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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 Jul 23, 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:
Part Time Cvs Utilization Management Nurse jobs near you
RN, Utilization Management | Utilization Management| Night | Part Time

RN, Utilization Management | Utilization Management| Night | Part Time

UF Health

Gainesville, FL • On-site

Part-time

Posted 3 days ago

Job description

Overview

Make an impact by supporting the right care at the right time through utilization management excellence. 

???? Work Style: Onsite
???? Location: Gainesville, FL 
???? FTE:  Part-Time (.6 FTE)
⏰ Schedule: Wednesday – Thursday - 7:00 PM – 7:00 AM

Plays a critical role in evaluating patient medical records to ensure the necessity and appropriateness of healthcare services. Involves coordinating with healthcare providers to maintain compliance with utilization management guidelines and optimizing treatment plans for effective patient care and resource utilization. Requires clear communication of authorization decisions and ongoing monitoring to support timely discharge planning. Analyzes utilization data to identify trends and collaborates with interdisciplinary teams to enhance care coordination while ensuring accurate documentation and regulatory compliance.


Responsibilities
Key Responsibilities
  • Evaluates patient medical records to determine the medical necessity and appropriateness of healthcare services.
  • Coordinates with healthcare providers and care teams to ensure compliance with utilization management guidelines and payer requirements.
  • Supports effective treatment planning, patient care coordination, and appropriate resource utilization.
  • Communicates authorization decisions and utilization determinations while supporting timely discharge planning efforts.
  • Analyzes utilization management data and trends to identify opportunities for improved care coordination and operational efficiency.
  • Collaborates with interdisciplinary teams to ensure accurate documentation, regulatory compliance, and quality patient outcomes.

Qualifications
Education & Licensure
  • Registered Nurse (RN) with a current Florida nursing license required.
Experience & Skills
  • Minimum of three (3) years of experience in utilization review, utilization management, or case management required.
  • Knowledge of healthcare utilization guidelines, payer requirements, and regulatory compliance standards.
  • Experience evaluating medical necessity, treatment plans, and appropriate levels of care.
  • Strong communication and collaboration skills related to authorization determinations and care coordination.
  • Demonstrated ability to analyze utilization data, identify trends, and support patient care and discharge planning initiatives.

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