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Part Time Rn Utilization Review Nurse Jobs in Miami, FL

Medi Nurse Home Care

Registered Nurse

Cooper City, FL

$70K - $85K/hr

Our home health agency is currently seeking full-time and part time RN to join our team. As an RN with our agency, you will have the opportunity to work with a diverse patient population and provide ...

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All JobsRn Utilization Review Nurse JobsPart Time Rn Utilization Review Nurse JobsPart Time Rn Utilization Review Nurse Jobs in Miami, FL

Part Time Rn Utilization Review Nurse information

See Miami, FL salary details

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$40

$65

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

As of Aug 10, 2026, the average hourly pay for part time rn utilization review nurse in Miami, FL is $40.44, according to ZipRecruiter salary data. Most workers in this role earn between $31.97 and $46.44 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, you typically need a valid nursing license, experience in case management or clinical review, and familiarity with insurance or healthcare policies. Certifications such as Certified Professional in Healthcare Quality (CPHQ) or case management credentials can enhance your qualifications. Applying to healthcare organizations or insurance companies that offer part-time roles and demonstrating strong assessment and documentation skills are key steps.
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Registered Nurse Utilization Review, Case Management, Part Time, 7P-7:30A

Baptist Health South Florida

South Miami, FL • On-site

$73K - $98K/yr

Part-time

Posted 23 days ago

Baptist Health South Florida rating

8.1

Company rating: 8.1 out of 10

Based on 99 frontline employees who took The Breakroom Quiz

1st of 24 rated health and beauty retailers

Job description

The purpose of this position is to conduct initial, concurrent, retrospective chart review for clinical financial resource utilization. Coordinates with healthcare team for optimal/efficient patient outcomes, while decreasing length of stay (LOS) and avoid delays and denied days. They are accountable for a designated patient caseload and provides intervention, coordination to decrease avoidable delays, denial of reimbursement. Specific functions within this role include: Screens pre-admission, admission process using established criteria for all points of entry. Facilitates communication between payers, review agencies, healthcare team. Identify delays in treatment or inappropriate utilization and serves as a resource. Coordinates communication with physicians. Identify opportunities for expedited appeals and collaborates to resolve payer issues. Ensures/Maintains effective communication with Revenue Cycle Departments.Estimated salary range for this position is $73860.80 - $98234.86 / year depending on experience.Degrees:
  • Associates.
Licenses & Certifications:
  • MCG Care Guidelines Specialist.
  • Registered Nurse.
Additional Qualifications:
  • RNs hired prior to 2-2012 (10/1/2017 at Bethesda or 7/1/2019 at BRRH) with an Associates Degree in Nursing are not required to have a BSN to continue their non-leadership role as an RN.
  • however, they are required to complete the BSN within 3 years of job entry date.
  • MCG Specialist Certification ISC/HRC required within 12 months of job entry date.
  • 3 years of Nursing experience preferred.
  • Excellent written, interpersonal communication and negotiation skills.
  • Strong critical thinking skills and the ability to perform clinical/chart review abstract information efficiently.
  • Strong analytical, data management and computer skills.
  • Strong organizational and time management skills, as evidenced by capacity to prioritize multiple tasks and role components.
  • Current working knowledge of payer and managed care reimbursement preferred.
  • Ability to work independently and exercise sound judgment in interactions with the health care team and patients/families.
  • Knowledgeable in local, state, and federal legislation and regulations.
  • Ability to tolerate high volume production standards.
Minimum Required Experience: 3 Years

What Baptist Health South Florida employees say

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Benefits

Hours and flexibility

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About Baptist Health South Florida

Sourced by ZipRecruiter

Baptist Health South Florida is the largest healthcare organization in the region, with 12 hospitals, more than 27,000 employees, 4,000 physicians and 100 outpatient centers, urgent care facilities and physician practices spanning across Miami-Dade, Monroe, Broward and Palm Beach counties. Baptist Health has internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences. A not-for-profit organization supported by philanthropy and committed to its faith-based charitable mission of medical excellence, Baptist Health has been recognized by Fortune as one of the 100 Best Companies to Work For in America and by Ethisphere as one of the World's Most Ethical Companies.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Miami, FL, US

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