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Senior Rn Utilization Review Nurse Jobs Near Me

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 ...

Senior Registered Nurse (RN) Full Time Columbus, Ohio AndHealth is on a mission to radically ... Receive, and route test results for provider review, and collect data regarding patient medications.

Senior Registered Nurse (RN) Full Time Columbus, Ohio AndHealth is on a mission to radically ... Receive, and route test results for provider review, and collect data regarding patient medications.

Senior Registered Nurse (RN) Full Time Columbus, Ohio AndHealth is on a mission to radically ... Receive, and route test results for provider review, and collect data regarding patient medications.

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 ...

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 ...

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

As of Aug 19, 2026, the average hourly pay for senior 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 Senior Rn Utilization Review Nurse jobs?

Cities with the most Senior Rn Utilization Review Nurse job openings:

What states have the most Senior Rn Utilization Review Nurse jobs?

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What are the most commonly searched types of Rn Utilization Review Nurse jobs?

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

Care Review Nurse

Integrated Resources

Columbus, OH • On-site

Other

Re-posted 5 days ago


Job description

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 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: Background 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) Potential for longer term dependent on enrollment Workers will be doing Concurrent Inpatient Review MUST have one of the following AT LEAST -Utilization Review in hospital setting Nurses who are used to doing both production and review work

All your information will be kept confidential according to EEO guidelines.


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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