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

Tucson Medical Center

RN Rapid Response

Tucson, AZ · On-site

Receives and reviews preceding critical care shift reports and floor nurse reports; makes complete ... Develops relationships that facilitate bringing forward issues around utilization and cost ...

Tucson Medical Center

RN Rapid Response

Tucson, AZ · On-site

Receives and reviews preceding critical care shift reports and floor nurse reports; makes complete ... Develops relationships that facilitate bringing forward issues around utilization and cost ...

CoreMedical Group

RN - Registered Nurse

Tucson, AZ

$140K/yr

Manage staffing, scheduling, productivity, and resource utilization * Collaborate with surgeons ... Active RN license * Minimum of 2 years of Operating Room nursing leadership experience in a high ...

Acadia Healthcare

RN PRN Behavioral Health

Tucson, AZ · On-site

$36 - $51/hr

Overview PRN Registered Nurse opportunities for Day and Night Shifts at Sonora Behavioral Health ... Demonstrate knowledge and utilization of universal precautions in providing direct patient care.

Acadia Healthcare

RN PRN Behavioral Health

Tucson, AZ

$36 - $51/hr

PRN Registered Nurse opportunities for Day and Night Shifts at Sonora Behavioral Health - Tucson,AZ ... Demonstrate knowledge and utilization of universal precautions in providing direct patient care.

CenterWell

Home Health Clinical Manager

Tucson, AZ · On-site

... Registered Nurse Clinical Manager , you will: * Oversee clinical operations for the location ... Conduct ongoing staff education based on documentation review, utilization review findings, and ...

twenty80.io

Hospice RN Clinical Liaison

Tucson, AZ · On-site

$95K - $105K/yr

This field-based role combines clinical expertise with relationship development, education, and outreach to support appropriate hospice utilization and seamless transitions of care. The RN Clinical ...

Sierra Tucson

RN FT Nights Sign On Bonus!

Tucson, AZ · On-site

Overview RN Full Time Nights 5:30p - 6a $5000 Sign On Bonus! Sierra Tucson - Tucson, AZ Ranked #1 ... Demonstrate knowledge and utilization of universal precautions in providing direct patient care.

Acadia Healthcare

RN PRN Behavioral Health

Tucson, AZ · On-site

$36 - $51/hr

Overview PRN Registered Nurse opportunities for Day and Night Shifts at Sonora Behavioral Health ... Demonstrate knowledge and utilization of universal precautions in providing direct patient care.

WURA CARES LLC

Registered Nurse (RN)

Tucson, AZ

$25 - $35/hr

Manage and monitor Type 1 diabetes care (CGM review, insulin oversight, hypo/hyperglycemia response ... Active RN license * Pediatric or home health experience preferred * Experience with diabetes and ...

WURA CARES LLC

Registered Nurse RN

Tucson, AZ · On-site

Your Role: Registered Nurse (RN) As a registered nurse under the nurse manager's or designee ... Manage and monitor Type 1 diabetes care (CGM review, insulin oversight, hypo/hyperglycemia response)

WURA CARES LLC

Registered Nurse (RN)

Tucson, AZ

$25 - $35/hr

Manage and monitor Type 1 diabetes care (CGM review, insulin oversight, hypo/hyperglycemia response ... Active RN license * Pediatric or home health experience preferred * Experience with diabetes and ...

WURA CARES LLC

Registered Nurse (RN)

Tucson, AZ · On-site

$25 - $35/hr

Manage and monitor Type 1 diabetes care (CGM review, insulin oversight, hypo/hyperglycemia response ... Active RN license * Pediatric or home health experience preferred * Experience with diabetes and ...

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

Utilization Review Rn information

See Tucson, AZ salary details

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How much do utilization review rn jobs pay per hour?

As of Aug 7, 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 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 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:
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Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in Tucson, AZ as of August 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.

RN Rapid Response

Tucson Medical Center

Tucson, AZ • On-site

Other

Posted 10 days ago

Tucson Medical Center rating

7.5

Company rating: 7.5 out of 10

Based on 78 frontline employees who took The Breakroom Quiz

299th of 1,055 rated hospitals

Job description

RN Rapid Response Job CategoryNursing ScheduleFull time Shift3 - Night Shift

SUMMARY:

Provides oversight and training, while participating in the rapid response, stroke and code team responses for critical patient care.   Maintains NRCPR Database and runs abstracts to evaluate performance for quality control and recommends improvements as required. 

ESSENTIAL FUNCTIONS:

Provides critical patient care, evaluates outcomes, consults with other specialists as required and adjusts nursing care processes as indicated to ensure safe patient care.

Ensures accurate data collection, coordinates documentation efforts of staff and physicians, and educates the teams on the importance of that documentation.

Maintains NRCPR database ensuring accuracy and consistency, prepares reports for management review.

Keeps current on technology, regulatory, and operational trends in the health care industry as it relates to critical patient care.

Receives and reviews preceding critical care shift reports and floor nurse reports; makes complete rounds of all units, and notes patients' condition.

Provides direction, instruction and guidance for all staff involved in the critical care of patients.

Notifies appropriate physician regarding any unusual or unexpected events or problems requiring direct physician consultation.

Develops relationships that facilitate bringing forward issues around utilization and cost avoidance opportunities.

Evaluates outcomes of critical patient care, consults with other specialists as needed and adjusts nursing care processes as necessary to ensure optimal patient care.

Runs abstracts and prepares reports that delineate critical care responses and analyzes for optimal performance; providing recommendations for improvement.

Provides appropriate, direct patient care utilizing appropriate aseptic techniques.

Develops education materials and programs to instruct assigned staff in the proper response to a variety of critical care issues such as coding, and stroke that require rapid response.

Works with rapid response teams and managers to provide quality reviews of critical care cases evaluating for the determination of best practice.

Adheres to TMCH organizational and department-specific safety, confidentiality, values, policies and standards.

Performs related duties as assigned.

MINIMUM QUALIFICATIONS

EDUCATION:  Graduation from a qualified, nationally-accredited nursing program.

EXPERIENCE:  Two (2) years of recent critical care and / or emergency department nursing experience in an acute care setting.

LICENSURE OR CERTIFICATION:  Current RN licensure permitting work in the State of Arizona. Current Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) certifications. Additional certification may be required for some units. 

KNOWLEDGE, SKILLS AND ABILITIES:  

  • Knowledge of critical care techniques, tools and responses required to ensure optimal patient care.
  • Knowledge of processes and procedures to follow during a rapid response, code, or stroke call.
  • Skill in evaluating performance and recommending improvements.
  • Skill in developing training materials and educating staff in the proper responses for critical care issues.
  • Skill in the use and maintenance of computer systems and programs, especially NRCPR, PC File and Folder, Word, EXCEL, e-mail and attachment capabilities, Outlook, and PowerPoint.
  • Skill in communicating with staff involved in critical care, and physicians to ensure the proper care of patients.
  • Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.
  • Ability to complete routine reports and correspondence.
  • Ability to listen and accurately interpret others’ communication or instructions to take appropriate action.
  • Ability to speak and communicate effectively. 
  • Ability to define problems, collect data, establish facts, and draw valid conclusions.
  • Ability to interpret an extensive variety of instructions and deal with several abstract and concrete variables.

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