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Utilization Review Rn Jobs in Vernon, CT (NOW HIRING)

Community Residences, Inc.

RN

East Hartford, CT · On-site

On a regular basis, reviews the following: * scheduled appointments for clients * relevant ... utilization of emergency services at the local and state levels. * Functions as the healthcare ...

Community Residences, Inc.

RN

Southington, CT · On-site

On a regular basis, reviews the following: * scheduled appointments for clients * relevant ... utilization of emergency services at the local and state levels. * Functions as the healthcare ...

Community Residences Inc

RN

Newington, CT · On-site

On a regular basis, reviews the following: * scheduled appointments for clients * relevant ... utilization of emergency services at the local and state levels. * Functions as the healthcare ...

Trinityhealth

Registered Nurse - RN - MSICU

Hartford, CT · On-site

$36.15 - $59.95/hr

Attend to patients requiring advanced monitoring, heightened observation, utilization of invasive ... Valid RN license in Connecticut * Candidates with a minimum of one year of acute inpatient nursing ...

Trinityhealth

Registered Nurse - RN - MSICU

Hartford, CT · On-site

$36.15 - $59.95/hr

Attend to patients requiring advanced monitoring, heightened observation, utilization of invasive ... Valid RN license in Connecticut * Candidates with a minimum of one year of acute inpatient nursing ...

Trinity Health

Registered Nurse - RN - MSICU

Hartford, CT · On-site

$36.15 - $59.95/hr

Attend to patients requiring advanced monitoring, heightened observation, utilization of invasive ... Valid RN license in Connecticut * Candidates with a minimum of one year of acute inpatient nursing ...

Trinity Health

Registered Nurse - RN - MSICU

Hartford, CT

$36.15 - $59.95/hr

Attend to patients requiring advanced monitoring, heightened observation, utilization of invasive ... Valid RN license in Connecticut * Candidates with a minimum of one year of acute inpatient nursing ...

Trinityhealth

Registered Nurse - RN - MSICU

Hartford, CT · On-site

$36.15 - $59.95/hr

Attend to patients requiring advanced monitoring, heightened observation, utilization of invasive ... Valid RN license in Connecticut * Candidates with a minimum of one year of acute inpatient nursing ...

Trinity Health

Registered Nurse - RN - MSICU

Hartford, CT

$36.15 - $59.95/hr

Attend to patients requiring advanced monitoring, heightened observation, utilization of invasive ... Valid RN license in Connecticut * Candidates with a minimum of one year of acute inpatient nursing ...

Yale New Haven Health

RN - MICU

Hartford, CT

The Registered Nurse (Rn) Assesses, Plans, Implements, Evaluates And Supervises Individual Patient ... Utilization, And Staff And Self Development As Outlined In Performance Review. * Performs Other ...

Yale New Haven Health

RN - MICU

Hartford, CT

The Registered Nurse (Rn) Assesses, Plans, Implements, Evaluates And Supervises Individual Patient ... Utilization, And Staff And Self Development As Outlined In Performance Review. * Performs Other ...

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All JobsUtilization Review Rn JobsUtilization Review Rn Jobs in Vernon, CT

Utilization Review Rn information

See Vernon, CT salary details

$21

$42

$68

How much do utilization review rn jobs pay per hour?

As of Jul 18, 2026, the average hourly pay for utilization review rn in Vernon, CT is $42.26, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.51 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 popular job titles related to Utilization Review Rn jobs in Vernon, CT? For Utilization Review Rn jobs in Vernon, CT, the most frequently searched job titles are:
What job categories do people searching Utilization Review Rn jobs in Vernon, CT look for? The top searched job categories for Utilization Review Rn jobs in Vernon, CT are:
What cities near Vernon, CT are hiring for Utilization Review Rn jobs? Cities near Vernon, CT with the most Utilization Review Rn job openings:
Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in Vernon, CT as of July 2026, with employment types broken down into 1% As Needed, 79% Full Time, 16% Part Time, 1% Temporary, and 3% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $87,902 per year, or $42.3 per hour.
Registered Nurse (RN/LPN) - Urology

Registered Nurse (RN/LPN) - Urology

Hartford HealthCare at Home

Glastonbury, CT • On-site

Full-time

Retirement, PTO

Re-posted 22 days ago

Job description

Be the Best at Getting Better. Join over 40,000 Hartford HealthCare colleagues who make a difference every day.
What We Offer
  • Career growth and movement opportunities within our network
  • On-going education and training
  • Robust Benefits Package
  • Generous PTO to promote work/life balance
  • Special Interest Groups
  • Referral Bonus Program (top leader number of employee referrals in the industry)
  • Wellness Programs
  • Employee Discount Programs
  • Supportive culture
  • Awards & Recognition
  • Rewarding Compensation
  • 401K with company match
  • Clinical specialty opportunities

Hartford HealthCare Medical Group is one of the largest medical practices in New England with multiple locations throughout Connecticut and Rhode Island. Our physician led medical group enjoys an excellent reputation with patients and the medical community, offering primary care, urgent care and more than 30 different specialties.
Job Summary
This role requires coverage at Urology offices within the Hartford region bringing variety to your workday and the chance to collaborate across multiple teams and communities.
Under the general direction of nursing leadership and with provider collaboration and guidance, the Registered Nurse utilizes evidence-based practices in accordance with the State Nurse Practice Act and policies and procedures of Hartford Healthcare Hospital Outpatient Departments (HODs) and Medical Group, in a variety of clinical settings. This position facilitates care for a varied population of patients, which includes nursing standards of practice to meet the physical, emotional, spiritual, cultural, and educational needs of the patient and family. LPNs may be considered for this position.
  • Provides nursing care nursing care within a non-acute setting in collaboration with the inter-disciplinary team and provider according to the patients physical, emotional, spiritual, cultural, and educational needs of the patient and family.
  • Coordinates and provides holistic patient centered care.
  • Utilizes evidence-based practice in accordance with the department and/or medical group policies and procedures to ensure safe quality care and customer service.
  • Incorporates the art, advocacy, science and ethics in nursing effectively in their daily practice.
  • Demonstrates and actively supports research utilization through inquiring into evidence-based practices.
  • Evaluates and reviews the plan of care working with the interdisciplinary team to meet the diverse needs of the patient and family.
  • Identifies and reliably documents problems and expected outcomes based on a plan of care for a varied population of patients.

Qualifications:
Education
• Graduate of an accredited RN or LPN School of Nursing.
• Associate's degree in Nursing; BSN, preferred
• Successful completion of nurse residency, if applicable.
Experience
• One year of experience with a minimum of 1000 hours of clinical experience as a licensed registered nurse.
• Phlebotomy skills required
Licensure, Certification, Registration
• Valid State of CT licensure as Registered Nurse (RN) or Licensed Practical Nurse (LPN)
• Certified BLS Provider credentialed from the American Heart Association (AHA).
• Additional certifications may be required in specific specialties
With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge - helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance. Start here and be part of something better!
Hartford HealthCare at Home logo

About Hartford HealthCare at Home

Sourced by ZipRecruiter

Hartford HealthCare at Home, based in Wethersfield, Connecticut, US, is a premier provider in the healthcare industry, specifically in home-based care services. Their official website can be accessed at hartfordhealthcareathome.org. They offer a wide range of services including nursing, physical therapy, occupational therapy, speech therapy, social work, and home health aid. The company was established with the mission to enhance the capability of people to achieve optimal health and wellbeing through its home care services. They maintain a patient-centric approach and belief in making a real difference in people's lives. As an integral part of Hartford HealthCare, they share the vision to be “most trusted for personalized coordinated care”.

Industry

Health care and social assistance

Company size

201 - 500 Employees

Headquarters location

Wethersfield, CT, US

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