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Part Time Anthem Utilization Review Nurse Jobs (NOW HIRING)

silvercross

Utilization Review Nurse

New Lenox, IL

$34.73 - $45.15/hr

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 Flexible ...

Silver Cross Hospital

Utilization Review Nurse

New Lenox, IL · On-site

$34.73 - $45.15/hr

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 • ...

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 ...

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 ...

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Part Time Anthem Utilization Review Nurse information

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

As of Aug 6, 2026, the average hourly pay for part time anthem 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 the difference between Part Time Anthem Utilization Review Nurse vs Part Time Anthem Case Manager?

AspectPart Time Anthem Utilization Review NursePart Time Anthem Case Manager
CredentialsRN license, certifications in utilization reviewRN license, case management certification often preferred
Work EnvironmentReviewing medical records, assessing care necessityCoordinating patient care, communicating with providers
Employer & IndustryHealth insurance, managed careHealth insurance, managed care
Search & ComparisonFocused on utilization review tasksFocused on patient care coordination

While both roles require nursing credentials and work within the health insurance industry, the Part Time Anthem Utilization Review Nurse primarily evaluates medical necessity through record review, whereas the Part Time Anthem Case Manager focuses on coordinating patient care and services. Understanding these differences helps job seekers identify the role that best matches their skills and career goals.

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What cities are hiring for Part Time Anthem Utilization Review Nurse jobs? Cities with the most Part Time Anthem Utilization Review Nurse job openings:
What are the most commonly searched types of Anthem Utilization Review Nurse jobs? The most popular types of Anthem Utilization Review Nurse jobs are:
What job categories do people searching Part Time Anthem Utilization Review Nurse jobs look for? The top searched job categories for Part Time Anthem Utilization Review Nurse jobs are:
Part Time Anthem Utilization Review Nurse jobs near you

Utilization Review Nurse

silvercross

New Lenox, IL

$34.73 - $45.15/hr

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 27 days ago

Job description

Silver Cross Hospital is an extraordinary place to work. We're known for our culture of excellence and deliveryof unrivaled experiencesfor our patients, their families, the communities we serve...and for each other. Come join us! It's the wayyouwant 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 CAREBenefits 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

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