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Utilization Review Rn Jobs in New Haven, CT (NOW HIRING)

CareRite Centers

RN MDS Assessor

Port Jefferson, NY · On-site

$125K/yr

RN MDS Assessor Water's Edge Rehab & Nursing Center at Port Jefferson is looking for a talented and ... Responsible for timely and accurate completion of Utilization Review and Triple Check * Serves on ...

CareRite Centers

MDS Coordinator RN

Port Jefferson, NY · On-site

$140K/yr

Responsible for timely and accurate completion of Utilization Review and Triple Check * Serves on ... Registered Nurse with current, active license in state of practice. * Minimum two (2) years of ...

VITAS Healthcare

Registered Nurse (RN)

Clinton, 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 ...

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 ...

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 New Haven, CT

Utilization Review Rn information

See New Haven, CT salary details

$21

$42

$69

How much do utilization review rn jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for utilization review rn in New Haven, CT is $42.51, according to ZipRecruiter salary data. Most workers in this role earn between $33.61 and $48.80 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.

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 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.

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 New Haven, CT? The most popular types of Utilization Review Rn jobs in New Haven, CT are:
What are popular job titles related to Utilization Review Rn jobs in New Haven, CT? For Utilization Review Rn jobs in New Haven, CT, the most frequently searched job titles are:
What job categories do people searching Utilization Review Rn jobs in New Haven, CT look for? The top searched job categories for Utilization Review Rn jobs in New Haven, CT are:
What cities near New Haven, CT are hiring for Utilization Review Rn jobs? Cities near New Haven, CT with the most Utilization Review Rn job openings:
Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in New Haven, CT as of August 2026, with employment types broken down into 17% As Needed, 66% Full Time, and 17% Part Time. Highlights an 100% In-person job distribution, with an average salary of $88,424 per year, or $42.5 per hour.

RN Utilization Management - $60/hr - Hamden, CT

Mercury Group Staffing

Hamden, CT • On-site

$60/hr

Other

Re-posted 14 days ago

Job description

RN Utilization Management - $60/hr - Hamden, CT

Hamden, Connecticut, United States Or refer someone Job Openings RN Utilization Management - $60/hr - Hamden, CT

About the Job RN Utilization Management - $60/hr - Hamden, CT

Job Title: RN Utilization Management (UM)

Pay Rate: $60.00/hr

Contract Weeks: 12

Shift: 3:00 PM - 11:30 PM

Guaranteed Hours: 40

Location: Hamden, CT

Requirements:

  • Minimum 6 months of Utilization Management (UM) experience
  • RN License in CT

Description: We are looking for a dedicated RN with Utilization Management experience for a 12-week contract in Hamden, CT. The ideal candidate will have a strong understanding of UM practices and be able to work effectively in a fast-paced environment.

To Apply: please email your resume to jobs@mercurygroupstaffing.com and text (267) 209-3262 to schedule an interview.

Job ID: CS 8097419, 8097420, 8097421

Apply