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Part Time International Utilization Review Nurse Jobs

Medix

Utilization Review Nurse

Southfield, MI · On-site

$42 - $46/hr

Job Summary Our client is seeking a Utilization Review Nurse to manage the full lifecycle of Independent Review Organization (IRO) cases. The primary responsibilities include reviewing clinical ...

24-MAG LLC

Utilization Review Specialist

Manhattan, NY · Remote

$80/hr

Specialised Part-Time Consulting OpportunityWe are sharing a specialised part-time consulting ... review, nursing, healthcare operations, payer operations, medical necessity review, or care ...

24-MAG LLC

Utilization Review Specialist

Manhattan, NY · Remote

$80/hr

Specialised Part-Time Consulting OpportunityWe are sharing a specialised part-time consulting ... review, nursing, healthcare operations, payer operations, medical necessity review, or care ...

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How much do part time international utilization review nurse jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for part time international utilization review nurse in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.

What is a part time international utilization review nurse?

A Part Time International Utilization Review Nurse is a registered nurse who works part-time to evaluate the necessity, appropriateness, and efficiency of healthcare services provided to patients, often for international clients or healthcare systems. They review medical records, treatment plans, and hospital admissions to ensure patients receive appropriate care while managing healthcare costs. This role may involve working remotely or coordinating care across different countries and healthcare systems. Utilization review nurses collaborate with doctors, insurance companies, and other healthcare providers to make decisions about coverage and care.

How does a part time international utilization review nurse typically collaborate with overseas healthcare providers and insurance companies?

As a Part Time International Utilization Review Nurse, you will frequently communicate with healthcare providers and insurance representatives in different countries to review patient cases and ensure appropriate use of medical resources. This collaboration often involves virtual meetings, secure document sharing, and clear documentation to navigate varying healthcare regulations and time zones. You may also help educate providers on international insurance protocols and clarify medical necessity criteria, making strong communication and cultural sensitivity key assets in this role.

What are the key skills and qualifications needed to thrive as a part time international utilization review nurse, and why are they important?

To thrive as a Part Time International Utilization Review Nurse, you need a valid nursing license, clinical experience, and strong knowledge of medical necessity criteria and healthcare regulations. Familiarity with utilization management software, electronic health records (EHRs), and industry guidelines such as InterQual or MCG is typically required. Excellent analytical skills, attention to detail, and effective cross-cultural communication are essential soft skills for this role. These skills ensure accurate care reviews, compliance with international standards, and effective collaboration with global healthcare teams.

What is the difference between Part Time International Utilization Review Nurse vs Part Time Utilization Review Nurse?

AspectPart Time International Utilization Review NursePart Time Utilization Review Nurse
Work EnvironmentHospitals, insurance companies, or international healthcare organizationsDomestic healthcare facilities, insurance companies, or outpatient clinics
Required CredentialsRN license, certification in utilization review, and possibly international healthcare experienceRN license, certification in utilization review, and familiarity with domestic healthcare policies
Industry UsageGlobal healthcare and insurance sectorsPrimarily domestic healthcare and insurance sectors

The main difference between the Part Time International Utilization Review Nurse and the Part Time Utilization Review Nurse lies in their work scope and environment. The international role involves reviewing cases across different countries, requiring international healthcare knowledge, while the domestic role focuses on local healthcare policies. Both positions require RN licensure and utilization review certification, but the international role often demands additional international healthcare experience.

What cities are hiring for Part Time International Utilization Review Nurse jobs?

Cities with the most Part Time International Utilization Review Nurse job openings:

What are the most commonly searched types of International Utilization Review Nurse jobs?

The most popular types of International Utilization Review Nurse jobs are:

What states have the most Part Time International Utilization Review Nurse jobs?

States with the most job openings for Part Time International Utilization Review Nurse jobs include:

Part Time International Utilization Review Nurse jobs near you

Utilization Review Nurse

Medix

Southfield, MI • On-site

$42 - $46/hr

Part-time

Medical, Dental, Vision, Retirement

Re-posted 5 days ago

Key responsibilities

  • Manage the full lifecycle of IRO cases from intake through final case closure.

  • Review incoming clinical documentation, verify completeness, and prepare concise case summaries for physician reviewers.

  • Perform quality assurance on physician reports to ensure accuracy, clarity, completeness, and defensibility.

Job description

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.
Job Summary
Our client is seeking a Utilization Review Nurse to manage the full lifecycle of Independent Review Organization (IRO) cases. The primary responsibilities include reviewing clinical documentation, performing quality assurance on physician reports, and collaborating with various teams to ensure accurate and timely case handling.
Key Responsibilities
  • Manage the full lifecycle of IRO cases from intake through final case closure.
  • Review incoming clinical documentation, verify completeness, and prepare concise case summaries for physician reviewers.
  • Coordinate and route cases to the appropriate physician specialty while managing requests for additional medical records.
  • Perform quality assurance on physician reports to ensure accuracy, clarity, completeness, and defensibility.
  • Monitor regulatory deadlines and case status to ensure timely, compliant case completion.
  • Maintain accurate case tracking and documentation within internal systems and state IRO programs.
  • Collaborate with physicians, clients, and internal teams to resolve documentation gaps and support case progression.
  • Contribute to workflow improvements, new state program implementation, and process optimization as the organization grows.

Qualifications
  • Active RN license and BSN required.
  • Experience with Independent Review Organizations (IROs), or Utilization Review/Appeals within a Health Plan or TPA.
  • Strong clinical documentation review, case summary writing, and QA skills.
  • Excellent written communication with exceptional attention to detail.
  • Ability to independently manage multiple cases while meeting regulatory timelines.

Skills
  • Technical: Proficiency in clinical documentation review and case summary writing.
  • Soft: Strong written communication, attention to detail, and independent case management skills.

Benefits
  • Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
  • Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
  • 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
  • Short Term Disability Insurance.
  • Term Life Insurance Plan.

* We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
Medix Overview:
With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we're dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.
Any required state or Joint Commission training is compensated at the state or local minimum wage rate.
* As a job position within our Care Management division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, access and handling of patient medical records, providing medical care inside a patient's residential address, driving, prescription and other drug access and administration, and working with vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.
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About Medix Staffing Solutions

Sourced by ZipRecruiter

Since 2001, we’ve been dedicated to helping you achieve your goals. Medix was created to become a leading provider of workforce solutions for clients and candidates across the healthcare and life sciences industries. Today, we are that leader. Headquartered in Chicago, we have 23 offices across the United States, and staff talent around the world. Medix is committed to fulfilling our core purpose as an organization: to positively impact the lives of our talent, clients, and teammates through employment, philanthropy, and opportunity. The combination of purpose and values has nurtured our thriving culture that encourages our internal team to excel at work and in everyday life.

Industry

Recruiting and staffing services

Company size

1,001 - 5,000 Employees

Headquarters location

Chicago, IL, US

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