Advance Your Nursing Career: Become a Revenue Utilization Review Specialist with the VA
Are you a Registered Nurse seeking to leverage your clinical background in a more analytical and strategic capacity? The Department of Veterans Affairs (VA) is currently hiring for Revenue Utilization Review (RUR) Nurses. This unique role offers the chance to support the healthcare mission of the Veterans Health Administration (VHA) by ensuring that care is properly documented and reimbursed, allowing the agency to continue providing world-class services to those who have served our country.
Job Responsibilities
The RUR nurse functions within the Consolidated Patient Accounting Center (CPAC). Your primary responsibilities include:
- Clinical Review: Conducting pre-certification and admission reviews to obtain approval from third-party payers.
- Compliance: Ensuring all documentation adheres to HIPAA and Privacy Act standards.
- Appeals Management: Drafting clinical arguments to overturn insurance denials.
- Collaboration: Working with health information management, billing, and clinical staff to ensure seamless patient care workflows.
- Data Analysis: Tracking revenue metrics to meet facility goals.
Requirements
To be considered for this role, you must meet the following criteria:
- Valid U.S. nursing license.
- Graduation from an accredited nursing program (ACEN/CCNE).
- English language proficiency.
- Ability to clear a security and background investigation.
- Successful completion of a pre-employment physical.
Salary and Grade Comparison
Your salary is determined by your educational background and depth of nursing experience. Below is a general representation of how grades are assigned:
| Position Level | Typical Education Requirement | Key Focus Area |
|---|---|---|
| Nurse I, Level I | ADN / Diploma | Fundamental care development |
| Nurse I, Level II | ADN/Diploma + 1yr Exp OR BSN | Complex care integration |
| Nurse I, Level III | ADN + 2yr Exp OR BSN + 1yr Exp | Self-directed goal setting |
| Nurse II | BSN + 2yr Exp OR MSN + 1yr Exp | Holistic care leadership |
| Nurse III | MSN + 2yr Exp | Complex management & strategy |
Note: Salary ranges from $68,967 to $145,822 depending on selected grade.
Benefits
- Paid Time Off: 50 days total including annual, sick, and federal holidays.
- Insurance: Extensive Federal Employees Health Benefits (FEHB) options.
- Retirement: Federal pension plus 401(k) matching up to 5%.
Application Tips
- Use the Template: Use the standard Clinical Resume document provided by the VA.
- Be Specific: Quantify your achievements in previous nursing roles.
- Stay Compliant: Ensure your ID is REAL ID compliant.
Becoming an RUR nurse is a fulfilling path for those who want to blend clinical expertise with healthcare administration. If you are ready to make a lasting impact on Veteran healthcare, review the requirements and submit your application today.
Why This Nurse Job Matters
Transform your nursing career with the Department of Veterans Affairs by joining our specialized Revenue Utilization Review team, where clinical expertise drives operational excellence for our nation's heroes.
Nurse Job Overview
The Veterans Health Administration is seeking dedicated Nurses to serve as Revenue Utilization Review (RUR) specialists within our Consolidated Patient Accounting Centers. In this vital role, you will bridge the gap between clinical care and administrative reimbursement. By applying your advanced nursing knowledge, you will conduct complex clinical reviews, facilitate pre-certifications, manage discharge planning, and ensure that our medical facilities provide the highest quality of care while maintaining financial integrity. This is an exceptional opportunity for professionals looking to utilize their critical thinking and case management skills in a non-traditional nursing environment that directly supports the VA mission.
Requirements for Nurse
- U.S. Citizenship (non-citizens may be appointed only if no qualified citizens are available).
- Active, full, and unrestricted nursing license in a U.S. State, Territory, or District of Columbia.
- Graduate of an accredited school of professional nursing (ACEN or CCNE).
- Proficiency in written and spoken English.
- Must pass a pre-employment physical examination and drug screening.
- Subject to a security and background investigation.
- Must be able to provide acceptable identification for I-9 verification (must be REAL ID compliant).
- Registration with the Selective Service for males born after 12/31/1959.
Preferred Qualifications for Nurse
- Prior experience in Revenue Utilization Review within a Consolidated Patient Accounts Center environment.
- Advanced nursing degree (BSN, MSN, or Doctoral degree in Nursing or a related field).
- Demonstrated expertise in case management principles and third-party payer negotiations.
- Proficiency in clinical data analytics and metrics-based performance evaluation.
Federal Benefits & Perks
- ✓Competitive federal salary with periodic increases.
- ✓Generous paid time off (26 days annual, 13 days sick, and 11 paid federal holidays).
- ✓Comprehensive federal health, dental, vision, and life insurance.
- ✓Traditional federal pension plan.
- ✓Federal 401(k) (Thrift Savings Plan) with up to 5% agency matching.
- ✓Opportunities for professional development and performance awards.
💡 How to Apply Nurse Job & Insider Tips
Application Steps for Nurse Job
- Create a profile on USAJobs.gov and prepare your federal resume.
- Download and complete the required clinical resume document template provided by the VA.
- Complete the full online occupational questionnaire.
- Upload all required supporting documents, including your transcript, license, and CV.
- Submit your application package before the closing date of July 27, 2026.
💡 General Tips
- Be specific in your resume—do not leave room for assumptions regarding your experience.
- Ensure your documentation is compliant with the VA’s specific resume format requirement.
- Double-check that your license information is clear and current.
- Highlight any experience related to third-party reimbursement or denial management.
- Track your application status via your USAJobs dashboard.
Frequently Asked Questions
What is a Revenue Utilization Review nurse?
An RUR nurse focuses on the financial and clinical intersection of healthcare. You will conduct clinical reviews to justify care to third-party payers, manage authorization processes, and help the VA maximize reimbursement for patient services.
Is this a remote position?
No, this is not a virtual or remote position. It requires work at designated facility locations.
What is the grade level for this position?
Grade levels are determined based on your education and specific nursing experience, ranging from Nurse I to Nurse III.
Job from Veterans Health Administration
The Veterans Health Administration is the largest integrated healthcare system in the United States. Providing care to millions of Veterans, the VHA is committed to President Lincoln's promise: "To care for those who have served in our nation's military and for their families, caregivers, and survivors." By joining the VHA, you become part of a professional team focused on compassionate care and operational efficiency.