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Part Time Remote Utilization Review Nurse information

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

As of Sep 4, 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 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 are the key skills and qualifications needed to thrive as a part time remote utilization review nurse?

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 does a part time remote utilization review nurse 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 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.

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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 August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 14% Part Time, 3% Contract, and 1% Nights. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Registered Nurse (RN) - Part Time Remote Care Manager

CareGenix Solutions LLC

CA • Remote

$19 - $24/hr

Part-time

Posted 9 days ago

Job description

At Caregenix, we are committed to delivering exceptional, value-based care. Our team lives by the iCARE values—Integrity, Compassion, Accountability, Respect, and Excellence—in everything we do. If you are passionate about improving patient outcomes and providing compassionate care in a remote setting, we want to hear from you.
We are seeking an experienced and empathetic part-time registered nurse (RN) to join our team as a remote care manager. In this role, you will engage with patients virtually to assess, coordinate, and monitor their health care needs—playing a vital part in our mission to enhance quality of life through proactive care management.

Key Responsibilities:

  • Conduct remote patient assessments with empathy and professionalism.

  • Monitor patients' health status and escalate warning signs appropriately.

  • Apply medical terminology knowledge to assess and coordinate care.

  • Communicate clearly and compassionately with patients and families.

  • Document thoroughly and accurately within multiple computer systems.

  • Prioritize daily responsibilities while working independently.

  • Provide excellence in patient care and customer service.

  • Maintain patient confidentiality and HIPAA compliance at all times.

Qualifications:

  • Current, active RN license in good standing

  • Minimum 3 years of experience in a clinical or patient-facing setting

  • Minimum 3 years of experience in care management or case coordination

  • Prior experience working remotely preferred

  • Superior verbal communication and active listening skills

  • High proficiency in medical terminology

  • Excellent organizational and documentation skills

  • Professional phone etiquette and strong interpersonal abilities

  • Ability to recognize clinical red flags and escalate care as needed

  • Tech-savvy; able to work within multiple systems efficiently

  • Must have a HIPAA-compliant, private work area at home

Why Join Caregenix?

  • Supportive, mission-driven team

  • Flexible, remote work environment

  • Opportunities for professional growth

  • The chance to make a real impact on patients’ lives

Education:

  • Bachelor's RN license in the state of TX, IL, MI, NM, AZ, AL, FL, CA, NB, or have a compact license (Required)

Experience:

  • RN: 3 years (Required)

Language:

  • Spanish (Preferred)

Work Location: 

  • Remote

Work Schedule: 

  • Monday through Friday 8 AM - 12 PM or 1 PM - 5 PM (4 hours a day) 

Job Type: 

  • Part Time

Pay: 

  • $19.00 - $24.00 per hour


Monday through Friday 8 AM - 12 PM or 1 PM - 5 PM (4 hours a day)