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

US Navy

Registered Nurse

Scotland, TX

... 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

Holliday, TX

... 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

... 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

... 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 ...

The US Oncology Network

Float RN SR

Wichita Falls, TX · On-site

Awards are reviewed and approved during the annual compensation review. LTIP awards are subject to ... Under general supervision, the Registered Nurse (RN) provides professional nursing care for ...

The US Oncology Network

Float RN SR

Wichita Falls, TX · On-site

Awards are reviewed and approved during the annual compensation review. LTIP awards are subject to ... Under general supervision, the Registered Nurse (RN) provides professional nursing care for ...

LUX Infusion

Infusion Nurse

Wichita Falls, TX

$36 - $47.75/hr

LUX Infusion is seeking a Per Diem Infusion Nurse (RN) to provide in-home and suite-based infusion ... Complete full patient assessments including vitals and review of systems * Document all clinical ...

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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 Jul 15, 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.

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 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 July 2026, with employment types broken down into 1% As Needed, 76% Full Time, 20% Part Time, 1% Temporary, and 2% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $85,604 per year, or $41.2 per hour.
Registered Nurse (RN) - PRN

Registered Nurse (RN) - PRN

Acadia Healthcare

Wichita Falls, TX • On-site

Other

Posted 14 days ago

Acadia Healthcare rating

6.2

Company rating: 6.2 out of 10

Based on 189 frontline employees who took The Breakroom Quiz

697th of 885 rated healthcare providers

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
  • PRN
  • Days and 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
#LI-RRH
#LI-KB2

What Acadia Healthcare employees say

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About Acadia Healthcare

Sourced by ZipRecruiter

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

Social media

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