CA · Fresno · Updated October 15, 2026

Utilization Review Nurse jobs in Fresno, CA

Utilization Review Nurses in the Fresno area earn a median of $60.88 per hour, about $126,630 a year, and the middle half of them earn between $49.42 and $67.96. That ranks 26th of 379 U.S. metro areas for utilization review nurse pay, and 17th of 335 once local prices are factored in. The CMS hospital directory lists 5 hospitals in Fresno. Your free pay report adds named employers and the roles open near Fresno.

Utilization Review Nurse pay in Fresno, CA

The metro median is 10% below the California statewide median of $67.47 per hour. Nationally the median is $45.00 per hour. BLS counts about 10,440 registered nurses employed in the Fresno metro area, 22.2 per 1,000 jobs. Employment is about as concentrated here than in the country as a whole (location quotient 1.04).

LevelPer hourPer yearCompared with U.S.
Lowest 10%$41.88$87,1107% below U.S. median
Lower quartile$49.42$102,79010% above U.S. median
Median$60.88$126,63035% above U.S. median
Upper quartile$67.96$141,36051% above U.S. median
Top 10%$94.37$196,290110% above U.S. median

How Fresno ranks

  • 26th of 379 U.S. metro areas by median hourly pay
  • 17th of 335 after adjusting for local prices
  • 21st of 23 California metro areas

BLS does not publish a separate figure for utilization review nurse. These numbers are for the broader category it belongs to, Registered Nurses.

Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2024, Registered Nurses (SOC 29-1141), all industries. This is what employers report paying, not an offer for a specific role.

What your pay buys in Fresno

  • Overall prices in Fresno run 2% above the U.S. average (index 102.2, U.S. = 100).
  • Housing is the biggest driver: 4% below the U.S. average (index 95.7).
  • Adjusted for local prices, a $60.88 median hour buys what $59.59 buys at the national price level, 32% above the national median.

Source: U.S. Bureau of Economic Analysis, Regional Price Parities by metropolitan area, 2024. Prices are for the metro area, not for a single neighborhood.

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Named employers near Fresno, what they pay and the roles open now. Free for candidates, email only.

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Estimate your Fresno paycheck

Estimated weekly gross$2,192
  • Per year: $109,584
  • Per month: $9,132

Gross pay before taxes and benefits, from BLS pay levels for the Fresno metro area. For take-home pay use the take-home pay calculator.

Open Utilization Review Nurse roles in California

Nearest open roles with published pay. Your free report adds roles in Fresno as they open.

All Utilization Review Nurse jobs in California

Hospitals in Fresno

CMS lists 5 hospitals in Fresno.

HospitalTypeOwnershipCMS ratingEmergency
Fresno Va Medical Center (Va Central California Healthcare System)
Fresno, CA
Acute Care - Veterans AdministrationGovernment and federal5 of 5Yes
Kaiser Foundation Hospital - Fresno
Fresno, CA
Acute careNonprofit4 of 5Yes
Saint Agnes Medical Center
Fresno, CA
Acute careNonprofit2 of 5Yes
Community Regional Medical Center
Fresno, CA
Acute careNonprofit1 of 5Yes
Fresno Surgical Hospital
Fresno, CA
Acute careFor-profitNot ratedNo

Source: CMS Hospital General Information, public data. A directory of hospitals, not a list of our clients.

Utilization Review Nurse pay in nearby cities

CityDistanceMedian payPopulation
Clovis, CA7 mi$60.88/hr127,993
Madera, CA21 mi$60.88/hr69,094
Hanford, CA32 mi$62.86/hr60,594
Visalia, CA41 mi$57.77/hr146,271
Tulare, CA47 mi$57.77/hr72,601
Merced, CA52 mi$61.00/hr96,073

Utilization Review Nurse jobs in California · Utilization Review Nurse jobs nationwide

What employers ask for, and tax basics in California

Utilization review nurses assess admissions and services for medical necessity and coordinate with payers.

  • Active RN license
  • Clinical experience in acute care
  • InterQual or MCG experience

California taxes wage income. Use your own rates in the take-home pay calculator.

California state guide · Nurse Licensure Compact guide

Other healthcare roles in Fresno

Fresno city guide: hospitals, employers and licensing

Common questions

How much do utilization review nurses make in Fresno, CA?

Utilization Review Nurses in the Fresno metro area have a median pay of $60.88 per hour, about $126,630 a year. The middle half earn between $49.42 and $67.96 per hour (BLS, May 2024).

Is Fresno a good place for utilization review nurses once cost of living is counted?

Fresno ranks 17th of 335 metro areas for utilization review nurse pay after adjusting for local prices, and 26th of 379 before adjusting. Overall prices run 2% above the U.S. average.

Where do utilization review nurses work in Fresno?

CMS lists 5 hospitals in Fresno, led by Fresno Va Medical Center (Va Central California Healthcare System). Ask for the free report to see current openings and pay.

Do I need a California license to work in Fresno as an utilization review nurse?

California is not in the Nurse Licensure Compact as of October 15, 2026, so a nurse licensed elsewhere applies to the California board for a license by endorsement before working here. Confirm with the board before you accept a role.

Does Valorem Health place utilization review nurses in Fresno?

Yes. We place healthcare staff in Fresno and across California. Tell us your profession and we email the roles open near Fresno.

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Pay report · UR Nurse near Fresno, CA
Valorem Health Shift ReportFrom your recruiting team · [email protected]

Your UR Nurse pay reportTop-paying hospitals shown · your California list by name comes with the full report

1Pay for your role at other hospitals

  • Veterans Health AdministrationPhiladelphia, PA · 1 posting$56.65/ hr$39–$74
  • MaineGeneral HealthAugusta, ME · 1 posting$53.62/ hr$39–$68
  • Trinity HealthConnecticut · 1 posting$48.05/ hr$36–$60
  • Glens Falls HospitalGlens Falls, NY · 1 posting$47.87/ hr$36–$60

Median posted pay per hour, with the range each employer published. Request your California list

2What they are offering now

Low$36Median$45.44High$66

11 UR Nurse postings with published pay in the US, 10 of them posted in the last 30 days. Month-by-month history by employer comes with your full report.

3Open now: 1 UR Nurse roles

  1. RN - Quality Assurance/Utilization Review - Business Development - Full Time 8hrPermanent
    $52.03–$80.64/ hour
    Emanate Health · Covina, CA · posted 10 days ago

Each one has pay, shift and start date.

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