Utilization Review - Nursing

Description

We are seeking a detail-oriented, analytical, and patient-advocating Utilization Review (UR) Nurse to join our care management team. In this pivotal role, you will ensure that patients receive medically appropriate, high-quality care while supporting compliance with regulatory, payer, and organizational standards. Your expertise will help balance clinical needs with efficient resource utilization, ultimately improving outcomes and supporting responsible healthcare delivery.

Your primary responsibilities will include conducting thorough clinical reviews of inpatient and outpatient cases, analyzing documentation for medical necessity, and applying evidence-based criteria such as InterQual or MCG Guidelines. You will collaborate with physicians, nursing staff, case managers, and insurance representatives to clarify clinical information, resolve authorization issues, and facilitate timely level-of-care decisions. Additional duties include preparing appeals for denied claims, identifying trends affecting utilization, and contributing to process improvements that enhance documentation accuracy and care coordination.

Success in this role requires strong critical-thinking abilities, excellent communication skills, and the capacity to interpret complex clinical information with precision. You will work in a fast-paced but structured environment that values accountability, collaboration, and patient advocacy. If you excel at clinical assessment, enjoy problem-solving, and are motivated to support cost-effective, patient-centered care, we invite you to join our utilization review nursing team.

Requirements and Qualifications

- Active RN license

- BLS certification (American Heart)

- Minimum of one (1) year of experience required for Olaro; individual facilities may require additional experience

About Us

At Olaro, we prioritize your professional growth and work-life balance. We provide competitive compensation, comprehensive benefits, and access to diverse clinical experiences that broaden your skillset. Our dedicated support team ensures you're equipped with the tools and resources you need to succeed in each assignment, offering 24/7 support and a streamlined onboarding process. 

At Olaro, we prioritize your professional growth and work-life balance. We provide competitive compensation, comprehensive benefits, and access to diverse clinical experiences that broaden your skillset. Our dedicated support team ensures you're equipped with the tools and resources you need to succeed in each assignment, offering 24/7 support and a streamlined onboarding process. 

Whether you're looking to explore new locations or gain valuable clinical experience, Olaro provides the flexibility and support to help you thrive in your healthcare career. Join a team that values your expertise and is committed to your success at every step.

Benefits

?Medical, Dental and Vision Coverage

Health Savings Account

401(k) Retirement Plan

Hospital Indemnity Insurance

Critical Illness Insurance

Accident Insurance

Referral bonuses

Other

Olaro Company Description Olaro is a trusted partner in healthcare staffing, connecting nurses and allied health professionals with opportunities nationwide. For over 35 years, we’ve helped clinicians expand their horizons by matching them with assignments that fit their lifestyle, career goals, and personal ambitions. At Olaro, we value your expertise and support your growth at every step. We offer competitive pay, comprehensive benefits, and access to diverse clinical experiences that build your skills and open doors to new possibilities. With 24/7 support, streamlined onboarding, and a team committed to your success, you’ll always have a proven guide by your side. Whether you want to explore new locations, broaden your clinical experience, or achieve better work–life balance, Olaro provides the flexibility and support to help you thrive. Join us, and let’s shape the future of healthcare together.