ZipRecruiter

Log In

2

Part Time Utilization Review Nurse Jobs in Ohio (NOW HIRING)

TriHealth

Care Management Coord RN

Oxford, OH · On-site

Oxford, OH 45056 Schedule: Part Time Day Incentives & Benefits: We offer competitive shift ... Performs utilization review for patients served. Requires weekend, holiday, and off site commitment ...

TriHealth, Inc.

Care Management Coord RN

Oxford, OH · On-site

Oxford, OH 45056 Schedule: Part Time Day Incentives & Benefits: We offer competitive shift ... Performs utilization review for patients served. Requires weekend, holiday, and off site commitment ...

TriHealth

Care Management Coord RN

Oxford, OH · On-site

Oxford, OH 45056 Schedule: Part Time Day Incentives & Benefits: We offer competitive shift ... Performs utilization review for patients served. Requires weekend, holiday, and off site commitment ...

TriHealth, Inc.

Care Management Coord RN

Oxford, OH · On-site

Oxford, OH 45056 Schedule: Part Time Day Incentives & Benefits: We offer competitive shift ... Performs utilization review for patients served. Requires weekend, holiday, and off site commitment ...

next page

Showing results 1-20

All JobsUtilization Review Nurse JobsPart Time Utilization Review Nurse JobsPart Time Utilization Review Nurse Jobs in Ohio

Part Time Utilization Review Nurse information

See Ohio salary details

$20

$40

$65

How much do part time utilization review nurse jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for part time utilization review nurse in Ohio is $40.20, according to ZipRecruiter salary data. Most workers in this role earn between $31.78 and $46.15 per hour, depending on experience, location, and employer.

What is a part time utilization review nurse?

A Part Time Utilization Review Nurse is a registered nurse who works part-time hours and is responsible for reviewing medical records to determine if healthcare services are medically necessary and appropriate. They assess the quality and efficiency of patient care, ensuring compliance with insurance policies and regulatory standards. These nurses often work for hospitals, insurance companies, or healthcare organizations, and play a key role in cost management and quality assurance. Their work helps to ensure that patients receive appropriate care while also controlling healthcare expenses.

What does a part time utilization review nurse do?

As a part-time utilization review nurse, your job is to review the medical necessity of a procedure and ensure that all services offered to a patient meet regulatory compliance requirements. Utilization review nurses often focus on reducing costs while maintaining or improving the quality of patient care. You then relay this information to other reviewers and third-party payers. Many utilization review nurses help answer questions from insurance companies, apply critical thinking and good judgment to unusual cases, ensure accurate and appropriate documentation of everything that occurs, and conduct additional research as needed for a given case. Part-time utilization review nurses usually work in areas that have lower patient volume.

What are the key skills and qualifications needed to thrive as a part time utilization review nurse, and why are they important?

To thrive as a Part Time Utilization Review Nurse, you need a valid RN license, in-depth clinical knowledge, and experience in care management or case review. Familiarity with utilization review software, electronic health records (EHRs), and knowledge of insurance/Medicare guidelines are typically required. Strong analytical thinking, attention to detail, and effective communication skills help set exceptional candidates apart. These skills ensure accurate case evaluations, compliance with regulations, and effective collaboration with healthcare teams and payers.

What are some common challenges faced by part time utilization review nurses, and how can they effectively manage their workload?

Part-time Utilization Review Nurses often face the challenge of balancing a high volume of case reviews within limited working hours, which can create time management pressures. Additionally, they may need to stay updated with frequently changing insurance policies and clinical guidelines. Effective communication and collaboration with full-time colleagues and healthcare providers are crucial for seamless transitions and accurate reviews. Utilizing efficient documentation practices and prioritizing urgent cases can help part-time nurses stay organized and maintain quality outcomes.

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

AspectPart Time Utilization Review NursePart Time Case Manager
CredentialsRN license, certifications in utilization review or case managementRN license, case management certification often preferred
Work EnvironmentHospitals, insurance companies, healthcare facilitiesHospitals, insurance companies, community health agencies
Primary FocusReview medical necessity and appropriateness of careCoordinate patient care and discharge planning
Common UsageUsed in insurance and healthcare settings for review rolesUsed for patient advocacy and care coordination roles

While both roles require nursing credentials and work within healthcare settings, the Part Time Utilization Review Nurse primarily focuses on assessing the necessity of medical treatments, whereas the Part Time Case Manager emphasizes coordinating patient care and discharge planning. Understanding these differences helps in choosing the right career path or job opportunity.

More about Part Time Utilization Review Nurse jobs

What are the most commonly searched types of Utilization Review Nurse jobs in Ohio?

The most popular types of Utilization Review Nurse jobs in Ohio are:

What are popular job titles related to Part Time Utilization Review Nurse jobs in Ohio?

For Part Time Utilization Review Nurse jobs in Ohio, the most frequently searched job titles are:

What job categories do people searching Part Time Utilization Review Nurse jobs in Ohio look for?

The top searched job categories for Part Time Utilization Review Nurse jobs in Ohio are:

What cities in Ohio are hiring for Part Time Utilization Review Nurse jobs?

Cities in Ohio with the most Part Time Utilization Review Nurse job openings:

Part Time Utilization Review Nurse jobs near you
Infographic showing various Part Time Utilization Review Nurse job openings in Ohio as of August 2026, with employment types broken down into 17% Full Time, and 83% Part Time. Highlights an 100% In-person job distribution, with an average salary of $83,610 per year, or $40.2 per hour.

RN Utilization Rvw Spclst - Utilization Management

Kettering Health

Miamisburg, OH • On-site

Part-time

Re-posted 22 days ago

Kettering Health rating

7.3

Company rating: 7.3 out of 10

Based on 190 frontline employees who took The Breakroom Quiz

301st of 898 rated healthcare providers

Job description

Job Details

Utilization Management | Miamisburg | Part-time | Varied Shift

Responsibilities & Requirements
  • Registered professional nurse with education, knowledge and experience.
  • Role focuses on review of inpatient and observation admissions to ensure correct assignment of Admit status.  
  • Communicates concurrently and resolves medical necessity discrepancies with physicians and other hospital leadership as needed.
  • Responsible for completing clinical review on all assigned patients and communicates these reviews to payers.
  • Identifies potential or actual denials for admission or ongoing stay both during the patient's hospital stay and post discharge.
  • Review and decide the validity of medical necessity payer denials.  Submits payer denial appeals.
  • Participates in design of work flows and procedure to reduce incidence of denials.
  • Current unrestricted Ohio RN licensure, BSN required.
  • Experience with computers required.
Preferred Qualifications
  • 5 years clinical experience with 2 years case management
  • Case Management certification
  • Works independently
  • Familiar with MCG Care guidelines
  • Ability to adapt quickly to changing priorities and regulations
  • Experience with Microsoft applications and EPIC software

                                                                            ! WEEKEND ONLY!

Overview

Kettering Health is a not-for-profit system of 14 medical centers and more than 120 outpatient facilities serving southwest Ohio. Our mission is to live God's love by promoting and restoring health. Our commitment to our patients is to help individuals be their best. With that context, safety is our top priority. We provide an integrated system of healthcare experts committed to providing exceptional care.

Employment Type: PART_TIME

What Kettering Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply