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

Benefits for our Registered Nurses (RN) include: * Up to $4,800/Year in Tuition Assistance ... After you apply online and submit your resume, a member of our HR team will review your ...

Benefits for our Registered Nurses (RN) include: * Up to $4,800/Year in Tuition Assistance ... After you apply online and submit your resume, a member of our HR team will review your ...

The Registered Nurse (RN) will provide direct patient care in a correctional setting, including ... Perform comprehensive physical assessments and history reviews to determine patient health status ...

As a Registered Nurse Clinical Manager , you will: * Oversee clinical operations for the location ... Conduct ongoing staff education based on documentation review, utilization review findings, and ...

As a Registered Nurse Clinical Manager , you will: * Oversee clinical operations for the location ... Conduct ongoing staff education based on documentation review, utilization review findings, and ...

Showing results 21-40

Utilization Review Rn information

See Lititz, PA salary details

$19

$39

$63

How much do utilization review rn jobs pay per hour?

As of Sep 7, 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 case management certification can enhance job prospects, and familiarity with electronic health records (EHR) systems is often required.

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:

Infographic showing various Utilization Review Rn job openings in Lititz, PA as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 16% Part Time, 2% Contract, and 1% Nights. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $81,478 per year, or $39.2 per hour.

Registered Nurse RN Observation Unit (Part Time/Evenings)

Pennsylvania Medicine

Lancaster, PA • On-site

Other

Re-posted 20 days ago


Penn Medicine rating

7.5

Company rating: 7.5 out of 10

Based on 353 frontline employees who took The Breakroom Quiz

231st of 898 rated healthcare providers


Job description

Registered Nurse RN Observation Unit (Part Time/Evenings)

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?

LOCATION: Lancaster, PA - Lancaster General Hospital

HOURS: Part Time (24 hours per week). Evening shift (3pm-3am). Every third weekend and rotating holidays.

The Observation Unit is a fast-paced 52-bed unit for both medical and surgical patients needing short-term care. Patients here have an anticipated discharge of about 24-48 hours; enough time to receive treatments and procedures before being discharged. Top diagnoses on the unit include chest pain, Afib, hypertension, PE/DVT, abdominal pain, trauma, TI/CVA, CHF, asthma/COPD, vertigo, AFR/electrolyte abnormalities, syncope, hypoglycemia/hyperglycemia, and pre/post procedure (cardiac cath, OR, pacer, ablation, etc.). This unit requires strong assessment and critical thinking skills, as patient's condition can change rapidly.

Summary:

  • Assume responsibility and accountability as defined by the American Nurses Association standards of nursing practice.
  • The Clinical Nurse 2 Colleague is an RN that practices as a full partner on the health care team and consistently demonstrates safe practice within the organizational professional practice model.
  • The Clinical Nurse 2 Colleague possesses the knowledge, skills and the attitude to effectively meet standards for competent professional nursing practice.
  • The Clinical Nurse 2 Colleague exhibits Penn Medicine's experience standards which reflect its mission and are embedded in the professional practice competency domains.
  • The Clinical Nurse 2 Colleague independently provides patient care through the application of the nursing process and accepts accountability for the nursing care of assigned patients. Assigned patients may range in age from infancy to the elderly.
  • The Clinical Nurse 2 Colleague demonstrates within the competency domains of Continuous Quality Improvement, Evidence Based Practice and Research, Leadership, Person and Family Centered Care, Professionalism, Safety, Technology Informatics, and Teamwork.
  • The Clinical Nurse 2 Colleague works closely with the interprofessional health care team to facilitate the coordination of care across the continuum. The nurse focuses on expanding the knowledge and skills necessary to provide individualized care based on physical, psychosocial, cultural, educational, safety, and age-appropriate considerations of assigned patients.
  • The Clinical Nurse 2 Colleague seeks feedback in assuming leadership roles and provides feedback for improved clinical practice. The nurse demonstrates how nursing practice impacts the organizational vision, mission, and goals and the care delivery system. The nurse complies with all regulations and standards of regulatory and accrediting bodies.

Qualified individuals must have the ability with or without reasonable accommodation to perform the following duties:

  • Incorporates the Lancaster General Health mission, vision and values into planning patient care.
  • Functions as an independent and interdependent member of the health care team as defined in unit-based Plan for Provision of Care.
  • Performs patient assessments, focusing on physiologic, psychological, and cognitive functions. Evaluates progress toward attainment of outcomes and adapts the plan of care based on recognized trends and changes.
  • Collects and manages comprehensive data pertinent to the patient's health or the situation.
  • Analyzes the assessment data to determine the diagnosis or issues. Formulates age-appropriate and culturally and ethically sensitive plan of care
  • Implements care in a knowledgeable manner and coordinates patient care across several disciplines and among caregivers.
  • Provides leadership to other members of the team by effectively communicating expected standards of care and encouraging and supporting team members and their contributions.
  • Demonstrates an understanding of and a commitment to our values of privacy, quality, respect, service and teamwork.
  • Assigns, delegates, and supervises other employees and intervenes as appropriate to assure that the plan of care is carried out, continuity of care is provided and that established outcomes are achieved through availability and appropriated utilization of human, material and financial resources.
  • Educates patients about healthy practices and treatment modalities.
  • Systematically enhances the quality and effectiveness of nursing practices. Utilizes technology where appropriate.
  • Considers factors related to safety, effectiveness, cost and impact on practice in the planning and delivery of nursing services.
  • Other duties as assigned.

Minimum Required Qualifications:

  • RN licensure is required, issued by the PA Board of Nursing.
  • Bachelor of Science in Nursing BSN or higher-level nursing degree is required.
  • Completion of the Nurse Residency Program or more than 15 months of practice.
  • CPR Certification - American Heart Association AHA Basic Life Support, formerly Healthcare Provider AHA Heart Saver courses for CPR are not accepted required within 30 days of hire.
  • A health care provider in good standing with Medicare, Medicaid, and other federal and state health insurance programs, i.e. not excluded from participation in Medicare, Medicaid or any other federal or state health insurance program.
  • As outlined in unit-based Plan for Provision of Care.

We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives. Live Your Life's Work

We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.


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