RN, Senior Utilization Review Quality
Ensemble Health Partners · United States · US
Utilization Review
Remote
physician
Nurse
Demand80
Career growth72
Healthcare fit88
Remote potential55
Salary band
USD 47 – 63
5-year outlook
Senior utilization review quality roles in revenue cycle can offer stable hourly compensation and progression into audit leadership or quality management. Exact future pay depends on market, experience, and employer.
Clinical license
Required
Applicant reach
moderate
Seniority
senior
Employment type
full-time
Date found
2026-10-22
Intelligence details
Flexible work details
- Side income
- Classified as side-income friendly
- Engagement type
- Temporary
- Hours
- Variable hours
- Eligible countries
- United States
- License jurisdiction
- US
- Profession fit
- physician, Nurse
- Rate period
- Hourly
Why this was classified this way
- temporary
Listing via Himalayas.
Eligibility, licensing, and location restrictions can change. Always confirm details on the source posting before applying.
Why this is worth applying to
Worth considering for RNs with utilization review, denials, or quality audit experience who want a non-bedside revenue cycle quality role. Less suitable for clinicians without prior UR or revenue cycle exposure.
Who should apply
RNs with utilization management, case management, quality assurance, denials, or revenue cycle review experience; nurse auditors or quality specialists seeking senior non-clinical roles.
CV angle
Frame RN experience around utilization review, payer criteria, clinical documentation review, denials management, quality audits, root-cause analysis, mentoring, and policy/procedure improvement. Quantify audit volumes or outcomes only where real.
Skills to highlight
- Utilization review
- Quality assurance auditing
- Root cause analysis
- Utilization management denials
- Clinical documentation review
- Mentoring and training
- Policy and procedure evaluation
- Revenue cycle operations
Role summary
A senior RN utilization review quality role focused on auditing utilization review work, reviewing revenue cycle cases, identifying quality gaps, supporting training, and partnering with leadership on process improvement and denials.
We publish our own intelligence summary, never the full job description. Always confirm details with the employer when you apply.