Utilization Review Nurse Resume Writing Tips and Sample

Image of professional woman smiling at camera
Written by Ann Real, BSN, RN Content Writer, IntelyCare
A nurse works on her utilization review nurse resume.

Utilization review nurses are the silent architects of healthcare — they work behind the scenes to ensure resources are used efficiently and patients receive the care they deserve. They’re all about finding that perfect balance between resourcefulness and top-notch care, nurturing the hospital’s sustainable growth and ensuring continuous improvement in patient care.

In order to get into this field, you need a strong utilization review nurse resume and cover letter. A great resume is key to standing out and earning the opportunity for an interview. Don’t forget to check out our resume sample for an extra boost of inspiration.

Keep these things in mind when writing your resume:

  • Prioritize important information: Have you ever heard about the elevator pitch? If you were to meet the employer of your dreams in an elevator and only had 30 seconds to showcase your qualifications, what would you say? Think about what sets you apart and make it stand out. Employers scanning through hundreds of resumes won’t have time to uncover your hidden talents in the sea of words. Put your strengths in your resume summary to get the reader’s attention.
  • Quantify your experience: It’s beneficial to back up everything you say in your resume with numbers. Saying, “I am an exceptional nurse,” is less informative than stating, “I am a registered nurse with 10 years of experience.” Therefore, support statements with concrete evidence whenever possible. How many years of experience do you have? What is your typical patient load? How many times have you been promoted?
  • Use similar wording: Here’s the deal — many companies use computer programs to scan resumes for matching keywords. If you don’t pass that screening, the hiring manager may not even see your resume. To pass this test, customize your resume by using keywords from the job posting. If they’re seeking a utilization review nurse, stick to the term “utilization review,” not “UR nurse.”
  • Personalize your resume: Many people think resumes are generic — you create one and mass-send it to all employers out there. But the truth is, generic resumes often go unnoticed. Use those keywords we talked about to customize your resume for each job by adding a personal touch — small adjustments can make a big difference.

Utilization Review Nurse Resume Sample

Dinah Roven, RN, HUM

Mountain Street, CA | firstlast@email.com | 444-444-4444

Dedicated and skilled utilization review nurse with over 10 years of experience. Proven track record of efficiently managing and optimizing healthcare resources to ensure quality patient care.

Key Qualifications

  • Proven track record in utilization review and case management.
  • Clinical expertise as a registered nurse in acute care and med-surg settings.
  • In-depth understanding of healthcare regulations and compliance, and proficient in insurance guidelines and reimbursement processes.
  • Proficient in working with EHR systems to maintain accurate and detailed patient records.

Education

Mountain University, San Diego, CA, 20XX

Bachelor of Science in Nursing

Professional Experience

Reputable Hospital, Utilization Review Nurse, 20XX–present

  • Conducted comprehensive reviews of medical records to assess the appropriateness and necessity of healthcare services.
  • Evaluate medical documentation for compliance with regulatory requirements and insurance guidelines.
  • Develop and implement care plans based on individual patient needs and available resources.
  • Provide recommendations for improving care delivery processes and cost-effectiveness.

Great Hospital, Float Pool Nurse, 20XX–20XX

  • Provided expert care to patients in the 150-bed critical care hospital, managing a high caseload.
  • Worked in various departments, including medical-surgical, critical care, and emergency.
  • Administered life-saving interventions, such as advanced cardiac life support (ACLS) and trauma care.
  • Maintained accurate and detailed medical records in compliance with regulatory standards.

Skills

  • Utilization review and case management
  • Clinical assessment and documentation
  • Healthcare regulations and compliance
  • Strong analytical and problem-solving skills
  • Language comprehension: English, Russian, and German
  • Software proficiency: Cortex, PowerChart, Epic, Cerner, WebPT

Certifications and Licenses

  • Basic life support (BLS)
  • Advanced cardiovascular life support (ACLS)
  • Registered nurse (RN)
  • Health utilization management (HUM)

Utilization Review Nurse Salary

Wondering what utilization review nurses typically earn? The average salary for a utilization review nurse in the U.S. is $76,880 per year.

Looking for the highest-paying states for nurses? These states have some of the most competitive salaries in the country:

Ready to Use Your Utilization Review Nurse Resume?

Well done! You’ve conquered the challenges of becoming a nurse and writing a top-notch resume. Now, let IntelyCare help with the rest. Explore our range of nursing jobs and find the ones that match your skills and interests.