Utilization Review RN Jobs Overview
Working as a utilization review nurse gives you the chance to apply your nursing knowledge to support greater efficiencies in care. It’s an in-demand role for healthcare facilities, especially larger hospital networks and insurance companies. This job involves reviewing medical records and investigating the development of care plans — often lending itself to remote work opportunities — and calls for a skillset grounded in case management, clinical assessment, compliance, and problem-solving.
If you’re looking for utilization review RN jobs, or other nursing roles, you’ve come to the right place. Our nursing-specific job board has a wide range of full-time, part-time, contract, temporary, and per diem jobs for nursing professionals just like you.
Education, Skills, and Certifications for RN Utilization Review Jobs
Working in a utilization review nursing role starts with first qualifying as a practicing RN in your state. This requires obtaining an ADN or BSN from an accredited nursing school, successfully passing the NCLEX-RN, and obtaining a license to perform within the RN scope of practice in your state.
Because utilization review requires familiarity with treatment protocols and medical records, many employers look for several years of work experience as an RN, preferably in case management. In addition, you can strengthen any application for utilization review nursing jobs with certifications such as the HUMC (Health Utilization Management Certification) and HCQM (Health Care Quality & Management).
Resume and Cover Letter for RN Utilization Review Jobs
To put yourself in the best position to line up an interview, you need to find ways to get your resume to the top of the stack. When applying for utilization review RN jobs (remote or in-office), use the employer’s job posting as your guide.
As you get a better idea of the organization’s requirements and needs, take note of the keywords and phrases used in the job posting and include them in your utilization review nurse resume. For example, if the posting states that one job requirement is to “engage with medical directors and leadership to improve the efficiency of care,” then you should include that language in your resume when describing your relevant experience.
If your resume is designed to highlight key bullet points in your educational and clinical background, your utilization review nurse cover letter should give employers a better picture of who you are and whether you’d be a good fit for their team. Use your cover letter to introduce your personality and motivation to work in nursing. You can also use it to dive deeper into your experience.
For example, if your resume mentions your experience working with senior medical leaders to improve the efficiency of care, then your cover letter can talk about specific examples or best practices that you learned by engaging with leadership.
Interviewing for RN Utilization Review Jobs
Once you’ve shown that you have the educational background, experience, and personality to do the job, the next step is to prepare for the interview process. There’s no such thing as being over-prepared for an interview so take the time to review common nursing interview questions and ways to highlight your strengths when you answer them.
This is also a good time to study the mission and operations of the employer, as this will help you craft questions of your own. Hiring managers are impressed when you can demonstrate an understanding of their organization and ask questions like, What are the biggest challenges presented by your patient base? Not only will this help you have a more engaging discussion during your interview, it will also give you a better idea of whether you’d really like to be a part of the organization.
Salary for RN Utilization Review Jobs
As you search for utilization review RN jobs, salary considerations are surely top of mind. To get a general idea of what kind of pay to expect, the average annual salary of an RN is $94,480 (about $45 per hour). This is a baseline, as compensation is based on factors like your experience, the facility hiring you, and your location. For a better idea of where you can earn the highest salary, here are a few of the top states for RN pay:
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