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Utilization Review Rn Jobs in Wichita Falls, TX (NOW HIRING)

District-Wide

Registered Nurse (RN)

Wichita Falls, TX · On-site

Registered Nurse Reports to: Health Care Coordinator/Campus Principal Primary Purpose: To ... Review and maintain current immunization records for all students. * Participate in the assessment ...

Travel Nurses, Inc.

Travel ER RN

Wichita Falls, TX · On-site

Before every contract, clinicians complete an engagement letter review that outlines pay packages ... ER Registered Nurse About Travel Nurses, Inc. Travel Nurses, Inc. is a nurse-founded and operated ...

US Navy

Registered Nurse

Holliday, TX · On-site

... will be reviewed with you by a recruiter. Additional qualifications for this job may include ... registered nurse license or the ability to obtain one within established timelines for new ...

US Navy

Registered Nurse

Scotland, TX · On-site

... will be reviewed with you by a recruiter. Additional qualifications for this job may include ... registered nurse license or the ability to obtain one within established timelines for new ...

US Navy

Registered Nurse

Henrietta, TX · On-site

... will be reviewed with you by a recruiter. Additional qualifications for this job may include ... registered nurse license or the ability to obtain one within established timelines for new ...

US Navy

Registered Nurse

Frederick, OK · On-site

... will be reviewed with you by a recruiter. Additional qualifications for this job may include ... registered nurse license or the ability to obtain one within established timelines for new ...

Southwest LTC

RN

Temple, OK

Reviews resident's care plans and assures these plans are followed. Documents on records as per ... The Registered Nurse, Licensed Practical Nurse or Licensed Vocational Nurse is responsible to the ...

Cedar Hill Healthcare Center

RN

Temple, OK · On-site

RN Hot Job Temple Manor Nursing Home - Temple, OK 73568 Overview Position Type PRN Job Shift Any ... Reviews resident's care plans and assures these plans are followed. Documents on records as per ...

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All JobsUtilization Review Rn JobsUtilization Review Rn Jobs in Wichita Falls, TX

Utilization Review Rn information

See Wichita Falls, TX salary details

$20

$41

$67

How much do utilization review rn jobs pay per hour?

As of Aug 26, 2026, the average hourly pay for utilization review rn in Wichita Falls, TX is $41.16, according to ZipRecruiter salary data. Most workers in this role earn between $32.50 and $47.26 per hour, depending on experience, location, and employer.

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.

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.

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 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 case management certification can enhance job prospects, and familiarity with electronic health records (EHR) systems is often required.

What are popular job titles related to Utilization Review Rn jobs in Wichita Falls, TX?

For Utilization Review Rn jobs in Wichita Falls, TX, the most frequently searched job titles are:

What job categories do people searching Utilization Review Rn jobs in Wichita Falls, TX look for?

The top searched job categories for Utilization Review Rn jobs in Wichita Falls, TX are:

What cities near Wichita Falls, TX are hiring for Utilization Review Rn jobs?

Cities near Wichita Falls, TX with the most Utilization Review Rn job openings:

Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in Wichita Falls, TX as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 16% Part Time, 3% Contract, and 1% Nights. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $85,604 per year, or $41.2 per hour.

Registered Nurse (RN)

Red River Hospital

Wichita Falls, TX • On-site

Full-time

Re-posted 18 hours ago

Job description

Overview

Red River Hospital is looking to add compassionate RNs to our nursing team!

We are a private 96-bed acute psychiatric facility in Wichita Falls, TX. and are the leading provider of inpatient and outpatient behavioral healthcare in the area.

Our treatment services & specialized programs address drug and alcohol addiction and co-occurring mental illness.

AVAILABLE SCHEDULE

  • Full-Time
  • Night shift
  • 7:00 - 7:00

Evening Differentials - ($2/hr)

Weekend Differentials - ($3/hr)

Red River Hospital provides mental health and substance use disorder (SUD) treatment to the following populations:

  • Dedicated military personnel
  • Adults
  • Seniors
  • Adolescents (ages 12 through 17)

Competitive Salary based on experience, paid out on a bi-weekly basis!

New Graduates welcome to apply!

Excellent career advancement opportunities!

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 Texas or be eligible to practice nursing in accordance with state requirements
  • One year of nursing experience; previous psychiatric, mental, behavioral, or substance use disorder (SUD) 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.

AHRN

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Employment Type: FULL_TIME

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