Works with the Utilization Management team primarily responsible for inpatient medical necessity ... Review cases for in patients/in hospital: skilled care, acute rehab and long term acute care Nurses ...
Works with the Utilization Management team primarily responsible for inpatient medical necessity ... Review cases for in patients/in hospital: skilled care, acute rehab and long term acute care Nurses ...
Conducts prior authorization reviews to determine financial responsibility Qualifications * 2 years Inpatient background with Hospital Nursing (Med-Surg, ER) * Well versed in Utilization Management ...
Conducts prior authorization reviews to determine financial responsibility Qualifications * 2 years Inpatient background with Hospital Nursing (Med-Surg, ER) * Well versed in Utilization Management ...
The Ohio Department of Medicaid (ODM) is seeking a Registered Nurse (RN) to be a part of our Surveillance/Utilization Review Section (SURS). SURS is charged with helping the agency review utilization ...
The Ohio Department of Medicaid (ODM) is seeking a Registered Nurse (RN) to be a part of our Surveillance/Utilization Review Section (SURS). SURS is charged with helping the agency review utilization ...
... (RN) to be a part of our Surveillance/Utilization Review Section (SURS). SURS is charged with ... We provide a variety of quality, competitive benefits to eligible full-time and part-time employees*
... (RN) to be a part of our Surveillance/Utilization Review Section (SURS). SURS is charged with ... We provide a variety of quality, competitive benefits to eligible full-time and part-time employees*
Specialist, Utilization Review
Columbus, OH · On-site
Competitive paid time off and extended illness bank package for full-time employees * Income ... Professional development and growth opportunities How you'll contribute Utilization Review ...
Specialist, Utilization Review
Columbus, OH · On-site
Competitive paid time off and extended illness bank package for full-time employees * Income ... Professional development and growth opportunities How you'll contribute Utilization Review ...
Specialist, Utilization Review
Columbus, OH · On-site
Competitive paid time off and extended illness bank package for full-time employees * Income ... Professional development and growth opportunities How you'll contribute Utilization Review ...
Specialist, Utilization Review
Columbus, OH · On-site
Competitive paid time off and extended illness bank package for full-time employees * Income ... Professional development and growth opportunities How you'll contribute Utilization Review ...
Medical Review Nurse Analyst
Columbus, OH · On-site
$68K - $70K/yr
Active RN license, applicable to state of practice in good standing. * 1 or more years of clinical ... Experience with medical record review or utilization review. Remote Work Requirements * Wired ...
Medical Review Nurse Analyst
Columbus, OH · On-site
$68K - $70K/yr
Active RN license, applicable to state of practice in good standing. * 1 or more years of clinical ... Experience with medical record review or utilization review. Remote Work Requirements * Wired ...
Full-time benefits. Family Experience: Partners For Kids Website: partnersforkids.org Summary ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:
Full-time benefits. Family Experience: Partners For Kids Website: partnersforkids.org Summary ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:
Qualifications Utilization Review in hospital setting . Prior author experience . Inpatient hospital experience . Nurses who are used to doing both production and review work . RN required . Millemen ...
Qualifications Utilization Review in hospital setting . Prior author experience . Inpatient hospital experience . Nurses who are used to doing both production and review work . RN required . Millemen ...
Registered Nurse (RN)
Columbus, OH · On-site
Full-Time Registered Nurse Ohio Reproductive Medicine (ORM), part of the IVI RMA North America family, is looking for a Full-Time Registered Nurse to work Monday-Friday from 8am-4:30pm with weekend ...
Registered Nurse (RN)
Columbus, OH · On-site
Full-Time Registered Nurse Ohio Reproductive Medicine (ORM), part of the IVI RMA North America family, is looking for a Full-Time Registered Nurse to work Monday-Friday from 8am-4:30pm with weekend ...
License Practical Nurse
$24.75 - $33.75/hr
... utilization review and other utilization management activities aimed at providing Healthcare ... Completion of an accredited Registered Nursing program. (a combination of experience and education ...
License Practical Nurse
$24.75 - $33.75/hr
... utilization review and other utilization management activities aimed at providing Healthcare ... Completion of an accredited Registered Nursing program. (a combination of experience and education ...
Buckeye Terrace is now hiring full time RNs who are committed to providing the best life and care for our residents. If you are looking forward to becoming a part of a dynamic team, we would love to ...
Quick apply
Buckeye Terrace is now hiring full time RNs who are committed to providing the best life and care for our residents. If you are looking forward to becoming a part of a dynamic team, we would love to ...
Registered Nurse (RN) New Wages
Westerville, OH · On-site
$40/hr
Buckeye Terrace is now hiring full time RNs who are committed to providing the best life and care for our residents. If you are looking forward to becoming a part of a dynamic team, we would love to ...
Registered Nurse (RN) New Wages
Westerville, OH · On-site
$40/hr
Buckeye Terrace is now hiring full time RNs who are committed to providing the best life and care for our residents. If you are looking forward to becoming a part of a dynamic team, we would love to ...
Now hiring full-time day shift (7a-7p) and night shift (7p-7a) NEW! Refer-a-friend program! Bring a friend, receive a bonus! Capital City Gardens is now hiring full-time RNs who are committed to ...
Quick apply
Now hiring full-time day shift (7a-7p) and night shift (7p-7a) NEW! Refer-a-friend program! Bring a friend, receive a bonus! Capital City Gardens is now hiring full-time RNs who are committed to ...
UR Coordinator, Full Time
$24 - $32/hr
High school diploma required; associate or bachelor's degree in nursing, healthcare administration, or related field preferred * Must be 21 or older * Experience in utilization review, case ...
UR Coordinator, Full Time
$24 - $32/hr
High school diploma required; associate or bachelor's degree in nursing, healthcare administration, or related field preferred * Must be 21 or older * Experience in utilization review, case ...
Registered Nurse - RN
Columbus, OH · On-site
$85K - $95K/yr
The Registered Nurse (RN) Care Manager plays a vital role in providing exceptional, patient ... Participate actively in team meetings, quality improvement projects, and utilization review ...
Quick apply
Registered Nurse - RN
Columbus, OH · On-site
$85K - $95K/yr
The Registered Nurse (RN) Care Manager plays a vital role in providing exceptional, patient ... Participate actively in team meetings, quality improvement projects, and utilization review ...
Registered Nurse - RN
Columbus, OH · On-site
$85K - $95K/yr
The Registered Nurse (RN) Care Manager plays a vital role in providing exceptional, patient ... Participate actively in team meetings, quality improvement projects, and utilization review ...
Quick apply
Registered Nurse - RN
Columbus, OH · On-site
$85K - $95K/yr
The Registered Nurse (RN) Care Manager plays a vital role in providing exceptional, patient ... Participate actively in team meetings, quality improvement projects, and utilization review ...
Registered Nurse - RN
Columbus, OH · On-site
$85K - $95K/yr
The Registered Nurse (RN) Care Manager plays a vital role in providing exceptional, patient ... Participate actively in team meetings, quality improvement projects, and utilization review ...
Quick apply
Registered Nurse - RN
Columbus, OH · On-site
$85K - $95K/yr
The Registered Nurse (RN) Care Manager plays a vital role in providing exceptional, patient ... Participate actively in team meetings, quality improvement projects, and utilization review ...
Enjoy the calm and scenic views on your drive to work! ---- Country Lane Gardens is now hiring full time RNs who are committed to providing the best life and care for our residents. If you are ...
Quick apply
Enjoy the calm and scenic views on your drive to work! ---- Country Lane Gardens is now hiring full time RNs who are committed to providing the best life and care for our residents. If you are ...
RN Case Manager - Prior Authorization
Columbus, OH · On-site
$30/hr
Utilization review, prior authorization, or managed care experience preferred. * Active OH RN Licensure * Experienced with either Interqual or Milliman Licenses/Certifications: Current RN, required.
RN Case Manager - Prior Authorization
Columbus, OH · On-site
$30/hr
Utilization review, prior authorization, or managed care experience preferred. * Active OH RN Licensure * Experienced with either Interqual or Milliman Licenses/Certifications: Current RN, required.
Full Time Rn Utilization Review Nurse information
See salary details
$21.39 - $25.72
2% of jobs
$25.72 - $30.05
9% of jobs
$33.01 is the 25th percentile. Wages below this are outliers.
$30.05 - $34.38
21% of jobs
The median wage is $37.88 / hr.
$34.38 - $38.70
23% of jobs
$38.70 - $43.03
13% of jobs
$46.39 is the 75th percentile. Wages above this are outliers.
$43.03 - $47.36
10% of jobs
$47.36 - $51.68
8% of jobs
$51.68 - $56.01
5% of jobs
$56.01 - $60.34
5% of jobs
$60.34 - $64.66
2% of jobs
$64.66 - $68.99
2% of jobs
$21
$42
$68
How much do full time rn utilization review nurse jobs pay per hour?
As of Aug 5, 2026, the average hourly pay for full time 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.
What cities are hiring for Full Time Rn Utilization Review Nurse jobs? Cities with the most Full Time Rn Utilization Review Nurse job openings:
What states have the most Full Time Rn Utilization Review Nurse jobs? States with the most job openings for Full Time Rn Utilization Review Nurse jobs include:
What are the most commonly searched types of Rn Utilization Review Nurse jobs? The most popular types of Rn Utilization Review Nurse jobs are:
Job description
Company Description
Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow.
We've stayed true to our focus of finding qualified and experienced professionals in our specialty areas. Our partner-employers know that they can rely on us to find the right match between their needs and the abilities of our top-tier candidates. By continually exceeding their expectations, we have built successful ongoing partnerships that help us stay true to our commitments of performance and integrity.
Our team works hard to deliver a tailored approach for each and every client, critical in matching the right employers with the right candidates. We forge partnerships that are meant for the long term and align skills and cultures. At IRI, we know that our success is directly tied to our clients' success.
Job Description
Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Healthcare members with the right care at the right place at the right time. Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review. Assesses services for Members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and guidelines.
Medicaid Division
Duties: Review cases for in patients/in hospital: skilled care, acute rehab and long term acute care
Nurses working at the facilities Members are being care for, will be sending over clinical information to be reviewed by the Care Review Clinician. Therefore, this agent will not be traveling and will be reviewing information at the office.
Qualifications
BackgroundÂ
Hospital Utilization Management. Insurance Utilization Manager/Review and Millemen Experience (MCG). No case managers if that is their only experience. Must have Utilization Review or Management. Utilization Review (1 year +), Past hospital experience (3-4 years of experience, less experience is ok if they have more Utilization Review experience)Â
Potential for longer term dependent on enrollmentÂ
Workers will be doing Concurrent Inpatient ReviewÂ
MUST have one of the following AT LEASTÂ
-Utilization Review in hospital settingÂ
Nurses who are used to doing both production and review work
Additional Information
All your information will be kept confidential according to EEO guidelines.
About Integrated Resources
Sourced by ZipRecruiter
Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.
Industry
Recruiting and staffing services
Company size
51 - 200 Employees
Headquarters location
Edison, NJ, US
Year founded
1996