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Utilization Review Rn Jobs in Tempe, AZ (NOW HIRING)

Registered Nurse

Manager, Emergency Department

Gilbert, AZ · On-site

$120 - $180/hr

Full‑Time Position Summary We are seeking a dynamic and experienced nursing leader to join our ... Monitors/reviews safety reports and collaborates with Clinical Supervisors for trends; develops and ...

New

Valenz

Utilization Management Nurse

Phoenix, AZ · Remote

You will review UM activities, including prospective, concurrent, and retrospective reviews, and ... Active, Unrestricted RN License in your state of residence. * Ability to work in a fast-paced ...

New

Arizona Priority Care

Prior Auth RN

Chandler, AZ · On-site

The Prior Authorization Registered Nurse (RN) is responsible for conducting initial clinical reviews of preservice authorization requests, focusing on continuity of care and the proper utilization of ...

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All JobsUtilization Review Rn JobsUtilization Review Rn Jobs in Tempe, AZ

Utilization Review Rn information

See Tempe, AZ salary details

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$66

How much do utilization review rn jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for utilization review rn in Tempe, AZ is $40.50, according to ZipRecruiter salary data. Most workers in this role earn between $32.02 and $46.49 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 popular job titles related to Utilization Review Rn jobs in Tempe, AZ? For Utilization Review Rn jobs in Tempe, AZ, the most frequently searched job titles are:
What cities near Tempe, AZ are hiring for Utilization Review Rn jobs? Cities near Tempe, AZ with the most Utilization Review Rn job openings:
Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in Tempe, AZ as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 13% Part Time, and 4% Contract. Highlights an 88% Physical, 5% Hybrid, and 7% Remote job distribution, with an average salary of $84,233 per year, or $40.5 per hour.

RN Case Manager in Glendale, AZ

Vivian Health

Glendale, AZ • On-site

$61K - $100K/yr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 5 days ago

Job description

Nurse Case Manager (RN)
Hospitals on Incredible Health are actively hiring and accepting applications in the Glendale, AZ area for the following position: Nurse Case Manager (RN). Nurses with experience in any of the following areas are strongly encouraged to apply: Clinical pathway, Navigator, or Utilization Review.
  • Shift(s) available: day shift, night shift, and mid shift
  • Job types available: full time, part time, and per diem
  • Employer features: 401(K), Cross training, Level 1 trauma center, Medical, Offers sign on bonus, Retirement Plan
Qualifications:
  • Bachelor of Science in Nursing (BSN) or higher educational attainment from an accredited program
  • Active and unencumbered Registered Nurse license
  • 1+ years experience in case management, preferably within a healthcare or hospital setting
  • Exceptional interpersonal and communication skills, both written and verbal, to effectively collaborate with medical professionals, patients, and family members
  • Proficiency in electronic health records (EHR) software
Responsibilities:
  • Conduct comprehensive assessments of patients, including their medical history, medication, treatment plans, and psychosocial needs
  • Collaborate closely with healthcare providers, patients, and families to develop and implement individualized care plans
  • Monitor and evaluate patient progress, adjusting care plans as needed and communicating any changes to the healthcare team
  • Serve as the main point of contact between the patient and healthcare providers, ensuring seamless communication and care coordination
  • Maintain up-to-date records and case notes, adhering to all confidentiality and compliance standards
Benefits:
  • Healthcare coverage: Medical, Dental, Vision
  • 401K
  • Paid Time Off
  • Tuition Assistance
Salary: $61,340 to $100,360 /year

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