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Utilization Review Rn Jobs (NOW HIRING)

CareConnect

Utilization Review RN

Greenvale, NY

Reviews and coordinates prospective, concurrent and retrospective activities related to utilization ... Bachelor's Degree in Nursing, preferred. Must be enrolled in an accredited program within 24 months ...

CareConnect

Utilization Review RN

Greenvale, NY · On-site

Reviews and coordinates prospective, concurrent and retrospective activities related to utilization ... Bachelor's Degree in Nursing, preferred. Must be enrolled in an accredited program within 24 months ...

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How much do utilization review rn jobs pay per hour?

As of Jun 5, 2026, the average hourly pay for utilization review rn in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 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.

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.
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Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in the United States as of May 2026, with employment types broken down into 2% As Needed, 57% Full Time, 4% Part Time, 1% Temporary, and 36% Contract. Highlights an 98% Physical, and 2% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.
Travel Utilization Review Registered Nurse

Travel Utilization Review Registered Nurse

HonorVet Technologies

Apple Valley, CA

Contractor

Medical, Dental, Vision

Posted 2 days ago

Job description

HonorVet Technologies is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Apple Valley, California.

Job Description & Requirements
  • Specialty: Utilization Review
  • Discipline: RN
  • Start Date: 06/29/2026
  • Duration: 12 weeks
  • 40 hours per week
  • Shift: 8 hours
  • Employment Type: Travel

Job Title: Utilization Review (UR) RN
Location: Apple Valley, CA
Start Date: 06/29/2026
Duration: 13 weeks
Shift: Days (5x8)

Requirements:

  • Minimum 3 years acute medical Care Management/UM experience
  • Must have hospital-based Utilization Review experience (not health plan/medical group)
  • Seasoned traveler required (hard stop)
  • Active California RN License (must be active by start date)
  • Experience managing 1:40 patient ratios
  • Weekend requirement: minimum 4 day shifts in a 6-week period
  • Acute care facility experience required

Preferred:

  • Strong utilization management and care coordination background
  • Experience working with multidisciplinary teams

Notes:

  • No floating required
  • Business attire setting
  • Weekend shifts may vary based on department needs

HonorVet Technologies Job ID #32399462. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Registered Nurse/Utilization Review

About HonorVet Technologies

HonorVet Technologies: Pioneering Purpose, Empowering Heroes

Founded in 2015, HonorVet Technologies stands as a Service-Disabled Veteran-Owned Small Business (SDVOSB), proudly certified by NaVOBA and the U.S. Department of Veterans Affairs. Our mission goes beyond staffing—we are committed to transforming lives by addressing the critical unemployment challenges faced by veterans.

As a Joint Commission-certified clinical staffing agency, we deliver unmatched expertise in placing top-tier healthcare professionals—RNs, LPNs/LVNs, CNAs/CMAs, and NPs—across diverse facilities, including hospitals, clinics, rehabilitation centers, old-age homes, schools, correctional facilities, and more.

At HonorVet, we don't just fill roles; we bridge gaps, uplift communities, and honor the ones who served.


Benefits
  • Vision benefits
  • License and certification reimbursement
  • Continuing Education
  • Medical benefits
  • Wellness and fitness programs
  • Dental benefits
  • Guaranteed Hours
  • Mileage reimbursement
  • Referral bonus
  • Bereavement
  • Holiday Pay
  • Sick pay
  • Retention bonus
HonorVet Technologies logo

About HonorVet Technologies

Sourced by ZipRecruiter

HonorVet Technologies, located in Fairfield, NJ, US, is a technology-driven company with a unique dimension - enhancing veteran engagement in the workforce. Founded with the goal of supporting and preserving professional veterans while satisfying the IT and professional needs of businesses, HonorVet Technologies brings a particular focus to diversity and veteran hiring, making it a standout player in the IT and Staffing industries. Functioning as a veteran-driven community entity, the firm offers IT staffing, bespoke development, and consulting services, with the aim of connecting talents with IT-related job opportunities.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Fairfield , NJ, US

Year founded

2015

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