Care Review Nurse
Columbus, OH · On-site
Care Review Nurse Integrated Resources, Inc., is led by a seasoned team with combined decades in ... Works with the Utilization Management team primarily responsible for inpatient medical necessity ...
New
Care Review Nurse
Columbus, OH · On-site
Care Review Nurse Integrated Resources, Inc., is led by a seasoned team with combined decades in ... Works with the Utilization Management team primarily responsible for inpatient medical necessity ...
New
Utilization Review Clinician (RN) - Behavioral Health
Columbus, OH · On-site
$23.76 - $51.49/hr
Seeking a Registered Nurse with a OH or compact license. The Care Review Clinician will provide ... Prefer candidates that have experience with ASAM, MCG or previous experience with Utilization ...
Utilization Review Clinician (RN) - Behavioral Health
Columbus, OH · On-site
$23.76 - $51.49/hr
Seeking a Registered Nurse with a OH or compact license. The Care Review Clinician will provide ... Prefer candidates that have experience with ASAM, MCG or previous experience with Utilization ...
Care Review Nurse
Columbus, OH · On-site
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 ...
Care Review Nurse
Columbus, OH · On-site
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 ...
Utilization Review LVN/RN
Columbus, OH · On-site
Conducts prior authorization reviews to determine financial responsibility Qualifications * 2 years Inpatient background with Hospital Nursing (Med-Surg, ER) * Well versed in Utilization Management ...
Utilization Review LVN/RN
Columbus, OH · On-site
Conducts prior authorization reviews to determine financial responsibility Qualifications * 2 years Inpatient background with Hospital Nursing (Med-Surg, ER) * Well versed in Utilization Management ...
Medical Review Nurse (RN)
Columbus, OH · On-site
$29.05 - $56.64/hr
... utilization management and long-term services and supports (LTSS) issues. • Identifies and ... complex claim review including diagnosis-related group (DRG) validation, itemized bill review ...
Medical Review Nurse (RN)
Columbus, OH · On-site
$29.05 - $56.64/hr
... utilization management and long-term services and supports (LTSS) issues. • Identifies and ... complex claim review including diagnosis-related group (DRG) validation, itemized bill review ...
Medical Review Nurse (RN)
Columbus, OH · On-site
... utilization management and long-term services and supports (LTSS) issues. • Identifies and ... complex claim review including diagnosis-related group (DRG) validation, itemized bill review ...
Medical Review Nurse (RN)
Columbus, OH · On-site
... utilization management and long-term services and supports (LTSS) issues. • Identifies and ... complex claim review including diagnosis-related group (DRG) validation, itemized bill review ...
Resolves escalated complaints regarding utilization management and long-term services and supports ... Reviews medically appropriate clinical guidelines and other appropriate criteria with medical ...
Resolves escalated complaints regarding utilization management and long-term services and supports ... Reviews medically appropriate clinical guidelines and other appropriate criteria with medical ...
Medical Review Nurse (RN)
Columbus, OH · Remote
$29.05 - $56.64/hr
... utilization management and long-term services and supports (LTSS) issues. • Identifies and ... complex claim review including diagnosis-related group (DRG) validation, itemized bill review ...
Medical Review Nurse (RN)
Columbus, OH · Remote
$29.05 - $56.64/hr
... utilization management and long-term services and supports (LTSS) issues. • Identifies and ... complex claim review including diagnosis-related group (DRG) validation, itemized bill review ...
Senior Registered Nurse (RN)
Columbus, OH · On-site
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)
Columbus, OH · On-site
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)
Columbus, OH · On-site
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)
Columbus, OH · On-site
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)
Columbus, OH · On-site
$90K/yr
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.
Quick apply
Senior Registered Nurse (RN)
Columbus, OH · On-site
$90K/yr
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.
Care Review Clinician
Columbus, OH · On-site
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 ...
Care Review Clinician
Columbus, OH · On-site
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 ...
Current licensure as a registered nurse in the state of Ohio is required. * Valid Ohio driver ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:
Current licensure as a registered nurse in the state of Ohio is required. * Valid Ohio driver ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:
Current licensure as a registered nurse in the state of Ohio is required. * Valid Ohio driver ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:
Current licensure as a registered nurse in the state of Ohio is required. * Valid Ohio driver ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:
Care Review Clinician
Columbus, OH · On-site
Qualifications • Utilization Review in hospital setting. • Prior author experience. • Inpatient hospital experience. • Nurses who are used to doing both production and review work. • RN ...
New
Care Review Clinician
Columbus, OH · On-site
Qualifications • Utilization Review in hospital setting. • Prior author experience. • Inpatient hospital experience. • Nurses who are used to doing both production and review work. • RN ...
New
Current licensure as a registered nurse in the state of Ohio is required. * Valid Ohio driver ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:
Current licensure as a registered nurse in the state of Ohio is required. * Valid Ohio driver ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:
Current licensure as a registered nurse in the state of Ohio is required. * Valid Ohio driver ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:
Current licensure as a registered nurse in the state of Ohio is required. * Valid Ohio driver ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:
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 ...
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 ...
Senior 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 senior rn utilization review nurse jobs pay per hour?
As of Aug 13, 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 are popular job titles related to Senior Rn Utilization Review Nurse jobs? For Senior Rn Utilization Review Nurse jobs, the most frequently searched job titles are:
- Evening Optum Health Utilization Review
- No Experience Utilization Management Nurse
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- Weekend Physician Advisor Utilization Review
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- Travel Rn Utilization Review
What job categories do people searching Senior Rn Utilization Review Nurse jobs look for? The top searched job categories for Senior Rn Utilization Review Nurse jobs are:
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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? States with the most job openings for Senior 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:
Other
Posted 3 days ago
New
Job description
Care Review Nurse
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 DescriptionWorks 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.
QualificationsBackground 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.