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Part Time Utilization Review Nurse Jobs in Springfield, MA

Encompass Health

Case Manager

Ludlow, MA · On-site

$21 - $27/hr

Participate in utilization review process: data collection, trend review, and resolution actions ... For Nursing, must possess minimum of an Associate Degree in Nursing, RN licensure with BSN ...

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All JobsUtilization Review Nurse JobsPart Time Utilization Review Nurse JobsPart Time Utilization Review Nurse Jobs in Springfield, MA

Part Time Utilization Review Nurse information

See Springfield, MA salary details

$21

$42

$68

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

As of Aug 22, 2026, the average hourly pay for part time utilization review nurse in Springfield, MA is $42.13, according to ZipRecruiter salary data. Most workers in this role earn between $33.32 and $48.37 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.

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The most popular types of Utilization Review Nurse jobs in Springfield, MA are:

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What cities near Springfield, MA are hiring for Part Time Utilization Review Nurse jobs?

Cities near Springfield, MA 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 Springfield, MA as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 14% Part Time, 4% Contract, and 1% Nights. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $87,639 per year, or $42.1 per hour.

Advanced Practice Registered Nurse - Part-Time

Boca Recovery Center

Springfield, MA • On-site

$86K - $119K/yr

Part-time

Medical, Retirement, PTO

Re-posted 23 days ago

Job description

Advanced Practice Registered Nurse (APRN) PMHNP or FNP - Dual Preferred.
Boca Recovery Center Website
Location: On Site - Springfield, Massachusetts - Part Time M, W , F.
Department: Medical Services
Reports to: Medical Director
Salary: Competitive, based on licensure and experience
About Boca Recovery Center
Founded in 2016, Boca Recovery Center is a nationally recognized addiction treatment provider specializing in substance use disorders and co-occurring mental health conditions. With locations in Florida, New Jersey, Indiana, and Massachusetts, we deliver evidence-based clinical care in a supportive, structured environment. Our team is committed to providing trauma-informed, client-centered services that promote lasting recovery.
Position Overview
We are seeking an experienced and dedicated Advanced Practice Registered Nurse (APRN) to join our multidisciplinary medical team in Springfield, Massachusetts. The APRN plays a key clinical role in delivering psychiatric and medical services to individuals in detox and residential treatment. This role requires clinical expertise in psychiatric evaluations, medication management, and a collaborative approach to patient care.
Requirements
Key Responsibilities
  • Provide advanced nursing expertise for the design and execution of medical and clinical activities in accordance with each patient's treatment plan.
  • Conduct psychiatric and physical assessments, medication management, and consultations within scope of APRN practice.
  • Assess and assure the appropriateness of patient admissions and ongoing care.
  • Provide after-hours on-call coverage for emergency psychiatric or medical needs.
  • Attend and contribute to interdisciplinary team meetings to coordinate patient care.
  • Deliver in-service training to staff as needed.
  • Participate in facility performance improvement and utilization review activities.
  • Conduct peer reviews and contribute to the development and evaluation of policies and procedures.
  • Assist in developing a network of community resources for post-discharge continuity of care.
  • Collaborate with executive and clinical leadership on policies related to patient care.
  • Ensure timely and accurate documentation of assessments, orders, progress notes, and discharge summaries.
  • Provide consultation to patients and their families as appropriate.
  • Maintain a current collaborative agreement and prescriptive authority with the Medical Director.
  • Provide on-site services according to facility schedule and agreement.
  • Support and comply with infection control standards and collaborate with the Infection Control Nurse.
  • Ensure compliance with state and federal regulations and Joint Commission standards.
  • Uphold all safety, risk management, and workplace policies.
  • Coordinate clinical services under the guidance of the Medical Director, Clinical Director, and Director of Nursing.

Qualifications / Required Experience
  • Licensed to practice as an APRN in the state of Massachusetts.
  • Dual certified preferred, FNP and PMHNP.
  • On-call phone consultations required, when needed. Split between staff.
  • Active NPI and DEA registration (X-Waiver preferred but not required).
  • Current CPR certification.
  • Maintains all state-required certifications and licenses.
  • Minimum of 2 years' experience in psychiatric or addiction treatment settings preferred.
  • Essential Knowledge, Skills & Attributes
  • Proficiency in verbal and written communication.
  • Strong knowledge of addiction, dual-diagnosis treatment, and trauma-informed care.
  • Adherence to state Board of Nursing Scope of Practice and professional Code of Ethics.
  • Understanding of Infection Control protocols and Joint Commission standards.
  • Familiarity with HIPAA, Drug-Free Workplace, Workplace Violence Prevention, and Corporate Compliance.
  • High competency in electronic health records (EHR) systems.
  • Cultural sensitivity and ethical approach to diverse patient populations.
  • Ability to respond to psychiatric crises, including suicidality and homicidality.

Benefits
Boca Recovery Center offers a comprehensive benefits package, including:
  • Health Insurance
  • Retirement Plans
  • Disability Coverage
  • Paid Time Off
  • Continuing Education & Professional Development Opportunities

Join Boca Recovery Center and make a meaningful impact through expert, compassionate care in a mission-driven environment focused on recovery and wellness.

Apply