ZipRecruiter

Log In

1

Utilization Review Rn Jobs in Washington, DC (NOW HIRING)

Humana

Compliance UM Nurse (Wed - Sun)

Annapolis, MD · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Become a part of our caring community The Compliance Nurse 2 reviews utilization management ... Licensed Registered Nurse (RN) in a compact state with no disciplinary action.?? * Must have?valid ...

Comagine Health

Clinical Reviewer DC

Washington, DC · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Current, active, unrestricted RN licensure for the District of Columbia You may have: * 2 years of utilization review (or other medical management experience) preferred * 2 years of fulltime ...

Comagine

Clinical Reviewer DC

Washington, DC · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Current, active, unrestricted RN licensure for the District of Columbia You may have: * 2 years of utilization review (or other medical management experience) preferred * 2 years of fulltime ...

UHS

QUALITY PEER REVIEW (RN) - OB/ORTHO

Washington, DC · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Website: www.gwuhospital.com Quality Peer Review - RN - OB/ORTHO Assist in the implementation of Hospital Quality Assurance, Management and Improvement by collecting, reporting, and analyzing data ...

UHS

QUALITY PEER REVIEW (RN) - OB/ORTHO

Washington, DC · On-site

$76K - $115K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Website: www.gwuhospital.com Quality Peer Review - RN - OB/ORTHO Assist in the implementation of Hospital Quality Assurance, Management and Improvement by collecting, reporting, and analyzing data ...

previous page

Showing results 41-60

All JobsUtilization Review Rn JobsUtilization Review Rn Jobs in Washington, DC

Utilization Review Rn information

See Washington, DC salary details

$24

$47

$78

How much do utilization review rn jobs pay per hour?

As of Aug 15, 2026, the average hourly pay for utilization review rn in Washington, DC is $47.87, according to ZipRecruiter salary data. Most workers in this role earn between $37.84 and $55.00 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 Washington, DC?

The most popular types of Utilization Review Rn jobs in Washington, DC are:

What are popular job titles related to Utilization Review Rn jobs in Washington, DC?

For Utilization Review Rn jobs in Washington, DC, the most frequently searched job titles are:

What job categories do people searching Utilization Review Rn jobs in Washington, DC look for?

The top searched job categories for Utilization Review Rn jobs in Washington, DC are:

Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in Washington, DC as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $99,571 per year, or $47.9 per hour.

Case Management - Travel RN

Stability Healthcare

Lanham, MD • On-site

$2.0K/wk

Other

Posted 6 days ago

Job description

Case Management RN Contract Position

Stability HealthCare is looking for a Case Management RN contract position in Lanham, Maryland.

Job Details:

  • Weekly Pay: $2001.14
  • Unit: Case Management
  • Shift: Days
  • Duration: 13 Weeks
  • Start Date: ASAP
  • Daily Hours: 8

A case management nurse is instrumental in creating and implementing the treatment of patients in healthcare settings. Case Managers often collaborate with other medical professionals, such as doctors, to help ensure patients get the medical care needed. The goal of a Case Management nurse is to keep patients healthy and out of the hospital by treating at optimal times. Also known as: Utilization Review

Stability Healthcare logo

About Stability Healthcare

Sourced by ZipRecruiter

Stability Healthcare was founded in 2009, with the mission of becoming the best Travel Nursing Agency in California. We have been rated one of the top travel nursing agencies and offer our nurses the highest paying travel nursing jobs available. We have access to the best travel assignments from 1000's of facilities. You can start the year off in sunny California, spend the Spring in the Colorado Rockies, enjoy the Summer in the Mid-West, experience the change of seasons in Boston and New York, and hit the beaches of Florida in the winter. Our Nurses work in the best hospitals and health systems in the country.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Los Angeles, CA, US

Year founded

2009

View All Stability Healthcare Jobs

Apply