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

A Registered Nurse administers skilled nursing care to patients on an intermittent basis in their ... Participates in utilization review of medical records as assigned. * Gives total patient care as ...

A Registered Nurse administers skilled nursing care to patients on an intermittent basis in their ... Participates in utilization review of medical records as assigned. * Gives total patient care as ...

RN

Saint George, UT · On-site

A Registered Nurse administers skilled nursing care to patients on an intermittent basis in their ... Participates in utilization review of medical records as assigned. * Gives total patient care as ...

Pharmacist Part Time

Provo, UT · On-site

$55 - $66.25/hr

... ongoing critical nursing care. Our hospital features all private rooms (including a high ... Conducts drug utilization reviews and prepares drug review criteria for medical staff approval.

$41.20 - $62.17/hr

The RN Hospital Care Manager I delivers comprehensive care management services to designated ... Demonstrated experience in case management, utilization review, value-based care, and/or discharge ...

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Part Time Utilization Review Nurse information

See Utah salary details

$19

$38

$62

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

As of Aug 28, 2026, the average hourly pay for part time utilization review nurse in Utah is $38.49, according to ZipRecruiter salary data. Most workers in this role earn between $30.43 and $44.18 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.

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

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

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

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

Infographic showing various Part Time Utilization Review Nurse job openings in Utah as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 20% Part Time, 2% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $80,064 per year, or $38.5 per hour.

Part-time

Re-posted 17 hours ago


Job description

A Registered Nurse administers skilled nursing care to patients on an intermittent basis in their place of residence. This is performed in accordance with physician orders and plan of care under the direction and supervision of the Clinical Manager.


QUALIFICATIONS

  1. Graduate of an approved school of professional nursing and currently licensed in the state(s) in which practicing.
  2. One (1) year nursing experience, preferred.
  3. Acceptance of philosophy and goals of this Agency.
  4. Ability to exercise initiative and independent judgment.


RESPONSIBILITIES

  1. Provides services in accordance with the plan of care.
  2. Makes the initial evaluation visit, determines the immediate care and support needs of the patient, assesses
  3. eligibility and homebound status and develops the plan of care in coordination with other IDT members.
  4. Regularly reevaluates the patients nursing needs and revises the care plan to meet the patients needs.
  5. Initiates the plan of care and necessary revisions.
  6. Furnishes those services requiring substantial specialized nursing skill.
  7. Initiates appropriate preventive and rehabilitative nursing procedures.
  8. Prepares clinical and progress notes for each patient visit and summaries of care conferences on patients in a timely manner as per Agency policy.
  9. Coordinates services with other members of the IDT, all physicians involved in the patient care, other care providers, patient, representative and caregivers when appropriate.
  10. Informs physician and other personnel of changes in the patients condition and needs.
  11. Counsels the patient and family/significant others in meeting nursing related needs.
  12. Participates in in-service programs, supervising and teaching other nursing personnel.
  13. Understands and adheres to established Agency policies and procedures.
  14. Processes orders and notifies physician of patient needs and changes in condition. Completes certification/recertification orders and discharge summaries.
  15. Determines the amount and type of nursing needed by each individual patient.
  16. Refers to Physical Therapist, Speech Language Pathologist, Occupational Therapist and Medical Social Worker
  17. those patients requiring their specialized skills.
  18. Supervises the LPN/LVN every 30-days and supervises the HHA/CNA every 14-days (or per regulatory requirements) and teaches other nursing personnel.
  19. Assigns home health aides to specific patients with written patient care instructions.
  20. Conducts patient care conferences on patients assigned to his/her care.
  21. Participates in peer review and quality management as assigned.
  22. Participates in utilization review of medical records as assigned.
  23. Gives total patient care as needed.
  24. Takes on-call duty nights, weekends and holidays as assigned.
  25. Completes and submits OASIS assessments, reassessments, and transfers, resumptions of care, discharges and significant change in condition in accordance with Agency defined time frames.
  26. Appropriately utilizes ICD-10 diagnoses and codes.
  27. Observes confidentiality, safeguards all patient related information.
  28. Attends staff meetings and patient care conferences as scheduled.
  29. Completes documentation and paperwork in a timely manner per Agency policy.
  30. Immediately reports to Administrator/Clinical Manager any patient incidents/variances or complaints.
  31. Demonstrates competent performance of technical skills according to established procedures.
  32. Understands and adheres to established policies and procedures.
  33. Adheres to Agency standards and consistently interprets and accurately performs all assigned responsibilities.
  34. Maintains acceptable attendance status, per Agency policy.
  35. Reports all incomplete work assignments to Clinical Manager.
  36. Appearance is always within Agency standard; is clean and well-groomed.
  37. Demonstrates effective time management skills through daily documentation and infrequent overtime for routine assignments.
  38. Maintains clean and neat work environment.
  39. Demonstrates sound judgment, critical thinking and decision making.
  40. Maintains current CPR certification.
  41. Performs other duties as assigned.