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Part Time Cvs Utilization Management Nurse Jobs (NOW HIRING)

... 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 ...

Minimum Education: Has completed the basic professional curricula of a school of nursing as ... utilization. Assures compliance with Managed Care Behavioral Health standards in the area of UM ...

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Part Time Cvs Utilization Management Nurse information

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$39K

$89.5K

$163K

How much do part time cvs utilization management nurse jobs pay per year?

As of Sep 3, 2026, the average yearly pay for part time cvs utilization management nurse in the United States is $89,483.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,500.00 and $104,500.00 per year, depending on experience, location, and employer.

What is the difference between Part Time Cvs Utilization Management Nurse vs Part Time Cvs Case Management Nurse?

AspectPart Time Cvs Utilization Management NursePart Time Cvs Case Management Nurse
CertificationsRN license, Utilization Review Certification (if applicable)RN license, Case Management Certification (e.g., CCM)
Work EnvironmentUtilization review departments, insurance companies, healthcare facilitiesPatient care coordination, hospitals, clinics
Employer & Industry UsageInsurance providers, healthcare organizationsHospitals, 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.

What cities are hiring for Part Time Cvs Utilization Management Nurse jobs?

Cities with the most Part Time Cvs Utilization Management Nurse job openings:

What are the most commonly searched types of Cvs Utilization Management Nurse jobs?

The most popular types of Cvs Utilization Management Nurse jobs are:

What states have the most Part Time Cvs Utilization Management Nurse jobs?

States with the most job openings for Part Time Cvs Utilization Management Nurse jobs include:

Utilization Management Nurse-1

MUSC Health & Medical University of SC

Murrells Inlet, SC • On-site

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 26 days ago


MUSC Health rating

7.0

Company rating: 7.0 out of 10

Based on 202 frontline employees who took The Breakroom Quiz

423rd of 898 rated healthcare providers


Job description

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.
Conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition.
Entity
MUSC Community Physicians (MCP)
Worker Type
Employee
Worker Sub-Type
Regular
Cost Center
CC005921 MCP - Utilization Management
Pay Rate Type
Hourly
Pay Grade
Health-28
Scheduled Weekly Hours
32
Work 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:
  • Health, dental, vision, and life insurance
  • Employer Sponsored Retirement Plan
  • Paid time off and extended sick leave
  • Paid Parental Leave
  • Disability insurance plan options
  • Continuous professional and clinical training
  • Competitive pay
  • Annual Merit Increase
  • Wellbeing resources
  • Tuition Reimbursement
  • Employee perks and discounts
  • Employee referral program
  • Flexible schedule options
  • Certification incentive program

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

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About MUSC Health

Sourced by ZipRecruiter

MUSC is located in Charleston, SC, frequently named one of the best places in America to live. If charming, historic, vibrant, cultural, and coastal are adjectives that you find appealing, it's all here. In Charleston, you might find yourself dining at a world class restaurant tonight and relaxing on a boat as you explore our many waterways tomorrow. You might stroll along cobblestone streets, amidst centuries old homes by day and attend a jazz concert by night. Charleston is a place where you can live your life to its fullest.

Industry

Hospitality services

Company size

10,000+ Employees

Headquarters location

Charleston, SC, US

Year founded

1824