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Part Time Rn Utilization Review Nurse Jobs (NOW HIRING)

Oregon Health & Science University

Sick Leave - 96 hours per year, prorated for part-time * Substantial public transportation ... They conduct robust utilization review. Utilization Management Nurses use established criteria to ...

Stcharles

Utilization Review Specialist

Bend, OR

$27.74 - $41.61/hr

In addition, the Utilization Review Specialist is responsible for collaborating with the UM RN and other members of the interdisciplinary team (i.e. Physicians, Case Managers, Social Workers, etc ...

Madera Community Hospital

Peer Review Nurse

Madera, CA · On-site

$46 - $61.91/hr

... Part Time Position with flexible schedule. Qualifications: Requires completion of Registered Nurse ... and utilization review. Requires proficiency in data abstraction, EHR systems, and critical ...

Madera Community Hospital

Peer Review Nurse

Madera, CA

$46 - $61.91/hr

... Part Time Position with flexible schedule. Qualifications: Requires completion of Registered Nurse ... and utilization review. Requires proficiency in data abstraction, EHR systems, and critical ...

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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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Part Time Rn Utilization Review Nurse jobs near you
Utilization Review Nurse RN - Grace Medical Center

Utilization Review Nurse RN - Grace Medical Center

LifeBridge Health

Baltimore, MD • On-site

Part-time

Posted yesterday

Key responsibilities

  • Conducts initial, concurrent, and retrospective chart reviews for clinical, financial, and resource utilization information.

  • Interfaces with third party payers by providing relevant clinical information and performing certification activities as required by payor.

  • Coordinates with Care Managers and other personnel to achieve optimal patient outcomes, decrease length of stay, and avoid delays and denied days.

LifeBridge Health rating

6.2

Company rating: 6.2 out of 10

Based on 77 frontline employees who took The Breakroom Quiz

667th of 877 rated healthcare providers

Job description

JOB SUMMARY:

Conducts initial, concurrent and retrospective chart review for clinical, financial and resource utilization information. Provides
intervention and coordination to decrease avoidable delays and denial of payment. Interfaces with 3rd party payers by providing
pertinent, relevant clinical information.

  • Reviews the medical record by applying utilization review criteria, to assess clinical, financial, and resource consumption. Enters
    clinical reviews into the software program. Maintains close communication with external reviewers/internal financial
    counselors/patient access personnel and performs certification activities as required by payor.
  • Monitors and identifies patterns or trends in utilization management. Monitors potential and actual denials and coordinates with nurse Care Manager and/or Social Worker for any follow up necessary. Documents in software program the actions taken to coordinate care and avoid denials. Assists nurse Care Managers in communicating with the patient denied hospital days as well as the issuance of Medicare forms including HINN, Detailed Notice of Discharge to patients/family/significant other when they are in disagreement with the discharge plan arranged by attending and Care Management personnel.
  • Coordinates with the Care Manager to achieve optimal and efficient patient outcomes, while decreasing length of stay and avoid
    delays and denied days. Utilizes Physician Advisor and administrative personnel for unresolved issues. Identifies opportunities for expedited appeals and collaborates with the Care Manager and Physician Advisor to resolve payer issues. Other tasks as assigned.
  • Sends appropriate referrals/escalations to the physician advisors to review case not met with criteria.

REQUIREMENTS:

  • Current RN license in MD (or Compact State as applicable)
  • Associate's Degree in Nursing required; BSN or higher preferred
  • Minimum of 3 years of experience; 5+ years of experience preferred

What LifeBridge Health employees say

Pay

Benefits

Hours and flexibility

Workplace

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About LifeBridge Health

Sourced by ZipRecruiter

LifeBridge Health is a $2B, 13,000 team member healthcare system that Cares Bravely for over 1 million patients annually throughout Maryland. We are comprised of 5 main healthcare centers: Sinai Hospital, Northwest Hospital, Carroll Hospital, Levindale Hebrew Geriatric Center and Hospital, and Grace Medical Center as well as several specialty and primary care locations throughout Baltimore.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Baltimore, MD, US

Year founded

1988

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