1

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

next page

Showing results 1-20

Utilization Review Rn information

See Tucson, AZ salary details

$20

$40

$65

How much do utilization review rn jobs pay per hour?

As of Jul 14, 2026, the average hourly pay for utilization review rn in Tucson, AZ is $40.05, according to ZipRecruiter salary data. Most workers in this role earn between $31.63 and $46.01 per hour, depending on experience, location, and employer.

How to get into utilization review as a nurse?

To become a utilization review RN, candidates typically need a valid nursing license and experience in clinical settings. Additional certifications such as Certified Professional in Healthcare Quality (CPHQ) or case management credentials can enhance prospects, and familiarity with electronic health records and insurance policies is beneficial.

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 make $300,000 as a nurse?

A Utilization Review RN can earn $300,000 by gaining extensive experience, obtaining certifications such as Certified Review Officer (CRO), working in high-paying settings like insurance companies or managed care organizations, and taking on leadership or specialized roles that offer higher compensation. Advanced skills in clinical assessment, documentation, and understanding of healthcare policies can also contribute to higher earnings.

What does an RN utilization review do?

An RN utilization review evaluates medical records and treatment plans to determine the necessity, appropriateness, 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.

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 Certified Review Officer (CRO), working in high-demand settings, and possibly taking on leadership or specialized roles. Increasing your workload, working overtime, or pursuing advanced education can also contribute to higher earnings within this field.

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 the most commonly searched types of Utilization Review Rn jobs in Tucson, AZ? The most popular types of Utilization Review Rn jobs in Tucson, AZ are:
What cities near Tucson, AZ are hiring for Utilization Review Rn jobs? Cities near Tucson, AZ with the most Utilization Review Rn job openings:
Infographic showing various Utilization Review Rn job openings in Tucson, AZ as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $83,304 per year, or $40 per hour.

Public Health Registered Nurse - Family Planning

Pimacounty

Tucson, AZ

$34.62 - $41.54/hr

Full-time

Posted 10 days ago


Job description

Job Description SummaryDepartment - HealthJob Description

OPEN UNTIL FILLED

Job Type: Classified

Job Classification: 5296 - Public Health Registered Nurse

Salary Grade: 15

Pay Range

Hiring Range: $34.62 - $41.54 Per Hour

Pay Range: $34.62 - $48.47 Per Hour

Range Explanation:

  • Hiring Range is an estimate of where you can receive an offer. The actual salary offer will carefully consider a wide range of factors, including your skills, qualifications, experience, education, licenses, training, and internal equity.

  • Pay Range is the entire compensation range for the position.

The first review of applications will be on 7/10/2026.

The Public Health Registered Nurse provides comprehensive Immunization and Family Planning services within the Public Health clinics under the direction of the Public Health Nursing Supervisor and Public Health Nursing Manager. This position delivers nursing care that promotes disease prevention, reproductive health, and overall community well-being.

The ideal candidate demonstrates strong clinical knowledge of immunization practices and family planning services, excellent patient education and communication skills, and a commitment to providing compassionate, culturally responsive care. This role supports health equity by increasing access to preventive services, fostering positive patient experiences, and collaborating with community partners and the healthcare team to improve population health outcomes.

Essential Functions:
As defined under the Americans with Disabilities Act, this classification may include any of the following tasks, knowledge, skills, and other characteristics. This list is ILLUSTRATIVE ONLY and is not a comprehensive listing of all functions and tasks performed by incumbents of this class. Work assignments may vary depending on the department's need and will be communicated to the application or incumbent by the supervisor.

  • Administers general nursing care to patients in an assigned area including but not limited to hospitals, clinics, mobile units, program events and homes;

  • Administers medications, including but not limited to reproductive/sexual health treatments, STI/HIV treatments, and vaccinations/immunizations following physician or nurse practitioner orders or standing order;

  • Observes, records and reports patients' reactions, responses, and general condition;

  • Conducts utilization reviews and/or clinical quality assurance/improvement and prepares related reports;

  • Confers with physicians, managers, or department heads regarding Quality Assurance/Utilization Management (QA/UM) problems and recommends alternative solutions;

  • Ensures the competency of proper standards of nursing per division and department policies, procedures and standing orders;

  • Acts as a preceptor and teaches nursing practices and orients new personnel;

  • Assumes responsibilities for all clinical activities within nursing scope of practice if needed, including phlebotomy and laboratory procedures;

  • Participates in programs to community health, such as outreach programs, child health conferences, school health programs, group instructions for parents/guardians, clinical services programs, home care services, etc.;

  • Participates in emergency preparedness exercises and core members of the clinical response team;

  • Plans for and participates in field research related to public health nursing.


Minimum Qualifications:
Graduation from an accredited school of nursing with an Associate's degree and a current license to practice as a Registered Nurse in the state of Arizona. An active Nurse Licensure Compact (NLC) is acceptable, as well.

Qualifying education and experience must be clearly documented in the "Education" and "Work Experience" sections of the application. Do not substitute a resume for your application or write "see resume" on your application.

Preferred Qualifications: (Be specific in describing your experience in your application. Ensure the descriptions provided illustrate your competencies, specifically addressing the required and preferred qualifications.):

  • Minimum one year experience in a clinical setting

  • Experience working with low-income, multi-cultural populations

  • Experience working with electronic health records.

Selection Procedure:

Pima County Human Resources Department reserves the right to admit to the selection process only those candidates that meet the minimum qualifications. All applications will be assessed based on an evaluation of the listed education and experience. Candidates meeting the minimum qualifications may be further evaluated/scored against any advertised Preferred Qualifications. The hiring authority will interview and select the successful candidate from a referral list provided by Human Resources. Additional assessments/testing may be required as part of the selection process.

Supplemental Information:

Licenses and Certificates: Possession of either a current Nurse Licensure Compact (NLC) or a license to practice as a Registered Professional Nurse in the State of Arizona. Valid driver license is required at time of application.ValidAZdriver license is required at time of appointment. The successful applicant will be subject to a 39-month DOT Motor Vehicle Record review to determine applicant's suitability to operate county vehicles in accordance with Pima County administrative procedures. Failure to obtain and maintain the required licenses and certifications shall be grounds for termination. Any offer of employment resulting from this recruitment is contingent upon Fleet Services' review and approval of the candidate's driving record.

Special Notice Items: The County requires pre-employment background checks. Successful candidates will receive a post-offer, pre-employment background screening to include verification of work history, education, and criminal conviction history. A prior criminal conviction will not automatically disqualify a candidate from employment with the County.Department of Labor regulation CFR Part 1910.1030 requires notification that this category may have a high risk of exposure to blood borne pathogens. Hepatitis B vaccine will be provided. Some positions within this classification may require a current Arizona Department of Public Safety (DPS) Clearance Card in order to work with vulnerable adults and children at the time of application. The DPS Clearance Card may be required as a condition of continued employment. In positions requiring a DPS Clearance Card, failure to maintain a current DPS Clearance Card shall be grounds for termination. This position will require apost-job offer physicaland/or drug screen.This position will require post-job offer proof of immunization(s) or immunization(s) and/or a TB screening.

Physical/Sensory Work Requirements: Frequently operations a computer and other office equipment in a clinic and office setting. Constantly observes details at close range. Frequently moves about inside an office and/or clinic setting. Frequently participates in external events within the community, including mobile sites and home care visits. May occasionally sit on the floor or crouch if working in a home care environment. Action Activity - climbing, crawling, kneeling, reaching, squatting and stooping; Motion Activity - grasping; Hearing Activity - in noisy areas, on the radio, behind themselves and equipment alarms; Speaking Activity - in person and on the phone/cell; Vision - operate motor vehicle, distinguish colors, depth perception, peripheral vision. Frequently required to lift, push or pull objects weighing up to 50 pounds.

Working Conditions:The Public Health Registered Nurse operates within a clinic, office and/or community setting, providing direct patient care, education, and other administrative duties. Regular, daily attendance is an essential function for this position, however, is eligible for alternative work schedules if deemed appropriate by the division leadership and program/clinic scheduling needs.

EEO Information: Pima County Government is an Equal Employment Opportunity employer.We are committed to an inclusive and diverse workforce and will not discriminate in employment opportunities or practices on the basis of race, color, religion, national origin, age, disability, gender, sexual orientation, kinship, political interest, or any other characteristic protected by law.