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

Takeda

Registered Nurse RN

Fargo, ND · On-site

$35.20/hr

You will determine donor eligibility to donate plasma, management of donor adverse events, review ... Registered Nurse (RN), Nurse Practitioner (NP) or Physician Assistant (PA) Current Cardiopulmonary ...

Takeda

Registered Nurse RN

Fargo, ND · On-site

$35.20/hr

You will determine donor eligibility to donate plasma, management of donor adverse events, review ... Registered Nurse (RN), Nurse Practitioner (NP) or Physician Assistant (PA) Current Cardiopulmonary ...

Takeda

Registered Nurse RN

Moorhead, MN · On-site

You will determine donor eligibility to donate plasma, management of donor adverse events, review ... Registered Nurse (RN), Nurse Practitioner (NP) or Physician Assistant (PA) Current Cardiopulmonary ...

Takeda

Registered Nurse RN

Moorhead, MN · On-site

$35/hr

You will determine donor eligibility to donate plasma, management of donor adverse events, review ... Registered Nurse (RN), Nurse Practitioner (NP) or Physician Assistant (PA) Current Cardiopulmonary ...

Takeda

Registered Nurse RN

West Fargo, ND · On-site

You will determine donor eligibility to donate plasma, management of donor adverse events, review ... Registered Nurse (RN), Nurse Practitioner (NP) or Physician Assistant (PA) Current Cardiopulmonary ...

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All JobsUtilization Review Rn JobsUtilization Review Rn Jobs in Fargo, ND

Utilization Review Rn information

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$21

$41

$67

How much do utilization review rn jobs pay per hour?

As of Jun 10, 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.

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.

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 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 June 2026, with employment types broken down into 87% Full Time, 11% Part Time, and 2% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $86,348 per year, or $41.5 per hour.
RN Float - Registered Nurse Children's Resource Team

RN Float - Registered Nurse Children's Resource Team

Sanford Health

Fargo, ND • On-site

Full-time

Posted 11 days ago

Sanford Health rating

6.8

Company rating: 6.8 out of 10

Based on 521 frontline employees who took The Breakroom Quiz

485th of 870 rated healthcare providers

Job description

Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.
Work Shift:
Rotating (United States of America)
Scheduled Weekly Hours:
36
Salary Range: $32.00 - $48.00** Float team premium for children's resource team position!
Union Position:
No
Department Details
* Days & nights rotating position, every 3rd holiday, every 2nd or 3rd weekend
A team of RNs who work in all areas of the Children's Hospital including Pediatrics, Pediatric Day Unit, Pediatric Intensive Care Unit, and Neonatal Intensive Care Unit. Staff who are members of this team fill unit needs that occur due to above average census or acuity, vacations and medical leaves. The nurse working in this area has the ability to be flexible and intelligent as their assignment can be different every day. This group also fills the role of the Children's Hospital Rescue Nurse who responds to Pediatric Rapid Response, Pediatric Trauma Codes and Pediatric Code Blues. A Children's Rescue Nurse also provides Nitrous Oxide for pediatric procedures and acts as one of many resources for nurses providing direct patient care.
* This position will have additional float pool incentive as well being eligible for additional night and weekend shift differential pay.
* Applicable experience would be reviewed and factored into any potential offer.
* Various growth opportunities available within this position and Sanford
* $10,000 sign-on bonus with commitment for eligible applicants
* One year of RN experience required. Sanford interns & practicum students may be considered.
Summary
The Registered Nurse (RN) is responsible for utilizing the nursing process (assessment, diagnosis, outcomes/planning, implementation and evaluation) to provide individualized nursing care to patients.
Job Description
We're looking for positive, compassionate, hardworking registered nurses (RN) who can provide high-quality care patients and families deserve. Registered nurses who thrive are adaptable, great communicators, detail-oriented and have excellent time management skills. Because innovation impacts everything we do, our nursing team is full of critical thinkers. Our Education team works hard to develop curricula that integrates evidence-based practices and engages with partners across our organization to provide our RNs the necessary skills and tools to succeed in your goals throughout your career.
Available for you:
- Nurse Residency Program
- Robust on-boarding and training programs for continued growth and development.
- Investment in technology to support efficiencies and new models of care.
- A team-focused employee experience.
Qualifications
Graduate from an accredited nursing program required, including, but not limited to, American Association of Colleges of Nursing (AACN), Accreditation Commission for Education in Nursing (ACEN), and National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA). Bachelor's Degree in nursing preferred.
Currently holds an unencumbered RN license with the State Board of Nursing where the practice of nursing is occurring and/or possess multistate licensure if in a Nurse Licensure Compact (NLC) state. Obtains and subsequently maintains required department specific competencies and certifications.
Sanford is an EEO/AA Employer M/F/Disability/Vet.
If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to talent@sanfordhealth.org.

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About Sanford Health

Sourced by ZipRecruiter

Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.

Industry

Health care and social assistance and hospitals

Company size

10,000+ Employees

Headquarters location

Sioux Falls, SD, US

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