Utilization Review Nurse Jobs

As of Saturday, December 21st 2024, Vivian has 63 listings for travel Nursing jobs. These jobs pay $2,437 per hour on average, and up to $3,820 per hour for the top-paying job listed.

Take a look at Vivian's Utilization Review Nurse Career Guide for more information, including required education, responsibilities, pros and cons and more.

Utilization review nurses are registered nurses who specialize in combining their clinical and administrative experience to monitor the quality of patient care while helping control health care costs. UR nurses are deeply committed to health care quality and patient safety. They help prevent overuse or misuse of medical resources and monitor insurance claims for patients to ensure their medical procedures and services are covered. UR nurses play a vital role behind the scenes because they’re one of the primary ways that health care providers and insurance companies control costs for patients. This job can involve difficult decisions as UR nurses strive to strike a balance between quality control, high-quality patient care, and cost-efficiency of health care services.

Utilization review nurses may hold Certified Case Manager (CCM), Accredited Case Manager-Registered Nurse (ACM-RN), Health Care Quality & Management (HCQM) or Commission for Case Manager Certification (CMGT-BC), among others.