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+ ...
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 · 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 • ...
Enters clinical reviews into the software program. Maintains close communication with external ... Assists nurse Care Managers in communicating with the patient denied hospital days as well as the ...
Enters clinical reviews into the software program. Maintains close communication with external ... Assists nurse Care Managers in communicating with the patient denied hospital days as well as the ...
Utilization Review Nurse
$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 ...
Utilization Review Nurse
$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 ...
We're seeking an experienced Clinical Review Specialist LPN to join our growing team and ensure ... Remote Weekends (Part-Time position) This is a great part-time opportunity for LPNs looking for ...
Quick apply
We're seeking an experienced Clinical Review Specialist LPN to join our growing team and ensure ... Remote Weekends (Part-Time position) This is a great part-time opportunity for LPNs looking for ...
Clinical Review RN PRN
$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
$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 ...
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 ...
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 ...
Peer Review Nurse
Madera, CA · On-site
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 ...
Quick apply
Peer Review Nurse
Madera, CA · On-site
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 ...
Quick apply
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 ...
Oversees Clinical Review Specialist as indicated. Maintains necessary documentation and ... Bachelor of Science in Nursing * Previous experience with MCG and/or InterQual systems * 2 years of ...
Oversees Clinical Review Specialist as indicated. Maintains necessary documentation and ... Bachelor of Science in Nursing * Previous experience with MCG and/or InterQual systems * 2 years of ...
Part Time Clinical Faculty of Nursing
San Antonio, TX · On-site
$33.75 - $46/hr
Unencumbered RN license in Texas * A minimum of three (3) years in the last (4) years of nursing ... Reviews and grades all assignments according to course guidelines. * Submits grades as specified by ...
Part Time Clinical Faculty of Nursing
San Antonio, TX · On-site
$33.75 - $46/hr
Unencumbered RN license in Texas * A minimum of three (3) years in the last (4) years of nursing ... Reviews and grades all assignments according to course guidelines. * Submits grades as specified by ...
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 ...
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 ...
Part Time Clinical Faculty of Nursing
$33.75 - $46/hr
Unencumbered RN license in Texas * A minimum of three (3) years in the last (4) years of nursing ... Reviews and grades all assignments according to course guidelines. * Submits grades as specified by ...
Part Time Clinical Faculty of Nursing
$33.75 - $46/hr
Unencumbered RN license in Texas * A minimum of three (3) years in the last (4) years of nursing ... Reviews and grades all assignments according to course guidelines. * Submits grades as specified by ...
Part Time Clinical Faculty of Nursing
San Antonio, TX · On-site
$33.75 - $46/hr
... RN license in TexasA minimum of three (3) years in the last (4) years of nursing practice ... Reviews and grades all assignments according to course guidelines.Submits grades as specified by ...
Quick apply
Part Time Clinical Faculty of Nursing
San Antonio, TX · On-site
$33.75 - $46/hr
... RN license in TexasA minimum of three (3) years in the last (4) years of nursing practice ... Reviews and grades all assignments according to course guidelines.Submits grades as specified by ...
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 ...
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 ...
Nurse
Randallstown, MD · On-site
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 ...
Quick apply
Nurse
Randallstown, MD · On-site
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 ...
Completes peer to peer reviews as needed. * Acts as a liaison with UR staff and enters ... Master's Degree and/or Registered Nurse with current PA licensure Additional Requirements: * Pass ...
Completes peer to peer reviews as needed. * Acts as a liaison with UR staff and enters ... Master's Degree and/or Registered Nurse with current PA licensure Additional Requirements: * Pass ...
Part-time Clinical Educator
New Bedford, MA · On-site
$40/hr
We provide skilled nursing, home health aide services, behavioral health support and physical ... Comfort Home Care is search for a Part-Time Clinical Educator (20 hours per week) who will be ...
Part-time Clinical Educator
New Bedford, MA · On-site
$40/hr
We provide skilled nursing, home health aide services, behavioral health support and physical ... Comfort Home Care is search for a Part-Time Clinical Educator (20 hours per week) who will be ...
Part Time Clinical Review Nurse information
See salary details
$31K - $42.3K
13% of jobs
$42.3K - $53.5K
1% of jobs
$53.5K - $64.8K
4% of jobs
$70.3K is the 25th percentile. Wages below this are outliers.
$64.8K - $76.1K
15% of jobs
The median wage is $85.9K / yr.
$76.1K - $87.4K
20% of jobs
$87.4K - $98.6K
20% of jobs
$101.2K is the 75th percentile. Wages above this are outliers.
$98.6K - $109.9K
11% of jobs
$109.9K - $121.2K
7% of jobs
$121.2K - $132.5K
4% of jobs
$132.5K - $143.7K
3% of jobs
$143.7K - $155K
2% of jobs
$31K
$89.9K
$155K
How much do part time clinical review nurse jobs pay per year?
What are the key skills and qualifications needed to thrive as a part time clinical review nurse?
What is a part time clinical review nurse?
What are some common challenges faced by part time clinical review nurses, and how can they be managed?

CorroHealth rating
8.1
Based on 27 frontline employees who took The Breakroom Quiz
104th of 488 rated business services
Job description
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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About CorroHealth
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Plano, TX, US
Year founded
2020