Also called: UR Nurse, Utilization Management Nurse
Reviews medical records to decide whether treatments and hospital stays meet insurance guidelines.
Reads through charts on a computer, compares them to clinical criteria, and talks with doctors about whether a patient should stay another night. Often a remote, work-from-home job.
Estimate based on BLS registered nurses (May 2025 median about $95k); specialty and region shift pay.
Approximate: anchored on Bureau of Labor Statistics data for a broader job group.
Bachelor's degree (4-year), about 4 years after high school. ADN or BSN, RN license, then experience in the specialty; certification optional.
Ways in: 4-year college, 2-year college, Certification. Training cost: $15k – $60k.
Majors to look at: Nursing.
Growing faster than average. Tracks registered nurses overall (faster than average).
Medium risk in 5 years, high in 10. Insurers already use AI for first-pass reviews of records against guidelines; fewer nurses handle only the hard or appealed cases.
Classes: Biology, English composition, Business or office tech, AP Statistics.
Official data: O*NET occupation 29-1141.
Career Universe is an early version. Pay, training and AI-risk figures are estimates to start your own research, not verified facts. The research was written with AI research assistants, checked by validation scripts and spot-checked by hand. Check anything important with schools, employers and official sources. How the numbers work.