Remains abreast of developments in the field of nursing or utilization review by attending seminars ... Registered Nurse (RN) State Licensure or Nurse Licensure Compact (NLC) by Texas Board of Nursing ...
Remains abreast of developments in the field of nursing or utilization review by attending seminars ... Registered Nurse (RN) State Licensure or Nurse Licensure Compact (NLC) by Texas Board of Nursing ...
... Registered Nurse to join our dynamic cardiac imaging team. In this role, you will provide direct ... Remains abreast of developments in the field of nursing or utilization review by attending seminars ...
... Registered Nurse to join our dynamic cardiac imaging team. In this role, you will provide direct ... Remains abreast of developments in the field of nursing or utilization review by attending seminars ...
BH Utilization Manager RN
Houston, TX ยท On-site
$67K - $85K/yr
Notifies Medical Director regarding the review of medical records submitted by providers for peer ... Current state Registered Nurse License. Work Experience (Years and Area): Two (2) years' experience ...
BH Utilization Manager RN
Houston, TX ยท On-site
$67K - $85K/yr
Notifies Medical Director regarding the review of medical records submitted by providers for peer ... Current state Registered Nurse License. Work Experience (Years and Area): Two (2) years' experience ...
Manage utilization review activities to ensure appropriate level-of-care determinations and payer ... Current Texas Registered Nurse (RN) license or Licensed Master Social Worker (LMSW) credential
Quick apply
Manage utilization review activities to ensure appropriate level-of-care determinations and payer ... Current Texas Registered Nurse (RN) license or Licensed Master Social Worker (LMSW) credential
Manager of ED & Observation (OBS) Case Management
$108K - $130K/yr
The Manager will collaborate with physicians, nursing teams, social workers, utilization review ... Current and valid Texas Registered Nurse (RN) license or Licensed Master Social Worker (LMSW ...
Quick apply
Manager of ED & Observation (OBS) Case Management
$108K - $130K/yr
The Manager will collaborate with physicians, nursing teams, social workers, utilization review ... Current and valid Texas Registered Nurse (RN) license or Licensed Master Social Worker (LMSW ...
Case Manager PRN
Sugar Land, TX ยท On-site
Graduate of an accredited program required: LPN/LVN or RN. * Master of Social Work with licensure ... Experience in case management, utilization review, or discharge planning a plus.
Case Manager PRN
Sugar Land, TX ยท On-site
Graduate of an accredited program required: LPN/LVN or RN. * Master of Social Work with licensure ... Experience in case management, utilization review, or discharge planning a plus.
The Manager will partner with physicians, nursing leadership, social work, utilization review teams ... Current Texas Registered Nurse (RN) license or Licensed Master Social Worker (LMSW) license.
Quick apply
The Manager will partner with physicians, nursing leadership, social work, utilization review teams ... Current Texas Registered Nurse (RN) license or Licensed Master Social Worker (LMSW) license.
MDS Coordinator - LVN/RN
Katy, TX ยท On-site
$31.50 - $40.25/hr
Coordinate and attend daily Casemix Meetings, weekly Utilization Review Meetings, and monthly ... A Registered Nurse License is preferred. * 2 years' experience in Long-Term Care experience ...
MDS Coordinator - LVN/RN
Katy, TX ยท On-site
$31.50 - $40.25/hr
Coordinate and attend daily Casemix Meetings, weekly Utilization Review Meetings, and monthly ... A Registered Nurse License is preferred. * 2 years' experience in Long-Term Care experience ...
MDS Coordinator - LVN/RN
Houston, TX ยท On-site
$29.75 - $38/hr
Coordinate and attend daily Casemix Meetings, weekly Utilization Review Meetings, and monthly ... A Registered Nurse License is preferred. * 2 years' experience in Long-Term Care experience ...
MDS Coordinator - LVN/RN
Houston, TX ยท On-site
$29.75 - $38/hr
Coordinate and attend daily Casemix Meetings, weekly Utilization Review Meetings, and monthly ... A Registered Nurse License is preferred. * 2 years' experience in Long-Term Care experience ...
MDS Coordinator - LVN/RN
Houston, TX ยท On-site
$32.75 - $41.75/hr
Coordinate and attend daily Casemix Meetings, weekly Utilization Review Meetings, and monthly ... A Registered Nurse License is preferred. * 2 years' experience in Long-Term Care experience ...
MDS Coordinator - LVN/RN
Houston, TX ยท On-site
$32.75 - $41.75/hr
Coordinate and attend daily Casemix Meetings, weekly Utilization Review Meetings, and monthly ... A Registered Nurse License is preferred. * 2 years' experience in Long-Term Care experience ...
MDS Coordinator - LVN/RN
Katy, TX ยท On-site
$31.50 - $40.25/hr
Coordinate and attend daily Casemix Meetings, weekly Utilization Review Meetings, and monthly ... A Registered Nurse License is preferred. * 2 years' experience in Long-Term Care experience ...
MDS Coordinator - LVN/RN
Katy, TX ยท On-site
$31.50 - $40.25/hr
Coordinate and attend daily Casemix Meetings, weekly Utilization Review Meetings, and monthly ... A Registered Nurse License is preferred. * 2 years' experience in Long-Term Care experience ...
Hybrid MDS Nurse
Houston, TX ยท On-site
$34.25 - $44.75/hr
Coordinate and attend daily Casemix Meetings, weekly Utilization Review Meetings, and monthly ... A Registered Nurse License is preferred. * 2 years' experience in Long-Term Care experience ...
Hybrid MDS Nurse
Houston, TX ยท On-site
$34.25 - $44.75/hr
Coordinate and attend daily Casemix Meetings, weekly Utilization Review Meetings, and monthly ... A Registered Nurse License is preferred. * 2 years' experience in Long-Term Care experience ...
Hybrid MDS Nurse
Houston, TX ยท On-site
$33.25 - $43.75/hr
Coordinate and attend daily Casemix Meetings, weekly Utilization Review Meetings, and monthly ... A Registered Nurse License is preferred. * 2 years' experience in Long-Term Care experience ...
Hybrid MDS Nurse
Houston, TX ยท On-site
$33.25 - $43.75/hr
Coordinate and attend daily Casemix Meetings, weekly Utilization Review Meetings, and monthly ... A Registered Nurse License is preferred. * 2 years' experience in Long-Term Care experience ...
Remote Clinical Review Pharmacist77449
Katy, TX ยท On-site
$108K - $129K/yr
Remote Clinical Review Pharmacist - Work From Home | Evidence-Based Decisions | Flexible Schedule ... Collaborate with physicians, nurses, and utilization-management teams on complex cases. * Document ...
New
Remote Clinical Review Pharmacist77449
Katy, TX ยท On-site
$108K - $129K/yr
Remote Clinical Review Pharmacist - Work From Home | Evidence-Based Decisions | Flexible Schedule ... Collaborate with physicians, nurses, and utilization-management teams on complex cases. * Document ...
New
Remote Clinical Review Pharmacist
Katy, TX ยท On-site
$108K - $129K/yr
Remote Clinical Review Pharmacist - Work From Home | Evidence-Based Decisions | Flexible Schedule ... Collaborate with physicians, nurses, and utilization-management teams on complex cases. * Document ...
New
Remote Clinical Review Pharmacist
Katy, TX ยท On-site
$108K - $129K/yr
Remote Clinical Review Pharmacist - Work From Home | Evidence-Based Decisions | Flexible Schedule ... Collaborate with physicians, nurses, and utilization-management teams on complex cases. * Document ...
New
Initiates weekend case management, Utilization review screening, assists with D/C planning and ... Current Registered Nurse license as required by state regulations in which the facility operates ...
Initiates weekend case management, Utilization review screening, assists with D/C planning and ... Current Registered Nurse license as required by state regulations in which the facility operates ...
Manager, Case Management - Trauma Services
$108K - $130K/yr
Current and valid Texas Registered Nurse (RN) license or Licensed Master Social Worker (LMSW ... Strong knowledge of healthcare regulations, care coordination, utilization review, and discharge ...
Quick apply
Manager, Case Management - Trauma Services
$108K - $130K/yr
Current and valid Texas Registered Nurse (RN) license or Licensed Master Social Worker (LMSW ... Strong knowledge of healthcare regulations, care coordination, utilization review, and discharge ...
Clinical Documentation Specialist RN
$33.25 - $44.75/hr
Coding and utilization review experience preferred LICENSES AND CERTIFICATIONS Required * RN - Registered Nurse - Texas State Licensure - Texas Board of Nursing_PSV Compact Licensure - Must obtain ...
Clinical Documentation Specialist RN
$33.25 - $44.75/hr
Coding and utilization review experience preferred LICENSES AND CERTIFICATIONS Required * RN - Registered Nurse - Texas State Licensure - Texas Board of Nursing_PSV Compact Licensure - Must obtain ...
RN Case Manager - Case Management
Cypress, TX ยท On-site
Current Registered Nurse License in the State of Texas or Multi-State Compact License (Employees ... nursing Utilization Review Nurse (UR), Discharge Planner, Care Coordinator, Continuum of Core ...
RN Case Manager - Case Management
Cypress, TX ยท On-site
Current Registered Nurse License in the State of Texas or Multi-State Compact License (Employees ... nursing Utilization Review Nurse (UR), Discharge Planner, Care Coordinator, Continuum of Core ...
RN Case Manager - Case Management
Cypress, TX ยท On-site
Current Registered Nurse License in the State of Texas or Multi-State Compact License (Employees ... nursing Utilization Review Nurse (UR), Discharge Planner, Care Coordinator, Continuum of Core ...
RN Case Manager - Case Management
Cypress, TX ยท On-site
Current Registered Nurse License in the State of Texas or Multi-State Compact License (Employees ... nursing Utilization Review Nurse (UR), Discharge Planner, Care Coordinator, Continuum of Core ...
Utilization Review Rn information
See Katy, TX salary details
$19.63 - $23.60
2% of jobs
$23.60 - $27.57
9% of jobs
$30.28 is the 25th percentile. Wages below this are outliers.
$27.57 - $31.54
21% of jobs
The median wage is $34.75 / hr.
$31.54 - $35.51
23% of jobs
$35.51 - $39.48
13% of jobs
$42.57 is the 75th percentile. Wages above this are outliers.
$39.48 - $43.45
10% of jobs
$43.45 - $47.42
8% of jobs
$47.42 - $51.39
5% of jobs
$51.39 - $55.36
5% of jobs
$55.36 - $59.33
2% of jobs
$59.33 - $63.30
2% of jobs
$19
$38
$63
How much do utilization review rn jobs pay per hour?
How does a utilization review RN collaborate with physicians and other healthcare professionals during the patient care review process?
What are the key skills and qualifications needed to thrive as a utilization review RN, and why are they important?
How to get into utilization review as a registered nurse?
What is the difference between Utilization Review Rn vs Case Manager?
| Aspect | Utilization Review Rn | Case Manager |
|---|---|---|
| Credentials | RN license, certifications in utilization review | RN license, certifications in case management |
| Work Environment | Hospitals, insurance companies, healthcare facilities | Hospitals, community agencies, insurance companies |
| Primary Focus | Reviewing medical necessity and appropriateness of care | Coordinating 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?
- Remote Aetna Utilization Review Nurse
- Utilization Review
- Online Utilization Review
- Remote Navihealth Utilization Review
- Remote Utilization Review Nurse Practitioner
- Case Manager Utilization Review Nurse
- Remote Aetna Utilization Review
- Volunteer Navihealth Utilization Review
- Retrospective Review Nurse
- Fulltime Cigna Utilization Review Nurse

Staff Nurse III - RN - Internal Medicine - Cardiac Imaging Center
Houston, TX โข On-site
Other
Medical, Life, Retirement, PTO
Re-posted 24 days ago
Job description
The UTHealth Department of Internal Medicine in Houston, TX is seeking a dedicated Full-Time Registered Nurse to join our dynamic cardiac imaging team. In this role, you will provide direct professional nursing care while contributing to multidisciplinary assessments that support each patient's psychiatric, psycho-educational, and psychotherapeutic needs. This MondayโFriday daytime position places you at the center of a busy imaging center, working closely with cardiologists, PET/CT technologists, fellow nurses, and other healthcare professionals. You'll have the opportunity to expand your expertise across a wide range of cardiac diagnostic modalities, engage in meaningful patient education, and participate in multiple ongoing research protocols.
Once you join us you won't want to leave. It's because we reward our team for the excellent service they provide. Our total rewards package includes the benefits you'd expect from a top healthcare organization (benefits, insurance, etc.), plus:
- 100% paid medical premiums for our full-time employees
- Generous time off (holidays, preventative leave day, both vacation and sick time โ all of which equates to around 37-38 days per year)
- The longer you stay, the more vacation you'll accrue!
- Longevity Pay (Monthly payments after two years of service)
- Build your future with our awesome retirement/pension plan!
We take care of our employees! As a world-renowned institution, our employees' wellbeing is important to us. We offer work/life services such as...
- Free financial and legal counseling
- Free mental health counseling services
- Gym membership discounts and access to wellness programs
- Other employee discounts including entertainment, car rentals, cell phones, etc.
- Resources for child and elder care
- Plus many more!
Position Summary:
- Provides direct professional care as needed, and provides a multidisciplinary assessment of each patient's psychiatric, psycho-educational and psychotherapeutic milieu and directs the delivery of care by other members of the treatment team.
Position Key Accountabilities:
- Assesses patient needs; plans and implements patient care activities and evaluates the patient's response to treatment.
- Assures compliance with regulatory and accrediting agency specifications to meet federal, state and local standards.
- Assists medical and administrative staff in formulating goals and objectives to deliver the most accurate and timely care possible.
- Instructs and counsels patients and families or treatment team concerning home care, potential problems, emotional concerns or utilization review status.
- Participates in regularly scheduled team conferences, and collaborates with related health care providers in treatment discharge planning and provisions of care.
- Serves in an information resources capacity for hospital nursing personnel, provides advice concerning procedures, care techniques, and other developments.
- Functions as liaison between patients and physicians, other nursing personnel, and community agencies/resources.
- Participates in the development of nursing policies. Develops and/or acquires instructional materials, supplies, and equipment necessary to conduct training sessions.
- Prepares and maintains records and reports concerning operations. Remains abreast of developments in the field of nursing or utilization review by attending seminars and workshops, communicating with peers, and reading pertinent literature. Incorporates such advancements in continuing education and nursing practice.
- May supervise Human Resources activities for direct reports in regards to: recruiting and selection, hiring and termination, training, professional development, mentoring, counseling, performance evaluations, and salary planning.
- Performs other duties as assigned.
Certification/Skills:
- Advanced interpersonal ability necessary to routinely interact with high-risk families.
- High analytical ability to assess patient's needs and exercise professional judgment in the establishing of a nursing plan.
- Manages Human Resources activities of department in regards to: recruiting and selection, hiring and termination, training, professional development, mentoring, counseling, performance evaluations, and salary planning.
- Registered Nurse (RN) State Licensure or Nurse Licensure Compact (NLC) by Texas Board of Nursing (BON) required
- Cardiac Pulmonary Resuscitation (CPR) by American Red Cross or American Heart Association (AHA) required
Minimum Education:
- Bachelor's Degree in nursing from an accredited School of Nursing plus two year of nursing experience required Associate's Degree in nursing from an accredited School of Nursing plus four years of nursing experience required Nursing diploma (three-year program) plus three years of nursing experience required
Minimum Experience:
- 2 years of nursing experience with a BSN required 3 years of nursing experience with a Nursing Diploma required 4 years of nursing experience with an ADN required
Physical Requirements:
- Exerts up to 50 pounds of force occasionally and/or up to 20 pounds frequently and/or up to 10 pounds constantly to move objects.
Security Sensitive:
- This position is a security-sensitive position pursuant to Texas Education Code ยง51.215 and Texas Government Code ยง411.094. To the extent that a position requires the holder to research, work on, or have access to critical infrastructure as defined in Texas Business and Commerce Code ยง117.001(2), the ability to maintain the security or integrity of the infrastructure is a minimum qualification to be hired for and to continue to be employed in that position. Personnel in such positions, and similarly situated state contractors, will be routinely reviewed to determine whether things such as criminal history or continuous connections to the government or political apparatus of a foreign adversary might prevent the applicant, employee, or contractor from being able to maintain the security or integrity of the infrastructure. A foreign adversary is a nation listed in 15 C.F.R. ยง791.4.
Residency Requirement:
- Employees must permanently reside and work in the State of Texas.
INDRN123