Utilization management nurses are registered nurses (RNs) who work in various health care settings, such as hospitals, private practices, and insurance companies.

What Exactly is a Utilization Management Nurse? A utilization management nurse is a registered nurse who works with health insurance companies to ensure that patients receive the care they need and …

Perform utilization review and management activities to support appropriate level of care decisions in acute care, ICU, PICU, or hospice settings. Apply CPT coding, ICD-9/10 coding, DRG assignment, …

Aug 11, 2025 · In this article, we'll explore how to become a utilization review nurse, including education requirements, job duties, and salary potential. Continue reading to learn more about what it takes to …

In this course, learners will review the foundations of Utilization Management Nursing. You will learn about the utilization management process in various care settings, challenges, and legal considerations.

Nov 4, 2025 · An in-depth look at the Utilization Management Nurse role, defining typical responsibilities, key qualifications, and expected earning potential.

There are about 55,000 utilization management nurses employed in the United States. And outside of nurses, countless other ancillary roles help to support utilization management. Here’s how one …

Implement case management strategies to optimize patient care.… Activities include concurrent clinical management, discharge planning, social work and utilization review. Responsible and accountable …

Sep 9, 2024 · What does a utilization management nurse do? Explore this important nursing career path, and find out more about their primary duties and responsibilities.

Aug 19, 2019 · Utilization Management (UM) is one of the many nontraditional bedside jobs a nurse can pursue. In this article, we will look at what utilization management is and how to move into this position.