Must be licensed RN or Social Worker in CT Position Purpose The Utilization Management Specialist is responsible for acute care concurrent review authorizations, denials tracking & reporting as well ...
Must be licensed RN or Social Worker in CT Position Purpose The Utilization Management Specialist is responsible for acute care concurrent review authorizations, denials tracking & reporting as well ...
Must be licensed RN or Social Worker in CT Position Purpose The Utilization Management Specialist is responsible for acute care concurrent review authorizations, denials tracking & reporting as well ...
Must be licensed RN or Social Worker in CT Position Purpose The Utilization Management Specialist is responsible for acute care concurrent review authorizations, denials tracking & reporting as well ...
Must be licensed RN or Social Worker in CT Position Purpose The Utilization Management Specialist is responsible for acute care concurrent review authorizations, denials tracking & reporting as well ...
Must be licensed RN or Social Worker in CT Position Purpose The Utilization Management Specialist is responsible for acute care concurrent review authorizations, denials tracking & reporting as well ...
Registered Nurse (RN)
Waterbury, CT · On-site
$44 - $48/hr
Registered Nurse, RN, develops and achieves professional growth goals and objectives personally and per Team Manager reviews * Registered Nurse, RN, responsible for attending orientation and ...
Registered Nurse (RN)
Waterbury, CT · On-site
$44 - $48/hr
Registered Nurse, RN, develops and achieves professional growth goals and objectives personally and per Team Manager reviews * Registered Nurse, RN, responsible for attending orientation and ...
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 ...
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 ...
RN; Registered Nurse
New Haven, 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 ...
RN; Registered Nurse
New Haven, 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 ...
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 ...
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 ...
Registered Nurse
Wallingford, CT · On-site
... Utilization, And Staff And Self Development As Outlined In Performance Review. Performs Other ... RN experience required.
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Registered Nurse
Wallingford, CT · On-site
... Utilization, And Staff And Self Development As Outlined In Performance Review. Performs Other ... RN experience required.
Registered Nurse
Woodbury, CT · On-site
... Utilization, And Staff And Self Development As Outlined In Performance Review. Performs Other ... RN experience required.
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Registered Nurse
Woodbury, CT · On-site
... Utilization, And Staff And Self Development As Outlined In Performance Review. Performs Other ... RN experience required.
Registered Nurse
West Hartford, CT · On-site
... Utilization, And Staff And Self Development As Outlined In Performance Review. Performs Other ... RN experience required.
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Registered Nurse
West Hartford, CT · On-site
... Utilization, And Staff And Self Development As Outlined In Performance Review. Performs Other ... RN experience required.
Registered Nurse
Oxford, CT · On-site
... Utilization, And Staff And Self Development As Outlined In Performance Review. Performs Other ... RN experience required.
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Registered Nurse
Oxford, CT · On-site
... Utilization, And Staff And Self Development As Outlined In Performance Review. Performs Other ... RN experience required.
Registered Nurse
West Hartford, CT · On-site
... Utilization, And Staff And Self Development As Outlined In Performance Review. Performs Other ... RN experience required.
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Registered Nurse
West Hartford, CT · On-site
... Utilization, And Staff And Self Development As Outlined In Performance Review. Performs Other ... RN experience required.
Registered Nurse
Wallingford, CT · On-site
... Utilization, And Staff And Self Development As Outlined In Performance Review. Performs Other ... RN experience required.
Quick apply
Registered Nurse
Wallingford, CT · On-site
... Utilization, And Staff And Self Development As Outlined In Performance Review. Performs Other ... RN experience required.
Registered Nurse
Cheshire, CT · On-site
... Utilization, And Staff And Self Development As Outlined In Performance Review. Performs Other ... RN experience required.
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Registered Nurse
Cheshire, CT · On-site
... Utilization, And Staff And Self Development As Outlined In Performance Review. Performs Other ... RN experience required.
Registered Nurse
Oxford, CT · On-site
... Utilization, And Staff And Self Development As Outlined In Performance Review. Performs Other ... RN experience required.
Quick apply
Registered Nurse
Oxford, CT · On-site
... Utilization, And Staff And Self Development As Outlined In Performance Review. Performs Other ... RN experience required.
Registered Nurse
Oxford, CT · On-site
... Utilization, And Staff And Self Development As Outlined In Performance Review. Performs Other ... RN experience required.
Quick apply
Registered Nurse
Oxford, CT · On-site
... Utilization, And Staff And Self Development As Outlined In Performance Review. Performs Other ... RN experience required.
Registered Nurse
Woodbury, CT · On-site
... Utilization, And Staff And Self Development As Outlined In Performance Review. Performs Other ... RN experience required.
Quick apply
Registered Nurse
Woodbury, CT · On-site
... Utilization, And Staff And Self Development As Outlined In Performance Review. Performs Other ... RN experience required.
Registered Nurse
West Hartford, CT · On-site
... Utilization, And Staff And Self Development As Outlined In Performance Review. Performs Other ... RN experience required.
Quick apply
Registered Nurse
West Hartford, CT · On-site
... Utilization, And Staff And Self Development As Outlined In Performance Review. Performs Other ... RN experience required.
Registered Nurse
Wallingford, CT · On-site
... Utilization, And Staff And Self Development As Outlined In Performance Review. Performs Other ... RN experience required.
Quick apply
Registered Nurse
Wallingford, CT · On-site
... Utilization, And Staff And Self Development As Outlined In Performance Review. Performs Other ... RN experience required.
Registered Nurse
Oxford, CT · On-site
... Utilization, And Staff And Self Development As Outlined In Performance Review. Performs Other ... RN experience required.
Quick apply
Registered Nurse
Oxford, CT · On-site
... Utilization, And Staff And Self Development As Outlined In Performance Review. Performs Other ... RN experience required.
Utilization Review Rn information
See Morris, CT salary details
$21.35 - $25.67
2% of jobs
$25.67 - $29.99
9% of jobs
$32.94 is the 25th percentile. Wages below this are outliers.
$29.99 - $34.31
21% of jobs
The median wage is $37.80 / hr.
$34.31 - $38.63
23% of jobs
$38.63 - $42.94
13% of jobs
$46.30 is the 75th percentile. Wages above this are outliers.
$42.94 - $47.26
10% of jobs
$47.26 - $51.58
8% of jobs
$51.58 - $55.90
5% of jobs
$55.90 - $60.22
5% of jobs
$60.22 - $64.54
2% of jobs
$64.54 - $68.85
2% of jobs
$21
$42
$68
How much do utilization review rn jobs pay per hour?
As of Jun 9, 2026, the average hourly pay for utilization review rn in Morris, CT is $42.20, according to ZipRecruiter salary data. Most workers in this role earn between $33.37 and $48.46 per hour, depending on experience, location, and employer.
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?
| 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?
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 cities near Morris, CT are hiring for Utilization Review Rn jobs? Cities near Morris, CT with the most Utilization Review Rn job openings:
Part-time
Posted 21 days ago
Job description
Employment Type:Part timeShift:Day ShiftDescription:Must be licensed RN or Social Worker in CT
Position Purpose
The Utilization Management Specialist is responsible for acute care concurrent review authorizations, denials tracking & reporting as well as appeals management. Acts as a resource and guide for physicians, the care delivery team, patients and their families throughout the continuum of available health care services by effectively monitoring, evaluating and integrating direct clinical and supportive services in order to achieve and maintain optimal patient health status and expectations. Ensures validity of accurate documentation of severity of illness (profiling) by working with the physician in the concurrent review process. May assist with patient care services care coordination, psychosocial groups and/or complete biopsychosocial.
What you will do
Provide assessment for all patients within Clinical Program to determine level of Case Management intervention
Plan for high quality, realistic, and cost-effective/ resource driven continuum of care arrangements for identified patients
Collaborate with physicians and appropriate members of the care team to plan, coordinate and revise the patient care plan as necessary
Maintain communication with physicians and payers regarding situational comparison to criteria, plan of care and discharge plan
Initiate/confirm admission authorization and certification for all days stayed
Collaborate with other hospital departments, i.e. Finance, Hospital Information Management (Medical Records) and Admitting, to provide pertinent data relating to utilization management / clinical resource management issues and questions
Minimum Qualifications
Master's-level Licensed professional (LCSW, LMFT, LPC)
or
RN (Masters not required)State of Connecticut LCSW, LMFT, LPC or RN license in good standing required
Minimum of one (1) year related mental health care experience
Position Highlights and Benefits
Per diem
Local residency required but may work from home
Ministry/Facility Information
Saint Mary's Hospital is a Catholic, not-for-profit, acute care, community teaching hospital that has served Greater Waterbury since 1909. Licensed for 347 beds, Saint Mary's is designated as a Level II Trauma Center, offers award-winning cardiac and stroke care. We house the region's only pediatric emergency care unit and was the first to introduce the daVinci Robotic Surgery System.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.