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Part Time Utilization Management Nurse Jobs in Merced, CA

Ioaging

Nurse Liaison

Merced, CA

$53 - $56/hr

IOA's Nurse Liaison provides education and training to RCFE's in network; serves as content expert ... to utilization and assist Care Management staff to implement interventions regarding health ...

Institute on Aging

Nurse Liaison

Merced, CA · On-site

$53 - $56/hr

IOA's Nurse Liaison provides education and training to RCFE's in network; serves as content expert ... to utilization and assist Care Management staff to implement interventions regarding health ...

Mariposa County, CA

Extra Help Registered Nurse

Mariposa, CA · On-site

$44 - $53.48/hr

Extra-Help (Part-time) Job Number: 16-01343 Department: Health and Human Services Opening Date: 08 ... SUPERVISION RECEIVED AND EXERCISED Receives supervision from the Public Health Nursing Manager or ...

Journeys

Part-Time Sales Associate

Atwater, CA · On-site

$16 - $20/hr

Effectively communicate all store needs to store management * Stay informed of current fashion ... Genesco's employment practices will continue to be directed toward full utilization of all ...

Journeys

Part-Time Sales Associate

Atwater, CA · On-site

$16 - $20/hr

Effectively communicate all store needs to store management * Stay informed of current fashion ... Genesco's employment practices will continue to be directed toward full utilization of all ...

Genesco

Part-Time Sales Associate

Atwater, CA · On-site

$14 - $19.25/hr

Effectively communicate all store needs to store management * Stay informed of current fashion ... Genesco's employment practices will continue to be directed toward full utilization of all ...

Journeys

Part-Time Sales Associate

Atwater, CA · On-site

$16 - $20/hr

Effectively communicate all store needs to store management * Stay informed of current fashion ... Genesco's employment practices will continue to be directed toward full utilization of all ...

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All JobsUtilization Management Nurse JobsPart Time Utilization Management Nurse JobsPart Time Utilization Management Nurse Jobs in Merced, CA

Part Time Utilization Management Nurse information

See Merced, CA salary details

$41.2K

$94.5K

$172.1K

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

As of Sep 8, 2026, the average yearly pay for part time utilization management nurse in Merced, CA is $94,496.00, according to ZipRecruiter salary data. Most workers in this role earn between $68,100.00 and $110,400.00 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.

What are popular job titles related to Part Time Utilization Management Nurse jobs in Merced, CA?

For Part Time Utilization Management Nurse jobs in Merced, CA, the most frequently searched job titles are:

What job categories do people searching Part Time Utilization Management Nurse jobs in Merced, CA look for?

The top searched job categories for Part Time Utilization Management Nurse jobs in Merced, CA are:

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Cities near Merced, CA with the most Part Time Utilization Management Nurse job openings:

Part Time Utilization Management Nurse jobs near you
Infographic showing various Part Time Utilization Management Nurse job openings in Merced, CA as of August 2026, with employment types broken down into 100% Part Time. Highlights an 94% In-person, and 6% Remote job distribution, with an average salary of $94,496 per year, or $45.4 per hour.

Nurse Liaison

Ioaging

Merced, CA

$53 - $56/hr

Part-time

Re-posted 4 days ago

Key responsibilities

  • Provide education and training to RCFE's and CalAIM staff relevant to client population and program.

  • Act as a consultant for Care Management staff regarding medical health issues and review discharge paperwork with healthcare providers.

  • Participate in multidisciplinary team meetings, provide recommendations on safe level of care, and monitor the quality of services provided by other providers.

Job description

IOA is on the forefront of revolutionary healthcare models, reshaping the way people can age in place. Our innovative models transform lives, enhance communities, and save healthcare systems millions of dollars. Rather than focusing on archaic outdated design, we strive to consistently question the "status-quo" and create new and more innovative ways to help aging adults and adults with disabilities maintain their quality of life.

With over 23 programs, we offer multiple ways to aid seniors maintain their health, well-being, independence and participation in the community, fulfilling our mission.

IOA's Nurse Liaison provides education and training to RCFE's in network; serves as content expert for waived services programs; serves as primary liaison with the Health Plan team; works collaboratively with Director, Social Workers, and Supervisors to ensure quality measures are completed.
This role will provide eight hours of support per week.
RESPONSIBILITIES:
  • Act as consultant for Care Management staff regarding medical health issues individuals are facing such as diabetes management, medication management, wound care, and other acute or chronic illnesses.
  • Participate in multidisciplinary team meetings and care conferences; provide recommendations regarding safe level of care in conjunction with multidisciplinary team.
  • Ensure individuals transitioning out of institutional settings have long-term supports and services necessary to promote safe community living.
  • Review all discharge paperwork and consult as needed with inpatient, outpatient, and primary care providers
  • Provide ongoing trainings to CalAIM staff relevant to client population and program.
  • Complete required assessments and documentation for waived services programs. Liaise with Care Management staff to ensure clinical documentation meets best practice guidelines.
  • Review utilization patterns of individuals with high health care utilization to analyze medical factors leading to utilization and assist Care Management staff to implement interventions regarding health promotion activities.
  • Works collaboratively with CalAIM Leadership Team to improve program and process efficiencies.
  • Monitors the quantity and quality of the services provided by other involved providers.
  • Participate in and promotes ongoing efforts towards Continuous Quality Improvement.
  • Attends and actively participates in team and program meetings, activities and problem-solving endeavors; contributes to open lines of communication within the team.
  • Understands and applies the regulatory and procedural requirements of the Institute on Aging.
  • Attends continuing education classes and/or in service training to increase knowledge, skills and attitudes related to CalAIM client population.
  • All other reasonably related responsibilities as assigned.
EDUCATION:
  • Registered Nurse (R.N.) license in California required.
BACKGROUND AND EXPERIENCE:
  • Minimum two years working with disabled adults and/or older adults as a registered nurse required.
  • Experience providing trainings and education to a diverse group required.
  • Excellent verbal and written communication skills required.
  • Experience working with individuals with mental and/or behavioral health diagnoses and substance abuse disorders highly preferred.
  • Prior experience working with a health plan and/or in a SNF/Hospital setting preferred.
  • Detail oriented with good problem-solving skills and the ability to prioritize multiple tasks.
  • Computer literacy required.

COMPENSATION:

Range: $53 to $56/hour

This amount is not necessarily reflective of actual compensation that may be earned, nor a promise of any specific pay for any specific employee, which is always dependent on actual experience, education and other factors.

This range does not include any additional equity, benefits, or other non-monetary compensation which may be included.

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