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Part Time Utilization Review Manager 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 ...

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How much do part time utilization review manager jobs pay per year?

As of May 31, 2026, the average yearly pay for part time utilization review manager in the United States is $91,011.00, according to ZipRecruiter salary data. Most workers in this role earn between $59,500.00 and $109,500.00 per year, depending on experience, location, and employer.

What is the difference between Part Time Utilization Review Manager vs Utilization Review Nurse?

AspectPart Time Utilization Review ManagerUtilization Review Nurse
CredentialsTypically requires a nursing license and management experienceRegistered Nurse (RN) license required
Work EnvironmentOversees review teams, manages processes, and collaborates with healthcare providersConducts patient chart reviews, assesses medical necessity, and communicates with providers
Industry UsageCommonly employed in healthcare organizations, insurance companies, and third-party review firmsPrimarily found in hospitals, insurance companies, and healthcare facilities

While both roles involve reviewing medical cases for insurance or healthcare purposes, the Part Time Utilization Review Manager focuses on overseeing review processes and managing teams, whereas the Utilization Review Nurse directly assesses patient cases and medical necessity. Understanding these differences helps clarify career paths and employer expectations in healthcare review roles.

More about Part Time Utilization Review Manager jobs
What cities are hiring for Part Time Utilization Review Manager jobs? Cities with the most Part Time Utilization Review Manager job openings:
What states have the most Part Time Utilization Review Manager jobs? States with the most job openings for Part Time Utilization Review Manager jobs include:
What job categories do people searching Part Time Utilization Review Manager jobs look for? The top searched job categories for Part Time Utilization Review Manager jobs are:
Part Time Utilization Review Manager jobs near you
Infographic showing various Part Time Utilization Review Manager job openings in the United States as of May 2026, with employment types broken down into 83% Full Time, and 17% Part Time. Highlights an 45% Physical, 11% Hybrid, and 44% Remote job distribution, with an average salary of $91,011 per year, or $43.8 per hour.
Utilization Review Registered Nurse

Utilization Review Registered Nurse

Prairie Lakes Healthcare System

Watertown, SD

$28.09 - $44.81/hr

Full-time, Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 14 days ago

Prairie Lakes Healthcare System rating

4.8

Company rating: 4.8 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

Job description

Utilization Review Registered Nurse
Job Summary
Join our team and be a part of our mission to deliver accessible, high-quality, affordable, and compassionate healthcare. Prairie Lakes Healthcare System is a non-profit healthcare system serving 10 counties in northeastern South Dakota and west-central Minnesota. Our team at Prairie Lakes makes a difference in the lives of patients and their loved ones
POSITION SUMMARY
Wage: 28.09-44.81
On-site.
This full-time (0.9 status or 36 hours per week) position ensures the medical necessity for hospital services, admissions and continued stay are met per specific Medicare and commercial payor guidelines.
RESPONSIBILITIES
Develops and implements effective utilization review functions resulting in maintaining an average length of stay that is financially justified for hospital operations.
Reviews all inpatient and observation admissions within 24 hours for appropriateness based on approved criteria and standards, Monday through Friday. All weekend admissions are reviewed on the following Monday.
Contacts physicians as required for information to justify admission or continued stay the same day of questionable stay.
Refers all cases where necessity for admission is questionable or potential for denial is identified to the attending physician or his/her designee for appropriate action after notifying the Discharge Planning/Social Services manager.
Develops and maintains a system to monitor and review certification completion.
Maintains complete and accurate documentation which reflects the status of hospital utilization, numbers and categories of cases reviewed, and denials by fiscal intermediaries. Documents and reports back follow-up.
Reviews and follows through the appeal process for patient stay denials.
Other duties may be assigned.
JOB SPECIFICATIONS
Education and/or Experience
Bachelor’s degree required.
Five years of acute health care experience.
Two years experience related to utilization review preferred.
Certificates, Licenses, Registrations
Holds or is eligible for current nursing licensor in the State of South Dakota.
Mandatory Basic and Advanced Life Support Training per policy
Benefits
Prairie Lakes Healthcare System offers comprehensive benefits for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 403(b)-retirement plan, and generous paid time off to maintain a healthy home-work balance.
Additional benefits for those qualifying include:
  • Flexible Spending Account
  • Employee Assistance Program for mental health
  • Education Loan Program
  • Community discounts including the Prairie Lakes Wellness Center
Prairie Lakes Healthcare System has a Drug Free Workplace Policy. An accepted offer will require positive reference checks and pre-employment background screening as a condition of employment.

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