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Part Time Utilization Review Manager information

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$39K

$91K

$167.5K

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

As of Jul 12, 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
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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:
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Part Time Utilization Review Manager jobs near you
RN Utilization Review - Patient & Family Services - Per Diem

RN Utilization Review - Patient & Family Services - Per Diem

SolutionHealth

Nashua, NH • On-site

Part-time

Medical, Dental, Vision, Life, Retirement

Re-posted 24 days ago

Job description

Come work at the best place to give and receive care!
Job Description:
This Role is On-Site
Who We Are:
Southern NH Medical Centers strives to keep patients on a continuous track to discharge and receive the continuity of care that our patients and their families need. Our Patient and Family Services Department is the driving force to assure communication, respect, and safety follows our patients throughout the admission phase, all the way through the discharge process. This department includes a dedicated team of Case Managers, Social Workers, and Interpreters that ensure that all care is equal, and our patient's dignity is maintained above all else.
About the Job:
The Utilization Review/Denial Specialist works with the care team to evaluate medical acuity for the appropriate level of care orders and documentation to facilitate insurance coverage, and proactively prevent denials. This specialist ensures level of care charges are applied accurately and meet compliance with CMS and commercial insurance guidelines as well as reviewing appeal options for medical necessity insurance denials
What You'll Do:
  • Assess acute medical necessity utilizing appropriate criteria.
  • Collect and trend Utilization Review data metrics.
  • Review appeal options for commercial insurance, RAC, and QIO medical necessity denials.
  • Understand and apply CMS Regulations to meet compliance

Who You Are:
  • Current NH Nursing License as a Registered Nurse.
    • ASN accepted; BSN required within 10 years of hire.
  • A minimum of 5-years' of experience as a Registered Nurse.
  • Experience in use of Interqual, Milliman or other Healthcare acute criteria preferred.

Why You'll Love Us:
  • Health, dental, prescription, and vision coverage for full-time & part-time employees
  • Short-term, long-term disability, life & pet insurance
  • Student Loan Forgiveness & Discounts
  • 403(b) Retirement savings plans
  • Continuous earned time accrual

& So much more!
Work Shift:
Per diem weekends and holiday. Other days available if staff have availability.
SolutionHealth is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law.

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