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Utilization Review Rn Jobs in Middletown, CT (NOW HIRING)

Yale New Haven Health

RN; Registered Nurse

Madison, CT · On-site

Resource Utilization: The RN utilizes appropriate resources to plan provide and sustain evidence-based nursing services that are safe, effective and fiscally responsible Environmental Health: The RN ...

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All JobsUtilization Review Rn JobsUtilization Review Rn Jobs in Middletown, CT

Utilization Review Rn information

See Middletown, CT salary details

$21

$42

$70

How much do utilization review rn jobs pay per hour?

As of Jul 17, 2026, the average hourly pay for utilization review rn in Middletown, CT is $42.95, according to ZipRecruiter salary data. Most workers in this role earn between $33.94 and $49.33 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 popular job titles related to Utilization Review Rn jobs in Middletown, CT? For Utilization Review Rn jobs in Middletown, CT, the most frequently searched job titles are:
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What cities near Middletown, CT are hiring for Utilization Review Rn jobs? Cities near Middletown, CT with the most Utilization Review Rn job openings:
Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in Middletown, CT as of July 2026, with employment types broken down into 1% As Needed, 77% Full Time, 18% Part Time, 1% Temporary, and 3% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $89,343 per year, or $43 per hour.
Utilization Review Therapist: Billing and Patient Accts- Masters Required- Remote! 7071

Utilization Review Therapist: Billing and Patient Accts- Masters Required- Remote! 7071

Community Health Resources

Windsor, CT • On-site, Remote

$57K/yr

Full-time

Medical, Retirement, PTO

Posted 18 days ago

Job description

A career can mean different things at different workplaces. Apply now to see what it means to us and what it's like to work somewhere your voice is heard, your wellness is a priority, and your success matters.
JOB TITLE: Utilization Review Therapist
EMPLOYMENT TYPE: Full-time, 40 hours/wk
SCHEDULED HOURS: Monday-Friday 8:00AM-4:30PM
PROGRAM/LOCATION: Billing & Patient Accounts, Windsor, CT
PC#: 3146
ABOUT THE POSITION: Utilization Review Therapist
  • Oversees and manages all authorization activities related to IOP and Residential programs.
  • Ensures that all admissions and continued stays meet medical necessity
  • Works with service director to ensure that IOP and Residential documentation and programming meet all relevant regulatory and funder expectations.

QUALIFICATIONS:
Education: Master's degree in behavioral health field
Experience: Experience in providing behavioral health treatment
Licensure/Certification/Registration: Eligible for licensure in behavioral health field
Training: Behavioral health interventions, understanding of documentation and medical necessity expectations, working with insurers
Why Join CHR?
Award-Winning Workplace:
  • Proudly recognized as a Top Workplace for 12 consecutive years!

Generous Time Off:
  • Enjoy ample paid time off, including a special day off for your birthday!

Retirement Savings:
  • Benefit from contributions to your 403b Retirement Plan.

Comprehensive Insurance:
  • Competitive premiums with added discounts on pet, auto, and home insurance!

Education & Tuition Support:
  • Tuition reimbursement and professional development programs.
  • Student loan repayment assistance (Public Service Loan Forgiveness, Nurse Corps, NHSC/HRSA at select sites).
  • Exclusive tuition discounts for CHR employees at several local colleges/universities.

Career Development:
  • FREE robust training curriculum, featuring our brand-new Clinical Training Series for interactive learning, practical skill enhancement, and professional growth!
  • Clinical supervision and/or mentoring available at many programs.
  • Internal career fairs: connect with recruiters to discuss your career aspirations and the various opportunities available within our over 80 programs statewide.

Wellness Program:
  • Annual wellness stipend.
  • FREE premium subscription to the Calm app, for employees and their families
  • Fun activities like coloring contests, lunch & learns, office seasonal decorating contests, employee appreciation events, and more!
  • Up to 6 FREE confidential counseling sessions per issue, per year, for individuals, couples, & families through our EAP program

Employee Involvement:
  • Participate in leadership luncheons with our CEO and various agency committees!

Stay Informed:
  • Weekly video updates from our CEO and monthly newsletters to keep you in the loop.

And So Much More:
  • Many benefits are available to all staff, regardless of the hours worked, with some subject to eligibility.

Join us at CHR and be part of an exciting, supportive, and dynamic workplace where your growth and well-being are our top priorities!
COMPENSATION*:
Starting at $57,506.80/yr minimum, and up commensurate upon experience.
*Actual rates are determined at the time of offer and are based off of relevant experience, as well as adherence to our internal equity policy. Many of our positions offer program/location differentials and/or sign-on incentives. (Please note, for part-time positions this range would be pro-rated based on hours worked)
CHR is an equal opportunity employer, and we encourage all to apply.
Take the first step to a meaningful career and apply to CHR today!
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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