Employment Type: Part time Shift: Day Shift Description: Job Title: Registered Nurse Department ... Management of all review and appeals utilizing a modified approach based on specific needs of the ...
Employment Type: Part time Shift: Day Shift Description: Job Title: Registered Nurse Department ... Management of all review and appeals utilizing a modified approach based on specific needs of the ...
Actual compensation may differ depending on assigned hours and position status (e.g., part-time ... Five years' clinical nursing and three years quality management, utilization review or discharge ...
Actual compensation may differ depending on assigned hours and position status (e.g., part-time ... Five years' clinical nursing and three years quality management, utilization review or discharge ...
Utilization Specialist LPN
Lafayette, LA · On-site
Vermilion Behavioral Health Systems is seeking a part time with benefits UR Specialist (30-35 hours ... Act as liaison between managed care organizations and the facility professional clinical staff.
Utilization Specialist LPN
Lafayette, LA · On-site
Vermilion Behavioral Health Systems is seeking a part time with benefits UR Specialist (30-35 hours ... Act as liaison between managed care organizations and the facility professional clinical staff.
Previous experience in utilization management is preferred LICENSES/DESIGNATIONS/CERTIFICATIONS: * Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides ...
Previous experience in utilization management is preferred LICENSES/DESIGNATIONS/CERTIFICATIONS: * Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides ...
Employment Type: Part time Shift: Day Shift Description: Job Title: Registered Nurse Department ... Management of all review and appeals utilizing a modified approach based on specific needs of the ...
Employment Type: Part time Shift: Day Shift Description: Job Title: Registered Nurse Department ... Management of all review and appeals utilizing a modified approach based on specific needs of the ...
Actual compensation may differ depending on assigned hours and position status (e.g., part-time ... Five years' clinical nursing and three years quality management, utilization review or discharge ...
Actual compensation may differ depending on assigned hours and position status (e.g., part-time ... Five years' clinical nursing and three years quality management, utilization review or discharge ...
Utilization Specialist LPN
Lafayette, LA · On-site
Act as liaison between managed care organizations and the facility professional clinical staff ... Employment Type: PART_TIME
Utilization Specialist LPN
Lafayette, LA · On-site
Act as liaison between managed care organizations and the facility professional clinical staff ... Employment Type: PART_TIME
Five years of hospital nursing experience preferred ... Experience in the field of Utilization Management activities highly preferred. Basic understanding ...
Five years of hospital nursing experience preferred ... Experience in the field of Utilization Management activities highly preferred. Basic understanding ...
Actual compensation may differ depending on assigned hours and position status (e.g., part-time ... Five years' clinical nursing and three years quality management, utilization review or discharge ...
Actual compensation may differ depending on assigned hours and position status (e.g., part-time ... Five years' clinical nursing and three years quality management, utilization review or discharge ...
UTILIZATION REVIEW NURSE-ED (PT NIGHTS)
Kankakee, IL · On-site
$40.90/hr
Prior experience in utilization review or case management is preferred * Strong clinical assessment ... Active Registered Nurse (RN) license in the State of Illinois. * Associates Degree of Nursing (AND)
UTILIZATION REVIEW NURSE-ED (PT NIGHTS)
Kankakee, IL · On-site
$40.90/hr
Prior experience in utilization review or case management is preferred * Strong clinical assessment ... Active Registered Nurse (RN) license in the State of Illinois. * Associates Degree of Nursing (AND)
Care Navigator - Utilization Management (per diem)
Omaha, NE · Remote
$22 - $25/hr
Care Navigator - Utilization Management Overall Purpose ... Under the supervision of the Medical Management Nurses, this position is responsible for assisting ...
Care Navigator - Utilization Management (per diem)
Omaha, NE · Remote
$22 - $25/hr
Care Navigator - Utilization Management Overall Purpose ... Under the supervision of the Medical Management Nurses, this position is responsible for assisting ...
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.
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.
Care Navigator - Utilization Management (per diem)
Lincoln, NE · Remote
$22 - $25/hr
Care Navigator - Utilization Management Overall Purpose ... Under the supervision of the Medical Management Nurses, this position is responsible for assisting ...
Care Navigator - Utilization Management (per diem)
Lincoln, NE · Remote
$22 - $25/hr
Care Navigator - Utilization Management Overall Purpose ... Under the supervision of the Medical Management Nurses, this position is responsible for assisting ...
... management is preferred LICENSES/DESIGNATIONS/CERTIFICATIONS: * Preferred Licensure: LPN, RN, LMSW ... Employment Type: PART_TIME
... management is preferred LICENSES/DESIGNATIONS/CERTIFICATIONS: * Preferred Licensure: LPN, RN, LMSW ... Employment Type: PART_TIME
Care Navigator - Utilization Management (per diem)
Omaha, NE · On-site
$22 - $25/hr
Care Navigator - Utilization Management Overall Purpose ... Under the supervision of the Medical Management Nurses, this position is responsible for assisting ...
Care Navigator - Utilization Management (per diem)
Omaha, NE · On-site
$22 - $25/hr
Care Navigator - Utilization Management Overall Purpose ... Under the supervision of the Medical Management Nurses, this position is responsible for assisting ...
Utilization Specialist LPN
Lafayette, LA · On-site
Overview Vermilion Behavioral Health Systems is seeking a part time with benefits UR Specialist (30 ... Act as liaison between managed care organizations and the facility professional clinical staff.
Utilization Specialist LPN
Lafayette, LA · On-site
Overview Vermilion Behavioral Health Systems is seeking a part time with benefits UR Specialist (30 ... Act as liaison between managed care organizations and the facility professional clinical staff.
Five years of hospital nursing experience preferred ... Experience in the field of Utilization Management activities highly preferred. Basic understanding ...
Five years of hospital nursing experience preferred ... Experience in the field of Utilization Management activities highly preferred. Basic understanding ...
This position may be filled on a full-time or part-time basis, with a minimum commitment of 0.5 FTE ... S., with 886 licensed beds, 2,100 physicians, 2,800 nurses, and thousands of other healthcare ...
This position may be filled on a full-time or part-time basis, with a minimum commitment of 0.5 FTE ... S., with 886 licensed beds, 2,100 physicians, 2,800 nurses, and thousands of other healthcare ...
You will collaborate closely with Medical Directors, Utilization Management, and Case Management ... Minimum of 3-5 years of clinical nursing experience * Ability to work a part-time schedule, five ...
You will collaborate closely with Medical Directors, Utilization Management, and Case Management ... Minimum of 3-5 years of clinical nursing experience * Ability to work a part-time schedule, five ...
You will collaborate closely with Medical Directors, Utilization Management, and Case Management ... Minimum of 3-5 years of clinical nursing experience * Ability to work a part-time schedule, five ...
You will collaborate closely with Medical Directors, Utilization Management, and Case Management ... Minimum of 3-5 years of clinical nursing experience * Ability to work a part-time schedule, five ...
Part Time Utilization Management Nurse information
See salary details
$39K - $50.3K
15% of jobs
$50.3K - $61.5K
8% of jobs
$63.2K is the 25th percentile. Wages below this are outliers.
$61.5K - $72.8K
15% of jobs
The median wage is $79.9K / yr.
$72.8K - $84.1K
20% of jobs
$84.1K - $95.4K
11% of jobs
$101K is the 75th percentile. Wages above this are outliers.
$95.4K - $106.6K
13% of jobs
$106.6K - $117.9K
5% of jobs
$117.9K - $129.2K
3% of jobs
$129.2K - $140.5K
4% of jobs
$140.5K - $151.7K
3% of jobs
$151.7K - $163K
3% of jobs
$39K
$89.5K
$163K
How much do part time utilization management nurse jobs pay per year?
As of Jul 11, 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 are the key skills and qualifications needed to thrive in the Part Time Utilization Management Nurse position, and why are they important?
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 is a Part Time Utilization Management Nurse job?
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 on a weekly basis?
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.
More about Part Time Utilization Management Nurse jobs
What cities are hiring for Part Time Utilization Management Nurse jobs? Cities with the most Part Time Utilization Management Nurse job openings:
What are the most commonly searched types of Utilization Management Nurse jobs? The most popular types of Utilization Management Nurse jobs are:
What states have the most Part Time Utilization Management Nurse jobs? States with the most job openings for Part Time Utilization Management Nurse jobs include:
What job categories do people searching Part Time Utilization Management Nurse jobs look for? The top searched job categories for Part Time Utilization Management Nurse jobs are:
Part-time
Posted 8 days ago
Trinity Health rating
6.5
Based on 352 frontline employees who took The Breakroom Quiz
599th of 881 rated healthcare providers
Job description
Employment Type:
Part timeShift:
Day Shift
Description:
Job Title: Registered Nurse
Department: Utilization Review
Employment Type: Per Diem
Shift: 8-hour shifts - Coverage for weekday and weekends
Location: St. Mary Medical Center - Langhorne, PA
Position Purpose
The UM Registered Nurse is responsible for the coordinating and facilitating all aspects of reimbursement as related to the clinical review and level of care. Management of all review and appeals utilizing a modified approach based on specific needs of the patient population. Facilitates achievement of efficient resource consumption, and acceptable clinical outcomes, through integration and implementation of utilization management.
Minimum Qualifications:
Position Highlights:
About us:
St. Mary Medical Center is a beautiful 53-acre state-of-the-art facility comprised of more than 700 physicians, nearly 3,000 colleagues, and 1,100 volunteers committed to providing quality care delivered with compassion and respect. St. Mary attracts top doctors, introduces cutting-edge technologies and implements advanced procedures to meet the healthcare needs of the people it serves, including the nearly 630,000 residents of Bucks County.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Part timeShift:
Day Shift
Description:
Job Title: Registered Nurse
Department: Utilization Review
Employment Type: Per Diem
Shift: 8-hour shifts - Coverage for weekday and weekends
Location: St. Mary Medical Center - Langhorne, PA
Position Purpose
The UM Registered Nurse is responsible for the coordinating and facilitating all aspects of reimbursement as related to the clinical review and level of care. Management of all review and appeals utilizing a modified approach based on specific needs of the patient population. Facilitates achievement of efficient resource consumption, and acceptable clinical outcomes, through integration and implementation of utilization management.
Minimum Qualifications:
- Bachelor's degree in nursing required.
- Active PA RN License required.
- Previous experience in Utilization review required.
- CCM or Accredited Case Manager certification preferred.
- Demonstrates ability to use problem solving, critical thinking, and priority setting skills.
- Must be able to work independently and on a team.
- Ability to perform diversified duties with time limitations with a high degree of accuracy
Position Highlights:
- Work/Life balance with flexible schedules.
- Free onsite parking.
- Our mission and core values are what drive each member of Trinity Health to support each other, communicate openly and respectfully while embracing a culture that nurtures a healing, safe environment for all.
- Referral Rewards Program
About us:
St. Mary Medical Center is a beautiful 53-acre state-of-the-art facility comprised of more than 700 physicians, nearly 3,000 colleagues, and 1,100 volunteers committed to providing quality care delivered with compassion and respect. St. Mary attracts top doctors, introduces cutting-edge technologies and implements advanced procedures to meet the healthcare needs of the people it serves, including the nearly 630,000 residents of Bucks County.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
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About Trinity Health
Sourced by ZipRecruiter
Trinity Health Ann Arbor is a 537 -bed teaching hospital located on 340 acre campus. Recognized by IBM Watson as a Top 100 Hospital and #1 Teaching Hospital, Trinity Health Ann Arbor has been a leading health care provider for more than 100 years. Trinity Health has received numerous local and national awards in recognition of our leadership, quality outcomes, and clinical excellence.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Livonia, MI, US