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

As of Jul 21, 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.

How to make 300,000 as a nurse?

To earn $300,000 as a part-time RN in utilization review, nurses typically need extensive experience, specialized certifications, and work in high-paying settings or roles. Increasing income may involve taking on additional shifts, consulting, or advancing to senior or managerial positions that offer higher compensation. Building expertise in areas like case management or insurance review can also enhance earning potential.

Is it hard to be a utilization review nurse?

A utilization review nurse reviews medical records and authorizations to determine the necessity and appropriateness of healthcare services. The role requires strong clinical knowledge, attention to detail, and the ability to interpret guidelines and policies, which can make the job challenging but manageable with experience. It often involves working independently and adhering to strict deadlines, especially in a remote or office setting.

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

A part-time RN utilization review nurse can increase income by taking on additional shifts, working overtime, or offering consulting services in healthcare management. Developing specialized skills, such as certification in case management or coding, can also open opportunities for higher-paying freelance or remote work. Balancing workload and maintaining licensure requirements are essential for sustainable extra income.

How to get into utilization review as a nurse?

To become a utilization review nurse, you typically need to be a registered nurse with clinical experience and obtain knowledge of insurance policies and medical necessity criteria. Many employers prefer candidates with certifications such as the Certified Professional in Healthcare Quality (CPHQ) or case management credentials. Gaining experience in case management, medical records review, or insurance settings can improve your chances of entering utilization review roles.
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Part Time Rn Utilization Review Nurse jobs near you
Utilization Review Registered Nurse

Utilization Review Registered Nurse

Prairie Lakes Healthcare System

Watertown, SD

$28.09 - $44.81/hr

Full-time, Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 5 days ago

Prairie Lakes Healthcare System rating

3.9

Company rating: 3.9 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

Job description

Utilization Review Registered Nurse
Job Summary
Join our team and be a part of our mission to deliver accessible, high-quality, affordable, and compassionate healthcare. Prairie Lakes Healthcare System is a non-profit healthcare system serving 10 counties in northeastern South Dakota and west-central Minnesota. Our team at Prairie Lakes makes a difference in the lives of patients and their loved ones
POSITION SUMMARY
Wage: 28.09-44.81
On-site.
This full-time (0.9 status or 36 hours per week) position ensures the medical necessity for hospital services, admissions and continued stay are met per specific Medicare and commercial payor guidelines.
RESPONSIBILITIES
Develops and implements effective utilization review functions resulting in maintaining an average length of stay that is financially justified for hospital operations.
Reviews all inpatient and observation admissions within 24 hours for appropriateness based on approved criteria and standards, Monday through Friday. All weekend admissions are reviewed on the following Monday.
Contacts physicians as required for information to justify admission or continued stay the same day of questionable stay.
Refers all cases where necessity for admission is questionable or potential for denial is identified to the attending physician or his/her designee for appropriate action after notifying the Discharge Planning/Social Services manager.
Develops and maintains a system to monitor and review certification completion.
Maintains complete and accurate documentation which reflects the status of hospital utilization, numbers and categories of cases reviewed, and denials by fiscal intermediaries. Documents and reports back follow-up.
Reviews and follows through the appeal process for patient stay denials.
Other duties may be assigned.
JOB SPECIFICATIONS
Education and/or Experience
Bachelor’s degree required.
Five years of acute health care experience.
Two years experience related to utilization review preferred.
Certificates, Licenses, Registrations
Holds or is eligible for current nursing licensor in the State of South Dakota.
Mandatory Basic and Advanced Life Support Training per policy
Benefits
Prairie Lakes Healthcare System offers comprehensive benefits for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 403(b)-retirement plan, and generous paid time off to maintain a healthy home-work balance.
Additional benefits for those qualifying include:
  • Flexible Spending Account
  • Employee Assistance Program for mental health
  • Education Loan Program
  • Community discounts including the Prairie Lakes Wellness Center
Prairie Lakes Healthcare System has a Drug Free Workplace Policy. An accepted offer will require positive reference checks and pre-employment background screening as a condition of employment.

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