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Part Time Remote Utilization Review Nurse Jobs (NOW HIRING)

Astrana Health, Inc.

$250K - $325K/yr

Conduct peertopeer reviews and outpatient physician education to improve documentation, guideline ... Partner with Outpatient Medical Directors, Population Health, and UM nursing teams to align ...

ClarityCare AI

Part-time Clinician

San Francisco, CA · Remote

... utilization management workflows such as prior authorization, concurrent review, and appeals by ... This is a remote role requiring at least 4 hours of daily overlap with the Pacific Time zone. Time ...

Astrana Health

$250K - $325K/yr

Conduct peer-to-peer reviews and outpatient physician education to improve documentation, guideline ... Partner with Outpatient Medical Directors, Population Health, and UM nursing teams to align ...

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

As of May 28, 2026, the average hourly pay for part time remote 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 are the key skills and qualifications needed to thrive as a Part Time Remote Utilization Review Nurse, and why are they important?

To thrive as a Part Time Remote Utilization Review Nurse, you need an active RN license, strong clinical judgment, and experience in case management or utilization review. Familiarity with medical coding systems (like ICD-10 and CPT), healthcare management software, and payer guidelines is often required. Excellent written communication, attention to detail, and the ability to work independently are essential soft skills for remote success. These competencies ensure accurate review of medical records, compliance with regulations, and effective coordination with healthcare teams while working remotely.

How do part-time remote Utilization Review Nurses typically collaborate with physicians and other healthcare professionals?

Part-time remote Utilization Review Nurses often communicate with physicians, case managers, and insurance representatives through secure digital platforms, emails, and scheduled virtual meetings. They review patient records and coordinate care authorizations, frequently clarifying clinical information or policy requirements with providers. Balancing asynchronous communication and timely responses is essential, as collaboration impacts both patient outcomes and reimbursement processes. Building strong professional relationships and maintaining clear documentation are key to effective teamwork in this remote setting.

What does a Part Time Remote Utilization Review Nurse do?

A Part Time Remote Utilization Review Nurse evaluates medical records and treatment plans to ensure that healthcare services are medically necessary and comply with insurance guidelines. Working remotely, they review patient cases, communicate with healthcare providers, and make recommendations on the appropriateness of care. Their role helps manage healthcare costs and ensures patients receive appropriate care while adhering to regulatory and insurance standards.

What is the difference between Part Time Remote Utilization Review Nurse vs Part Time Remote Case Manager?

AspectPart Time Remote Utilization Review NursePart Time Remote Case Manager
CredentialsRN license, certifications in utilization review (e.g., CUC, URAC)RN or social work license, case management certification (e.g., CCM)
Work EnvironmentRemote, reviewing medical records and authorizationsRemote, coordinating care and discharge planning
Employer & IndustryInsurance companies, healthcare providers, third-party administratorsInsurance companies, healthcare organizations, managed care firms

The Part Time Remote Utilization Review Nurse primarily evaluates medical necessity for insurance approvals, focusing on documentation review. In contrast, the Part Time Remote Case Manager manages patient care plans, coordinating services and discharge planning. Both roles are remote, require healthcare credentials, and are common in the insurance and healthcare industries, but they differ in daily responsibilities and focus areas.

More about Part Time Remote Utilization Review Nurse jobs
What cities are hiring for Part Time Remote Utilization Review Nurse jobs? Cities with the most Part Time Remote Utilization Review Nurse job openings:
What are the most commonly searched types of Remote Utilization Review Nurse jobs? The most popular types of Remote Utilization Review Nurse jobs are:
What states have the most Part Time Remote Utilization Review Nurse jobs? States with the most job openings for Part Time Remote Utilization Review Nurse jobs include:
What job categories do people searching Part Time Remote Utilization Review Nurse jobs look for? The top searched job categories for Part Time Remote Utilization Review Nurse jobs are:
Part Time Remote Utilization Review Nurse jobs near you
Infographic showing various Part Time Remote Utilization Review Nurse job openings in the United States as of May 2026, with employment types broken down into 4% As Needed, 88% Full Time, 4% Part Time, and 4% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.
Remote Utilization Review Nurse - Part-Time

Remote Utilization Review Nurse - Part-Time

Advanced Health Coordinated Care Organization

Oregon, WI • Remote

Part-time

This job post has expired today. Applications are no longer accepted.

Job description

Advanced Health Coordinated Care Organization is hiring a part-time remote Utilization Review Nurse. The ideal candidate will be a licensed RN with experience in acute care and utilization review. Responsibilities include reviewing prior authorizations, ensuring quality care, and applying medical necessity criteria.

Strong critical thinking, communication skills, and attention to detail are essential. Preferred candidates will have experience in managed care and the OHP program. This role requires flexibility and the ability to work independently.

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