utilization review nurse job description template

Utilization Review Nurse Job Description

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Job Descriptions
.docx (0.02 MB)

An effective Utilization Nurse job description is essential when recruiting new staff, and it helps doing a preselection of the right job candidates. This will save you effort and time. By using this sample job description template, you do not need to start from scratch. This will give you a head start.

How do you write a job description for a Utilization Nurse?

A Utilization Nurse frequently reviews patient records and cases to ensure that health care services are managed effectively and efficiently. Their duties include speaking with patients and the healthcare team regarding treatment, maintaining accurate records of all patient-related interactions, and providing recommendations for patient care based on their evaluations. This sample Job description explainer offers guidance on key sections that are important to include for clarity, as well as suggestions for promoting the position. It provides a list of duties, responsibilities, tasks, requirements, demands for setting job expectations and the employee's ability to perform the work as described. However, it’s often not construed as an exhaustive list of all functions, responsibilities, skills and abilities. The following is included in job descriptions:

  • Job title: highlight the accurate job title;
  • Brief description: provide a brief summary or introduction that provides an overview of the job;
  • Responsibilities: specify the relevant job duties and responsibilities that are necessary for this position;
  • Company mission or company introduction;
  • Requirements: demands that are important to do the job successfully;
  • Qualifications; List essential qualifications;
  • Compensation; Total funds and benefits that are provided to the employee in exchange for the work.


  • Be clear and concise;
  • Have someone proofread it;
  • Make sure that HR and the hiring manager will sign off before publishing it;
  • Define what success looks like in the position after 30 days, the first quarter, and the first year;
  • Provide direct contact details of the manager or HR department who will follow up on the candidates;
  • Publish it via several social media platforms, or offline media, so you are sure that in-house employees also can get easy access to it.

What does a Utilization Nurse do?


  • The utilization nurses decide the care that is to be given to each patient that is under their care.
  • They review the condition of the patient and the doctor's orders and then formulate a treatment plan which is followed by the nurses.
  • They have to carefully review the insurance the patient has and then devise upon a treatment plan.
  • They have to regularly check the condition of the patient and check if the treatment is working to their desire.
  • They have to talk to the doctor before starting on the treatment plan and get their approval for the plan.
  • They have to talk to the family of the patient and help them understand the treatment plan.
  • If there is a certain treatment that is needed by the patient but their insurance does not cover it, the nurse will then get them in contact with a social worker.
  • If the patient is being discharged, they have to teach the family about the treatment plan and ensure that they follow it at home.
  • Despite the administrative duties, the utilization nurses also have to provide nursing care to the patients.


  • A registered nurses degree from nursing school.
  • Registration as a nurse in the state they work in.
  • Experience having done patient case management.

By using this Utilization Review Nurse job description sample, modifying it to your needs, and then posting it, you will soon start receiving Resumes and Cover letter from suitable candidates.

Get this printable file now and personalize it according to your needs. Just download this ready-made Utilization Nurse job description template in Google Docs, MS Word or Apple Pages format and you are ready to go!

The content is for informational purposes only, you should not construe any such information or other material as legal, tax, investment, financial, or other advice. Nothing contained this site constitutes a solicitation, recommendation, endorsement, or offer by Bizzlibrary or any third party service provider to buy or sell any securities or other financial instruments in this or in any other jurisdiction in which such solicitation or offer would be unlawful under the securities laws of such jurisdiction.


Margorie Robinson(12/27/2021) - DEU

Great content in this file!

Annabelle Peck(12/27/2021) - NZL


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