TX · Waco · Updated October 15, 2026

Utilization Review Nurse jobs in Waco, TX

The median utilization review nurse pay in the Waco area is $41.98 per hour ($87,330 a year), with the typical range running from $35.92 to $47.19. That ranks 119th of 379 U.S. metro areas for utilization review nurse pay, and 94th of 335 once local prices are factored in. The CMS hospital directory lists 3 hospitals in Waco. Your free pay report adds named employers and the roles open near Waco.

Utilization Review Nurse pay in Waco, TX

The metro median is 3% below the Texas statewide median of $43.27 per hour. Nationally the median is $45.00 per hour. BLS counts about 2,520 registered nurses employed in the Waco metro area, 19.4 per 1,000 jobs. Employment is less concentrated here than in the country as a whole (location quotient 0.91).

LevelPer hourPer yearCompared with U.S.
Lowest 10%$30.95$64,38031% below U.S. median
Lower quartile$35.92$74,71020% below U.S. median
Median$41.98$87,3307% below U.S. median
Upper quartile$47.19$98,1605% above U.S. median
Top 10%$52.01$108,18016% above U.S. median

How Waco ranks

  • 119th of 379 U.S. metro areas by median hourly pay
  • 94th of 335 after adjusting for local prices
  • 6th of 24 Texas 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 Waco

  • Overall prices in Waco run 7% below the U.S. average (index 92.5, U.S. = 100).
  • Housing is the biggest driver: 16% below the U.S. average (index 83.5).
  • Adjusted for local prices, a $41.98 median hour buys what $45.36 buys at the national price level, 1% 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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Estimate your Waco paycheck

Estimated weekly gross$1,511
  • Per year: $75,564
  • Per month: $6,297
  • Texas has no state income tax on wages.

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

Hospitals in Waco

CMS lists 3 hospitals in Waco.

HospitalTypeOwnershipCMS ratingEmergency
Baylor Scott & White Medical Center Hillcrest
Waco, TX
Acute careNonprofit4 of 5Yes
Ascension Providence
Waco, TX
Acute careNonprofit2 of 5Yes
Oceans Behavioral Hospital Of Waco
Waco, TX
PsychiatricFor-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
Temple, TX33 mi$45.77/hr96,267
Killeen, TX46 mi$45.77/hr160,616
Burleson, TX67 mi$47.47/hr56,253
Georgetown, TX68 mi$45.63/hr101,344
Mansfield, TX70 mi$47.47/hr80,803
DeSoto, TX74 mi$47.47/hr56,711

Utilization Review Nurse jobs in Texas · Utilization Review Nurse jobs nationwide

What employers ask for, and tax basics in Texas

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

Texas does not tax wage income at the state level, so take-home pay is higher than the same gross pay in a state that does.

Texas state guide · Nurse Licensure Compact guide

Other healthcare roles in Waco

Waco city guide: hospitals, employers and licensing

Common questions

How much do utilization review nurses make in Waco, TX?

Utilization Review Nurses in the Waco metro area have a median pay of $41.98 per hour, about $87,330 a year. The middle half earn between $35.92 and $47.19 per hour (BLS, May 2024).

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

Waco ranks 94th of 335 metro areas for utilization review nurse pay after adjusting for local prices, and 119th of 379 before adjusting. Overall prices run 7% below the U.S. average.

Where do utilization review nurses work in Waco?

CMS lists 3 hospitals in Waco, led by Baylor Scott & White Medical Center Hillcrest. Ask for the free report to see current openings and pay.

Do I need a Texas license to work in Waco as an utilization review nurse?

Texas is in the Nurse Licensure Compact, so an RN or LPN/LVN with a multistate license from another compact state can work here without a new license. Nurses whose home state is not in the compact apply for a Texas license by endorsement. Confirm with the board before you accept a role.

Does Valorem Health place utilization review nurses in Waco?

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

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What do employers near Waco pay utilization review nurses? Get the report.

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Pay report · UR Nurse near Waco, TX
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1Pay for your role at other hospitals

  • Emanate HealthCovina, CA · 1 posting$66.34/ hr$52–$81
  • 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

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

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Open UR Nurse roles near Waco, TX, each with pay, shift and start date, arrive with your report.

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