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Part Time Utilization Management Nurse Jobs (NOW HIRING)

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 ...

UHS

UR COORDINATOR - Part Time

Titusville, FL · On-site

Associate Degree in Nursing or Bachelor's Degree in social work, mental health or related field ... A minimum of two (2) years' experience in health care case management or utilization review ...

Acadia Healthcare

Utilization Specialist

Henderson, NV · 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 ...

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

As of Jun 10, 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 June 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 $89,483 per year, or $43 per hour.
Utilization/Clinical Review RN - PRN

Utilization/Clinical Review RN - PRN

Children's Healthcare of Atlanta

Atlanta, GA • On-site

Part-time

This job post has expired today. Applications are no longer accepted.

Children's Healthcare Of Atlanta rating

7.3

Company rating: 7.3 out of 10

Based on 124 frontline employees who took The Breakroom Quiz

295th of 870 rated healthcare providers

Job description

Note: If you are CURRENTLY employed at Children's and/or have an active badge or network access, STOP here. Submit your application via Workday using the Career App (Find Jobs).
Work Shift
Day
Work Day(s)
Variable
Shift Start Time
8:00 AM
Shift End Time
5:00 AM
Worker Sub-Type
PRN
Children's is one of the nation's leading children's hospitals. No matter the role, every member of our team is an essential part of our mission to make kids better today and healthier tomorrow. We're committed to putting you first, and that commitment is at the heart of our company culture: People first. Children always. Find your next career opportunity and make a difference doing what you love at Children's.
Job Description
Participates as a member of a multidisciplinary team in completing pre-screening assessments of prospective patients. Ensures completion of appropriate clinical review of all applicable patients as stated in system utilization management plan. Oversees Clinical Review Specialist as indicated. Maintains necessary documentation and communication with internal and external customers.
This role is PRN and requires (6) 8-hour days per month with 1 day being on the weekend. We'll be open to offering more if possible. Training/Orientation will be 3 days/week (8-hour days) for 8-10 weeks. Onsite Orientation is needed 3-4 days for first week. Some holidays are required as well.
This role will be remote but regular meetings/trainings will require being onsite at the Support Center in Atlanta.
Experience
  • 3 years of experience in a healthcare setting; pediatrics highly preferred

Preferred Qualifications
  • Bachelor of Science in Nursing
  • 2 years of experience in hospital or insurance related utilization review
  • Previous experience with MCG and/or InterQual systems

Education
  • Graduation from an accredited school of nursing

Certification Summary
  • Licensure as a Registered Nurse in the single State of Georgia or Multi-State through the Enhanced Nurse Licensure Compact

Knowledge, Skills, and Abilities
  • Working knowledge of financial aspects of third-party payors and reimbursement
  • Effective decision-making/problem-solving skills
  • Demonstration of creativity in problem-solving
  • Must possess above-average computer skills
  • Must be able to successfully pass the Basic Windows Skill Assessment at 80% or higher rating within 30 days of employment

Job Responsibilities
  • Provides clinical information to insurance companies as needed for completion of pre-certification process as noted in Children's Healthcare of Atlanta utilization management plan.
  • Evaluates all patients, including critical care, for appropriateness of admission type and setting, utilizing a combination of clinical information, screening criteria, and third-party information within 24 hours or next business day.
  • Initiates and facilitates physician communications relative to utilization review process when indicated without prompting and follows up to ensure completion, including peer-to-peer reviews, securing admission orders, and reporting quality issues.
  • Reviews concurrently all inpatients, including critical care, every three days or sooner if payor requests, including information regarding patient's medical condition, intensity of services being utilized, treatment plan, and established review criteria.
  • Ensures all pertinent information is documented into various systems for utilization review process.
  • Gathers and reviews relevant medical information and documents utilization review process outcome based on system accepted utilization criteria on the accepted current review forms and in computer systems.
  • Supports organizational efforts to ensure accurate capture of admission status and level of care using Epic and escalating cases for status change where necessary.
  • Refers denied cases to appropriate personnel and provides assistance and/or clinical support to aid in appeal process.
  • Serves as resource to Case Management for facilitation of patients moving to appropriate level of care and notifying when patients no longer meet medical necessity to aid in discharge planning.
  • Meets productivity (10-12 reviews/day) and quality assurance (95%) standards and demonstrates utilization review proficiency with the successful completion and passing of McKesson Interrater Reliability testing.
  • Attends all required onsite, telephonic, and mandatory department meetings.
  • Participates in department activities to help promote utilization review process, aids in denial prevention, and serves as resource to peers and team members.

Children's Healthcare of Atlanta is an equal opportunity employer committed to providing equal employment opportunities to all qualified applicants and employees without regard to race, color, sex, religion, national origin, citizenship, age, veteran status, disability or any other characteristic covered by applicable law.
Primary Location Address
1575 Northeast Expy NE
Job Family
Nursing-Non Bedside

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