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Utilization Review Rn Jobs in Lititz, PA (NOW HIRING)

Ramp Health

Registered Nurse (RN)

Reading, PA · On-site

Reduce non-emergent ER and urgent care utilization through early intervention and appropriate ... Review results with participants and collaborate on personalized action plans * Administer ...

Ramp Health

Registered Nurse (RN)

Reading, PA · On-site

Reduce non-emergent ER and urgent care utilization through early intervention and appropriate ... Review results with participants and collaborate on personalized action plans * Administer ...

Ramp Health

Registered Nurse (RN)

Shillington, PA · On-site

Reduce non-emergent ER and urgent care utilization through early intervention and appropriate ... Review results with participants and collaborate on personalized action plans * Administer ...

Ramp Health

Registered Nurse (RN)

Reading, PA · On-site

Reduce non-emergent ER and urgent care utilization through early intervention and appropriate ... Review results with participants and collaborate on personalized action plans * Administer ...

NR Consulting

Registered Nurse

Lebanon, PA · On-site

Reviews and revises plan of care as indicated. Performs nursing functions and provides care within ... Actively participates in Utilization Management or Interdisciplinary Care Management. Meeting to ...

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All JobsUtilization Review Rn JobsUtilization Review Rn Jobs in Lititz, PA

Utilization Review Rn information

See Lititz, PA salary details

$19

$39

$63

How much do utilization review rn jobs pay per hour?

As of Aug 17, 2026, the average hourly pay for utilization review rn in Lititz, PA is $39.17, according to ZipRecruiter salary data. Most workers in this role earn between $30.96 and $45.00 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 knowledge of medical coding and insurance processes can enhance your qualifications. Gaining experience in case management or health insurance companies can also improve your chances of entering the field.

What job categories do people searching Utilization Review Rn jobs in Lititz, PA look for?

The top searched job categories for Utilization Review Rn jobs in Lititz, PA are:

What cities near Lititz, PA are hiring for Utilization Review Rn jobs?

Cities near Lititz, PA with the most Utilization Review Rn job openings:

Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in Lititz, PA as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 16% Part Time, and 2% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $81,478 per year, or $39.2 per hour.

Registered Nurse (RN)

Ramp Health

Reading, PA • On-site

Part-time

Re-posted 22 days ago

Job description

Location: Corporate Office / Onsite Wellness Clinic
Schedule: Part-time (20 hours/week; 10am to 2pm Monday to Friday)
About the Role
Ramp Health is seeking a Registered Nurse (RN) to join a high-touch, high-tech population health program embedded directly in the workplace. This role is ideal for an RN who is passionate about preventive care, early intervention, and proactive health engagement, and who wants to make a measurable impact on workforce health, safety, and well-being.
As the onsite RN, you will serve as a trusted clinical resource for employees, providing accessible care, health screenings, vaccinations, condition management support, and care coordination, while collaborating closely with Health & Wellness Coaches, Registered Dietitians, and Ramp Health's digital platform to deliver truly integrated care.
What You'll Do
Onsite Clinical Care & Care Coordination
  • Provide first aid and triage for minor workplace illnesses, injuries, and acute symptoms
  • Reduce non-emergent ER and urgent care utilization through early intervention and appropriate referrals
  • Guide employees in navigating primary care, benefits, and preventive services
Biometric Screenings & Preventive Services
  • Conduct onsite biometric screenings (fingerstick bloodwork, blood pressure, body composition, etc.)
  • Review results with participants and collaborate on personalized action plans
  • Administer vaccinations (e.g., flu and travel vaccines as applicable)
  • Support preventive care campaigns and seasonal health initiatives
Condition Management & Health Education
  • Provide education and support for chronic conditions such as hypertension, diabetes, and hyperlipidemia
  • Support medication adherence, including GLP-1 and weight-management-related care pathways
  • Reinforce lifestyle and risk-reduction strategies in partnership with Coaches and Registered Dietitians
  • Deliver participant-centered education that empowers individuals to take ownership of their health
Interdisciplinary Team Collaboration
  • Work as part of an integrated care team with Health Coaches, Registered Dietitians, and Ramp Health clinical leadership
  • Contribute to coordinated care plans and shared goals across disciplines
  • Document encounters and insights in Ramp Health's secure digital health platform
Data-Driven Population Health Support
  • Support Health Risk Assessments (HRAs) and ongoing risk monitoring
  • Contribute to aggregate insights that inform population health strategies and preventive programming
  • Maintain HIPAA-compliant documentation and data security standards at all times

What We're Looking For
Required Qualifications
  • Active Registered Nurse (RN) license in the state of Pennsylvania
  • 3+ years of nursing experience (occupational health, primary care, community health preferred)
  • Experience with biometric screenings, vaccinations, and preventive care
  • Comfort working independently as part of an interdisciplinary care team in an onsite workplace clinic environment
  • Proficiency with digital documentation and health platforms
Current CPR/BLS certification
Preferred Experience
  • Occupational or workplace health experience
  • Chronic condition management or population health experience
  • Familiarity with wellness programs, coaching models, or employer-sponsored health initiatives
Why This Role Is Different
  • Proactive, preventive focus
  • Deep, relationship-based engagement with a consistent employee population
  • Collaboration with an interdisciplinary care team
  • Supported by Ramp Health's training, clinical oversight, and digital infrastructure
  • Opportunity to directly reduce health risks, improve outcomes, and influence workforce culture

About Ramp Health
Ramp Health is a national leader in workplace health, safety, and well-being, delivering integrated onsite and digital solutions that drive high engagement, measurable outcomes, and meaningful risk reduction. Our high-touch meets high-tech model empowers clinicians to practice at the top of their license while improving access, prevention, and population-level impact.
Applicant will be required to submit a background check and drug screen.
If you have previously applied for another position with Ramp Health, please resubmit all necessary application materials. Please no phone calls. Due to the high volume of applications, no phone calls will be accepted for this Wellness Coach position. If a member of the Ramp Health Recruiting Team is interested in speaking with you further regarding your qualifications, we will contact you directly.
Ramp Health is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by federal, state or local law.
Important Notice About Communication from Ramp Health
To protect applicants from impersonation or phishing attempts, please be advised that all official communication from Ramp Health will come only from an email address ending in @ramphealth.com.
If you receive communication that seems suspicious or comes from a different domain, please do not respond and report it to [email protected] immediately.

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