Medical
Dental
Vision
Life
Retirement
PTO
... Nurse required. Prior leadership experience preferred. One year of case management and/or utilization management work experience preferred. Staff hired prior to July 1, 2013 will be grandfathered in ...
Medical
Dental
Vision
Life
Retirement
PTO
... Nurse required. Prior leadership experience preferred. One year of case management and/or utilization management work experience preferred. Staff hired prior to July 1, 2013 will be grandfathered in ...
Medical
Dental
Vision
Life
Retirement
PTO
... Nurse required. Prior leadership experience preferred. One year of case management and/or utilization management work experience preferred. Staff hired prior to July 1, 2013 will be grandfathered in ...
Murrells Inlet, SC · On-site
Medical
Dental
Vision
Life
Retirement
PTO
... Nurse required. Prior leadership experience preferred. One year of case management and/or utilization management work experience preferred. Staff hired prior to July 1, 2013 will be grandfathered in ...
Murrells Inlet, SC · On-site
Medical
Dental
Vision
Life
Retirement
PTO
... Nurse required. Prior leadership experience preferred. One year of case management and/or utilization management work experience preferred. Staff hired prior to July 1, 2013 will be grandfathered in ...
Medical
Dental
Vision
Life
Retirement
PTO
... Nurse required. Prior leadership experience preferred. One year of case management and/or utilization management work experience preferred. Staff hired prior to July 1, 2013 will be grandfathered in ...
Medical
Dental
Vision
Life
Retirement
PTO
... Nurse required. Prior leadership experience preferred. One year of case management and/or utilization management work experience preferred. Staff hired prior to July 1, 2013 will be grandfathered in ...
... Nurse required. Prior leadership experience preferred. One year of case management and/or utilization management work experience preferred. Staff hired prior to July 1, 2013 will be grandfathered in ...
... Nurse required. Prior leadership experience preferred. One year of case management and/or utilization management work experience preferred. Staff hired prior to July 1, 2013 will be grandfathered in ...
Medical
Dental
Vision
Life
Retirement
PTO
... Nurse required. Prior leadership experience preferred. One year of case management and/or utilization management work experience preferred. Staff hired prior to July 1, 2013 will be grandfathered in ...
Medical
Dental
Vision
Life
Retirement
PTO
... Nurse required. Prior leadership experience preferred. One year of case management and/or utilization management work experience preferred. Staff hired prior to July 1, 2013 will be grandfathered in ...
... Nurse required. Prior leadership experience preferred. One year of case management and/or utilization management work experience preferred. Staff hired prior to July 1, 2013 will be grandfathered in ...
... Nurse required. Prior leadership experience preferred. One year of case management and/or utilization management work experience preferred. Staff hired prior to July 1, 2013 will be grandfathered in ...
... Nurse required. Prior leadership experience preferred. One year of case management and/or utilization management work experience preferred. Staff hired prior to July 1, 2013 will be grandfathered in ...
... Nurse required. Prior leadership experience preferred. One year of case management and/or utilization management work experience preferred. Staff hired prior to July 1, 2013 will be grandfathered in ...
Murrells Inlet, SC · On-site
Medical
Dental
Vision
Life
Retirement
PTO
... Nurse required. Prior leadership experience preferred. One year of case management and/or utilization management work experience preferred. Staff hired prior to July 1, 2013 will be grandfathered in ...
Murrells Inlet, SC · On-site
Medical
Dental
Vision
Life
Retirement
PTO
... Nurse required. Prior leadership experience preferred. One year of case management and/or utilization management work experience preferred. Staff hired prior to July 1, 2013 will be grandfathered in ...
... Nurse required. Prior leadership experience preferred. One year of case management and/or utilization management work experience preferred. Staff hired prior to July 1, 2013 will be grandfathered in ...
... Nurse required. Prior leadership experience preferred. One year of case management and/or utilization management work experience preferred. Staff hired prior to July 1, 2013 will be grandfathered in ...
... Nurse required. Prior leadership experience preferred. One year of case management and/or utilization management work experience preferred. Staff hired prior to July 1, 2013 will be grandfathered in ...
... Nurse required. Prior leadership experience preferred. One year of case management and/or utilization management work experience preferred. Staff hired prior to July 1, 2013 will be grandfathered in ...
$41.71 - $105.65/hr
Job Summary Staff Nurse - Per Diem Rotating Day - BWH Utilization Management The Insurance Support Nurse participates in the timely management of denials that are received in the Care Coordination ...
New
$41.71 - $105.65/hr
Job Summary Staff Nurse - Per Diem Rotating Day - BWH Utilization Management The Insurance Support Nurse participates in the timely management of denials that are received in the Care Coordination ...
New
Boston, MA · On-site +1
$41.71 - $105.65/hr
Job Summary Staff Nurse - Per Diem Rotating Day - BWH Utilization Management The Insurance Support Nurse participates in the timely management of denials that are received in the Care Coordination ...
Boston, MA · On-site +1
$41.71 - $105.65/hr
Job Summary Staff Nurse - Per Diem Rotating Day - BWH Utilization Management The Insurance Support Nurse participates in the timely management of denials that are received in the Care Coordination ...
FTE: Part-Time (.6 FTE) ⏰ Schedule: Wednesday - Thursday - 7:00 PM - 7:00 AM Plays a critical ... Registered Nurse (RN) with a current Florida nursing license required. Experience & Skills
FTE: Part-Time (.6 FTE) ⏰ Schedule: Wednesday - Thursday - 7:00 PM - 7:00 AM Plays a critical ... Registered Nurse (RN) with a current Florida nursing license required. Experience & Skills
Gainesville, FL FTE: Part-Time (.6 FTE) ⏰ Schedule: Wednesday - Thursday - 7:00 PM - 7:00 AM ... Registered Nurse (RN) with a current Florida nursing license required. Experience & Skills
Gainesville, FL FTE: Part-Time (.6 FTE) ⏰ Schedule: Wednesday - Thursday - 7:00 PM - 7:00 AM ... Registered Nurse (RN) with a current Florida nursing license required. Experience & Skills
Paterson, NJ · On-site
Medical
Dental
Vision
Life
Retirement
PTO
The Utilization Management Registered Nurse (UM RN) is responsible for evaluating the medical ... Benefits Eligibility : (Full-time and Part-time Employees-over 20 hours a week) * Competitive ...
Paterson, NJ · On-site
Medical
Dental
Vision
Life
Retirement
PTO
The Utilization Management Registered Nurse (UM RN) is responsible for evaluating the medical ... Benefits Eligibility : (Full-time and Part-time Employees-over 20 hours a week) * Competitive ...
Medical
Dental
Vision
Life
Retirement
PTO
The Utilization Management Registered Nurse (UM RN) is responsible for evaluating the medical ... Benefits Eligibility : (Full-time and Part-time Employees-over 20 hours a week) * Competitive ...
Medical
Dental
Vision
Life
Retirement
PTO
The Utilization Management Registered Nurse (UM RN) is responsible for evaluating the medical ... Benefits Eligibility : (Full-time and Part-time Employees-over 20 hours a week) * Competitive ...
Medical
Retirement
PTO
Most part-time and all full-time positions are eligible for benefits. * Health & Welfare Benefit ... About this position The Utilization Management RN, under the supervision of the Utilization ...
Medical
Retirement
PTO
Most part-time and all full-time positions are eligible for benefits. * Health & Welfare Benefit ... About this position The Utilization Management RN, under the supervision of the Utilization ...
Robbinsdale, MN · On-site
Medical
Retirement
PTO
Most part-time and all full-time positions are eligible for benefits. * Health & Welfare Benefit ... About this position The Utilization Management RN, under the supervision of the Utilization ...
Robbinsdale, MN · On-site
Medical
Retirement
PTO
Most part-time and all full-time positions are eligible for benefits. * Health & Welfare Benefit ... About this position The Utilization Management RN, under the supervision of the Utilization ...
Glen Burnie, MD · On-site
$40.61 - $60.96/hr
Our physicians and nursing staff specialize in emergency, acute, medical-surgical and critical care ... General Summary Using the established guidelines for Utilization Review, the Utilization Management ...
Glen Burnie, MD · On-site
$40.61 - $60.96/hr
Our physicians and nursing staff specialize in emergency, acute, medical-surgical and critical care ... General Summary Using the established guidelines for Utilization Review, the Utilization Management ...
Glen Burnie, MD · On-site
$406K/yr
Our physicians and nursing staff specialize in emergency, acute, medical-surgical and critical care ... General Summary Using the established guidelines for Utilization Review, the Utilization Management ...
Glen Burnie, MD · On-site
$406K/yr
Our physicians and nursing staff specialize in emergency, acute, medical-surgical and critical care ... General Summary Using the established guidelines for Utilization Review, the Utilization Management ...
$39K - $50.3K
15% of jobs
$50.3K - $61.5K
8% of jobs
$63.2K is the 25th percentile. Wages below this are outliers.
$61.5K - $72.8K
15% of jobs
The median wage is $79.9K / yr.
$72.8K - $84.1K
20% of jobs
$84.1K - $95.4K
11% of jobs
$101K is the 75th percentile. Wages above this are outliers.
$95.4K - $106.6K
13% of jobs
$106.6K - $117.9K
5% of jobs
$117.9K - $129.2K
3% of jobs
$129.2K - $140.5K
4% of jobs
$140.5K - $151.7K
3% of jobs
$151.7K - $163K
3% of jobs
$39K
$89.5K
$163K
| Aspect | Part Time Cvs Utilization Management Nurse | Part Time Cvs Case Management Nurse |
|---|---|---|
| Certifications | RN license, Utilization Review Certification (if applicable) | RN license, Case Management Certification (e.g., CCM) |
| Work Environment | Utilization review departments, insurance companies, healthcare facilities | Patient care coordination, hospitals, clinics |
| Employer & Industry Usage | Insurance providers, healthcare organizations | Hospitals, healthcare systems, community clinics |
While both roles require RN licensure and involve patient or healthcare management, the Utilization Management Nurse focuses on reviewing medical necessity and insurance approvals, whereas the Case Management Nurse coordinates patient care and discharge planning. Understanding these differences helps job seekers identify the right role based on their skills and career goals.
Cities with the most Part Time Cvs Utilization Management Nurse job openings:
The most popular types of Cvs Utilization Management Nurse jobs are:
States with the most job openings for Part Time Cvs Utilization Management Nurse jobs include:
Part-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 7 days ago
Job Description Summary
MUSC Community Physicians (MCP) is an entity within the Medical University of South Carolina (MUSC) that provides healthcare to patients within the rural health network throughout the state of South Carolina.Entity
MUSC Community Physicians (MCP)Worker Type
EmployeeWorker Sub-Type
RegularCost Center
CC005921 MCP - Utilization ManagementPay Rate Type
HourlyPay Grade
Health-28Scheduled Weekly Hours
32Work Shift
Job Description
Conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient charts and records to evaluate care concurrent with the patients treatment. Reviews treatment plans and status of approvals from insurers. Collects and complies data as required and according to applicable policies and regulations. Consults with physicians as needed.
Bachelor's degree in Nursing from an accredited school of nursing and three years' work experience as a Registered Nurse required. Prior leadership experience preferred. One year of case management and/or utilization management work experience preferred. Staff hired prior to July 1, 2013 will be grandfathered in regards to education requirement. Must possess excellent verbal and written communication skills. Familiarity with InterQual or Milliman and Robinson screening criteria desired. Licensure as a registered nurse by the state of South Carolina or compact state required.
Additional Job Description
Benefits:
If you like working with energetic enthusiastic individuals, you will enjoy your career with us!
The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.
Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees