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Rn Utilization Management Jobs Near Me

License Practical Nurse

Columbus, OH · On-site

$24.75 - $33.75/hr

Works with the Utilization Management team primarily responsible for inpatient medical necessity ... Completion of an accredited Registered Nursing program. (a combination of experience and education ...

Minimum 3-4 years of clinical practice in hospital setting. • 1+ year utilization management, and/or case management. • Required Licensure/Certification: Active, unrestricted State Nursing (RN) ...

Care Review Nurse Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing ...

Maintain compliancy with regulation changes affecting utilization management. PositionRequirements Bachelor's degree required. Active RN License from an accredited nursing school Minimum three to ...

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 ...

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Rn Utilization Management information

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$39K

$89.5K

$163K

How much do rn utilization management jobs pay per year?

As of Aug 20, 2026, the average yearly pay for rn utilization management in the United States is $89,483.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,500.00 and $104,500.00 per year, depending on experience, location, and employer.

What cities are hiring for Rn Utilization Management jobs?

Cities with the most Rn Utilization Management job openings:

What states have the most Rn Utilization Management jobs?

States with the most job openings for Rn Utilization Management jobs include:

A map of the United States highlighting the number of Rn Utilization Management job openings by state according to ZipRecruiter. The image is accompanied by a detailed chart listing the number of Rn Utilization Management job openings in each state, with California having the most at 2 and Hawaii the least at 0.

Utilization Review LVN/RN

Healthcare Support Staffing

Columbus, OH • On-site

Full-time

Re-posted 18 days ago


Job description

Company Description

Why You Should Work For Us:

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description
  • Assesses services for members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and guidelines.
  • Analyzes clinical service requests from members or providers against evidence based clinical guidelines.
  • Conducts prior authorization reviews to determine financial responsibility
Qualifications
  • 2 years Inpatient background with Hospital Nursing (Med-Surg, ER)
  • Well versed in Utilization Management - Must be able to determine elective vs urgent request with Prior Authorization Review 
  • Provider Claims, Appeals and Denials - certain services require prior authorization (PA) from the Utilization Management (UM) department
  • 6 + months of Interqual experience
  • 6+ months of Coding with ICD10 and CPT/ HCPCS
Additional Information

Interested in being considered? 

If you are interested in applying to this position, please click the Green I'm Interested Button to email your resume and contact Jeff St Louis 407-478-0332x223. 



Healthcare Support logo

About Healthcare Support

Sourced by ZipRecruiter

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Maitland, FL, US

Year founded

2003

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