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Utilization Review Rn Jobs in Round Rock, TX (NOW HIRING)

Avir Health Group

Registered Nurse (RN)

Burnet, TX · On-site

Voluntary Benefits reviewed and provided at your one-on-one benefit meeting. * Exceptional Corporate Support. Qualifications for Registered Nurse (RN): * Valid Texas RN License. * Valid CPR ...

Avir at Burnet

Registered Nurse (RN)

Burnet, TX · On-site

Voluntary Benefits reviewed and provided at your one-on-one benefit meeting . * Exceptional Corporate Support. Qualifications for Registered Nurse (RN): * Valid Texas RN License. * Valid CPR ...

Avir Health Group

Registered Nurse (RN)

Austin, TX · On-site

Voluntary Benefits reviewed and provided at your one-on-one benefit meeting. * Exceptional Corporate Support. Qualifications: * Valid Texas RN License. * Valid CPR Certification. * I.V. Certification ...

Avir Health Group

Registered Nurse RN

Austin, TX · On-site

Voluntary Benefits reviewed and provided at your one-on-one benefit meeting. * Exceptional Corporate Support. Qualifications: * Valid Texas RN License. * Valid CPR Certification. * I.V. Certification ...

Avir at Park Bend

Registered Nurse (RN)

Austin, TX · On-site

Voluntary Benefits reviewed and provided at your one-on-one benefit meeting . * Exceptional Corporate Support. Qualifications: * Valid Texas RN License. * Valid CPR Certification. * I.V.

Ageless-Men

Registered Nurse (RN)

Austin, TX · On-site

$72 - $97/hr

Registered Nurse (RN) - Men's Health Clinic | Ageless Men's Health Location: South Austin, TX ... Performing patient assessments, reviewing medical histories, and documenting care in the EMR.

Ageless Mens Health

Registered Nurse (RN)

Austin, TX · On-site

$85K/yr

Registered Nurse (RN) - Men's Health Clinic | Ageless Men's Health Location: South Austin, TX ... Performing patient assessments, reviewing medical histories, and documenting care in the EMR.

Ageless Mens Health

Registered Nurse (RN)

Austin, TX · On-site

$85K/yr

Registered Nurse (RN) - Men's Health Clinic | Ageless Men's Health Location: South Austin, TX ... Performing patient assessments, reviewing medical histories, and documenting care in the EMR.

Ageless Men's Health

Registered Nurse (RN)

Austin, TX · On-site

$85K/yr

Registered Nurse (RN) - Men's Health Clinic | Ageless Men's Health Location: South Austin, TX ... Performing patient assessments, reviewing medical histories, and documenting care in the EMR.

W3R

RN Prior Authorization

Austin, TX · On-site

The Registered Nurse conducts pre-service, concurrent/ retrospective reviews. * They will ... Conducts any utilization or medical management review activities which require the review of ...

Star Nursing

RN - Cath Lab

Pflugerville, TX · On-site

Helps evidence-based practice changes through research utilization and experiential learning ... Job Title: Experienced Cath Lab RN Status: Fulltime Shift: Monday - Friday Department:

Pain Specialists

Registered Nurse

Austin, TX · On-site

The Registered Nurse will perform a variety of duties to ensure that quality nursing care is ... proper utilization of all * Maintains Center drugs and reorders as needed; observes for outdated ...

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All JobsUtilization Review Rn JobsUtilization Review Rn Jobs in Round Rock, TX

Utilization Review Rn information

See Round Rock, TX salary details

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How much do utilization review rn jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for utilization review rn in Round Rock, TX is $39.43, according to ZipRecruiter salary data. Most workers in this role earn between $31.15 and $45.29 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 Round Rock, TX?

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

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

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

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

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

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

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

Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in Round Rock, TX as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 18% Part Time, 2% Contract, and 1% Nights. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $82,013 per year, or $39.4 per hour.

Registered Nurse (RN)

Avir Health Group

Burnet, TX • On-site

Other

Medical, Retirement, PTO

Posted 27 days ago

Job description

Registered Nurse (RN)

AVIR Health Group is seeking a qualified Registered Nurse (RN) to join our family!

We are searching for a Registered Nurse (RN) who thrives in an environment where dedicated team members bring comfort, dignity and exceptional care to those that need it most. The primary purpose of your job position is to provide direct nursing care to the residents and to supervise the day-to-day nursing activities of your assigned unit. This is the place where your work matters, and your growth is supported.

New grads and walk-ins are always welcome!

Exciting Benefits for Registered Nurse (RN):

  • Competitive compensation.
  • Daily Pay - access your earned wages before payday!
  • 401k with a match!
  • Company paid holidays and Paid Time Off (PTO) Program.
  • Health insurance for the entire family!
  • Scrubs on Wheels.
  • Voluntary Benefits reviewed and provided at your one-on-one benefit meeting.
  • Exceptional Corporate Support.

Qualifications for Registered Nurse (RN):

  • Valid Texas RN License.
  • Valid CPR Certification.
  • I.V. Certification Preferred.
  • Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to long-term care.

About the Company:

We strive to create an environment where people feel safe, heard and understood. Our leadership teams embrace our "Your Voice" philosophy.

Avir Health Group is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.

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