ND · On-site

$47 - $52/hr

Review, interpret, transcribe and carry out physician orders for patients * Administer medication, operate medical equipment and maintain a safe environment Registered Nurse (RN) Qualifications:

Interim HealthCare

Registered Nurse (RN)

Fargo, ND · On-site

$47 - $52/hr

Review, interpret, transcribe and carry out physician orders for patients * Administer medication, operate medical equipment and maintain a safe environment Registered Nurse (RN) Qualifications:

Interim HealthCare

Registered Nurse (RN)

Fargo, ND · On-site

$47 - $52/hr

Review, interpret, transcribe and carry out physician orders for patients * Administer medication, operate medical equipment and maintain a safe environment Registered Nurse (RN) Qualifications:

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Utilization Review Rn information

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$41

$67

How much do utilization review rn jobs pay per hour?

As of Aug 25, 2026, the average hourly pay for utilization review rn in Fargo, ND is $41.51, according to ZipRecruiter salary data. Most workers in this role earn between $32.79 and $47.69 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 Fargo, ND?

The most popular types of Utilization Review Rn jobs in Fargo, ND are:

What are popular job titles related to Utilization Review Rn jobs in Fargo, ND?

For Utilization Review Rn jobs in Fargo, ND, the most frequently searched job titles are:

What job categories do people searching Utilization Review Rn jobs in Fargo, ND look for?

The top searched job categories for Utilization Review Rn jobs in Fargo, ND are:

What cities near Fargo, ND are hiring for Utilization Review Rn jobs?

Cities near Fargo, ND with the most Utilization Review Rn job openings:

Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in Fargo, ND as of August 2026, with employment types broken down into 70% Full Time, and 30% Part Time. Highlights an 87% In-person, 9% Hybrid, and 4% Remote job distribution, with an average salary of $86,348 per year, or $41.5 per hour.

RN-Inpatient

Fargo, ND • On-site

University of Mississippi Medical Center
Health Care and Social Assistance • 5 - 10K employees

7.4

Company rating: 7.4 out of 10

Based on 47 frontline employees who took The Breakroom Quiz

349th of 1,064 rated hospitals

People enjoy working here

Good employer

Recommended by parents

Learn more about University of Mississippi Medical Centerexternal

Other

Posted 14 days ago

Job description

RN-Inpatient

To assess, develop, implement and evaluate the nursing care and treatment for patients in an assigned clinical area. To coordinate the operations of a clinical area including patient scheduling, maintaining patient records and managing the patient admissions process. To counsel with patients and family members on treatment and conditions of patients. To act as liaison between case managers, home health nurses, utilization review, etc. To coordinate patient services and care. To perform job duties in accordance with the medical center's purpose. This job profile may require call subject to the department's discretion.

Certifications, Licenses or Registration Required: Valid RN license.

Knowledge of clinical nursing care procedures and protocols. Verbal and written communication skills. Interpersonal skills. Knowledge and understanding of computer systems, tools and programs. Ability to work in a team environment.

Provides patient care by assessing, planning, implementing and evaluating treatments and interventions for patients.

Educates patients (and possibly family members) on topics such as the nature and status of patient's condition, diet and associated side effects of medication/treatments and the importance of complying with medication schedules.

Ensures the safety of patients.

Coordinates referrals to other services within and outside of immediate area or unit.

Maintains accurate patient records.

Functions as a preceptor in accordance with UMMC guidelines.

Reports patients issues or concerns to supervisor as appropriate.

Serves on at least one nursing council, hospital, or medical center committee, task force, or project team to improve patient care or work area. Demonstrates core standards of exceptional customer service.

The duties listed are general in nature and are examples of the duties and responsibilities performed and are not meant to be construed as exclusive or all-inclusive. Management retains the right to add or change duties at any time.

Physical and Environmental Demands Requires occasional exposure to unpleasant or disagreeable physical environment such as high noise level and exposure to heat and cold, occasional handling or working with potentially dangerous equipment, occasional exposure to biohazardous conditions such as risk of radiation exposure, blood borne pathogens, fumes or airborne particles, and/or toxic or caustic chemicals which mandate attention to safety considerations, occasional working hours significantly beyond regularly scheduled hours, occasional activities subject to significant volume changes of a seasonal/clinical nature, constant work produced subject to precise measures of quantity and quality, constant bending, frequent lifting and carrying more than 100 pounds, frequent climbing, frequent crawling, frequent crouching/stooping, occasional driving, occasional kneeling, constant pushing/pulling, occasional reaching, occasional sitting, constant standing, constant twisting, and constant walking. (occasional-up to 20%, frequent-from 21% to 50%, constant-51% or more)

Time Type: Full time

FLSA Designation/Job Exempt: No

Pay Class: Hourly

FTE %: 100

Work Shift: Day

Benefits Eligibility: Grant Funded: No

University of Mississippi Medical Center logo

About University of Mississippi Medical Center

Sourced by ZipRecruiter

The University of Mississippi Medical Center (UMMC) is the state's sole academic medical center, focused on enhancing the lives of Mississippi residents through education, research, and healthcare. UMMC houses seven health science schools with over 3,000 enrolled students, and its researchers are renowned for their contributions to areas like heart disease, diabetes, hypertension, and cancer treatment. Their efforts not only improve health outcomes but also drive economic growth and job opportunities in the state.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Jackson, MS, US

Year founded

1955

View All University of Mississippi Medical Center Jobs

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Hours and flexibility

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