1

Volunteer Rn Utilization Review Nurse Jobs (NOW HIRING)

Overview Seeking an experienced Utilization Review Nurse (RN) to review patient admissions for medical necessity, appropriate level of care, and compliance with payer guidelines. This role works ...

Overview Seeking an experienced Utilization Review Nurse (RN) to review patient admissions for medical necessity, appropriate level of care, and compliance with payer guidelines. This role works ...

Job Summary and Responsibilities As our Utilization Review Nurse at the Utilization Management Hub ... Registered Nurse with current California License required. * Minimum two (2) years of acute ...

... RN Utilization Review PRIMARY PURPOSE : To provide timely, evidence-based utilization review ... voluntary benefits Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're ...

... RN Utilization Review PRIMARY PURPOSE : To provide timely, evidence-based utilization review ... voluntary benefits Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're ...

... RN Utilization Review PRIMARY PURPOSE : To provide timely, evidence-based utilization review ... voluntary benefits Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're ...

... RN Utilization Review PRIMARY PURPOSE : To provide timely, evidence-based utilization review ... voluntary benefits Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're ...

RN Utilization Review

Columbia, SC · On-site

$73K - $75K/yr

... RN Utilization Review PRIMARY PURPOSE : To provide timely, evidence-based utilization review ... voluntary benefits Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're ...

... RN Utilization Review PRIMARY PURPOSE : To provide timely, evidence-based utilization review ... voluntary benefits Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're ...

RN Utilization Review

Nashville, TN · On-site

$73K - $75K/yr

... RN Utilization Review PRIMARY PURPOSE : To provide timely, evidence-based utilization review ... voluntary benefits Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're ...

... RN Utilization Review PRIMARY PURPOSE : To provide timely, evidence-based utilization review ... voluntary benefits Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're ...

... RN Utilization Review PRIMARY PURPOSE : To provide timely, evidence-based utilization review ... voluntary benefits Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're ...

next page

Showing results 1-20

Volunteer Rn Utilization Review Nurse information

See salary details

$21

$42

$68

How much do volunteer rn utilization review nurse jobs pay per hour?

As of Jun 9, 2026, the average hourly pay for volunteer rn utilization review nurse 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.
More about Volunteer Rn Utilization Review Nurse jobs
What cities are hiring for Volunteer Rn Utilization Review Nurse jobs? Cities with the most Volunteer Rn Utilization Review Nurse job openings:
What are the most commonly searched types of Rn Utilization Review Nurse jobs? The most popular types of Rn Utilization Review Nurse jobs are:
Infographic showing various Volunteer Rn Utilization Review Nurse job openings in the United States as of June 2026, with employment types broken down into 6% As Needed, 27% Full Time, 28% Part Time, and 39% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Travel Nurse RN - Utilization Review

Integrated Healthcare Services

Bakersfield, CA

Contractor

Posted 29 days ago


Job description

Integrated Healthcare Services is seeking a travel nurse RN Utilization Review for a travel nursing job in Bakersfield, California.

Job Description & Requirements
  • Specialty: Utilization Review
  • Discipline: RN
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 8 hours, days
  • Employment Type: Travel

Job Title: RN - Case Management (Utilization Review)

Location: California

Employment Type: Full-Time

Contract Length: Permanent

Job Summary: The Utilization Review Nurse II is responsible for evaluating medical records, discharge planning, and ensuring compliance with payor documentation requirements to maximize hospital reimbursement.

Job Responsibilities:

  • Evaluate medical records for inpatient admissions to ensure required documentation is present.
  • Initiate Physician Advisories for unwarranted admissions.
  • Conduct ongoing reviews and discuss care changes with attending physicians.
  • Formulate and document discharge plans.
  • Coordinate with hospital services to ensure efficient resource use.
  • Identify pay source issues and provide appropriate referrals.
  • Collaborate with admitting office to prevent inappropriate admissions.
  • Schedule specialized tests and authorize payments under Medically Indigent Adult programs.
  • Review and approve surgery schedules for elective procedures.
  • Coordinate with correctional facilities regarding elective procedures and medical goods.
  • Answer provider questions about reimbursement and documentation requirements.
  • Teach providers payor documentation requirements to maximize reimbursement.
  • Assist in training Utilization Review Nurse I staff.
  • Perform other job-related duties as assigned.

Required Qualifications:

  • Two (2) years of experience as an RN in an acute care hospital, including one (1) year on a medical/surgical ward or unit.
  • One (1) year of utilization review/discharge planning experience in an acute care hospital or two (2) years as a Case Manager in a clinic or physician’s office.
  • Knowledge of payor source documentation requirements and governmental regulations.
  • Understanding of acute care nursing principles, patient disease processes, medical terminology, and hospital routines.
  • Ability to evaluate medical records, assess clinical performance, and communicate documentation needs effectively.
  • Proficiency in gathering and analyzing data for reports and recommendations.

Required Certifications & Licensure:

  • Valid Registered Nurse license in the State of California.
  • Current American Heart Association Healthcare Provider Basic Life Support (BLS) card.

Preferred Qualifications:

  • None specified.

Additional Information: This role requires strong interpersonal skills to collaborate with physicians, health providers, payor sources, and the general public.


QUALIFICATION/LICENSURE
Work Authorization : US Citizen
Preferred years of experience : 2 years
Travel required : No travel required
Shift timings : Days

RightSourcing IHS Job ID #37276836. 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: RN - Utilization Review