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Utilization Review Rn Jobs in Katy, TX (NOW HIRING)

Avir at Sealy

Registered Nurse RN

Sealy, TX

... Benefits reviewed and provided at your one-on-one benefit meeting . • Exceptional Corporate Support. Qualifications for Registered Nurse (RN) PRN Supervisor: • Current RN license is in good ...

Harris Health System

Care Management Nurse RN

Houston, TX · On-site

$80K - $100K/yr

Care Manager will work collaboratively with utilization review, member services and the quality improvement department. MINIMUM QUALIFICATIONS: 1. Education/Specialized Training/Licensure: RN, ...

Avir at Houston

Registered Nurse

Houston, TX

Voluntary Benefits reviewed and provided at your one-on-one benefit meeting . * Exceptional Corporate Support. Qualifications for Registered Nurse (RN): * Valid Texas RN License. * Valid CPR ...

Rooms To Go

REGISTERED NURSE

Brookshire, TX · On-site

Registered Nurse (RN) The Registered Nurse (RN) role will be responsible for providing and ... Reviews Return to Work notices and clears associates to return to work. * Administers Flu shots ...

Real Comfort Living LLC

Registered Nurse

Houston, TX · On-site

Join Our Family as a Registered Nurse (RN) Do you want to be a part of a family and not just ... We promptly review all applications. If you are highly qualified you will hear from one of our ...

Our Company

Registered Nurse

Brookshire, TX

The RN will practice in accordance with the Nurse Practice Act, all state and federal regulatory ... Reviews Return to Work notices and clears associates to return to work. * Administers Flu shots ...

Real Comfort Living LLC

Registered Nurse

Houston, TX · On-site

$38 - $40/hr

We are currently seeking a Registered Nurse (RN) to join our family. Come be a part of the change ... We promptly review all applications. If you are highly qualified you will hear from one of our ...

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All JobsUtilization Review Rn JobsUtilization Review Rn Jobs in Katy, TX

Utilization Review Rn information

See Katy, TX salary details

$19

$38

$63

How much do utilization review rn jobs pay per hour?

As of Jul 31, 2026, the average hourly pay for utilization review rn in Katy, TX is $38.79, according to ZipRecruiter salary data. Most workers in this role earn between $30.67 and $44.57 per hour, depending on experience, location, and employer.

How to get into utilization review as a nurse?

To become a utilization review RN, candidates typically need a valid nursing license and experience in clinical settings. Additional certifications such as Certified Professional in Healthcare Quality (CPHQ) or case management credentials can enhance prospects, and familiarity with electronic health records and insurance policies is beneficial.

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.

How to make $300,000 as a nurse?

A Utilization Review RN can earn $300,000 by gaining extensive experience, obtaining certifications such as Certified Review Officer (CRO), working in high-paying settings like insurance companies or managed care organizations, and taking on leadership or specialized roles that offer higher compensation. Advanced skills in clinical assessment, documentation, and understanding of healthcare policies can also contribute to higher earnings.

What does an RN utilization review do?

An RN utilization review evaluates medical records and treatment plans to determine the necessity, appropriateness, and efficiency of healthcare services. They ensure compliance with insurance policies and clinical guidelines, often using electronic health records and requiring knowledge of coding and documentation standards. This role supports cost-effective patient care and involves collaboration with healthcare providers and insurance companies.

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 make $150,000 as a nurse?

A Utilization Review RN can earn $150,000 by gaining extensive experience, obtaining certifications such as Certified Review Officer (CRO), working in high-demand settings, and possibly taking on leadership or specialized roles. Increasing your workload, working overtime, or pursuing advanced education can also contribute to higher earnings within this field.

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 Katy, TX? The most popular types of Utilization Review Rn jobs in Katy, TX are:
What are popular job titles related to Utilization Review Rn jobs in Katy, TX? For Utilization Review Rn jobs in Katy, TX, the most frequently searched job titles are:
What job categories do people searching Utilization Review Rn jobs in Katy, TX look for? The top searched job categories for Utilization Review Rn jobs in Katy, TX are:
What cities near Katy, TX are hiring for Utilization Review Rn jobs? Cities near Katy, TX with the most Utilization Review Rn job openings:
Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in Katy, TX as of July 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, 1% Temporary, and 2% Contract. Highlights an 89% Physical, 2% Hybrid, and 9% Remote job distribution, with an average salary of $80,689 per year, or $38.8 per hour.

Registered Nurse RN

Avir at Sealy

Sealy, TX

Other

Medical, Retirement, PTO

Posted 28 days ago

Job description

AVIR Health Group is seeking a qualified Registered Nurse (RN) PRN and RN Weekend Supervisor to join our family!

We are searching for a Registered Nurse (RN) PRN and Weekend Supervisor who thrives in an environment where dedicated team members bring comfort, dignity, and exceptional care to those who need it most. The primary purpose is overseeing nursing operations during weekend shifts, ensuring and providing quality resident care, compliance with regulatory standards, and providing leadership to staff. This is the place where your work matters, and your growth is supported.

Walk-ins are always welcome!

Exciting Benefits for Registered Nurse (RN) PRN Supervisor: No Benefits for PRN Shift

• Competitive compensation.

  • Daily Pay - access your earned wages before payday!

• 401k with a match!

• Company paid holidays and Paid Time Off (PTO) Program.

• Health insurance for the entire family!

• Scrubs on Wheels.

• Voluntary Benefits reviewed and provided at your one-on-one benefit meeting.

• Exceptional Corporate Support.

Qualifications for Registered Nurse (RN) PRN Supervisor:

• Current RN license is in good standing.

• Minimum 2 years of clinical experience, preferably in long-term care.

• Strong leadership and communication skills.

• Knowledge of infection control protocols and regulatory compliance.

• Ability to work independently and manage multiple priorities.

About the Company:

We strive to create an environment where people feel safe, heard and understood.  Our leadership teams embrace our “Your Voice” philosophy.

Avir Health Group is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.