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Part Time International Utilization Review Nurse Jobs

UHS

PT UTILIZATION REVIEW COORDINATOR

Jacksonville, FL · On-site

PT Utilization Review Coordinator, including weekends $26-$37 This position is responsible for ... Qualifications Registered Nurse, LPN or Master's level Social Worker with experience in Utilization ...

Madera Community Hospital

Peer Review Nurse

Madera, CA · On-site

$46 - $61.91/hr

Will facilitate the peer review process and attend peer review meetings. Part Time Position with ... and utilization review. Requires proficiency in data abstraction, EHR systems, and critical ...

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Part Time International Utilization Review Nurse information

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

As of Sep 7, 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

RN Utilization Review - Patient & Family Services - Per Diem

solutionhealth

Nashua, NH • On-site

Part-time

Medical, Dental, Vision, Life, Retirement

Re-posted 21 days ago

Job description

Come work at the best place to give and receive care!

Job Description:

This Role is On-Site

Who We Are:

Southern NH Medical Centers strives to keep patients on a continuous track to discharge and receive the continuity of care that our patients and their families need. Our Patient and Family Services Department is the driving force to assure communication, respect, and safety follows our patients throughout the admission phase, all the way through the discharge process. This department includes a dedicated team of Case Managers, Social Workers, and Interpreters that ensure that all care is equal, and our patient's dignity is maintained above all else.

About the Job:

The Utilization Review/Denial Specialist works with the care team to evaluate medical acuity for the appropriate level of care orders and documentation to facilitate insurance coverage, and proactively prevent denials. This specialist ensures level of care charges are applied accurately and meet compliance with CMS and commercial insurance guidelines as well as reviewing appeal options for medical necessity insurance denials

What You'll Do:

  • Assess acute medical necessity utilizing appropriate criteria.
  • Collect and trend Utilization Review data metrics.
  • Review appeal options for commercial insurance, RAC, and QIO medical necessity denials.
  • Understand and apply CMSRegulations to meet compliance

Who You Are:

  • Current NH Nursing License as a Registered Nurse.
    • ASN accepted; BSN required within 10 years of hire.
  • A minimum of 5-years' of experience as a Registered Nurse.
  • Experience in use of Interqual, Milliman or other Healthcare acute criteria preferred.

Why You'll Love Us:

  • Health, dental, prescription, and vision coverage for full-time & part-time employees
  • Short-term, long-term disability, life & pet insurance
  • Student Loan Forgiveness & Discounts
  • 403(b) Retirement savings plans
  • Continuous earned time accrual

& So much more!

Work Shift:

Per diem weekends and holiday. Other days available if staff have availability.

SolutionHealth is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law.

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