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

Registered Nurse Evenings

VA ยท On-site

$36 - $43.01/hr

The RN may also work in the role of Nursing Supervisor. ESSENTIAL FUNCTIONS - Administrative ... Reviews physician/physician extender orders, diagnostic and pharmacy reports. Follows up with ...

Registered Nurse Nights

VA ยท On-site

$36 - $43.01/hr

The RN may also work in the role of Nursing Supervisor. ESSENTIAL FUNCTIONS - Administrative ... Reviews physician/physician extender orders, diagnostic and pharmacy reports. Follows up with ...

Registered Nurse- PM

Richmond, VA ยท On-site

$41 - $51/hr

The Registered Nurse (RN) will provide direct patient care in a correctional setting, including ... Perform comprehensive physical assessments and history reviews to determine patient health status ...

Provides comprehensive nursing care through the utilization of the home assessment, nursing ... Holds a current Registered Nurse license * Is a graduate from an approved school of nursing. * Has ...

RN Home Health, PRN

Richmond, VA ยท On-site

$70 - $90/hr

Provides comprehensive nursing care through the utilization of the home assessment, nursing ... Holds a current Registered Nurse license * Is a graduate from an approved school of nursing. * Has ...

Provides comprehensive nursing care through the utilization of the home assessment, nursing ... Holds a current Registered Nurse license * Is a graduate from an approved school of nursing. * Has ...

RN Home Health, PRN

Richmond, VA ยท On-site

$65 - $90/hr

Provides comprehensive nursing care through the utilization of the home assessment, nursing ... Holds a current Registered Nurse license * Is a graduate from an approved school of nursing. * Has ...

Provides comprehensive nursing care through the utilization of the home assessment, nursing ... Holds a current Registered Nurse license * Is a graduate from an approved school of nursing. * Has ...

Showing results 41-60

Utilization Review Rn information

See Richmond, VA salary details

$21

$41

$68

How much do utilization review rn jobs pay per hour?

As of Sep 4, 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 cities near Richmond, VA are hiring for Utilization Review Rn jobs?

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

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 RN Arrhythmia Care

Chippenham Hospital

Tuckahoe, VA โ€ข On-site

$32.14 - $48.20/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 4 days ago


Key responsibilities

  • Assess patient condition during admission and each shift, reporting any changes in patient status.

  • Perform procedures or functions as ordered by the medical provider and document care in the medical record.

  • Administer prescribed medications, monitor patient response, and maintain knowledge of relevant medications, procedures, and equipment.


Job description

Hourly Wage Estimate: $32.14 - $48.20 / hour
Learn more about the benefits offered for this job.

The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range.

Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Submit your application for the opportunity below: Registered Nurse RN Arrhythmia Care 

* Full Time Night Shift *

Job Summary and Qualifications

The  Registered Nurse RN Arrhythmia Care coordinates and delivers high quality, patient-centered progressive care. In collaboration with medical providers, the RN provides pre-operative and post-operative nursing care. The RN serves as an advocate for patients to support an unparalleled patient experience.

What you will do in this role:

  • Assess patient condition during admission and during each shift, identifying and reporting any changes in patient status.
  • Perform procedures or other functions as ordered by the medical provider.
  • Document the administration of care in the patient medical record in a timely and thorough manner.
  • Perform the administration of prescribed medications and monitors response.
  • Maintain a knowledge of medications, procedures, and equipment used in the care of cardiac and medical-surgical patients.
What qualifications you will need:
  • Graduate of an accredited School of Nursing (BSN preferred).
  • Current Registered Nurse License in Virginia or Current Multistate Compact License.
  • 1 year of nursing experience in an acute care hospital setting preferred.
  • Current American Red Cross or American Heart Association Basic Life Support (BLS or BCLS) Certification.
  • Advanced Cardiovascular Life Support (ACLS) Certification must be obtained within 30 days of employment start date. 
Benefits

Chippenham Hospital, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

  • Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
  • Wellbeing support, including free counseling and referral services
  • Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
  • Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
  • Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
  • Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

Chippenham Hospital has provided quality healthcare services since 1972, giving patient's access to highly-trained physicians and advanced technology. With more than 50 years of pioneering healthcare, our 460+ bed hospital is one of the region's leading acute care facilities located on the Southside of Richmond. We are the region's first choice for orthopedics, joint care, behavioral health and cardiovascular care. The Joint Commission awarded Chippenham Hospital the Gold Seal of Approval and named us a Top Performer on Key Quality Measures for advanced primary stroke, heart attack, heart failure, pneumonia, perinatal care, hip and knee replacement and surgical care. We are also a Level I Burn Center and Level I Trauma Center.

"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

If you find this opportunity compelling, we encourage you to apply for our Registered Nurse RN Arrhythmia Care opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. We are interviewing - apply today!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.