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Part Time Rn Utilization Review Nurse Jobs in Chicago, IL

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Part Time Rn Utilization Review Nurse information

See Chicago, IL salary details

$22

$43

$71

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

As of Aug 30, 2026, the average hourly pay for part time rn utilization review nurse in Chicago, IL is $43.56, according to ZipRecruiter salary data. Most workers in this role earn between $34.42 and $50.00 per hour, depending on experience, location, and employer.

How to get into utilization review as a part time RN utilization review nurse?

To become a part-time RN in utilization review, obtain a valid nursing license and relevant experience in case management or insurance. Certifications such as Certified Professional in Healthcare Quality (CPHQ) or case management credentials can enhance your qualifications, and familiarity with electronic health records (EHR) systems is often required. Applying to healthcare organizations or insurance companies that offer part-time roles and demonstrating strong assessment and communication skills are key steps.

What are the most commonly searched types of Rn Utilization Review Nurse jobs in Chicago, IL?

The most popular types of Rn Utilization Review Nurse jobs in Chicago, IL are:

Part Time Rn Utilization Review Nurse jobs near you

Case Manager - Utilization Review RN

Chicago, IL • On-site

Community First Medical Center
Health Care and Social Assistance • 501 - 1,000 employees

3.9

Company rating: 3.9 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

1,051st of 1,064 rated hospitals

Learn more about Community First Medical Centerexternal

$53/hr

Full-time, Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 3 days ago

Job description

Under the general direction of the Director of Behavioral Health, the Case Manager - Utilization Review RN provides clinically based case management and utilization review services to support the delivery of high-quality, cost-effective patient care. The RN is responsible for concurrent utilization review, medical necessity determination, denial prevention, discharge planning, care coordination, and resource management across the continuum of care.
The Case Manager - Utilization Review RN collaborates with physicians, interdisciplinary team members, physician advisors, social workers, revenue cycle staff, and third-party payers to ensure appropriate utilization of hospital resources, regulatory compliance, optimal reimbursement, and safe patient transitions.
Community First Medical Center offers benefits to all its full-time and part-time employees:
  • United Healthcare Medical PPO/HMO/HSA Plans, premiums as low as $50.00/full time, $85.00/Part Time
  • Met Life Dental and Vision
  • Paid Time Off (PTO) with annual accruals up to 168 hrs./year
  • Six paid holidays
  • Company Paid Life insurance and Short-term Disability
  • 401(k) after 90 days
  • Continuing Education reimbursement and 2 days paid off separate from PTO
  • Free Parking Garage
  • Internal Growth Opportunities

Requirements
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
QUALIFICATIONS
Education
  • Associate Degree in Nursing required.
  • Bachelor of Science in Nursing (BSN) preferred.

Experience
  • Minimum three (3) years of acute care nursing experience required.
  • Minimum two (2) years of Case Management and/or Utilization Review experience preferred.
  • Experience with discharge planning, utilization review, denial management, and payer authorization preferred.

Licensure
  • Current Illinois Registered Nurse license required.
  • ACM, CCM, or CMAC certification preferred.

KNOWLEDGE, SKILLS & ABILITIES
  • Knowledge of Medicare, Medicaid, and commercial insurance regulations.
  • Working knowledge of InterQual and/or MCG criteria.
  • Behavioral Health background knowledge
  • Access to Behavioral Health Networks
  • Understanding of utilization management and care coordination principles.
  • Knowledge of discharge planning and post-acute care resources.
  • Strong analytical and critical thinking skills.
  • Excellent verbal and written communication skills.
  • Ability to prioritize multiple complex patient cases.
  • Ability to build collaborative relationships with physicians and interdisciplinary teams.
  • Computer proficiency and electronic medical record experience.

PERFORMANCE EXPECTATIONS
Success in this role is measured by:
  • Appropriate admission status determination
  • Denial prevention and appeal success
  • Timely discharge planning
  • Reduction in avoidable days
  • Average Length of Stay management
  • Readmission reduction
  • Documentation compliance
  • Regulatory compliance
  • Patient throughput
  • Patient and physician satisfaction

Salary Description
43.47-$53.00

What Community First Medical Center employees say

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