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 ...
RN, Utilization Review
Menomonee Falls, WI · On-site
$34 - $52.70/hr
Refers cases to the physician advisor, PA moonlighter, for a second level review as needed ... Prior utilization management or case management experience is required. A minimum of 5 years of ...
RN, Utilization Review
Menomonee Falls, WI · On-site
$34 - $52.70/hr
Refers cases to the physician advisor, PA moonlighter, for a second level review as needed ... Prior utilization management or case management experience is required. A minimum of 5 years of ...
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 ...
Performs the four key functions of case management: Utilization review, Resource management, Managing the continuum of care, and Clinical documentation management. Responsible for facilitating ...
Performs the four key functions of case management: Utilization review, Resource management, Managing the continuum of care, and Clinical documentation management. Responsible for facilitating ...
Performs the four key functions of case management: Utilization review, Resource management, Managing the continuum of care, and Clinical documentation management. Responsible for facilitating ...
Performs the four key functions of case management: Utilization review, Resource management, Managing the continuum of care, and Clinical documentation management. Responsible for facilitating ...
The ED Case Manager (UR) is responsible for the timely review of patients to make a recommendation ... The Care Manger strives to promote patient wellness, improved care outcomes, efficient utilization ...
The ED Case Manager (UR) is responsible for the timely review of patients to make a recommendation ... The Care Manger strives to promote patient wellness, improved care outcomes, efficient utilization ...
The Utilization Review Nurse RN conducts initial, concurrent and retrospective chart review for ... Monitors and identifies patterns or trends in utilization management. Monitors potential and actual ...
The Utilization Review Nurse RN conducts initial, concurrent and retrospective chart review for ... Monitors and identifies patterns or trends in utilization management. Monitors potential and actual ...
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 ...
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 ...
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 ...
Employment Type: Part time Shift: Description: The Utilization Review (UR) Nurse has well-developed knowledge and skills in areas of utilization management (UM), medical necessity, and patient status ...
Employment Type: Part time Shift: Description: The Utilization Review (UR) Nurse has well-developed knowledge and skills in areas of utilization management (UM), medical necessity, and patient status ...
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 ... manager. ESSENTIAL FUNCTIONS Performs chart review of identified patients to identify quality ...
Actual compensation may differ depending on assigned hours and position status (e.g., part-time ... manager. ESSENTIAL FUNCTIONS Performs chart review of identified patients to identify quality ...
Utilization Review Nurse RN
Randallstown, MD · On-site
$40.12 - $62.19/hr
The ED Case Manager (UR) is responsible for the timely review of patients to make a recommendation ... The Care Manger strives to promote patient wellness, improved care outcomes, efficient utilization ...
Utilization Review Nurse RN
Randallstown, MD · On-site
$40.12 - $62.19/hr
The ED Case Manager (UR) is responsible for the timely review of patients to make a recommendation ... The Care Manger strives to promote patient wellness, improved care outcomes, efficient utilization ...
Actual compensation may differ depending on assigned hours and position status (e.g., part-time ... manager. ESSENTIAL FUNCTIONS Performs chart review of identified patients to identify quality ...
Actual compensation may differ depending on assigned hours and position status (e.g., part-time ... manager. ESSENTIAL FUNCTIONS Performs chart review of identified patients to identify quality ...
Actual compensation may differ depending on assigned hours and position status (e.g., part-time ... manager. ESSENTIAL FUNCTIONS Performs chart review of identified patients to identify quality ...
Actual compensation may differ depending on assigned hours and position status (e.g., part-time ... manager. ESSENTIAL FUNCTIONS Performs chart review of identified patients to identify quality ...
Utilization Review Nurse RN - NE
Randallstown, MD · On-site
$40.12 - $62.19/hr
The Utilization Review Nurse RN conducts initial, concurrent and retrospective chart review for ... Assists nurse Care Managers in communicating with the patient denied hospital days as well as the ...
Utilization Review Nurse RN - NE
Randallstown, MD · On-site
$40.12 - $62.19/hr
The Utilization Review Nurse RN conducts initial, concurrent and retrospective chart review for ... Assists nurse Care Managers in communicating with the patient denied hospital days as well as the ...
This department includes a dedicated team of Case Managers, Social Workers, and Interpreters that ... Health, dental, prescription, and vision coverage for full-time & part-time employees * Short-term ...
This department includes a dedicated team of Case Managers, Social Workers, and Interpreters that ... Health, dental, prescription, and vision coverage for full-time & part-time employees * Short-term ...
This department includes a dedicated team of Case Managers, Social Workers, and Interpreters that ... Health, dental, prescription, and vision coverage for full-time & part-time employees * Short-term ...
This department includes a dedicated team of Case Managers, Social Workers, and Interpreters that ... Health, dental, prescription, and vision coverage for full-time & part-time employees * Short-term ...
Employment Type: Part time Shift: Description: The Utilization Review (UR) Nurse has well-developed knowledge and skills in areas of utilization management (UM), medical necessity, and patient status ...
Employment Type: Part time Shift: Description: The Utilization Review (UR) Nurse has well-developed knowledge and skills in areas of utilization management (UM), medical necessity, and patient status ...
Part Time Utilization Review Manager information
See salary details
$39K - $50.7K
9% of jobs
$59.3K is the 25th percentile. Wages below this are outliers.
$50.7K - $62.4K
22% of jobs
$62.4K - $74K
11% of jobs
The median wage is $81.2K / yr.
$74K - $85.7K
14% of jobs
$85.7K - $97.4K
12% of jobs
$104.7K is the 75th percentile. Wages above this are outliers.
$97.4K - $109.1K
13% of jobs
$109.1K - $120.8K
13% of jobs
$120.8K - $132.5K
5% of jobs
$132.5K - $144.1K
2% of jobs
$144.1K - $155.8K
0% of jobs
$155.8K - $167.5K
0% of jobs
$39K
$91K
$167.5K
How much do part time utilization review manager jobs pay per year?
What is the difference between Part Time Utilization Review Manager vs Utilization Review Nurse?
| Aspect | Part Time Utilization Review Manager | Utilization Review Nurse |
|---|---|---|
| Credentials | Typically requires a nursing license and management experience | Registered Nurse (RN) license required |
| Work Environment | Oversees review teams, manages processes, and collaborates with healthcare providers | Conducts patient chart reviews, assesses medical necessity, and communicates with providers |
| Industry Usage | Commonly employed in healthcare organizations, insurance companies, and third-party review firms | Primarily 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.
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- Remote Optum Utilization Review
- Weekend Utilization Review
- Manager Optum Utilization Review
Part-time
Re-posted 9 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
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
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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