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 …

The Utilization Management Nurse is responsible for evaluating clinical service requests to ensure medically necessary, cost-effective, and evidence-based care for members.

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 …

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 …

Explore a day in the life of a utilization management nurse, including how to break into the role and what expected tasks and responsibilities entail.

Dec 12, 2025 · The primary role of the Utilization Management Nurse is to review and monitor members’ utilization of health care services with the goal of maintaining high quality cost …

The Utilization management nurses role is to ensure that health care services are administered with quality, cost efficiency, and within compliance.

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 …