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Utilization Review Rn Jobs in Waco, TX (NOW HIRING)

Responsibilities REGISTERED NURSE ESSENTIAL FUNCTIONS * Provide and coordinate care by assessing ... Demonstrate knowledge and utilization of universal precautions in providing direct patient care.

Responsibilities REGISTERED NURSE ESSENTIAL FUNCTIONS * Provide and coordinate care by assessing ... Demonstrate knowledge and utilization of universal precautions in providing direct patient care.

REGISTERED NURSE ESSENTIAL FUNCTIONS * Provide and coordinate care by assessing patients' physical ... Demonstrate knowledge and utilization of universal precautions in providing direct patient care.

Registered Nurse Temp to Perm: Temp w/ possible perm Travel (Y/N): Yes Length of Assignment: 13 ... Supports evidence-based practice changes through research utilization and experiential learning.

Voluntary Benefits reviewed and provided at your one-on-one benefit meeting. * Exceptional Corporate Support. Qualifications for Registered Nurse (RN): * Valid Texas RN License. * Valid CPR ...

Voluntary Benefits reviewed and provided at your one-on-one benefit meeting . * Exceptional Corporate Support. Qualifications for Registered Nurse (RN): * Valid Texas RN License. * Valid CPR ...

Voluntary Benefits reviewed and provided at your one-on-one benefit meeting. * Exceptional Corporate Support. Qualifications: * Valid Texas RN License. * Valid CPR Certification. * I.V. Certification ...

Voluntary Benefits reviewed and provided at your one-on-one benefit meeting. * Exceptional Corporate Support. Qualifications: * Valid Texas RN License. * Valid CPR Certification. * I.V. Certification ...

Voluntary Benefits reviewed and provided at your one-on-one benefit meeting . * Exceptional Corporate Support. Qualifications: * Valid Texas RN License. * Valid CPR Certification. * I.V.

Voluntary Benefits reviewed and provided at your one-on-one benefit meeting . * Exceptional Corporate Support. Qualifications: * Valid Texas RN License. * Valid CPR Certification. * I.V.

Voluntary Benefits reviewed and provided at your one-on-one benefit meeting . * Exceptional Corporate Support. Qualifications: * Valid Texas RN License. * Valid CPR Certification. * I.V.

Voluntary Benefits reviewed and provided at your one-on-one benefit meeting . * Exceptional Corporate Support. Qualifications: * Valid Texas RN License. * Valid CPR Certification. * I.V.

RN

Temple, TX · On-site

Title - RN CVOR Temp to Perm: N Travel (Y/N): Y Length of Assignment: 13 weeks Work Location ... Supports evidence-based practice changes through research utilization and experiential learning.

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Utilization Review Rn information

See Waco, TX salary details

$18

$37

$61

How much do utilization review rn jobs pay per hour?

As of Jun 23, 2026, the average hourly pay for utilization review rn in Waco, TX is $37.54, according to ZipRecruiter salary data. Most workers in this role earn between $29.66 and $43.12 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 are the most commonly searched types of Utilization Review Rn jobs in Waco, TX? The most popular types of Utilization Review Rn jobs in Waco, TX are:
What are popular job titles related to Utilization Review Rn jobs in Waco, TX? For Utilization Review Rn jobs in Waco, TX, the most frequently searched job titles are:
What job categories do people searching Utilization Review Rn jobs in Waco, TX look for? The top searched job categories for Utilization Review Rn jobs in Waco, TX are:
What cities near Waco, TX are hiring for Utilization Review Rn jobs? Cities near Waco, TX with the most Utilization Review Rn job openings:
Infographic showing various Utilization Review Rn job openings in Waco, TX as of June 2026, with employment types broken down into 86% Full Time, 11% Part Time, and 3% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $78,075 per year, or $37.5 per hour.
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Acadia Healthcare rating

6.1

Company rating: 6.1 out of 10

Based on 186 frontline employees who took The Breakroom Quiz

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Job description

Overview
Cedar Crest Hospital & Residential Treatment is hiring Registered Nurses!
Sign On Bonus
FT Day - $5,000
FT Night - $7,500
Available Shifts and Schedules:
Full Time Day (7a-7p)
Full Time Night (7p-7a)
Night Shift Differential: $5 per hour
At Cedar Crest Hospital, we are proud to offer treatment across the age spectrum and treatment level. We treat children, teens, adults, and older adults who are facing major mental health concerns or chemical dependency at many levels of care.
Responsibilities
REGISTERED NURSE ESSENTIAL FUNCTIONS
  • Provide and coordinate care by assessing patients' physical and behavioral health needs.
  • Develop and implement nursing care plans.
  • Maintain medical records and educate patients and their families about various physical and behavioral health conditions.
  • Provide nursing care and services within the standards and scope of nursing practice as defined within the state Nurse Practice Act regulations, policies, procedures, and protocols, as well as facility and corporate policies and procedures.
  • Ensure physicians' orders are legible if taken verbally and transcribed appropriately per policy and procedure.
  • Ensure patients' status is assessed on an ongoing basis and pertinent information is gathered and documented.
  • Notify physicians of significant changes in status such as difficulties with detox, medical emergency, change in medical status regarding response to medications, and related challenges.
  • Ensure that initial nursing treatment plans are completed upon admission and that all nursing treatment plans are specific to assessed needs.
  • Demonstrate knowledge and utilization of universal precautions in providing direct patient care.
  • Accurately administer medications per ordered note.
  • Document accurate count of controlled substance medication administration on required documents.
  • Complete admission and discharge processing efficiently and accurately as directed.
  • Exhibit therapeutic rapport with patients by maintaining professional boundaries, respecting personal space, giving patients direct attention, and maintaining rational detachment.
  • Provide direction or coordinate the activities of the unit as directed.
  • Communicate therapeutically and professionally with patients, visitors, co-workers, and others involved inpatient treatment.
Qualifications
EDUCATION/LICENSURE/EXPERIENCE/SKILL REQUIREMENTS
  • Must have graduated from an accredited school of nursing.
  • Must possess a current Registered Nurse (RN) license as required by the state of employment or be eligible to practice nursing in accordance with state requirements
  • One year of nursing experience; previous psychiatric, mental, behavioral, or substance abuse nursing experience a plus
  • CPR and de-escalation and restraint certification required (training available upon hire and offered by facility).
  • First aid may be required based on state or facility requirements.

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About Acadia Healthcare

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Acadia Healthcare is a leading provider in the healthcare and hospital industry, based in Franklin, Tennessee, United States. The company is recognised for its commitment to creating a behavioural health network that provides accessible, high-quality treatment options for individuals suffering from mental health issues, addiction, eating disorders, and PTSD. Acadia Healthcare was founded in 2005, with the mission to create a world-class organization that sets the standard of excellence in the treatment of specialty behavioural health and addiction disorders.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Franklin, TN, US

Year founded

2005

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