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Utilization Review Rn Jobs in Plano, TX (NOW HIRING)

ScionHealth

Case Manager II PRN Days

Arlington, TX · On-site

... utilization review and management, and discharge planning. Essential Functions Care Coordination ... BSN, MSN, BSW or MSW (Preferred) Licenses/Certifications * RN - Registered Nurse - State Licensure ...

ScionHealth

Case Manager II PRN

Dallas, TX · On-site

... utilization review and management, and discharge planning. Essential Functions Care Coordination ... Graduate of an accredited program required for RN. BSN preferred; or MSW/BSW with licensure as ...

ScionHealth

Case Manager II PRN

Fort Worth, TX · On-site

... utilization review and management, and discharge planning. Essential Functions Care Coordination ... Graduate of an accredited program required for RN. BSN preferred; or MSW/BSW with licensure as ...

VITAS Healthcare

Registered Nurse (RN)

Dallas, TX · On-site

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 ...

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Utilization Review Rn information

See Plano, TX salary details

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$66

How much do utilization review rn jobs pay per hour?

As of Aug 15, 2026, the average hourly pay for utilization review rn in Plano, TX is $40.72, according to ZipRecruiter salary data. Most workers in this role earn between $32.16 and $46.78 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 Plano, TX?

The most popular types of Utilization Review Rn jobs in Plano, TX are:

What are popular job titles related to Utilization Review Rn jobs in Plano, TX?

For Utilization Review Rn jobs in Plano, TX, the most frequently searched job titles are:

What job categories do people searching Utilization Review Rn jobs in Plano, TX look for?

The top searched job categories for Utilization Review Rn jobs in Plano, TX are:

What cities near Plano, TX are hiring for Utilization Review Rn jobs?

Cities near Plano, TX with the most Utilization Review Rn job openings:

Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in Plano, TX as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 14% Part Time, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $84,698 per year, or $40.7 per hour.

Travel Registered Nurse Case Management - $1,652 per week

American Traveler

Dallas, TX • On-site

$1.6K/wk

Other

Medical, Dental, Vision, Life, Retirement

Posted 2 days ago

New

Job description

American Traveler is seeking a travel nurse RN Case Management for a travel nursing job in Dallas, Texas.

Job Description & Requirements
  • Specialty: Case Management
  • Discipline: RN
  • Start Date: ASAP
  • Duration: 13 weeks
  • 36 hours per week
  • Shift: 12 hours, days
  • Employment Type: Travel
Assignment Overview
  • Shift: Days, 3x12hrs
  • Hours: 36 hrs/wk
  • Start Date: May 4, 2026
  • Length: 13 weeks
  • Openings: 1
Description

American Traveler is hiring a Travel RN for a Case Management position in Dallas, TX, requiring 1 year of recent case management experience and an active TX or compact RN license.

Details
  • Hospital-based Case Management department
  • 13-week travel assignment
  • Weekend schedule working Saturday through Monday
  • Shift hours from 7:00 AM to 7:00 PM
Requirements
  • Active RN license (TX or compact) currently in hand
  • Current BLS certification (AHA or ARC accepted)
  • Minimum 1 year of recent experience in case management
  • No certifications expiring within the first 30 days of assignment start
  • No employment gaps of 90 days or more within the past 12 months
  • US Social Security Number and date of birth required for consideration (no Canadian SSN accepted)
  • One professional reference required for consideration
Additional Information
  • Candidates must reside outside a 50-mile radius of the facility to be eligible; local candidates will not be considered
  • First-time travelers may be considered for this role

American Traveler Job ID #P-699480. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Travel RN - Case Management/Utilization Review - Case Management

About American Traveler

With over 25 years of experience, American Traveler has established a reputation for outstanding customer service. Our team ensures a smooth, worry-free experience for those starting on or expanding their travel nursing and allied careers.

With thousands of travel nursing and allied jobs nationwide, our attentive and approachable recruiters find positions that align perfectly with your career aspirations and personal requirements.

American Traveler offers exceptional benefits, including premium medical, dental, vision and life insurance beginning day one of your assignment, generous 401(k) match, substantial housing stipends, and more. Additionally, with 24/7 support and access to our in-house clinicians, you are assured confidence and comfort throughout your assignment.

With our team behind you, you can relax and enjoy a rewarding travel career.

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