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Part Time Clinical Review Nurse Jobs (NOW HIRING)

The PRN Clinical Review Specialist provides clinical review support on an as-needed basis to assist ... Active, unrestricted RN license (compact preferred) * Minimum 3-5 years of clinical experience * 2+ ...

Utilization Review Nurse

New Lenox, IL · On-site

$34.73 - $45.15/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Collects information from clinical medical record for severity of illness and intensity of service ... Part-time employees which includes: • Medical, Dental and Vision plans • Life Insurance • ...

Utilization Review Nurse

New Lenox, IL

$34.73 - $45.15/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Collects information from clinical medical record for severity of illness and intensity of service ... Part-time employees which includes: Medical, Dental and Vision plans Life Insurance Flexible ...

Clinical Review RN PRN

Camden, NJ

$61/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Cooper offers full and part-time employees a comprehensive benefits program, including health ... review preferred. Knowledge and understanding of disease protocols and clinical pathways for ...

Clinical Review RN PRN

Camden, NJ · On-site

$61/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Cooper offers full and part-time employees a comprehensive benefits program, including health ... review preferred. Knowledge and understanding of disease protocols and clinical pathways for ...

Peer Review Nurse

Madera, CA · On-site

$46 - $61.91/hr

The Peer Review Nurse will evaluate clinical documentation, patient charts, and care processes to ... Will facilitate the peer review process and attend peer review meetings. Part Time Position with ...

Peer Review Nurse

Madera, CA · On-site

$46 - $61.91/hr

The Peer Review Nurse will evaluate clinical documentation, patient charts, and care processes to ... Will facilitate the peer review process and attend peer review meetings. Part Time Position with ...

The Peer Review Nurse will evaluate clinical documentation, patient charts, and care processes to ... Will facilitate the peer review process and attend peer review meetings. Part Time Position with ...

Peer Review Nurse

Madera, CA · On-site

$46 - $61.91/hr

The Peer Review Nurse will evaluate clinical documentation, patient charts, and care processes to ... Will facilitate the peer review process and attend peer review meetings. Part Time Position with ...

Part-time Clinical Faculty - Nursing

Highland Heights, KY · On-site

$37.25 - $51/hr

Position Title: Part-time Clinical Faculty - Nursing Position Type: Fixed Term (Fixed Term) About ... Applicants must have a minimum of two (2) years' experience as a registered nurse within the past ...

Utilization Review Nurse RN - NE Randallstown, MD NORTHWEST HOSPITAL NW CARE MANAGEMENT Part-time ... Enters clinical reviews into the software program. Maintains close communication with external ...

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Part Time Clinical Review Nurse information

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$31K

$89.9K

$155K

How much do part time clinical review nurse jobs pay per year?

As of Aug 12, 2026, the average yearly pay for part time clinical review nurse in the United States is $89,949.00, according to ZipRecruiter salary data. Most workers in this role earn between $71,000.00 and $104,500.00 per year, depending on experience, location, and employer.

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

To thrive as a Part Time Clinical Review Nurse, you generally need a valid RN license, strong clinical assessment skills, and experience in case management or utilization review. Familiarity with electronic health records (EHRs), utilization management software, and knowledge of insurance or regulatory guidelines is typically required. Excellent attention to detail, critical thinking, and effective communication help you stand out in this role. These skills ensure accurate clinical evaluations, efficient workflow, and high-quality patient outcomes while supporting healthcare compliance and cost-effectiveness.

What is a part time clinical review nurse?

A Part Time Clinical Review Nurse is a registered nurse who works part-time hours and is responsible for reviewing medical records, documentation, and clinical cases to ensure they meet established guidelines and standards. They often work for insurance companies, healthcare providers, or third-party administrators to evaluate the medical necessity, appropriateness, and quality of care provided to patients. This role typically involves little to no direct patient care and focuses on administrative and documentation review. Part Time Clinical Review Nurses use their clinical expertise to support utilization management, claims processing, and quality assurance efforts. The job offers flexibility in scheduling and may allow for remote work, depending on the employer.

What are some common challenges faced by part time clinical review nurses, and how can they be managed?

Part-time clinical review nurses often face challenges such as managing caseloads within limited hours, staying updated on evolving clinical guidelines, and ensuring effective communication with the wider care team. Balancing documentation responsibilities and timely case reviews can also be demanding. To manage these challenges, it's helpful to prioritize tasks, leverage strong organizational skills, and maintain regular communication with full-time colleagues to stay aligned on protocols and patient care updates.
What cities are hiring for Part Time Clinical Review Nurse jobs? Cities with the most Part Time Clinical Review Nurse job openings:
What are the most commonly searched types of Clinical Review Nurse jobs? The most popular types of Clinical Review Nurse jobs are:
What states have the most Part Time Clinical Review Nurse jobs? States with the most job openings for Part Time Clinical Review Nurse jobs include:
Infographic showing various Part Time Clinical Review Nurse job openings in the United States as of August 2026, with employment types broken down into 3% As Needed, 71% Full Time, 18% Part Time, and 8% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $89,949 per year, or $43.2 per hour.

PRN Clinical Review Nurse (RN)

CorroHealth

Remote

Part-time

Posted 9 days ago


CorroHealth rating

8.1

Company rating: 8.1 out of 10

Based on 27 frontline employees who took The Breakroom Quiz

104th of 488 rated business services


Job description

About Us:
Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.
We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.
JOB SUMMARY:
The PRN Clinical Review Specialist provides clinical review support on an as-needed basis to assist with fluctuations in inventory and client demand. This role is responsible for reviewing medical records for medical necessity, level of care, authorization compliance, and payer guideline alignment across inpatient and outpatient services. The position supports timely appeal submissions and inventory management while maintaining quality and compliance standards.
This is a remote position.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member's performance objectives as outlined by the Team Member's immediate Leadership Team Member.
Key Responsibilities
  • Perform clinical reviews for medical necessity, level of care, and authorization-related denials
  • Review inpatient and outpatient medical records to support appeal submissions
  • Apply payer-specific guidelines (CMS, Medicaid, commercial) and internal policies
  • Identify documentation gaps and support clear, defensible clinical narratives
  • Meet assigned turnaround times while maintaining quality standards
  • Document review findings accurately in designated systems
  • Collaborate with clinical leadership as needed for escalations or complex cases

Required Qualifications
  • Active, unrestricted RN license (compact preferred)
  • Minimum 3-5 years of clinical experience
  • 2+ years of Utilization Review, Appeals, or Clinical Review experience
  • Strong knowledge of medical necessity criteria and payer guidelines
  • Experience writing appeals letters
  • Experience reviewing inpatient and/or outpatient hospital claims
  • Proficiency with EMRs and review platforms (Epic preferred)
  • Strong written clinical documentation and time management skill
  • Experience with payer appeals (medical necessity, no-auth, readmissions)
  • Familiarity with InterQual, MCG, or payer-specific criteria
  • Prior remote clinical review experience
  • Multi-client or vendor-side experience
  • Knowledge of Medicare, Medicaid, and commercial payer processes

Schedule & Work Expectations
  • PRN / variable hours based on inventory needs
  • Remote, independent work with defined productivity expectations
  • Availability may include weekdays and/or short-term surge support

Performance Expectations
  • Timely completion of assigned reviews
  • Accurate application of clinical criteria and payer policy
  • Clear, compliant documentation
  • Ability to adapt to changing inventory and priorities

This is a remote position.
PHYSICAL DEMANDS:
Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.
A job description is only intended as a guideline and is only part of the Team Member's function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

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