ZipRecruiter

Log In

3

Part Time Remote Utilization Review Nurse Jobs (NOW HIRING)

Centerbrite

BCBA (Part-time) (Remote)

Newark, NJ · Remote

$90 - $110/hr

BCBA (Board Certified Behavior Analyst) - Part-time $100110/hr Flexible Schedule Hybrid (Remote ... Own documentation quality , utilization reviews, and oversight of treatment plans * Supervise RBTs ...

Centerbrite

BCBA (Part-time) (Remote)

Fairfax, VA · Remote

$80 - $110/hr

BCBA (Board Certified Behavior Analyst) - Part-time $80110/hr Flexible Schedule Hybrid (Remote + In ... Own documentation quality , utilization reviews, and oversight of treatment plans * Supervise RBTs ...

next page

Showing results 1-20

All JobsUtilization Review Nurse JobsPart Time Remote Utilization Review Nurse Jobs

Part Time Remote Utilization Review Nurse information

See salary details

$21

$42

$68

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

As of Jul 13, 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 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.

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.

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 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.
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 July 2026, with employment types broken down into 3% As Needed, 60% Full Time, 18% Part Time, and 19% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.
Utilization Review Nurse - Toledo Hospital - Utilization Management

Utilization Review Nurse - Toledo Hospital - Utilization Management

ProMedica

Remote

$32.25 - $47/hr

Part-time

Dental, Vision, Life, Retirement, PTO

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

ProMedica rating

6.6

Company rating: 6.6 out of 10

Based on 284 frontline employees who took The Breakroom Quiz

564th of 882 rated healthcare providers

Job description

Location:
Remote - Ohio
Department:
Utilization Management
Weekly Hours:
20
Status:
Part time
Shift:
Variable (United States of America)
Pay Grade:
$32.25 - $47.00
This is a remote position; however, employment is limited to residents of certain U.S. states due to legal, tax, and regulatory requirements. At this time, we cannot offer employment to individuals residing in California, Colorado, Hawaii, Massachusetts, New Jersey, New York, Oregon, Pennsylvania, Washington, or U.S. territories. Eligibility is based an applicant's primary residence at time of hire.
Job Summary:
As a Utilization Management RN, you look to maximize the quality and cost-efficiency of health care services at ProMedica. You will complete reviews for admissions and transfers and apply payer rules to obtain authorizations.
You will work with physicians, nurses, and other members of the health care team to effectively allocate resources to ensure appropriate care. You will review cases and look for opportunities to improve hospital service utilization.
The above summary is intended to describe the general nature and level of work performed by the positions. It should not be considered exhaustive.
REQUIREMENTS
  • Education: Graduate of approved NLN accredited School of Nursing

  • Years of Experience: Minimum of 3 years acute care nursing experience

  • License: Current RN licensed in the state of hire

PREFERRED REQUIREMENTS
  • Education: Bachelor's degree

  • Skills: Knowledge of insurance guidelines and federal, state, and local regulations. Experience with UR/UM in hospital acute care setting. Previous experience with case management, utilization review, and InterQual criteria

ProMedica is a mission-driven, not-for-profit health care organization headquartered in Toledo, Ohio. It serves communities across nine states and provides a range of services, including acute and ambulatory care, a dental plan, and academic business lines. ProMedica owns and operates 10 hospitals and has an affiliated interest in one additional hospital. The organization employs over 1,300 health care providers through ProMedica Physicians and has more than 2,300 physicians and advanced practice providers with privileges. Committed to its mission of improving health and well-being, ProMedica has received national recognition for its clinical excellence and its initiatives to address social determinants of health. For more information about ProMedica, please visit promedica.org/aboutus.
Benefits:
We offer a competitive benefits package with coverage effective day one of employment which includes dental, vision, company paid life insurance, paid time off, a 401k retirement plan, an employee assistance program and other voluntary coverage options and employee discounts.
Qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex/gender (including pregnancy), sexual orientation, gender identity or gender expression, age, physical or mental disability, military or protected veteran status, citizenship, familial or marital status, genetics, or any other legally protected category. In compliance with the Americans with Disabilities Act Amendment Act (ADAAA), if you have a disability and would like to request an accommodation in order to apply for a job with ProMedica, please contact employment@promedica.org
Equal Opportunity Employer/Drug-Free Workplace

What ProMedica employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply