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Utilization Review Rn Jobs in Richmond, VA (NOW HIRING)

Henrico Cardiology Associates

Registered Nurse

Richmond, VA · On-site

$28.09 - $40.72/hr

Registered Nurse Job Summary and Qualifications Full time (Monday - Friday, days), no nights, no ... review patients' records including posting tests and examination results You will administer ...

Henrico Cardiology Associates

Registered Nurse

Tuckahoe, VA · On-site

$28.09 - $40.72/hr

Registered Nurse Job Summary and Qualifications Full time (Monday - Friday, days), no nights, no ... review patients' records including posting tests and examination results You will administer ...

Henrico Cardiology Associates

Registered Nurse

Richmond, VA · On-site

$28.09 - $40.72/hr

Registered Nurse Job Summary and Qualifications Full time (Monday - Friday, days), no nights, no ... review patients' records including posting tests and examination results You will administer ...

Henrico Cardiology Associates

Registered Nurse

Tuckahoe, VA · On-site

$28.09 - $40.72/hr

Registered Nurse Job Summary and Qualifications Full time (Monday - Friday, days), no nights, no ... review patients' records including posting tests and examination results You will administer ...

thrivespc

Registered Nurse

Richmond, VA · On-site

Registered Nurse (RN) administers skilled nursing care to patients (0-45 years) requiring ... This assessment will include a complete systems review, safety assessment, nutritional evaluation ...

thrivespc

Registered Nurse

Richmond, VA · On-site

Registered Nurse (RN) administers skilled nursing care to patients (0-45 years) requiring ... This assessment will include a complete systems review, safety assessment, nutritional evaluation ...

thrivespc

Registered Nurse

Richmond, VA · On-site

Registered Nurse (RN) administers skilled nursing care to patients (0-45 years) requiring ... This assessment will include a complete systems review, safety assessment, nutritional evaluation ...

thrivespc

Registered Nurse

Richmond, VA · On-site

Registered Nurse (RN) administers skilled nursing care to patients (0-45 years) requiring ... This assessment will include a complete systems review, safety assessment, nutritional evaluation ...

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Showing results 21-40

All JobsUtilization Review Rn JobsUtilization Review Rn Jobs in Richmond, VA

Utilization Review Rn information

See Richmond, VA salary details

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$68

How much do utilization review rn jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for utilization review rn in Richmond, VA is $41.84, according to ZipRecruiter salary data. Most workers in this role earn between $33.08 and $48.08 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 are the most commonly searched types of Utilization Review Rn jobs in Richmond, VA?

The most popular types of Utilization Review Rn jobs in Richmond, VA are:

What are popular job titles related to Utilization Review Rn jobs in Richmond, VA?

For Utilization Review Rn jobs in Richmond, VA, the most frequently searched job titles are:

What job categories do people searching Utilization Review Rn jobs in Richmond, VA look for?

The top searched job categories for Utilization Review Rn jobs in Richmond, VA are:

What cities near Richmond, VA are hiring for Utilization Review Rn jobs?

Cities near Richmond, VA with the most Utilization Review Rn job openings:

Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in Richmond, VA as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 15% Part Time, 1% Temporary, 3% Contract, and 1% Nights. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $87,034 per year, or $41.8 per hour.

Registered Nurse

Shalom Gardens Health & Rehabilitation

Richmond, VA

$38 - $43.45/hr

Other

Medical, Dental, Vision, Retirement, PTO

Re-posted 4 days ago

Job description

Registered Nurses (RNs) – Be the Heart of Skilled Care!

Shalom Gardens Health and Rehab | Richmond, VA
Full-Time | Part-Time 


Shifts Available: Days | Evenings | Nights | Weekends

Rate of pay: $38.00 to $43.45 (plus Shift Diffs as applicable)

Up to $10,000.00 Sign-on Bonus (limited time!)

Access to Daily Pay

You chose nursing for a reason. Let that reason thrive here.

At Shalom Gardens Health and Rehab, we don’t just provide care — we build connections. We’re a compassionate, resident-centered Skilled Nursing and Long-Term Care Facility, and we are looking to hire Registered Nurses (RNs) who want to make a difference every single day.

What You’ll Love:

  • Competitive hourly pay + shift differentials

  • Paperless, quick onboarding 

  • Comprehensive benefits (health, dental, vision, retirement plan, same day pay, instant access to wages)

  • Predictable scheduling and flexibility (e.g., full-time, part-time, PRN options)

  • Paid time off, holiday pay

  • Generous employee referral program

  • Annual performance reviews and competitive bi-annual pay reviews

  • Support for personal well-being (EAP programs, mental health resources)

  • Respectful, supportive leadership and strong focus on teamwork

  • Optimal staff-to-patient ratios to prevent burnout

  • Opportunities for advancement

  • Tuition reimbursement, training programs, and CEU support

  • Strong mentorship and orientation programs

  • Strong school partnerships 

  • 360 communications for staff, residents & families 

  

What You’ll Be Doing:

  • Provide nursing care to ensure resident needs are met in accordance with standards of practice, physician orders, center policies and procedures, and state, federal and local guidelines

  • Plan nursing interventions for each resident based on individual needs and monitor the implementation

  • Evaluate the effectiveness of care interventions, identify problems and trends and develop alternative interventions.

  • Conduct family and resident education

  • Administer medications and treatments timely and according to center policy

  • Transcribe physician’s orders and chart progress notes in an informative, factual manner that reflects the care administered as well as the resident’s response

  • Identify and report changes in condition to supervisor, physician and family

  • Accurately identify skin changes and follow skin management protocols

  • Order and report diagnostic tests timely

  • Follow Pharmacy policy and procedures for ordering and delivering medications.

  • Coordinate resident’s rehabilitation program with therapists to ensure rehabilitation needs are met

  • Monitors that CNA documentation is completed daily

  • Ensures CNA assignments are completed on time

  • Perform additional nursing care responsibilities as required and based on State Nurse Practice Act.

Requirements:

  • Active Virginia State RN license

  • CPR/BLS Certification

  • Experience in Long Term Care or Skilled Nursing preferred

  • Excellent technical, assessment and documentation skills

  • Strong analytical and problem-solving skills

  • Ability to lift 25 or more pounds

  • Ability to stand, bend, and walk for extended time periods

  • Team player, strong communicator, passionate about senior care

Salary/ Wage Range

Compensation for the role will depend on several factors, including a candidate’s qualifications, skills, competencies and experience, and may fall outside of the range shown.

Your next shift could change a life. Apply today!

We are committed to maintaining a diverse and inclusive workplace. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for our job opportunities.

#CVSTANDARD