RN - ICU
Jackson, MS · On-site
To act as liaison between case managers, home health nurses, utilization review, etc. To coordinate patient services and care. To perform job duties in accordance with the medical center's purpose.
Quick apply
RN - ICU
Jackson, MS · On-site
To act as liaison between case managers, home health nurses, utilization review, etc. To coordinate patient services and care. To perform job duties in accordance with the medical center's purpose.
RN - Med Surg, PRN
Canton, MS · On-site
To act as liaison between case managers, home health nurses, utilization review, etc. To coordinate patient services and care. To perform job duties in accordance with the medical center's purpose.
Quick apply
RN - Med Surg, PRN
Canton, MS · On-site
To act as liaison between case managers, home health nurses, utilization review, etc. To coordinate patient services and care. To perform job duties in accordance with the medical center's purpose.
To act as liaison between case managers, home health nurses, utilization review, etc. To coordinate patient services and care. To perform job duties in accordance with the medical center's purpose.
Quick apply
To act as liaison between case managers, home health nurses, utilization review, etc. To coordinate patient services and care. To perform job duties in accordance with the medical center's purpose.
To act as liaison between case managers, home health nurses, utilization review, etc. To coordinate patient services and care. To perform job duties in accordance with the medical center's purpose.
To act as liaison between case managers, home health nurses, utilization review, etc. To coordinate patient services and care. To perform job duties in accordance with the medical center's purpose.
To act as liaison between case managers, home health nurses, utilization review, etc. To coordinate patient services and care. To perform job duties in accordance with the medical center's purpose.
Quick apply
To act as liaison between case managers, home health nurses, utilization review, etc. To coordinate patient services and care. To perform job duties in accordance with the medical center's purpose.
To act as liaison between case managers, home health nurses, utilization review, etc. To coordinate patient services and care. To perform job duties in accordance with the medical center's purpose.
Quick apply
To act as liaison between case managers, home health nurses, utilization review, etc. To coordinate patient services and care. To perform job duties in accordance with the medical center's purpose.
RN - Surgery, PRN
Canton, MS · On-site
To act as liaison between case managers, home health nurses, utilization review, etc. To coordinate patient services and care. To perform job duties in accordance with the medical center's purpose.
Quick apply
RN - Surgery, PRN
Canton, MS · On-site
To act as liaison between case managers, home health nurses, utilization review, etc. To coordinate patient services and care. To perform job duties in accordance with the medical center's purpose.
To act as liaison between case managers, home health nurses, utilization review, etc. To coordinate patient services and care. To perform job duties in accordance with the medical center's purpose.
To act as liaison between case managers, home health nurses, utilization review, etc. To coordinate patient services and care. To perform job duties in accordance with the medical center's purpose.
RN - Emergency Department, PRN
Canton, MS · On-site
To act as liaison between case managers, home health nurses, utilization review, etc. To coordinate patient services and care. To perform job duties in accordance with the medical center's purpose.
Quick apply
RN - Emergency Department, PRN
Canton, MS · On-site
To act as liaison between case managers, home health nurses, utilization review, etc. To coordinate patient services and care. To perform job duties in accordance with the medical center's purpose.
RN - Emergency Department, PRN
Canton, MS · On-site
To act as liaison between case managers, home health nurses, utilization review, etc. To coordinate patient services and care. To perform job duties in accordance with the medical center's purpose.
RN - Emergency Department, PRN
Canton, MS · On-site
To act as liaison between case managers, home health nurses, utilization review, etc. To coordinate patient services and care. To perform job duties in accordance with the medical center's purpose.
RN - OR Circulator
Canton, MS · On-site
To act as liaison between case managers, home health nurses, utilization review, etc. To coordinate patient services and care. To perform job duties in accordance with the medical center's purpose.
Quick apply
RN - OR Circulator
Canton, MS · On-site
To act as liaison between case managers, home health nurses, utilization review, etc. To coordinate patient services and care. To perform job duties in accordance with the medical center's purpose.
To act as liaison between case managers, home health nurses, utilization review, etc. To coordinate patient services and care. To perform job duties in accordance with the medical center's purpose.
To act as liaison between case managers, home health nurses, utilization review, etc. To coordinate patient services and care. To perform job duties in accordance with the medical center's purpose.
To act as liaison between case managers, home health nurses, utilization review, etc. To coordinate patient services and care. To perform job duties in accordance with the medical center's purpose.
To act as liaison between case managers, home health nurses, utilization review, etc. To coordinate patient services and care. To perform job duties in accordance with the medical center's purpose.
To act as liaison between case managers, home health nurses, utilization review, etc. To coordinate patient services and care. To perform job duties in accordance with the medical center's purpose.
New
To act as liaison between case managers, home health nurses, utilization review, etc. To coordinate patient services and care. To perform job duties in accordance with the medical center's purpose.
New
To act as liaison between case managers, home health nurses, utilization review, etc. To coordinate patient services and care. To perform job duties in accordance with the medical center's purpose.
To act as liaison between case managers, home health nurses, utilization review, etc. To coordinate patient services and care. To perform job duties in accordance with the medical center's purpose.
To act as liaison between case managers, home health nurses, utilization review, etc. To coordinate patient services and care. To perform job duties in accordance with the medical center's purpose.
Quick apply
To act as liaison between case managers, home health nurses, utilization review, etc. To coordinate patient services and care. To perform job duties in accordance with the medical center's purpose.
To act as liaison between case managers, home health nurses, utilization review, etc. To coordinate patient services and care. To perform job duties in accordance with the medical center's purpose.
Quick apply
To act as liaison between case managers, home health nurses, utilization review, etc. To coordinate patient services and care. To perform job duties in accordance with the medical center's purpose.
RN - Surgery, PRN
Canton, MS · On-site
To act as liaison between case managers, home health nurses, utilization review, etc. To coordinate patient services and care. To perform job duties in accordance with the medical center's purpose.
RN - Surgery, PRN
Canton, MS · On-site
To act as liaison between case managers, home health nurses, utilization review, etc. To coordinate patient services and care. To perform job duties in accordance with the medical center's purpose.
To act as liaison between case managers, home health nurses, utilization review, etc. To coordinate patient services and care. To perform job duties in accordance with the medical center's purpose.
New
To act as liaison between case managers, home health nurses, utilization review, etc. To coordinate patient services and care. To perform job duties in accordance with the medical center's purpose.
New
Valid RN license Preferred Qualifications: RN experience in clinical nursing with chronic disease, utilization review and/or quality management Knowledge, Skills & Abilities Knowledge, Skills, and ...
Valid RN license Preferred Qualifications: RN experience in clinical nursing with chronic disease, utilization review and/or quality management Knowledge, Skills & Abilities Knowledge, Skills, and ...
Utilization Review information
See Jackson, MS salary details
$18.64 - $22.41
2% of jobs
$22.41 - $26.18
9% of jobs
$28.76 is the 25th percentile. Wages below this are outliers.
$26.18 - $29.96
21% of jobs
The median wage is $33.01 / hr.
$29.96 - $33.73
23% of jobs
$33.73 - $37.50
13% of jobs
$40.43 is the 75th percentile. Wages above this are outliers.
$37.50 - $41.27
10% of jobs
$41.27 - $45.04
8% of jobs
$45.04 - $48.81
5% of jobs
$48.81 - $52.58
5% of jobs
$52.58 - $56.35
2% of jobs
$56.35 - $60.12
2% of jobs
$18
$36
$60
How much do utilization review jobs pay per hour?
As of Sep 4, 2026, the average hourly pay for utilization review in Jackson, MS is $36.85, according to ZipRecruiter salary data. Most workers in this role earn between $29.13 and $42.31 per hour, depending on experience, location, and employer.
What is a utilization review?
A Utilization Review (UR) job involves assessing the medical necessity, efficiency, and appropriateness of healthcare services. UR professionals, often nurses or healthcare specialists, review patient records, insurance claims, and treatment plans to ensure they meet industry standards and payer requirements. They work with healthcare providers, insurance companies, and regulatory agencies to optimize care while controlling costs. Their goal is to balance quality patient care with cost-effective resource utilization.
What does a utilization review do?
A typical day in Utilization Review involves reviewing patient medical records, evaluating the necessity and appropriateness of proposed treatments or services, and documenting recommendations based on clinical criteria and insurance policies. Utilization Review specialists often collaborate closely with physicians, nurses, and insurance representatives to gather additional information and clarify cases. While much of the role is desk-based and may include remote work options, it requires regular communication with both clinical and administrative teams. This position offers variety and challenge, as no two cases are exactly alike, and there are often opportunities to advance into supervisory or quality improvement roles within the department.
What are the key skills and qualifications needed to thrive in utilization review?
To thrive in Utilization Review, professionals typically need a background in nursing or healthcare, strong clinical assessment capabilities, and a thorough understanding of medical guidelines and insurance regulations. Familiarity with electronic medical records (EMR) systems and utilization management software, and often certification such as Certified Utilization Review Specialist (CURN), are important. Excellent critical thinking, attention to detail, and strong communication skills enable effective case evaluation and collaboration with healthcare teams. These skills and qualifications ensure objective, accurate decisions that support cost-effective, quality patient care within compliance standards.
How do I get into a utilization review?
To become a utilization review specialist, typically a healthcare or related degree such as nursing, health administration, or social work is required. Certification in case management or utilization review, like the Certified Professional in Healthcare Quality (CPHQ), can enhance job prospects, and strong analytical and communication skills are essential for success in the role.
Is utilization review a stressful job?
Utilization review is a healthcare role that involves evaluating medical necessity and appropriateness of services, often under strict deadlines and documentation requirements. The job can be stressful due to high workload, the need for accuracy, and managing complex cases, but stress levels vary based on work environment and individual coping skills.
What are the most commonly searched types of Utilization Review jobs in Jackson, MS?
The most popular types of Utilization Review jobs in Jackson, MS are:
What are popular job titles related to Utilization Review jobs in Jackson, MS?
For Utilization Review jobs in Jackson, MS, the most frequently searched job titles are:
What job categories do people searching Utilization Review jobs in Jackson, MS look for?
The top searched job categories for Utilization Review jobs in Jackson, MS are:
- Remote Utilization Review
- Remote Utilization Review Nurse Practitioner
- Nurse Practitioner Utilization Review
- Optum Utilization Review Nurse
- Cigna Utilization Review Remote
- Lpn Utilization Review
- Remote Aetna Utilization Review Nurse
- Remote Occupational Therapy Utilization Review
- Utilization Review Nurse Compact License
- Case Manager Utilization Review Nurse
Job description
Description:
Job Summary:
To assess, develop, implement and evaluate the nursing care and treatment for patients in an assigned clinical area. To coordinate the operations of a clinical area including patient scheduling, maintaining patient records and managing the patient admissions process. To counsel with patients and family members on treatment and conditions of patients. To act as liaison between case managers, home health nurses, utilization review, etc. To coordinate patient services and care. To perform job duties in accordance with the medical center's purpose.
Responsibilities
Provides patient care by assessing, planning, implementing and evaluating treatments and interventions for patients.
Educates patients (and possibly family members) on topics such as the nature and status of patient's condition, diet and associated side effects of medication/treatments and the importance of complying with medication schedules.
Ensures the safety of patients.
Coordinates referrals to other services within and outside of immediate area or unit.
Maintains accurate patient records.
Functions as a preceptor in accordance with UMMC guidelines.
Reports patients issues or concerns to supervisor as appropriate.
Serves on at least one nursing council, hospital, or medical center committee, task force, or project team to improve patient care or work area. Demonstrates core standards of exceptional customer service.
Performs other duties as assigned.
Physical and Environmental Demands
Requires occasional exposure to unpleasant or disagreeable physical environment such as high noise level and exposure to heat and cold, occasional handling or working with potentially dangerous equipment, occasional exposure to biohazardous conditions such as risk of radiation exposure, blood borne pathogens, fumes or airborne particles, and/or toxic or caustic chemicals which mandate attention to safety considerations, occasional working hours significantly beyond regularly scheduled hours, occasional activities subject to significant volume changes of a seasonal/clinical nature, constant work produced subject to precise measures of quantity and quality, constant bending, frequent lifting and carrying more than 100 pounds, frequent climbing, frequent crawling, frequent crouching/stooping, occasional driving, occasional kneeling, constant pushing/pulling, occasional reaching, occasional sitting, constant standing, constant twisting, and constant walking. (occasional-up to 20%, frequent-from 21% to 50%, constant-51% or more)
Education & Experience
Certifications, Licenses or Registration Required: Valid RN license
Knowledge, Skills & Abilities
Knowledge of clinical nursing care procedures and protocols. Verbal and written communication skills. Interpersonal skills. Knowledge and understanding of computer systems, tools and programs. Ability to work in a team environment.
About Healthier Mississippi Collaborative
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
51 - 200 Employees
Headquarters location
Jackson, MS, US