Show your hands-on experience
Keep in mind, recruiters are likely to favor LPN applicants who can prove real-world experience. Be sure to detail your clinical rotations, duties performed, and the types of healthcare settings you've worked in.
Utilization Review Nurse
Skills
Utilization Review Nurse Resume Keywords and Skills (Hard Skills)
Here are the keywords and skills that appear most frequently on recent Utilization Review Nurse job postings. In other words, these are the most sought after skills by recruiters and hiring managers. Go to Sample Templates ↓ below to see how to include them on your resume.
Remember that every job is different. Instead of including all keywords on your resume, identify those that are most relevant to the job you're applying to. Use the free Targeted Resume tool to help with this.
Choose a category
- Utilization Review
- Utilization Management
- Nursing
- Case Management
- Healthcare
- Hospitals
- Inpatient Care
- Find out what your resume's missing
- Healthcare Management
- Patient Safety
- Basic Life Support (BLS)
- Acute Care
- Electronic Medical Record (EMR)
- Medical-Surgical
- U.S. Health Insurance Portability and Accountability Act (HIPAA)
- Managed Care
- Medicaid
Show full list
Resume Skills: Regulatory Compliance
- HIPAA
- JCAHO standards
- State Nursing Guidelines
- Patient Safety and Quality Improvement
- State Health Laws
- JCAHO Standards
- Inpatient/Outpatient Regulations
- Medicare/Medicaid Processing
- Medicaid
- Medicare
- Utilization Management
- Managed Care Regulations
- Safety and Compliance Standards
- HIPAA Compliance
- Risk Management
- URAC Accreditation
- Patient Confidentiality
- Health Insurance Portability and Accountability Act (HIPAA)
- Match your resume to these skills
Resume Skills: Healthcare
- Acute Care
- Chronic Disease Management
- Clinical Documentation
- Therapy Planning
- Patient Education
- Palliative Care
- Quality Improvement
- Patient Advocacy
- Care Plan Development
- HIPAA Compliance
- Clinical Judgment
- Match your resume to these skills
Resume Skills: Software Proficiency
- Electronic Health Records (EHR)
- Microsoft Office Suite
- Nursing Database Software
- Electronic Health Records (EHRs)
- MS Office Suite
- Nursing Informatics
- Telemedicine Platforms
- Match your resume to these skills
Resume Skills: Medical Procedures
- Infection Control
- Basic Life Support (BLS)
- Advanced Cardiac Life Support (ACLS)
- Tracheostomy Care
- Dialysis Management
- Match your resume to these skills
Resume Skills: Clinical
- Assessment & Diagnostics
- Disease Prevention
- Post-Operation Care
- Medication Administration
- Pain Management
- Pediatric Care
- Critical Care
- Patient Assessment
- Wound Care
- Infection Control
- Case Management
- Patient Care Coordination
- Clinical Pathways
- Palliative Care
- Care Map Coordination
- Match your resume to these skills
Resume Skills: Languages
- English
- Spanish
- French
- Match your resume to these skills
Resume Skills: Technical
- Microsoft Office Suite
- Electronic Health Records (EHR)
- InterQual Criteria
- Nurse Triage
- Medical Coding (ICD-10 & CPT)
- Medical Software (Epic Systems)
- MS Office
- Clinical Data Analysis
- Electronic Health Records
- Quality Assurance
- Health Information Systems
- EMR Systems
- Records Maintenance
- Clinical Documentation
- InterQual
- MCG Guidelines
- Match your resume to these skills
Resume Skills: Nursing
- Patient Advocacy
- Pain Management
- Acute Care
- Clinical Tasks
- Medication Administration
- Health Education
- Match your resume to these skills
Resume Skills: Medical Software
- Epic Systems
- Meditech
- Allscripts
- NextGen Healthcare
- Cerner
- Match your resume to these skills
Resume Skills: Other
- Data Entry
- Microsoft Office Suite (Excel, Word, PowerPoint)
- Match your resume to these skills
Resume Skills: Problem Solving
- Action Plan Development
- Workflow Optimization
- Patient Advocacy
- Problem Resolution
- Collaborative Problem-Solving
- Match your resume to these skills
Does your resume contain all the right skills? Paste in your resume in the AI Resume Scan ↓ section below and get an instant score.
Compare Your Resume To These Utilization Review Nurse Skills (ATS Scan)
Paste your resume below and our AI will identify which keywords are missing from your resume from the list above (and what you need to include). Including the right keywords will help you get past Applicant Tracking Systems (i.e. resume screeners) which may scan your resume for keywords to see if you're a match for the job.
Sample Utilization Review Nurse Resume Examples: How To Include These Skills
Add keywords directly into your resume's work experiences, education or Skills section, like we've shown in the examples below. Use the examples below as inspiration.
Your Name
Utilization Review Nurse
EXPERIENCE
Resume Worded January 2020 - Present
Senior Utilization Review Nurse
Directed a team of 10 in utilization management activities resulting in 30% more claims processed weekly
Implemented a new EMR system enhancing patient data access for the team by 70%
Collaborated with physicians to explain medical necessity, leading to a 20% decrease in claim denials
Established a protocol for HIPAA compliant data handling, minimizing breaches by 75%
Educated families in home care procedures providing a smoother transition, with 100% positive feedback from satisfied families
United Healthcare Group March 2015 - December 2019
Utilization Review Nurse
Increased efficiency in case management by developing new strategies, reducing process time by 25%
Negotiated with Managed Care companies, saving the company a minimum of $500K annually
Performed in-depth utilization reviews, preventing 50+ inappropriate hospital admissions annually
John Hopkins Hospital February 2011 - February 2015
Staff Nurse, Medical-Surgical
Developed and implemented patient safety measures which led to a 40% drop in post-operative complications
Provided patient education on acute care procedures, resulting in a 35% increase in patient preparedness
Became certified in Basic Life Support (BLS), improving sudden efficient emergency responses by 30%
EDUCATION
Resume Worded University December 2019
Master of Science in Nursing
Certified in Case Management (CCM)
Resume Worded Institute May 2010
Bachelor of Science in Nursing (BSN)
Specialization in Medical-surgical nursing
Graduated with high distinction
SKILLS
Clinical Skills: Case Management, Patient Care Coordination, Clinical Pathways, Palliative Care, Care Map Coordination
Technical Skills: EMR Systems, Records Maintenance, Clinical Documentation, MS Office, InterQual, MCG Guidelines
Regulatory Compliance: Medicaid, Medicare, Utilization Management, Managed Care Regulations, Safety and Compliance Standards
Problem Solving: Action Plan Development, Workflow Optimization, Patient Advocacy, Problem Resolution, Collaborative Problem-Solving
OTHER
Certifications: Certified Case Manager (CCM), Registered Nurse Certification
Continuing Education: Medical-Surgical Nursing Bootcamp, Advanced Care Coordination Course
Awards: Nurse of the Year (2018, United Healthcare Group)
Volunteering: Regular Volunteer - Health Camps, Resume Worded Healthcare Centre
Your Name
Clinical Review Nurse
EXPERIENCE
Coached.com May 2018 - Present
Clinical Review Nurse Specialist
Revamped utilization review standard protocols increasing department performance by 25%
Managed healthcare services for 200+ inpatients monthly by coordinating staff schedules
Streamlined patient admission process to medical-surgical units resulting in 20% fewer delays
Contributed to teams developing hospital-wide patient safety initiatives reducing inpatient accidents by 50%
Conducted weekly trainings on HIPAA laws boosting staff compliance by 100%
Cleveland Clinic May 2014 - April 2018
Clinical Review Nurse
Automated review processes in the Medicare department saving the team 10 hours per week
Provided expert guidance in relevant Medicaid rules preventing 100+ policy violations
Supervised implementation of a new EMR system, resulting in a 40% decrease in paper usage
Mayo Clinic February 2010 - April 2014
Registered Nurse, Acute Care
Pioneered a case management strategy that reduced patient discharge time by 30%
Trained 50+ new nursing staff in BLS measures improving emergency response time by 15%
Promoted patient education, reducing recidivism in acute cases by 20%
EDUCATION
Resume Worded University May 2018
Master of Science in Nursing - Clinical Review
Specialization in acute care medical surgical nursing
Resume Worded Academic Center January 2010
Bachelor of Science in Nursing
Minors in Health Care Management and Health Education
Dean's List 2008 - 2010 (Top 10% of the class)
SKILLS
Clinical Skills: Assessment & Diagnostics, Disease Prevention, Post-Operation Care, Medication Administration, Pain Management
Software Proficiency: Electronic Health Records (EHRs), MS Office Suite, Nursing Informatics, Telemedicine Platforms
Regulatory Compliance: HIPAA, JCAHO standards, State Nursing Guidelines, Patient Safety and Quality Improvement
Languages: English (Native), Spanish (Conversational), French (Basic)
OTHER
Certifications: Certified Case Manager (CCM) - Commission for Case Manager Certification, Certified Registered Nurse Assessment Coordinator (RAC-CT) - American Association of Nurse Assessment Coordination
Awards: Nurse of The Year - Cleveland Clinic (2016), Excellence in Acute Care Nursing - Mayo Clinic (2012)
Volunteering: Nursing Care at Homeless Shelters (2011-2013), Vaccination Drives (Seasonal)
Your Name
Case Management Nurse
EXPERIENCE
Resume Worded February 2017 - Present
Lead Case Management Nurse
Analyzed and reviewed 500+ patient cases yearly for medical necessity saving $1M in unnecessary expenses
Built and inspired a dedicated care team boosting staff retention by 50%
Instituted a system to manage hospital inpatient care enhancing patient outcomes by 25%
Formulated patient home care routines leading to a 40% decrease in readmission rates
Organized hospital-wide workshops on HIPAA regulations to ensure 100% compliance
Kaiser Permanente January 2013 - January 2017
Case Management Nurse
Spearheaded Managed Care negotiations saving over $2M in operational costs
Designed a digital system to manage Medicaid aspects, improving efficiency by 35%
Reduced denials by advocating for patients and explaining medical necessity to insurers
Emory Healthcare January 2009 - December 2012
Registered Nurse, General
Customized patient education materials, increasing comprehension rates by 60%
Implemented a new EMR system to aid in patient data access, improving hospital efficiency by 45%
Promoted inpatient safety protocols which led to a 20% decrease in hospital-acquired infections
EDUCATION
Resume Worded Institute January 2017
Certification in Advanced Nursing Case Management
This certification was part-time while working at Kaiser Permanente
Resume Worded University December 2008
Bachelor of Science - Nursing
Coursework focus: Health Policy, Leadership, Acute Care
Member of the Resume Worded Academic Honor Society
SKILLS
Healthcare: Acute Care, Chronic Disease Management, Clinical Documentation, Therapy Planning, Patient Education, Palliative Care
Software Proficiency: Electronic Health Records (EHR), Microsoft Office Suite, Nursing Database Software
Medical Procedures: Infection Control, Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), Tracheostomy Care, Dialysis Management
OTHER
Certifications: Certified Case Manager (CCM), Licensed Registered Nurse (RN)
Professional Affiliations: Member, American Nurses Association; Member, Case Management Society of America (CMSA)
Volunteering: Volunteer Health Advisor, Resume Worded Community Health Centre, 2015-Present
Awards: Winner, Nurse of the Year Award, Kaiser Permanente, 2015
How do I add skills to an Utilization Review Nurse resume?
1
Review the job posting closely.
Go through the Utilization Review Nurse posting you're applying to, and identify hard skills the company is looking for. For example, skills like Healthcare Management, Nursing and Healthcare are possible skills. These are skills you should try to include on your resume.
Word Cloud for Utilization Review Nurse Skills & Keywords
The following word cloud highlights the most popular keywords that appear on Utilization Review Nurse job descriptions. The bigger the word, the more frequently it shows up on employer's job postings. If you have experience with these keywords, include them on your resume.
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Utilization Review Nurse Resume Templates
Here are examples of proven resumes in related jobs and industries, approved by experienced hiring managers. Use them as inspiration when you're writing your own resume. You can even download and edit the resume template in Google Docs.
Resume Example
LPN Nurse (Licensed Practical Nurse)
Resume Example: LPN Nurse (Licensed Practical Nurse)
Download this resume template
Overview
As you pursue a role in the world of nursing as a Licensed Practical Nurse (LPN), you must be prepared to showcase your unique blend of clinical skills and empathy. In recent times, healthcare settings are increasingly relying on LPNs not just for basic nursing care but for their ability to connect with patients. They appreciate LPNs who can balance human touch with technical proficiency. So, when drafting your resume, remember to present a compelling mix of your technical knowledge, patient care skills, and ability to work under pressure. The industry is moving towards more specialized care, which means your resume needs to emphasize any specific nursing skills or areas of expertise you've developed. Similarly, companies value LPNs who are continuous learners and are adapting to the evolving healthcare landscape. It's critical to demonstrate your commitment to ongoing education and upskilling on your resume.
Tips on why this template works
Emphasize your specialized skills
If you have expertise in a specialized area like geriatrics, palliative care, or rehabilitation, make it prominent on your resume. Don't bury unique skills, these can set you apart from other LPN applicants.
Resume Example
LPN Nurse (Licensed Practical Nurse)
Resume Example: LPN Nurse (Licensed Practical Nurse)
Download this resume template
Overview
Becoming a Licensed Practical Nurse (LPN) is all about showing you've got the chops to provide high-level care under the guidance of registered nurses and physicians. When crafting your resume, remember that it's not just about showing your clinical skills, but also demonstrating your ability to support patients emotionally. This field is rapidly changing with technologies like telemedicine and electronic health records becoming more prominent, which means you need to show you can keep up. Given that many LPNs work in elder care, where we're seeing a surge in demand, emphasize any relevant experience or skills in this area.
Tips on why this template works
Include relevant certifications and training
As an LPN, you've likely completed a bunch of certifications, such as IV therapy or gerontology. Make sure these are clearly outlined in your resume, particularly if they're ones that the job description specifically mentions.
Also see: How to List Certifications on a Resume
Detail your patient care experience
Hiring managers want to see that you can handle patient care responsibilities, so include details of the type of care you've provided. For instance, if you worked in a long-term care facility, describe how you managed patient hygiene, medication administration, and vital signs monitoring.
Resume Example
LVN Nurse (Licensed Vocational Nurse)
Resume Example: LVN Nurse (Licensed Vocational Nurse)
Download this resume template
Overview
As a Licensed Vocational Nurse (LVN), you play a vital role in the healthcare industry, often serving as the backbone of patient care. Your resume should reflect your robust skills set — your ability to assist with diagnostic tests, take vital signs, and provide emotional support to patients. Recently, the industry's focus has increasingly shifted to holistic care, and as an LVN, you're more likely to work in interdisciplinary teams. When crafting your resume, it's essential to convey the breadth of your nursing skills and your ability to work well with a diverse set of professionals. In the ever-evolving world of healthcare, trends tend to focus on emerging technologies and automation of administrative duties. This doesn't reduce the value of an LVN, but rather increases the demand for interpersonal and technical skills. Your resume should show your adaptability to new technologies, and your knack for juggling both patient interaction and administrative tasks. Remember, your resume doesn’t just outline your past jobs—it tells your professional story, offering a glimpse into who you are as an LVN.
Tips on why this template works
Highlight your technical and interpersonal skills
Since the LVN role involves working with a variety of tech tools and diverse teams, your resume should reflect your ability to navigate both. Mention any software you're proficient in, and provide examples of your teamwork skills within your past roles.
Resume Example
LVN Nurse (Licensed Vocational Nurse)
Resume Example: LVN Nurse (Licensed Vocational Nurse)
Download this resume template
Overview
As an LVN (Licensed Vocicational Nurse), you have a key role in healthcare that is rewarding and challenging. The demand for LVNs is quite high due to an aging population and an increasing need for healthcare services. However, the competition for positions in prestigious facilities is as fierce as ever. Your resume, therefore, needs to clearly communicate your technical skills, hands-on nursing experience, and compassion for patients. And although patient care is paramount, do not underestimate the importance of displaying soft skills such as communication and teamwork. Keeping up-to-date with current trends, such as the shift towards home health care, can also give your resume an edge.
Tips on why this template works
Include relevant certifications and trainings
As an LVN, you've probably undergone additional training or earned complementary certifications, like IV certification or wound care. Include these to demonstrate your commitment to continuing education and to stand out from the competition.
Also see: How to List Certifications on a Resume
Emphasize your patient care experience
You should explicitly list the types of care you have provided to patients. Whether it's administering medication, assisting with personal hygiene, or working with specific patient populations (like geriatrics or pediatrics), your experiences can make you particularly attractive to certain employers.
Resume Example
Professional
Resume Example: Professional
Download this resume template
Overview
This resume template is suitable for experienced hires or mid-level hires. The education contains two examples of an education experiences, but only include one (your most recent one) if you're a senior level employee.
Tips on why this template works
Makes great use of space
It strikes the right balance between white space and content, and doesn't waste space on unnecessary images and icons. Remember, recruiters aren't looking at how creative you are when it comes to your template. Your content is core and should be the focus.
Strong resume bullet points
This job seeker uses resume bullet points that uses strong action verbs, and most importantly, contain numbers that demonstrate the significance of their accomplishments.
Resume Example
Highlights (Free)
Resume Example: Highlights (Free)
Download this resume template
Overview
This template is clean, readable by resume screeners, and is effective at calling out key accomplishments and projects from specific work experiences. This would be useful if you have been at a company for a while, or been in a consulting-type of role, and want to point hiring managers to your most impressive accomplishments.
Tips on why this template works
Strong action verbs
Action verbs are important on your resume are vital. They evoke strong imagery to your reader, and this resume does an excellent job by using words such as “spearheaded,” “managed,” and “drove.” These words will help you to put your achievements in perspective, in conjunction with measurable results. Use action verbs relating to the skills you want to highlight.
Also see: Effective Action Verbs for your Resume
Specific examples of finished projects
Many of your accomplishments will involve your responsibilities in your employer's high-level projects. Recruiters want to see what you’ve completed in previous roles -- such as the Operations Improvement Project and new iPhone app launch highlighted in this resume. The numbers make your experience real, rather than a vague “oversaw several teams for a project.” What did you do specifically? Be specific.
Also see: How to List Projects on a Resume
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Frequently Asked Questions
What skills should you put on an Utilization Review Nurse resume?
Some effective Utilization Review Nurse skills you can add to your resume include:
- Utilization Review
- Utilization Management
- Nursing
- Case Management
- Healthcare
- Hospitals
- Inpatient Care
- Healthcare Management
Target your Resume to a Job Description
While the keywords above are a good indication of what skills you need on your resume, you should try to find additional keywords that are specific to the job. To do this, use the free Targeted Resume tool. It analyzes the job you are applying to and finds the most important keywords you need on your resume.
It is personalized to your resume, and is the best way to ensure your resume will pass the automated resume filters.
