VA · Roanoke · Updated October 15, 2026

Utilization Review Nurse jobs in Roanoke, VA

Utilization Review Nurses in the Roanoke area earn a median of $36.52 per hour, about $75,960 a year, and the middle half of them earn between $36.08 and $46.13. That ranks 336th of 379 U.S. metro areas for utilization review nurse pay, and 306th of 335 once local prices are factored in. The CMS hospital directory lists 1 hospital in Roanoke. Your free pay report adds named employers and the roles open near Roanoke.

Utilization Review Nurse pay in Roanoke, VA

The metro median is 14% below the Virginia statewide median of $42.70 per hour. Nationally the median is $45.00 per hour. BLS counts about 5,970 registered nurses employed in the Roanoke metro area, 39.2 per 1,000 jobs. Employment is more concentrated here than in the country as a whole (location quotient 1.84).

LevelPer hourPer yearCompared with U.S.
Lowest 10%$30.40$63,23032% below U.S. median
Lower quartile$36.08$75,05020% below U.S. median
Median$36.52$75,96019% below U.S. median
Upper quartile$46.13$95,9503% above U.S. median
Top 10%$52.50$109,20017% above U.S. median

How Roanoke ranks

  • 336th of 379 U.S. metro areas by median hourly pay
  • 306th of 335 after adjusting for local prices
  • 7th of 7 Virginia 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 Roanoke

  • Overall prices in Roanoke run 6% below the U.S. average (index 93.6, U.S. = 100).
  • Housing is the biggest driver: 21% below the U.S. average (index 78.5).
  • Adjusted for local prices, a $36.52 median hour buys what $39.01 buys at the national price level, 13% below 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 Roanoke paycheck

Estimated weekly gross$1,315
  • Per year: $65,736
  • Per month: $5,478

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

Open Utilization Review Nurse roles in Virginia

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

All Utilization Review Nurse jobs in Virginia

Hospitals in Roanoke

CMS lists 1 hospital in Roanoke.

HospitalTypeOwnershipCMS ratingEmergency
Carilion Medical Center
Roanoke, VA
Acute careNonprofit3 of 5Yes

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
Lynchburg, VA43 mi$39.34/hr80,301
Greensboro, NC82 mi$40.48/hr307,381
Winston-Salem, NC83 mi$40.51/hr255,769
Burlington, NC87 mi$41.88/hr61,365
High Point, NC89 mi$40.48/hr118,601
Harrisonburg, VA100 mi$42.70/hr51,164

Utilization Review Nurse jobs in Virginia · Utilization Review Nurse jobs nationwide

What employers ask for, and tax basics in Virginia

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

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

Virginia state guide · Nurse Licensure Compact guide

Other healthcare roles in Roanoke

Roanoke city guide: hospitals, employers and licensing

Common questions

How much do utilization review nurses make in Roanoke, VA?

Utilization Review Nurses in the Roanoke metro area have a median pay of $36.52 per hour, about $75,960 a year. The middle half earn between $36.08 and $46.13 per hour (BLS, May 2024).

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

Roanoke ranks 306th of 335 metro areas for utilization review nurse pay after adjusting for local prices, and 336th of 379 before adjusting. Overall prices run 6% below the U.S. average.

Where do utilization review nurses work in Roanoke?

CMS lists 1 hospital in Roanoke, led by Carilion Medical Center. Ask for the free report to see current openings and pay.

Do I need a Virginia license to work in Roanoke as an utilization review nurse?

Virginia 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 Virginia license by endorsement. Confirm with the board before you accept a role.

Does Valorem Health place utilization review nurses in Roanoke?

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

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

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

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 Virginia 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 Lynchburg Homecare Quality & Utilization Review-FT/0830-5pPermanent
    $74k–$112k/ year
    Centra Health · Lynchburg, VA · posted 15 days ago

Each one has pay, shift and start date.

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