Displays knowledge of clinical criteria, managed care requirements for inpatient and outpatient ... Previous utilization review experience in a psychiatric healthcare facility preferred. More about ...
Displays knowledge of clinical criteria, managed care requirements for inpatient and outpatient ... Previous utilization review experience in a psychiatric healthcare facility preferred. More about ...
Displays knowledge of clinical criteria, managed care requirements for inpatient and outpatient ... Previous utilization review experience in a psychiatric healthcare facility preferred. More about ...
Displays knowledge of clinical criteria, managed care requirements for inpatient and outpatient ... Previous utilization review experience in a psychiatric healthcare facility preferred. More about ...
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 ...
Utilization Review Specialist LVN
Bakersfield, CA · On-site
$27.07 - $33.37/hr
The UR Specialist is responsible for contacting external case managers/managed care organizations ... Benefits eligibility varies based on employment status (full-time, part-time, per diem, temporary ...
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Utilization Review Specialist LVN
Bakersfield, CA · On-site
$27.07 - $33.37/hr
The UR Specialist is responsible for contacting external case managers/managed care organizations ... Benefits eligibility varies based on employment status (full-time, part-time, per diem, temporary ...
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 ...
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 ...
RN Care Manager - Utilization Review (1.0 FTE)
Billings, MT · On-site
$35.34 - $44.18/hr
... part-time employees (minimum of 20 hours/week), including Medical, Dental, Vision, 403(b) ... Click here to learn more! RN Care Manager - Utilization Review (1.0 FTE) Billings Clinic (Billings ...
RN Care Manager - Utilization Review (1.0 FTE)
Billings, MT · On-site
$35.34 - $44.18/hr
... part-time employees (minimum of 20 hours/week), including Medical, Dental, Vision, 403(b) ... Click here to learn more! RN Care Manager - Utilization Review (1.0 FTE) Billings Clinic (Billings ...
Utilization Review RN - PT - Day - Utilization Resource Mgmt Pennington NJ
Princeton Junction, NJ · On-site
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 RN - PT - Day - Utilization Resource Mgmt Pennington NJ
Princeton Junction, NJ · On-site
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 ...
Case Management | Work Hours: 0800-1630 | Weekend Requirements: N/A | 0.6 FTE Job Summary ... Conducts initial and concurrent reviews of clinical documentation for medical necessity and ...
Case Management | Work Hours: 0800-1630 | Weekend Requirements: N/A | 0.6 FTE Job Summary ... Conducts initial and concurrent reviews of clinical documentation for medical necessity and ...
GRACE MEDICAL CENTER * Part-time - Weekends - Day shift - 8:00am-4:30pm * RN OTHER * 96385 * $40.12 ... Assists nurse Care Managers in communicating with the patient denied hospital days as well as the ...
GRACE MEDICAL CENTER * Part-time - Weekends - Day shift - 8:00am-4:30pm * RN OTHER * 96385 * $40.12 ... Assists nurse Care Managers in communicating with the patient denied hospital days as well as the ...
GRACE MEDICAL CENTER * Part-time - Weekends - Day shift - 8:00am-4:30pm * RN OTHER * 96385 * $40.12 ... Assists nurse Care Managers in communicating with the patient denied hospital days as well as the ...
GRACE MEDICAL CENTER * Part-time - Weekends - Day shift - 8:00am-4:30pm * RN OTHER * 96385 * $40.12 ... Assists nurse Care Managers in communicating with the patient denied hospital days as well as the ...
Case Management | Work Hours: 0800-1630 | Weekend Requirements: N/A | 0.6 FTE Job Summary ... Conducts initial and concurrent reviews of clinical documentation for medical necessity and ...
Case Management | Work Hours: 0800-1630 | Weekend Requirements: N/A | 0.6 FTE Job Summary ... Conducts initial and concurrent reviews of clinical documentation for medical necessity and ...
The P2P Utilization Review Nurse functions with a high degree of autonomy and clinical judgment, managing a high volume of complex cases across multiple entities. Working in close collaboration with ...
The P2P Utilization Review Nurse functions with a high degree of autonomy and clinical judgment, managing a high volume of complex cases across multiple entities. Working in close collaboration with ...
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 ...
The P2P Utilization Review Nurse functions with a high degree of autonomy and clinical judgment, managing a high volume of complex cases across multiple entities. Working in close collaboration with ...
The P2P Utilization Review Nurse functions with a high degree of autonomy and clinical judgment, managing a high volume of complex cases across multiple entities. Working in close collaboration with ...
Reviews the medical record by applying utilization review criteria, to assess clinical, financial ... Monitors and identifies patterns or trends in utilization management. Monitors potential and actual ...
Reviews the medical record by applying utilization review criteria, to assess clinical, financial ... Monitors and identifies patterns or trends in utilization management. Monitors potential and actual ...
RN Discharge Planner/UR
Salem, OH · On-site
Position: Part Time Utilization Review/RN Case Manager Department : Case Management Shift: Days PURPOSE The UR/RN Case Manager serves as a role model for professional nursing and assists with ...
RN Discharge Planner/UR
Salem, OH · On-site
Position: Part Time Utilization Review/RN Case Manager Department : Case Management Shift: Days PURPOSE The UR/RN Case Manager serves as a role model for professional nursing and assists with ...
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
FTE: Part-Time (.6) ????️ Schedule: Weekend Only (12-hour shifts) Evaluates patient medical ... Three (3) years of utilization review, case management, or third-party payer experience.
FTE: Part-Time (.6) ????️ Schedule: Weekend Only (12-hour shifts) Evaluates patient medical ... Three (3) years of utilization review, case management, or third-party payer experience.
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.
- Utilization Review No Experience
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- Senior Rn Utilization Review Nurse
- Weekend Utilization Review
- Remote Aetna Utilization Review
- Manager Optum Utilization Review
- Lpn Utilization Review Nurse
- Volunteer Aetna Utilization Review Nurse
- Utilization Review 1099

Part-time
Posted 16 days ago
LifePoint Health rating
5.9
Based on 257 frontline employees who took The Breakroom Quiz
740th of 864 rated healthcare providers
Job description
PRN Position for Inpatient and Outpatient (PHP/IOP) Utilization.
Your experience matters
Mesa Springs is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Utilization Review Specialist joining our team, you're embracing a vital mission dedicated to making communities healthier®. Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve.
How you'll contribute
An Utilization Review Specialistwho excels in this role:
- Displays knowledge of clinical criteria, managed care requirements for inpatient and outpatient authorization and advocates on behalf of the patient to secure coverage for needed services
- Completes pre and re-certifications for inpatient and outpatient services.
- Reports appropriate denial, and authorization information to designated resource.
- Actively communicates with interdisciplinary team to acquire pertinent information and give updates on authorizations.
- Participate in treatment teams to ensure staff have knowledge of coverage and to collect information for communication with agencies.
- Works with DON to ensure documentation requirements are met.
- Ensure appeals are completed thoroughly and on a timely basis.
- Interface with managed care organizations, external reviews, and other payers.
- Communicate with physicians to schedule peer to peer reviews.
- Accurately report denials.
What we're looking for
Applicants should have a Bachelor's degree (required), Master's degree preferred. Additional requirements include:
- Current unencumbered clinical license strongly preferred
- CPR and CPI Certification within 30 day of employment
- Previous utilization review experience in a psychiatric healthcare facility preferred.
More about Mesa Springs
Mesa Springs is a behavioral health hospital offering exceptional care to the Fort Worth, TX community.
EEOC Statement
"Mesa Springs is an Equal Opportunity Employer. Mesa Springs is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment."
About Us
Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.
About the Team
We employ and provide care to people from all walks of life. We are committed to promoting healing, providing hope, preserving dignity and producing value with an inclusive workforce in which diversity is leveraged, respected, and reflective of the patients, family members, customers and team members we serve.
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Pay
Benefits
Hours and flexibility
Workplace
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About LifePoint Health
Sourced by ZipRecruiter
Lifepoint Health serves patients, clinicians, communities and partners across the healthcare continuum. Our diversified healthcare delivery network extends from coast to coast, consisting of community hospitals, rehabilitation and behavioral health hospitals, and additional sites of care.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Brentwood, TN, US
Year founded
1999