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Part Time Aetna Utilization Review Nurse Jobs (NOW HIRING)

Silver Cross Hospital

Utilization Review Nurse

New Lenox, IL · On-site

$34.73 - $45.15/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Nurse, Registered (RN) licensure * BSN preferred. 2-5 years previous Utilization Review experience ... Part-time employees which includes: • Medical, Dental and Vision plans • Life Insurance • ...

Medix

Utilization Review Nurse

Southfield, MI · On-site

$42 - $46/hr

  • Medical

  • Dental

  • Vision

  • Retirement

Job Summary Our client is seeking a Utilization Review Nurse to manage the full lifecycle of Independent Review Organization (IRO) cases. The primary responsibilities include reviewing clinical ...

McBee Associates

Utilization Review Nurse (PRN)

Review, analyze, and identify utilization patterns and trends, problems, or inappropriate utilization of resources Qualifications Required * Current and unrestricted RN license * At least 3 years ...

LifeBridge Health

Utilization Review Nurse RN - NE

Randallstown, MD · On-site

$40.12 - $62.19/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Utilization Review Nurse RN conducts initial, concurrent and retrospective chart review for clinical, financial and resource utilization information. Provides intervention and coordination to ...

St. Charles Health System

RN Utilization Review

Bend, OR · On-site

$48.30 - $72.45/hr

CHARLES HEALTH SYSTEM TITLE: RN Utilization Management REPORTS TO POSITION: Manager- Utilization Management DEPARTMENT: Utilization Management DATE LAST REVIEWED: November 2024 OUR VISION: Creating ...

Stcharles

RN Utilization Review

Bend, OR · On-site

$48.30 - $72.45/hr

CHARLES HEALTH SYSTEM TITLE: RN Utilization Management REPORTS TO POSITION: Manager- Utilization Management DEPARTMENT: Utilization Management DATE LAST REVIEWED: November 2024 OUR VISION: Creating ...

Ascension

RN Utilization Review

Southport, FL · On-site +1

$84K - $118K/yr

  • Medical

  • PTO

Days l Part Time Salary range: $84,060.91 - $118,668.99per year (Texas) | Pay ranges vary based on ... May prepare statistical analysis and utilization review reports as necessary. * Oversee and ...

Children's Hospital Colorado

Utilization Review RN

Aurora, CO · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Utilization Review RN participates as a member of a multidisciplinary team to support medical ... Utilization Management Job Status: part time, 24 hours per week, eligible for benefits Shift ...

Lifepoint Health

Utilization Review Specialist

Tucson, AZ · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Collaborates with the Director of Nursing (DON) to ensure documentation requirements are met ... Multiple levels of medical, dental and vision coverage for full-time and part-time employees.

Lifepoint Health

Utilization Review Specialist

Tucson, AZ · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Collaborates with the Director of Nursing (DON) to ensure documentation requirements are met ... Multiple levels of medical, dental and vision coverage for full-time and part-time employees.

LifePoint Health

Utilization Review Specialist

Tucson, AZ · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Collaborates with the Director of Nursing (DON) to ensure documentation requirements are met ... Multiple levels of medical, dental and vision coverage for full-time and part-time employees.

LifePoint Health

Utilization Review Specialist

Tucson, AZ · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Collaborates with the Director of Nursing (DON) to ensure documentation requirements are met ... Multiple levels of medical, dental and vision coverage for full-time and part-time employees.

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Part Time Aetna Utilization Review Nurse information

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How much do part time aetna utilization review nurse jobs pay per hour?

As of Aug 19, 2026, the average hourly pay for part time aetna utilization review nurse in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.

What is a part time Aetna utilization review nurse?

A Part Time Aetna Utilization Review Nurse is a registered nurse who works on a part-time basis for Aetna, an insurance company, to review medical records and treatment plans. Their main role is to ensure that healthcare services requested for patients are medically necessary and align with Aetna's coverage policies. They work closely with healthcare providers and members to make coverage determinations and promote quality, cost-effective care. These nurses often work remotely and follow set guidelines to evaluate medical necessity, appropriateness, and efficiency of healthcare services.

What are the key skills and qualifications needed to thrive as a part time Aetna utilization review nurse?

To thrive as a Part Time Aetna Utilization Review Nurse, you need a current RN license, strong clinical assessment skills, and experience in case management or utilization review. Familiarity with utilization management software, electronic medical records (EMRs), and knowledge of healthcare regulations and insurance guidelines are typically required. Excellent critical thinking, attention to detail, and effective communication skills are crucial for collaborating with providers and advocating for patients. These skills ensure accurate care determinations, regulatory compliance, and optimal outcomes for both patients and the organization.

What are some common challenges faced by a part time Aetna utilization review nurse, and how can I prepare for them?

As a Part Time Aetna Utilization Review Nurse, you may encounter challenges such as managing a high volume of case reviews within tight deadlines and staying current with changing insurance policies and medical guidelines. Working remotely or part-time can also require strong self-discipline and effective time management to meet performance metrics. To prepare, familiarize yourself with UM (Utilization Management) software, continuously update your clinical knowledge, and develop strong communication skills for collaborating with physicians, case managers, and other healthcare professionals.

What is the difference between Part Time Aetna Utilization Review Nurse vs Part Time Case Manager?

AspectPart Time Aetna Utilization Review NursePart Time Case Manager
CertificationsRN license, possibly Aetna-specific trainingRN license, case management certification often preferred
Work EnvironmentInsurance company, utilization review settingHealthcare facilities, community or insurance settings
Employer & Industry UsagePrimarily insurance providers like AetnaHospitals, insurance companies, community health organizations

While both roles require RN licensure and involve patient or member interaction, the Part Time Aetna Utilization Review Nurse focuses on reviewing medical necessity for insurance claims, whereas the Part Time Case Manager coordinates patient care and services. The former is more review-oriented within insurance settings, while the latter emphasizes care coordination across healthcare providers.

What cities are hiring for Part Time Aetna Utilization Review Nurse jobs?

Cities with the most Part Time Aetna Utilization Review Nurse job openings:

What are the most commonly searched types of Aetna Utilization Review Nurse jobs?

The most popular types of Aetna Utilization Review Nurse jobs are:

What states have the most Part Time Aetna Utilization Review Nurse jobs?

States with the most job openings for Part Time Aetna Utilization Review Nurse jobs include:

Part Time Aetna Utilization Review Nurse jobs near you
Infographic showing various Part Time Aetna Utilization Review Nurse job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 81% Full Time, 14% Part Time, 1% Temporary, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Utilization Review Nurse

Silver Cross Hospital

New Lenox, IL • On-site

$34.73 - $45.15/hr

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 10 days ago

Silver Cross Hospital rating

6.9

Company rating: 6.9 out of 10

Based on 51 frontline employees who took The Breakroom Quiz

552nd of 1,060 rated hospitals

Job description

Silver Cross Hospital is an extraordinary place to work. We're known for our culture of excellence and delivery of unrivaled experiences for our patients, their families, the communities we serve...and for each other. Come join us! It's the way you want to be treated.
Position Summary: Performs medical record review for severity of illness and intensity of service; liaison function with external review agencies to ensure compliance with regulations affecting financial reimbursement; identifies variance from established pathways
Essential Duties and Responsibilities:
  • Collects information from clinical medical record for severity of illness and intensity of service and documents such in clinical database
  • Monitors all levels of care for appropriateness and communicates variance; evaluates plan of care to ensure it is based on accepted standards
  • Provides information to external review organizations, documents pertinent communications
  • Refers to designated physician advisor those patients not meeting criteria as well as quality of care concerns
  • Maintains knowledge and incorporates current standards into practice

Required Qualifications: Knowledge of clinical norms; excellent communication skills; critical thinking skills; organized and efficient time management skills
Education and Training:
  • Nurse, Registered (RN) licensure
  • BSN preferred. 2-5 years previous Utilization Review experience preferred.
  • Current CPR
  • Relevant hospital nursing; hospital case management; insurance case management or utilization management experience preferred

Work Shift Details:
Various, Day; weekend rotation; holiday rotation; occasional on site requirement for meetings and mandatory training
Department:
CONTINUUM OF CARE
Benefits for You
At Silver Cross Hospital, we care about your health and well-being and that is why we work hard to provide quality and affordable benefit options for you and your eligible family members.
Silver Cross Hospital and Silver Cross Medical Groups offer a comprehensive benefit package available for Full-time and Part-time employees which includes:
• Medical, Dental and Vision plans
• Life Insurance
• Flexible Spending Account
• Other voluntary benefit plans
• PTO and Sick time
• 401(k) plan with a match
• Wellness program
• Tuition Reimbursement
Registry employees who meet eligibility may participate in our 401(k) Savings plan with a potential match. However,registry employees are ineligible for Health and Welfare benefits.
The final pay rate offered may be more than the posted range based on several factors including but not limited to: licensure, certifications, work experience, education, knowledge, demonstrated abilities, internal equity, market data, and more.
The expected pay for this position is listed below:
$34.73 - $45.15

What Silver Cross Hospital employees say

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About Silver Cross Hospital

Sourced by ZipRecruiter

At Silver Cross, we pride ourselves on delivering unrivaled care to every patient, every time. As a result, our focus on safety, quality and patient experience has earned us numerous national awards over the years. As the needs of our community have grown, so has Silver Cross—in both size and stature. Our many healthcare services rapidly expanded, evolved and increased in complexity. To serve you and your loved ones even better than before, we've proudly partnered with many of Chicago's leading academic medical centers, bringing extraordinarily advanced care close to home.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

New Lenox, IL, US

Year founded

1895

Social media

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