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Part Time Utilization Management Nurse Jobs (NOW HIRING)

Acadia Healthcare

Utilization Specialist

Riverdale, GA · On-site

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 ...

Houston Methodist

At Houston Methodist, the Utilization Review Nurse (URN) PRN position is a licensed registered ... This position collaborates with case management in the development and implementation of the plan ...

Presbyterian Healthcare Services

This role integrates utilization management, care coordination, and transition planning to ensure ... As an RN Case Manager , you will manage a designated caseload, collaborating with an ...

Phsorg

This role integrates utilization management, care coordination, and transition planning to ensure ... As an RN Case Manager , you will manage a designated caseload, collaborating with an ...

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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 Jul 13, 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 Utilization Management Nurse jobs near you
Infographic showing various Part Time Utilization Management Nurse job openings in the United States as of July 2026, with employment types broken down into 100% Part Time. Highlights an 100% In-person job distribution, with an average salary of $89,483 per year, or $43 per hour.
Inpatient Utilization Management Specialist

Inpatient Utilization Management Specialist

Charlotte Behavioral Health Care

Punta Gorda, FL • On-site

$16.50 - $18.50/hr

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 21 days ago

Job description

Sign-on Bonus: $500
Work days: Saturday and Sunday
  • Participate in daily treatment team meetings in Crisis Services programs for the purpose of identifying new patients and communicating with them to determine financial income information, behavioral health and Substance Abuse insurance coverage as well as prescription medication insurance coverage.
  • Attempt to obtain copies of insurance cards or other documentation from the patient or patient's family/friends should intake staff be unable to procure at admission.
  • Verify benefit coverage for all identified insurance plans, and communicate responsibilities to patients.
  • Provide timely and accurate clinical information to third party payers as needed to assure coverage for inpatient treatment services.
  • Provide feedback to nursing and administrative staff regarding need for documentation, denial of payment for patient treatment, or need for doctor-to-doctor consultation to assure coverage of treatment.
  • Draft insurance appeals as needed.
  • Responsible to assist in the reporting of ACSU Daily Census reporting, required by CFBHN.

Benefits
Full-time
  • Dental, vision, health, and life insurance.
  • Employee Assistance Program (EAP).
  • Employer sponsored contribution to Health Savings Account (HSA), with qualifying insurance plan.
  • Paid Time Off (PTO).
  • 11 paid holidays.

Must meet eligibility requirements
  • 403b Retirement Plan, with 9% employer contribution for those who meet eligibility requirements.
  • Tuition reimbursement, Public Service Loan Forgiveness (PSLF) eligible, and Health Resources and Services Administration (HRSA) loan repayment eligible for qualifying staff

  • High school diploma or equivalent.
  • Minimum of two (2) years' experience in behavioral health field, preferred.
  • Familiarity with health insurance, managed care organizations, third party payers and ASAM level of care criteria preferred.
  • Preferred UM experience in a health related field.
  • Ability to pass a level II Background clearance and drug test.
  • For more information regarding the Level II Background Screening click here: https://info.flclearinghouse.com

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