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Utilization Review Rn Jobs in Hampton, VA (NOW HIRING)

Sentara

Registered Nurse(RN)- IMC Unit

Norfolk, VA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... utilization, and environmental health) encompass the actions and foundation of professional nursing. The RN possesses clinical knowledge and skills to meet standards as required by specific clinical ...

Sentara Healthcare

Registered Nurse(RN)- IMC Unit

Norfolk, VA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... utilization, and environmental health) encompass the actions and foundation of professional nursing. The RN possesses clinical knowledge and skills to meet standards as required by specific clinical ...

Sentara

Registered Nurse(RN)- IMC Unit

Norfolk, VA · On-site

$10K/mo

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... utilization, and environmental health) encompass the actions and foundation of professional nursing. The RN possesses clinical knowledge and skills to meet standards as required by specific clinical ...

Sentara Health

Registered Nurse(RN)- IMC Unit

Norfolk, VA

$10K/mo

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... utilization, and environmental health) encompass the actions and foundation of professional nursing. The RN possesses clinical knowledge and skills to meet standards as required by specific clinical ...

Sentara Healthcare

Direct Care Registered Nurse

Norfolk, VA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... utilization, and environmental health) encompass the actions and foundation of professional nursing. The RN possesses clinical knowledge and skills to meet standards as required by specific clinical ...

Sentara Health

Registered Nurse (RN) - Mother Baby

Norfolk, VA

$10K/mo

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... utilization, and environmental health) encompass the actions and foundation of professional nursing. The RN possesses clinical knowledge and skills to meet standards as required by specific clinical ...

Sentara Health

Registered Nurse (RN) - Med Surg

Suffolk, VA

$10K/mo

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... utilization, and environmental health) encompass the actions and foundation of professional nursing. The RN possesses clinical knowledge and skills to meet standards as required by specific clinical ...

Sentara Health

Registered Nurse RN, Surgery Unit

Suffolk, VA

$10K/mo

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... utilization, and environmental health) encompass the actions and foundation of professional nursing. The RN possesses clinical knowledge and skills to meet standards as required by specific clinical ...

Sentara Health

Registered Nurse (RN) - Resource Pool

Norfolk, VA

$10K/mo

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... utilization, and environmental health) encompass the actions and foundation of professional nursing. The RN possesses clinical knowledge and skills to meet standards as required by specific clinical ...

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All JobsUtilization Review Rn JobsUtilization Review Rn Jobs in Hampton, VA

Utilization Review Rn information

See Hampton, VA salary details

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How much do utilization review rn jobs pay per hour?

As of Aug 18, 2026, the average hourly pay for utilization review rn in Hampton, VA is $40.86, according to ZipRecruiter salary data. Most workers in this role earn between $32.31 and $46.92 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 Hampton, VA?

For Utilization Review Rn jobs in Hampton, VA, the most frequently searched job titles are:

What job categories do people searching Utilization Review Rn jobs in Hampton, VA look for?

The top searched job categories for Utilization Review Rn jobs in Hampton, VA are:

What cities near Hampton, VA are hiring for Utilization Review Rn jobs?

Cities near Hampton, VA with the most Utilization Review Rn job openings:

Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in Hampton, VA as of August 2026, with employment types broken down into 1% As Needed, 72% Full Time, 24% Part Time, 2% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $84,995 per year, or $40.9 per hour.

Registered Nurse(RN)- IMC Unit

Sentara

Norfolk, VA • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 12 days ago

Sentara Health rating

6.7

Company rating: 6.7 out of 10

Based on 412 frontline employees who took The Breakroom Quiz

531st of 888 rated healthcare providers

Job description

City/State

Norfolk, VA

Work Shift

Third (Nights)

Overview:

Sentara is hiring a Registered Nurse (RN) at Sentara Norfolk General's Intermediate Care Unit (IMCU) in Norfolk, Virginia.

Sign on Bonus up to 20,000 offered for qualified candidates. Special bonuses available for IMCU positions! Relocation packages available!

Shift: Full Time, Night shift (7a-7p)

Unit Overview:

7N is a 16-bed IMC mixed unit. We provide highly skilled care to a variety of patients! Join our team today!

Overview

The Registered Nursing (RN) is responsible to perform a competent level of nursing care as demonstrated by the critical thinking model known as the nursing process. The standards of practice (assessment, diagnosis, outcomes identification, planning, implementation, coordination of care- teaching and health promotion and evaluation) along with the standards of professional performance (ethics, culturally congruent practice, communication, collaboration, leadership, education, evidence- based practice /nursing research, quality, evaluation, resource utilization, and environmental health) encompass the actions and foundation of professional nursing. The RN possesses clinical knowledge and skills to meet standards as required by specific clinical areas.
All Direct Care RN's required to have BLS within 90 days of hire.

Education

  • RN Degree REQUIRED

Certification/Licensure

  • Virginia RN License REQUIRED
  • Basic Life Support (BLS) Certification required within 90-days of hire

Experience

  • Prior RN experience PREFERRED

Keywords: Talroo-Nursing. Registered Nurse. RN. New Grad. Sign on bonus. Medical Surgical. Step Down. Same Day Surgery. Post-surgery. Med Surg. Nursing. Med Surg Nurse. New RN Grad. Intermediate Care. Intermediate Care Unit. IMC. IMCU. IMC. Med Surg. Nights. Thirds.

.

Benefits: Caring For Your Family and Your Career

Medical, Dental, Vision plans
Adoption, Fertility and Surrogacy Reimbursement up to 10,000
Paid Time Off and Sick Leave
Paid Parental & Family Caregiver Leave
Emergency Backup Care
Long-Term, Short-Term Disability, and Critical Illness plans
Life Insurance
401k/403B with Employer Match
Tuition Assistance - 5,250/year and discounted educational opportunities through Guild Education
Student Debt Pay Down - 10,000
Reimbursement for certifications and free access to complete CEUs and professional development
Pet Insurance
Legal Resources Plan
Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met
Here at Sentara, we are committed to consistently enhancing our training, advancement tracks, work-life benefits, and more. Our goal is to make you feel more excited to be here every day!

Sentara Norfolk General Hospital, located in Norfolk, VA, is a 525-bed tertiary care facility that is home to the only Level I Adult Trauma Center and burn trauma unit in Hampton Roads, and also serves as the primary teaching hospital for Eastern Virginia Medical School.

In addition to the high-quality heart program at Sentara Heart Hospital, our facility is home to Nightingale Regional Air Ambulance and several other dedicated facilities and specialized services. As a recognized accredited Comprehensive Stroke Center, and Magnet hospital for nursing excellence, our hospital specializes in heart and vascular, neurosciences, neurosurgery, urology, oncology, spine care, advanced imaging, behavioral health, maternity, and women's health, including a state-of-the-art neonatal intensive care unit.

Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.


In support of our mission "to improve health every day," this is a tobacco-free environment.

For positions that are available as remote work, Sentara Health employs associates in the following states:

Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

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