ZipRecruiter

Log In

1

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

next page

Showing results 1-20

People also search for

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

Utilization Review Rn information

See Fargo, ND salary details

$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.

Case Management Director

Altru Rehabilitation Hospital

Hunter, ND

Full-time, Part-time

Medical, Dental, Vision, Retirement, PTO

Posted 4 days ago

Job description

Case Management Director Career Opportunity

Relocation assistance may be available for the right candidate.

RN, SW, OT, PT, ST or Rehab Counseling licenses may be eligible for this position.

Highly regarded for your Case Management Director expertise
Are you an experienced and compassionate healthcare professional with a background in case management, seeking a career that aligns with your professional expertise and resonates with your personal values? As the Director of Case Management at Encompass Health, you have the unique opportunity to lead a team and make a profound impact on the lives of individuals within your local community. This role combines fulfilling career opportunities close to home with the chance to make a meaningful difference in the well-being of those around you. Join us in this journey of care, compassion, and leadership as we work together to make a difference where it matters most, serving as a key member of our leadership team overseeing the day-to-day operations and management of our Case Management department.


A Glimpse into Our World
At Encompass Health, you'll experience the difference the moment you become a part of our team. Being at Encompass Health means aligning with a rapidly growing national inpatient rehabilitation leader. We take pride in the growth opportunities we offer and how our team unites for the greater good of our patients. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing.


Starting Perks and Benefits
At Encompass Health, we are committed to creating a supportive, inclusive, and caring environment where you can thrive. From day one, you will have access to:

  • Affordable medical, dental, and vision plans for both full-time and part-time employees and their families.
  • Generous paid time off that accrues over time.
  • Opportunities for tuition reimbursement and continuing education.
  • Company-matching 401(k) and employee stock purchase plans.
  • Flexible spending and health savings accounts.
  • A vibrant community of individuals passionate about the work they do!


Become the Case Management Director you've always aspired to be

  • Assume responsibility for the day-to-day operations and human resource management of the Case Management department.
  • Oversee the interdisciplinary plan of care and the discharge planning process to ensure the effectiveness and appropriateness of services with a central focus on census management, patient care outcomes, and key care indicators.
  • Act as a patient and family advocate, ensuring that services are delivered to meet the needs of patients and their families.
  • Provide guidance and support to Case Managers and other staff, including training on managing caseloads and interpreting regulations, policies, operational procedures, and objectives. Review operations to ensure a high level of quality consistent with organizational standards.
  • Build relationships with insurance companies, self-insured employers, case management firms, and other healthcare networks.
  • Celebrate the accomplishments and successes of our dedicated employees along the way.

Qualifications

  • Current CCM® or ACMTM certification is preferred.
  • Must be qualified to independently complete an assessment within the scope of practice of his/her discipline.
  • If licensure is required for the discipline within the hospital's state, individual must hold an active license.
  • For Nursing, must possess bachelor's degree in Nursing (BSN) with RN licensure.
  • For other eligible health care professionals, must possess a minimum of a bachelor's degree; a graduate degree is preferred.
  • Three years of hospital-based Case Management experience, including Utilization Review and Discharge Planning experience.
  • May be required to work weekdays and/or weekends, evenings and/or night shifts.
  • May be required to work on religious and/or legal holidays on scheduled days/shifts.

#LI-KC1

The Encompass Health Way
We proudly set the standard in care by leading with empathy, doing what's right, focusing on the positive, and standing stronger together. Encompass Health is a trusted leader in post-acute care with over 150 nationwide locations and a team of 36,000 exceptional individuals and growing!
At Encompass Health, we celebrate and welcome diversity in our inclusive culture. We provide equal employment opportunities regardless of race, ethnicity, gender, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental or physical disability, or any other protected classification.

Apply