Life Insurance Options * Onsite Day care Program *Available for Per Diem Employees and Part-time ... Preferred 3+ years of Utilization Review or Case Management experience. Case Management Society of ...
Life Insurance Options * Onsite Day care Program *Available for Per Diem Employees and Part-time ... Preferred 3+ years of Utilization Review or Case Management experience. Case Management Society of ...
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
This role will be a part-time position. The Utilization Review Advisor (Advisor) position conducts timely and compliant medical necessity reviews and assists with denials management (facilitating and ...
This role will be a part-time position. The Utilization Review Advisor (Advisor) position conducts timely and compliant medical necessity reviews and assists with denials management (facilitating and ...
On Call Acute RN Utilization Review - Mental Health 194
Santa Cruz, CA · On-site
$70 - $86.49/hr
... for part-time schedules and annual carryover up to set caps. * Nine Paid Holidays & Shift ... Medical, Vision, Dental Insurance, 401K, Employee Stock Ownership Plan * For more information visit:
On Call Acute RN Utilization Review - Mental Health 194
Santa Cruz, CA · On-site
$70 - $86.49/hr
... for part-time schedules and annual carryover up to set caps. * Nine Paid Holidays & Shift ... Medical, Vision, Dental Insurance, 401K, Employee Stock Ownership Plan * For more information visit:
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Employment Type: PART_TIME
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Employment Type: PART_TIME
The Utilization Review Coordinator monitors and coordinates appropriate documentation and ... UNAVAILABLEEmployment Type: PART_TIME
The Utilization Review Coordinator monitors and coordinates appropriate documentation and ... UNAVAILABLEEmployment Type: PART_TIME
UR COORDINATOR - Part Time
Titusville, FL · On-site
Palm Point is currently recruiting for a Part Time Utilization Review (UR) Coordinator . The UR ... The Utilization Review Coordinator monitors and coordinates appropriate documentation and ...
UR COORDINATOR - Part Time
Titusville, FL · On-site
Palm Point is currently recruiting for a Part Time Utilization Review (UR) Coordinator . The UR ... The Utilization Review Coordinator monitors and coordinates appropriate documentation and ...
FTE: Part-Time (.6) ????️ Schedule: Weekend Only (12-hour shifts) Evaluates patient medical ... Three (3) years of utilization review, case management, or third-party payer experience.
FTE: Part-Time (.6) ????️ Schedule: Weekend Only (12-hour shifts) Evaluates patient medical ... Three (3) years of utilization review, case management, or third-party payer experience.
(RN) Care Review Clinician- Utilization Review (Remote, MS based)
Jackson, MS · Remote
$23.76 - $51.49/hr
... insurance policies, and regulations - ensuring members reach desired outcomes through integrated ... Adheres to utilization management (UM) policies and procedures. Required Qualifications At least 2 ...
(RN) Care Review Clinician- Utilization Review (Remote, MS based)
Jackson, MS · Remote
$23.76 - $51.49/hr
... insurance policies, and regulations - ensuring members reach desired outcomes through integrated ... Adheres to utilization management (UM) policies and procedures. Required Qualifications At least 2 ...
Part - Time: Insurance Clerk
Texas City, TX · On-site
$14.50 - $19.50/hr
Review and clean up collateral records in the bank's core system to ensure accuracy and completeness. * Validate lien positions and insurance coverage for all secured loans. * Correct stale or ...
Part - Time: Insurance Clerk
Texas City, TX · On-site
$14.50 - $19.50/hr
Review and clean up collateral records in the bank's core system to ensure accuracy and completeness. * Validate lien positions and insurance coverage for all secured loans. * Correct stale or ...
RN Care Manager - Utilization Review (1.0 FTE)
Billings, MT · On-site
$35.34 - $44.18/hr
... part-time employees (minimum of 20 hours/week), including Medical, Dental, Vision, 403(b) ... Insurance and Utilization Management Maintains working knowledge of CMS requirements and ...
RN Care Manager - Utilization Review (1.0 FTE)
Billings, MT · On-site
$35.34 - $44.18/hr
... part-time employees (minimum of 20 hours/week), including Medical, Dental, Vision, 403(b) ... Insurance and Utilization Management Maintains working knowledge of CMS requirements and ...
Utilization Management Nurse (RN) - Part Time
Annapolis, MD · On-site
$34 - $55/hr
Reviews the medical record by applying utilization review criteria, to assess clinical, financial ... Pay Range $34-$55 USD Luminis Health Benefits Overview: • Medical, Dental, and Vision Insurance ...
Utilization Management Nurse (RN) - Part Time
Annapolis, MD · On-site
$34 - $55/hr
Reviews the medical record by applying utilization review criteria, to assess clinical, financial ... Pay Range $34-$55 USD Luminis Health Benefits Overview: • Medical, Dental, and Vision Insurance ...
Reviews the medical record by applying utilization review criteria, to assess clinical, financial ... Pay Range $34--$55 USD Luminis Health Benefits Overview: • Medical, Dental, and Vision Insurance ...
Reviews the medical record by applying utilization review criteria, to assess clinical, financial ... Pay Range $34--$55 USD Luminis Health Benefits Overview: • Medical, Dental, and Vision Insurance ...
Part - Time: Insurance Clerk
$14.50 - $19.50/hr
Review and clean up collateral records in the bank's core system to ensure accuracy and completeness. * Validate lien positions and insurance coverage for all secured loans. * Correct stale or ...
Quick apply
Part - Time: Insurance Clerk
$14.50 - $19.50/hr
Review and clean up collateral records in the bank's core system to ensure accuracy and completeness. * Validate lien positions and insurance coverage for all secured loans. * Correct stale or ...
Utilization Mgmt Rep- Per Diem (As Needed)
Oak Brook, IL · On-site
$20.80 - $31.20/hr
Department: 11215 Advocate Aurora Health Corporate - Utilization Management Status: Part time ... Utilization Review Nurses and Managers for follow up Verify insurance information provided by ...
Utilization Mgmt Rep- Per Diem (As Needed)
Oak Brook, IL · On-site
$20.80 - $31.20/hr
Department: 11215 Advocate Aurora Health Corporate - Utilization Management Status: Part time ... Utilization Review Nurses and Managers for follow up Verify insurance information provided by ...
Utilization Specialist
Henderson, NV · On-site
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Utilization Specialist
Henderson, NV · On-site
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Utilization Review Nurse Coordinator (RN)-Atrium Health- Remote-FT Days
$35.50 - $53.25/hr
Charlotte - Utilization Management Status: Part time Benefits Eligible: Yes Hou rs Per Week: 24 ... Performs admission and concurrent reviews. Applies clinical guidelines during Admission and ...
New
Utilization Review Nurse Coordinator (RN)-Atrium Health- Remote-FT Days
$35.50 - $53.25/hr
Charlotte - Utilization Management Status: Part time Benefits Eligible: Yes Hou rs Per Week: 24 ... Performs admission and concurrent reviews. Applies clinical guidelines during Admission and ...
New
Part - Time: Insurance Clerk
Texas City, TX · On-site
$14.50 - $19.50/hr
Review and clean up collateral records in the bank's core system to ensure accuracy and completeness. * Validate lien positions and insurance coverage for all secured loans. * Correct stale or ...
Part - Time: Insurance Clerk
Texas City, TX · On-site
$14.50 - $19.50/hr
Review and clean up collateral records in the bank's core system to ensure accuracy and completeness. * Validate lien positions and insurance coverage for all secured loans. * Correct stale or ...
Insurance Agent
Dallas, TX · On-site
$10K - $30K/yr
We are seeking a motivated, community-minded individual to join our agency as a Part-Time Insurance ... Connect with warm leads, local community members, and existing clients to review their current ...
Quick apply
Insurance Agent
Dallas, TX · On-site
$10K - $30K/yr
We are seeking a motivated, community-minded individual to join our agency as a Part-Time Insurance ... Connect with warm leads, local community members, and existing clients to review their current ...
Preferred 3+ years of Utilization Review or Case Management experience. Case Management Society of ... Life Insurance Options * Onsite Day care Program *Available for Per Diem Employees and Part-time ...
Preferred 3+ years of Utilization Review or Case Management experience. Case Management Society of ... Life Insurance Options * Onsite Day care Program *Available for Per Diem Employees and Part-time ...
Part Time Insurance Utilization Review information
See salary details
$21.39 - $25.72
2% of jobs
$25.72 - $30.05
9% of jobs
$33.01 is the 25th percentile. Wages below this are outliers.
$30.05 - $34.38
21% of jobs
The median wage is $37.88 / hr.
$34.38 - $38.70
23% of jobs
$38.70 - $43.03
13% of jobs
$46.39 is the 75th percentile. Wages above this are outliers.
$43.03 - $47.36
10% of jobs
$47.36 - $51.68
8% of jobs
$51.68 - $56.01
5% of jobs
$56.01 - $60.34
5% of jobs
$60.34 - $64.66
2% of jobs
$64.66 - $68.99
2% of jobs
$21
$42
$68
How much do part time insurance utilization review jobs pay per hour?
What is the difference between Part Time Insurance Utilization Review vs Part Time Claims Reviewer?
| Aspect | Part Time Insurance Utilization Review | Part Time Claims Reviewer |
|---|---|---|
| Credentials | Typically requires insurance or healthcare-related certifications | Often requires insurance or claims processing certifications |
| Work Environment | Healthcare settings, insurance companies, or third-party administrators | Insurance companies, claims processing centers, or third-party administrators |
| Job Focus | Evaluating medical necessity and appropriateness of services | Reviewing and processing insurance claims for accuracy and coverage |
Part Time Insurance Utilization Review and Part Time Claims Reviewer roles both involve insurance industry work, but focus on different aspects. Utilization review centers on assessing medical necessity, while claims reviewers handle processing and verifying claims. Understanding these differences helps job seekers find the right fit based on their skills and interests.
Part-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 3 days ago
St. Joseph's Health (New Jersey) rating
7.3
Based on 44 frontline employees who took The Breakroom Quiz
289th of 864 rated healthcare providers
Job description
The Utilization Management Registered Nurse (UM RN) is responsible for evaluating the medical necessity, appropriateness, and efficiency of healthcare services in accordance with established criteria, regulatory requirements, and organizational role. The UM RN ensures optimal patient care delivery while supporting compliance, quality outcomes, and effective resource utilization. The role is responsible for the assessment of medical necessity, both for admission to the hospital as well as continued stay. This function ensures that services are not only appropriate but ensures that an authorization is obtained from the payer, if required, and that the documentation supports the care delivered in such a way that minimizes risks of denials.
St. Joseph's Health is recognized for the expertise and compassion of its highly skilled and responsive staff. The combined efforts of the organization's outstanding physicians, superb nurses, and dedicated clinical and professional staff have made us one of the most highly respected healthcare organizations in the state, the largest employer in Passaic County, and one of the nation's "100 Best Places to Work in Health Care".
Benefits Eligibility: (Full-time and Part-time Employees-over 20 hours a week)
- Competitive salary*
- Robust benefits with health, dental, Rx and vision plans
- 403b retirement plan options with company match**
- Health & Wellness*
- Non-Profit Health System - eligible for Federal Student Loan Forgiveness
- PTO, and paid holidays
- Tuition reimbursement
- Employee Assistance Program
- LTD : Long Term Disability
- Life Insurance Options
- Onsite Day care Program
*Available for Per Diem Employees and Part-time Employees working under 20 hours per week.
**403b Company Match not applicable for Per Diem Employees and Part-time Employees working under 20 hours per week.
Pay transparency: St. Joseph's Health provides a salary range to comply with New Jersey Law. The rate of pay for each position will be determined based on a variety of factors including the candidate's relevant experience, qualifications, skills, etc." The salary range does not include incentives, differential pay or other forms of compensation.
St. Joseph's University Medical Center is an academic tertiary care medical center and state designated trauma center, located on the Paterson campus, regularly accepts referrals of difficult or unusual cases from other hospitals and physicians and performs both complex and routine procedures.
The Medical Center offers a full complement of specialty and subspecialty services including ambulatory, behavioral health, cardiovascular, emergency/trauma, internal medicine, neuroscience, oncology, orthopedic/spine, rehabilitation, surgical specialty, women's health, imaging and pediatrics.
The nursing team at St. Joseph's University Medical Center, which includes St. Joseph's Children's Hospital, has held the Magnet Award for Nursing Excellence, the profession's highest honor, since 1999. They are also recipients of the prestigious 2010 Magnet Prize - one of only 8 Magnet-designated hospitals to ever receive The Magnet Prize, and the only one worldwide to receive the 2010 award.
Work requires the knowledge of theories, principles, and concepts normally acquired through completion of a Bachelor of Science in Nursing and least at least 3 years of previous nursing experience. Preferred 3+ years of Utilization Review or Case Management experience. Case Management Society of America Certification CCM preferred. Licensure required as a Registered Nurse by the State of New Jersey.
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