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Part Time Utilization Management Nurse Jobs (NOW HIRING)

Medical University of South Carolina

... Nurse required. Prior leadership experience preferred. One year of case management and/or utilization management work experience preferred. Staff hired prior to July 1, 2013 will be grandfathered in ...

Jefferson Health Plans

Job Details Performs utilization management functions, applying medical necessity criteria to ... Benefits Jefferson offers a comprehensive package of benefits for full-time and part-time ...

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Part Time Utilization Management Nurse information

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$39K

$89.5K

$163K

How much do part time utilization management nurse jobs pay per year?

As of Aug 21, 2026, the average yearly pay for part time utilization management nurse in the United States is $89,483.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,500.00 and $104,500.00 per year, depending on experience, location, and employer.

What is a part time utilization management nurse?

A Part Time Utilization Management Nurse evaluates the medical necessity, efficiency, and appropriateness of healthcare services for patients. They review patient records, collaborate with healthcare providers, and ensure treatments align with clinical guidelines and insurance policies. Working part-time, they may focus on prior authorizations, case reviews, or appeals. This role helps optimize resource use while ensuring quality patient care and compliance with regulations.

What are the typical responsibilities of a part time utilization management nurse?

As a Part Time Utilization Management Nurse, you are responsible for reviewing patient records, assessing medical necessity, and determining the appropriateness of hospital admissions or continued stays according to established guidelines. You’ll routinely interact with physicians, case managers, and insurance representatives to advocate for patients and ensure cost-effective care. Your weekly duties may involve detailed documentation, participation in interdisciplinary meetings, and responding to authorization requests in a timely manner. By balancing clinical judgment with regulatory requirements, you play a key role in optimizing patient outcomes while managing healthcare resources efficiently.

What are the key skills and qualifications needed to thrive in the part time utilization management nurse position?

A Part Time Utilization Management Nurse needs an active RN license, strong clinical assessment abilities, and a solid understanding of medical necessity criteria. Familiarity with utilization review software, medical coding, and knowledge of insurance guidelines or programs such as InterQual or Milliman is often required. Excellent critical thinking, attention to detail, and professional communication skills help nurses collaborate effectively with providers and payers. These competencies ensure appropriate care delivery, resource management, and compliance with healthcare regulations in a dynamic environment.

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What are the most commonly searched types of Utilization Management Nurse jobs?

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What states have the most Part Time Utilization Management Nurse jobs?

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Part Time Utilization Management Nurse jobs near you
Infographic showing various Part Time Utilization Management Nurse job openings in the United States as of August 2026, with employment types broken down into 100% Part Time. Highlights an 93% In-person, and 7% Remote job distribution, with an average salary of $89,483 per year, or $43 per hour.

Utilization Management Nurse-1

Medical University of South Carolina

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 14 days ago

Job description

Job Description Summary

MUSC Community Physicians (MCP) is an entity within the Medical University of South Carolina (MUSC) that provides healthcare to patients within the rural health network throughout the state of South Carolina.
Conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition.

Entity

MUSC Community Physicians (MCP)

Worker Type

Employee

Worker Sub-Type

Regular

Cost Center

CC005921 MCP - Utilization Management

Pay Rate Type

Hourly

Pay Grade

Health-28

Scheduled Weekly Hours

32

Work Shift

Job Description

Conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient charts and records to evaluate care concurrent with the patients treatment. Reviews treatment plans and status of approvals from insurers. Collects and complies data as required and according to applicable policies and regulations. Consults with physicians as needed.

Bachelor's degree in Nursing from an accredited school of nursing and three years' work experience as a Registered Nurse required. Prior leadership experience preferred. One year of case management and/or utilization management work experience preferred. Staff hired prior to July 1, 2013 will be grandfathered in regards to education requirement. Must possess excellent verbal and written communication skills. Familiarity with InterQual or Milliman and Robinson screening criteria desired. Licensure as a registered nurse by the state of South Carolina or compact state required.

Additional Job Description

Benefits:

  • Health, dental, vision, and life insurance
  • Employer Sponsored Retirement Plan
  • Paid time off and extended sick leave
  • Paid Parental Leave
  • Disability insurance plan options
  • Continuous professional and clinical training
  • Competitive pay
  • Annual Merit Increase
  • Wellbeing resources
  • Tuition Reimbursement
  • Employee perks and discounts
  • Employee referral program
  • Flexible schedule options
  • Certification incentive program

If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees

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