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Utilization Review Rn Jobs in Sandy, UT (NOW HIRING)

Sono Bello

Registered Nurse

Salt Lake City, UT

Participates in QA/QI initiatives and peer reviews * Ensures timely documentation, incident reporting, and follow-ups Leadership & Communication: * Assists with RN/LPN interviews and staff ...

Cotiviti, Inc.

Clinical Consultant I

Salt Lake City, UT · Remote

$75K - $95K/yr

Registered Nursing license (RN) - active and unrestricted in state of residence. * Professional ... utilization review working for a managed care or healthcare insurance company, or related ...

US Navy

Registered Nurse

Salt Lake City, UT

... will be reviewed with you by a recruiter. Additional qualifications for this job may include ... registered nurse license or the ability to obtain one within established timelines for new ...

US Navy

Registered Nurse

Provo, UT

... will be reviewed with you by a recruiter. Additional qualifications for this job may include ... registered nurse license or the ability to obtain one within established timelines for new ...

US Navy

Registered Nurse

Charleston, UT

... will be reviewed with you by a recruiter. Additional qualifications for this job may include ... registered nurse license or the ability to obtain one within established timelines for new ...

US Navy

Registered Nurse

Bountiful, UT

... will be reviewed with you by a recruiter. Additional qualifications for this job may include ... registered nurse license or the ability to obtain one within established timelines for new ...

US Navy

Registered Nurse

Herriman, UT

... will be reviewed with you by a recruiter. Additional qualifications for this job may include ... registered nurse license or the ability to obtain one within established timelines for new ...

US Navy

Registered Nurse

Holladay, UT

... will be reviewed with you by a recruiter. Additional qualifications for this job may include ... registered nurse license or the ability to obtain one within established timelines for new ...

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All JobsUtilization Review Rn JobsUtilization Review Rn Jobs in Sandy, UT

Utilization Review Rn information

See Sandy, UT salary details

$20

$40

$65

How much do utilization review rn jobs pay per hour?

As of Jun 29, 2026, the average hourly pay for utilization review rn in Sandy, UT is $40.18, according to ZipRecruiter salary data. Most workers in this role earn between $31.73 and $46.15 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.

How do I become a utilization review RN?

To become a utilization review RN, you typically need to hold a valid registered nurse (RN) license and have experience in clinical nursing. Additional certifications such as the Certified Professional in Healthcare Quality (CPHQ) or Utilization Review Certification (URAC) can enhance job prospects, and strong knowledge of medical coding, insurance policies, and healthcare regulations is important.

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 does an RN utilization review do?

An RN utilization review evaluates medical records and treatment plans to determine the appropriateness, necessity, and efficiency of healthcare services. They ensure compliance with insurance policies and clinical guidelines, often using electronic health records and requiring knowledge of coding and documentation standards. This role supports cost-effective patient care and involves collaboration with healthcare providers and insurance companies.

How to make $300,000 a year as a nurse?

To earn $300,000 annually as a Utilization Review RN, professionals typically need extensive experience, advanced certifications such as CCM or ANCC, and may work in high-paying settings like insurance companies or healthcare consulting firms. Increasing specialization, taking on leadership roles, or working overtime can also boost income, but reaching this level often requires a combination of skills, experience, and strategic career moves.

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 make $150,000 as a nurse?

A Utilization Review RN can earn $150,000 by gaining extensive experience, obtaining certifications such as CCM or ANCC, and working in high-paying settings like insurance companies or managed care organizations. Advanced skills in case management, strong clinical knowledge, and sometimes working overtime or in leadership roles can also contribute to higher earnings.

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 cities near Sandy, UT are hiring for Utilization Review Rn jobs? Cities near Sandy, UT with the most Utilization Review Rn job openings:
Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in Sandy, UT as of June 2026, with employment types broken down into 1% As Needed, 60% Full Time, 7% Part Time, 1% Temporary, 30% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $83,572 per year, or $40.2 per hour.

Care Coordinator RN

Holy Cross Hospital West Valley

West Valley City, UT • On-site

$33.15 - $52.88/hr

Full-time

Posted 9 days ago

Key responsibilities

  • Oversee the progression of care and discharge planning for identified patients requiring these services.

  • Coordinate care by communicating and collaborating with utilization management, nursing, physicians, ancillary departments, insurers, and post acute service providers to achieve optimal outcomes.

  • Advocate for patients and families by identifying and addressing patient choice, spiritual needs, and barriers to care transitions.

Job description


Job Summary and Responsibilities

RN Case Managers may be eligible for a relocation bonus up to $8,000. Ask a recruitment team member for more information to learn more!

You have a purpose, unique talents and NOW is the time to embrace it, live it and put it to work. We value incredible people with incredible skills – but your commitment to a greater cause is something we value even more. This is the heartbeat of our organization and your time will be spent in a supportive, team environment with resources to help you flourish and leaders who care about your success.

The RN Care Coordinator is responsible for overseeing the progression of care and discharge planning for identified patients requiring these services. The RN Care Coordinator performs this role to meet the individual's health needs while promoting quality of care, cost effective outcomes and by following hospital policies, standards of practice and Federal and State regulations. The position’s emphasis will be on care coordination, communication and collaboration with utilization management, nursing, physicians, ancillary departments, insurers and post acute service providers to progress the care toward optimal outcomes at the appropriate level of care. The RN Care Coordinator advocates for the patient and family by identifying, valuing, and addressing patient choice, spiritual needs, cultural, language and socioeconomic barriers to care transitions. In addition, the RN Care Coordinator strives to enhance the patient experience.

Schedule:  Monday - Friday 8:00am - 5:00pm

Job Requirements

In addition to bringing your whole self to the workplace each day, qualified candidates will need the following:

  • Graduate of an Accredited School of Nursing
    • Nursing Diploma or Associates Degree in Nursing required, BSN preferred
  • RN License in Applicable State of Employment required
  • Minimum two (2) years of acute hospital clinical experience or a Master's degree in Case Management or Nursing field in lieu of acute experience.
  • Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM Certification preferred.
  • Experience working with EMR preferred.
  • Working knowledge of regulatory requirements and accreditation standards strongly preferred.
  • BLS from the American Heart Association required within three months of hire if located within hospital

Physical Requirements - Medium Work - (Exert up to 50lbs force occasionally, and/or up to 20lbs frequently, and/or up to 10lbs constantly)

Where You'll Work

As one of the busiest ERs in Utah, Holy Cross Hospital - West Valley is known for offering a broad spectrum of medical services and specialty clinics to care for the diverse healthcare needs of our growing community. We are on a mission to provide the highest quality health care services with compassion and respect and demonstrate this daily with proactive, focused, caring interactions that comfort, inform and promote healing among patients, families, and co-workers. We believe in doing what's right. We treat our employees fairly, work hard, use resources wisely, and are constantly striving to improve the quality and safety of care we deliver to our patients. We offer a Level III trauma center, STEMI cardiac receiving center, Certified stroke treatment center, and orthopedics specializing in helping athletes recover from sports related injuries.

Qualifications:

In addition to bringing your whole self to the workplace each day, qualified candidates will need the following:

  • Graduate of an Accredited School of Nursing
    • Nursing Diploma or Associates Degree in Nursing required, BSN preferred
  • RN License in Applicable State of Employment required
  • Minimum two (2) years of acute hospital clinical experience or a Master's degree in Case Management or Nursing field in lieu of acute experience.
  • Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM Certification preferred.
  • Experience working with EMR preferred.
  • Working knowledge of regulatory requirements and accreditation standards strongly preferred.
  • BLS from the American Heart Association required within three months of hire if located within hospital

Physical Requirements - Medium Work - (Exert up to 50lbs force occasionally, and/or up to 20lbs frequently, and/or up to 10lbs constantly)

Employment Type: Full Time

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