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Part Time Rn Utilization Review Nurse Jobs (NOW HIRING)

Madera Community Hospital

Peer Review Nurse

Madera, CA · On-site

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

ABBOTT HOUSE

Part-Time Registered Nurse

Irvington, NY

Responsible for organizing, reviewing and itemizing billings. * Assure medical supplies are stocked ... Computer - The Part-Time Registered Nurse must be able to use a computer and able to learn software ...

Community Health Network

Make a Difference Community East has a part-time RN Case Manager position available in the ... utilization review and management and discharge planning. Has accountability for the care ...

Community Health Network

Make a Difference Community East has a part-time RN Case Manager position available in the ... utilization review and management and discharge planning. Has accountability for the care ...

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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
Utilization Management Nurse (RN) - Part Time

Utilization Management Nurse (RN) - Part Time

Luminis Health

Annapolis, MD • On-site

$34 - $55/hr

Full-time, Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 3 days ago

Luminis Health rating

8.1

Company rating: 8.1 out of 10

Based on 52 frontline employees who took The Breakroom Quiz

67th of 877 rated healthcare providers

Job description

Position Objective: Conducts concurrent and retrospective chart review for clinical, financial, and resource utilization information. Provides intervention and coordination to decrease avoidable delays and denial of payment.
Essential Job Duties:
1. Chart Review:
Reviews the medical record by applying utilization review criteria, to assess clinical, financial, and resource utilization; enters clinical review in EPIC; maintains close communication with external reviews, care coordinators, and providers; reconciles and records days authorized in EPIC
2. Denial Management:
Monitors and identifies patterns or trends in utilization management; monitors potential and actual denials and collaborates with care coordinator for any follow up necessary; documents actions taken to avoid denial; assists Care Coordinator in communicating with the patient denied hospital days with work toward resolution and discharge.
3. Care Coordination:
Collaborates with the Care Coordinator to achieve optimal and efficient patient outcomes while decreasing length of stay, avoidable delays and denied days; utilizes Physician Advisor and administrative personnel for unresolved issues; identifies opportunities for expedited appeals and collaborates with the care coordinator and Physician Advisor to resolve payer issues.
4. Process improvement initiatives
Participates in nursing unit and department clinical outcome projects as well as process improvement initiatives of care management.
Educational/Experience Requirements:
  • Bachelor's of Science in Nursing or Associate's degree in Nursing with equivalent experience. BSN must be achieved within 5 years of start date in the role.
  • Three years of clinical nursing in an acute care hospital setting.

RequiredLicense/Certifications:
  • Current RN license from Maryland Board of Nursing.

Working Conditions, Equipment, Physical Demands:
There is a reasonable expectation that employees in this position will be exposed to blood-borne pathogens.
Physical Demands -
The physical demands and work environment that have been described are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions in accordance with the Americans with Disabilities Act.
The above job description is an overview of the functions and requirements for this position. This document is not intended to be an exhaustive list encompassing every duty and requirement of this position; your supervisor may assign other duties as deemed necessary.
Pay Range
$34-$55 USD
Luminis Health Benefits Overview:• Medical, Dental, and Vision Insurance
• Retirement Plan (with employer match for employees who work more than 1000 hours in a calendar year)
• Paid Time Off
• Tuition Assistance Benefits
• Employee Referral Bonus Program
• Paid Holidays, Disability, and Life/AD&D for full-time employees
• Wellness Programs
• Employee Assistance Programs and more
*Benefit offerings based on employment status
Opt-in for text notifications!Luminis Health's two-way SMS texting platform lets you receive notifications and messages from our Talent Acquisition team directly on your phone.
To enable this feature, select "yes" when asked to "opt-in to receive text messages" and to "Receive updates from a recruiter about this job via SMS" when completing your application. Once you are opted in, you can easily opt-out at any time. Standard text messaging rates may apply based on the candidate's mobile carrier plan. Luminis Health is not responsible for any charges incurred by the recipient. Candidates are encouraged to review their mobile carrier's plan for applicable text messaging rates and usage charges.

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