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Part Time Rn Utilization Review Nurse Jobs (NOW HIRING)

Houston Methodist

At Houston Methodist, the Utilization Review Nurse (URN) PRN position is a licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent medical record review for medical ...

FROEDTERT HEALTH

RN UTILIZATION REVIEW

Menomonee Falls, WI · On-site

$34 - $52.70/hr

Minimum of 3 years of acute care nursing experience is required; Prior utilization management or ... Requires current state of Wisconsin Registered Nurse License or a Multi-state Nursing License from ...

Froedtert

RN UTILIZATION REVIEW

Menomonee Falls, WI

$34 - $52.70/hr

Minimum of 3 years of acute care nursing experience is required; Prior utilization management or ... Requires current state of Wisconsin Registered Nurse License or a Multi-state Nursing License from ...

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

As of Jun 29, 2026, the average hourly pay for part time rn 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.

Where do the happiest nurses work?

Happiest nurses often work in environments with supportive management, reasonable workloads, and good work-life balance. Positions such as utilization review nurses in well-organized healthcare settings tend to report higher job satisfaction due to the predictable schedule and focus on patient care coordination.

How to make $150,000 as a nurse?

To earn $150,000 as a part-time RN in utilization review, gaining specialized certifications such as Certified Professional Utilization Review (CPUR) and accumulating extensive experience can help increase earning potential. Working in high-demand settings, negotiating higher pay rates, and taking on additional shifts or consulting roles can also contribute to reaching this income level.

How to make an extra $2000 a month as a nurse?

Part-time Rn Utilization Review Nurses can increase income by taking on additional shifts, working for multiple employers, or offering consulting services. Gaining specialized certifications or experience can also command higher pay rates, helping to reach the extra $2000 monthly goal.

How to get into utilization review as a nurse?

To become a utilization review nurse, you typically need to be a registered nurse with current licensure and relevant clinical experience. Gaining knowledge of insurance policies, medical necessity criteria, and utilization review processes is essential, often supported by certifications such as the Certified Professional in Healthcare Quality (CPHQ) or Certified Utilization Review Professional (CURP). Experience in case management or clinical review can improve job prospects in this field.
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What are the most commonly searched types of Rn Utilization Review Nurse jobs? The most popular types of Rn Utilization Review Nurse jobs are:
What states have the most Part Time Rn Utilization Review Nurse jobs? States with the most job openings for Part Time Rn Utilization Review Nurse jobs include:
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Part Time Rn Utilization Review Nurse jobs near you

Registered Nurse - Utilization Review

Trinityhealth

Mishawaka, IN • On-site

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 10 days ago

Job description

Employment Type:Part timeShift:Rotating ShiftDescription:This is a remote position but will need onsite training in Mishawaka Indiana.
Shift: PRN/Days - 8 hr shift
Considering local candidates only!!!
Why Choose Saint Joseph Health System?

  • At Saint Joseph Health System, our values guide every decision we make. Even when challenges arise, we remain committed to our mission: caring for every person who needs us. We invest in our people, our technology, and our capabilities so we can continue delivering exceptional, compassionate care to our communities.

What We Offer

  • Tuition reimbursement for all full-time and part-time colleagues starting on day one

  • Comprehensive benefits beginning day one (Medical, Dental, Vision, PTO, Life Insurance, STD/LTD, and more)

  • Retirement savings plan with employer match

  • Generous paid time off program plus 7 paid holidays

  • No mandatory overtime

  • Employee referral incentive program

  • Access to state-of-the-art equipment, unlimited CEUs, and a supportive team-focused work environment

What You Will Do
  • Conduct clinical reviews of patient records to evaluate medical necessity, appropriateness of admission, treatment, and length of stay across all payor types
  • Apply standardized criteria, regulatory guidelines, and insurance requirements to support reimbursement and compliance
  • Collaborate with physicians, nursing staff, and interdisciplinary teams to ensure appropriate resource utilization and care planning
  • Review admissions and ongoing patient cases; recommend or escalate cases that do not meet criteria to leadership or the Utilization Review Committee
  • Facilitate timely discharges, transfers, and recertifications when level of care is no longer appropriate
  • Partner with Medicare, Medicaid, and private insurers to ensure accurate documentation and reimbursement processes
  • Respond to denials and authorization changes by reviewing medical records and communicating outcomes to care teams and patients
  • Identify trends and utilization concerns; contribute to performance improvement and quality initiatives
  • Maintain accurate records, compile reports, and support utilization review program operations
  • Provide education to clinical staff on documentation requirements, coverage guidelines, and utilization processes
  • Support compliance with all regulatory, accreditation, and organizational standards
  • Participate in committee meetings and assist in development of utilization review plans and processes
What You Will Need
  • Graduate of an accredited Registered Nurse (RN) program; Bachelor's Degree in Nursing preferred
  • Active RN license (state-specific requirement applies)
  • Minimum of 2 years of acute care nursing experience
  • Prior utilization review, case management, or payer review experience preferred
  • Strong knowledge of Medicare, Medicaid, and commercial insurance guidelines
  • Solid understanding of clinical care practices, diagnoses, treatment modalities, and hospital operations
  • Excellent communication skills with the ability to collaborate effectively across teams
  • Strong analytical and critical thinking skills to assess clinical appropriateness and compliance
  • Proficiency in computer systems and Microsoft Office applications
  • Ability to manage multiple priorities in a fast-paced healthcare environment
  • Flexibility to adapt to changing schedules, workflows, and departmental needs

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

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