ZipRecruiter

Log In

2

Part Time Utilization Review Nurse Jobs in Springfield, MA

Victory Human Services Inc

RN / LPN

Springfield, MA · On-site

$27.25 - $36.75/hr

Job Type Part-time Description Qualifications for this position: Professional Characteristics • ... review on an ongoing basis each member's AFC plan of care; 4. select, train, evaluate, and ...

Victory Human Services Corporation

RN / LPN

Springfield, MA · On-site

$26.50 - $36/hr

Job Type Part-time Description Qualifications for this position: Professional Characteristics • ... review on an ongoing basis each member's AFC plan of care; 4. select, train, evaluate, and ...

Victory Human Services Corporation

RN / LPN

Springfield, MA · On-site

$26.50 - $36/hr

Job Type Part-time Description Qualifications for this position: Professional Characteristics • ... review on an ongoing basis each member's AFC plan of care; 4. select, train, evaluate, and ...

previous pagenext page

Showing results 21-40

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 21, 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.

More about Part Time Utilization Review Nurse jobs

What are the most commonly searched types of Utilization Review Nurse jobs in Springfield, MA?

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

What are popular job titles related to Part Time Utilization Review Nurse jobs in Springfield, MA?

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

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

The top searched job categories for Part Time Utilization Review Nurse jobs in Springfield, MA are:

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.

NURSE, LPN part time second shift

Skybrooke at Simsbury

Simsbury, CT

$26.25 - $35.50/hr

Part-time

Medical, Retirement, PTO

Posted 10 days ago

Job description

Wellness Nurse RN/LPN

Per diem opportunity

Caring Hearts, Enriching Lives

Why Join Our Wellness Team:
We care about our team and offer lots of benefits for your growth and happiness.
  • Competitive Compensation: Your skills and dedication deserve recognition. We offer a competitive salary.
  • Flexibility in Scheduling: We understand the importance of work-life balance, offering flexible scheduling options to accommodate your needs.
  • Generous Time Off: Taking care of yourself is essential. Benefit from paid holidays, vacation days, and personal days to recharge and unwind.
  • Health and Wellness: Your health and that of your family are a priority. We provide comprehensive health insurance options to ensure your peace of mind..
  • Financial Planning: Plan for your future with our 401(k) options, including a company match to enhance your financial stability.
  • Invested in You: We're invested in your growth. Access continuous learning opportunities and in-services to remain up-to-date with the latest advancements in senior care practices.
Wellness Nurse RN/LPN Job Summary
As a Wellness Nurse, your role is crucial in caring for residents in our assisted living community. You'll provide a range of services to meet the unique needs of each resident, with a focus on maintaining accurate records and regularly checking on residents for comprehensive care.
Responsibilities:
  • Collaborate with a team to develop, implement, and review personalized care plans for residents.
  • Conduct thorough health assessments for residents, identifying any medical concerns or changes. Work with other healthcare professionals to create effective care plans.
  • Administer medications as prescribed, ensuring accuracy and adherence to protocols. Monitor medication effectiveness and address side effects promptly.
  • Maintain accurate records of medical information, care plans, and incidents to ensure regulatory compliance and consistency of care.
  • Respond promptly and effectively to medical emergencies, providing immediate care and coordinating with emergency services if needed.
  • Communicate openly with residents' families, keeping them informed about their loved ones' health and any changes.
  • Advocate for residents' rights and preferences, ensuring their voices are heard and respected in all aspects of care.
Qualifications:
  • Possess a valid and active Registered Nurse (RN) or Licensed Practical Nurse (LPN) license.
  • Ability to communicate effectively with residents, families, and other healthcare professionals, explaining medical information clearly.
  • The ability to analyze situations, make sound decisions, and provide appropriate solutions in a timely manner.
  • Demonstrate the highest ethical standards, respecting residents' privacy, and maintaining professionalism in all interactions.
  • Maintain strong record-keeping skills.
  • Provide care with kindness and empathy.
Our Wellness Team plays a crucial role in empowering residents to live their lives to the fullest, contributing to our community's pursuit of excellence. Join us and make a meaningful impact where it truly matters.

APPLY NOW

Criminal Background Screening is required.


Live Well, Love Life

#IND2

Employment Type: Part-Time

Apply