Utilization Review Nurses
Smarter Utilization Review Starts Here
At Hamilton & Archer Health Services, we deliver a smarter, more cost-effective way to manage Utilization Review (UR) through our team of highly skilled, remotely-based UR Nurses. Whether you’re a hospital, health plan, third-party administrator, or employer group, we offer the flexibility to scale your UR team with part-time, full-time, or contract professionals - all without the overhead of traditional, on-site staffing.
The Future of Utilization Review Is Remote
Utilization Review is critical to ensuring patients receive medically necessary care while controlling costs and avoiding denials. But having your UR nurses physically on-site doesn’t increase efficiency—in fact, it often adds to your costs. Our remote UR staffing model gives you access to experienced, licensed nurses who work from secure home environments and are trained in reviewing medical necessity, policy adherence, and documentation accuracy—without compromising quality or compliance.
Why Go Remote with Your UR Team?
1. Significant Cost Savings
Traditional in-house staff come with overhead—office space, equipment, benefits, and administrative costs. With our remote UR nurses, you eliminate those expenses without sacrificing clinical quality. You only pay for the hours or scope of work you need, making budgeting far more predictable and manageable.
2. Flexibility & Scalability
Need coverage during peak times? Looking to fill a temporary gap or scale back during slow periods? Hamilton & Archer offers contract, part-time, and full-time remote UR nurses tailored to your current and future needs. Our flexible model ensures you’re never overstaffed or under-resourced.
3. Access to Nationwide Talent
You’re no longer limited to your local market. Our remote workforce allows you to tap into a nationwide pool of experienced UR nurses, all licensed and credentialed to meet state and payer-specific requirements. You get the best talent—no matter where they live.
4. Faster Turnaround, Improved Workflows
Remote UR nurses can operate across multiple time zones, providing extended or even 24/7 review coverage. This reduces lag time in authorization processes and keeps your clinical workflows moving efficiently. With fewer delays, your team can deliver better, faster patient care.
Quality You Can Trust
At Hamilton & Archer, we understand that Utilization Review demands clinical precision, regulatory knowledge, and strong communication skills. Our UR nurses are thoroughly vetted, HIPAA-compliant, and trained to work seamlessly within your systems and processes. They integrate directly into your team, working with your physicians, case managers, and payers—just as an in-house employee would, but with greater flexibility and reduced cost.
A Strategic Solution for Modern Healthcare
The healthcare industry is shifting—and so should your staffing strategy. By moving Utilization Review off-site, you gain control over your costs, improve staffing flexibility, and maintain the highest standard of patient-centered care. Hamilton & Archer is here to help you adapt, grow, and lead with confidence.
Let’s talk about how our remote Utilization Review Nurses can transform your clinical and financial outcomes. Contact Hamilton & Archer Health Services today.
What are Utilization Review Nurses?
Utilization Review (UR) Nurses play a crucial role in maintaining both the quality and cost-efficiency of healthcare. They are responsible for evaluating the necessity, appropriateness, and efficiency of medical services provided to patients. By reviewing clinical documentation, medical records, and treatment plans, UR nurses ensure that patient care aligns with established medical guidelines and insurance requirements. Their primary goal is to confirm that healthcare services are medically necessary and delivered at the right level of care, helping healthcare providers avoid unnecessary treatments while ensuring patients receive appropriate support.
In addition to reviewing care plans, Utilization Review Nurses frequently interact with insurance companies, acting as clinical liaisons to obtain pre-authorizations, manage concurrent reviews, and address claim denials or appeals. Their assessments help reduce healthcare costs, minimize administrative delays, and streamline patient care pathways. Whether working within hospitals, insurance companies, or remotely through staffing services like Hamilton & Archer Health Services, UR nurses contribute significantly to improving patient outcomes while supporting organizational compliance and fiscal responsibility.