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Part Time Utilization Review Nurse Jobs in Springfield, MO

Brightli

Clinic Nurse

Springfield, MO · On-site

Psychiatry Clinic Employment Type: Full Time, Part Time, PRN Job Summary: Join our dedicated team ... administration reviews and collaborate on medication management for housing clients. • ...

Brightli

Clinic Nurse

Springfield, MO · On-site

Psychiatry Clinic Employment Type: Full Time, Part Time, PRN Job Summary: Join our dedicated team ... Conduct medication administration reviews and collaborate on medication management for housing ...

Sevita

Nurse Case Manager

Springfield, MO · On-site

$36/hr

Registered Nurse - Part-Time $36 per hour | Hybrid Work Options | Flexible Scheduling | Low ... Review medical data regularly to assess service effectiveness and rehabilitation potential

Sevita Health

Nurse Case Manager

Springfield, MO · On-site

$36/hr

Registered Nurse - Part-Time $36 per hour | Hybrid Work Options | Flexible Scheduling | Low ... Review medical data regularly to assess service effectiveness and rehabilitation potential

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

Part Time Utilization Review Nurse information

See Springfield, MO salary details

$19

$38

$62

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 Springfield, MO is $38.46, according to ZipRecruiter salary data. Most workers in this role earn between $30.38 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.

More about Part Time Utilization Review Nurse jobs

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

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

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

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

Cities near Springfield, MO 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, MO as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 13% Part Time, 3% Contract, and 1% Nights. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $79,999 per year, or $38.5 per hour.

In-Home Nurse Practitioner Part Time - Springfield

CVS Health

Springfield, MO • Remote

$37.66 - $81.11/hr

Part-time

Medical, Dental, Vision

Re-posted 28 days ago

CVS Health rating

5.8

Company rating: 5.8 out of 10

Based on 4,359 frontline employees who took The Breakroom Quiz

92nd of 113 rated pharmacies

Job description

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselvesaccountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Do you have a passion for engaging with people and helping them on their journey to better health? Signify Health, part of CVS Health, is seeking a Part-time Nurse Practitioner to provide In-Home Health Evaluations, engaging with people in the comfort of their own homes and helping bridge gaps in care.
You'll play a critical role in building trusted relationships to make people healthier, helping bring flexible, comprehensive and personalized health evaluations right to people's front doors.
Job highlights
The visit, which lasts about 45 minutes, allows for time to connect one-on-one and answer health questions. It includes a medication and medical history review, a physical evaluation, and, if ordered by the person's health plan, additional diagnostic tests (i.e., diabetic eye exams, spirometry, etc.). You'll use an iPad and an intuitive clinical workflow for each evaluation and are not required to prescribe medicine, order lab tests or alter people's current treatment regimen.
In this role, you will:
  • Bring your heart into every visit, joining a national network of purpose-driven clinicians dedicated to improving health outcomes
  • Be part of our efforts to visit millions of people nationwide with the goal of providing connections to the right care for people's unique needs
  • Work with Signify Health as a clinician colleague, fulfilling the requirements of the specified role
  • Be flexible to travel locally and within licensed states, as needed
  • Conduct virtual visits as needed
  • Provide all Signify Health services as indicated including Diagnostic & Preventive Services products (i.e., spirometry, DEE, etc.)

A Note on Our Work Environment:
As an in-home clinician, your primary workplace is the private residence of health plan members. We are dedicated to meeting health plan members where they are, wherever they call home. These environments are diverse and may present a variety of conditions. Candidates must be able to comfortably and safely perform their duties in homes that may contain household pets, secondhand smoke and other potential airborne allergens or irritants.
Why Clinicians Enjoy Working with Signify Health
"I love seeing health plan members at home. You get a better picture of their health when you see where they live." - Erica R., PA
"At Signify Health, we have the time to help people and to truly listen to their questions and concerns. We can help guide them so they can take better care of themselves. We really can make a change in communities." - Ali B., NP
"I like how Signify Health manages my experience. I'm just doing the clinician part of my job without all the administrative responsibilities. I have the time to provide education so people have a better understanding of their health. I can answer their questions without rushing out the door." - Andrew K., PA
Part-time employees qualify for:
  • Select benefits (see benefits guide for details)
  • Malpractice insurance coverage (during Signify Health-related activities)
  • Supplies and other perks

Required & Preferred Qualifications
  • Active, unrestricted license(s) in coverage area(s)
  • Board certification (required)
  • Multi-state licenses (preferred)

Anticipated Weekly Hours

29.5

Time Type

Part time

Pay Range

The typical pay range for this role is:

$37.66 - $81.11

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This parttime position is eligible for a range of benefits and programs that support the physical, emotional, and financial wellbeing of colleagues. Depending on hours worked and eligibility, the benefits for this position include dental, vision, wellness resources, employee discounts, access to certain voluntary benefits, and other programs.


Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 12/31/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

What CVS Health employees say

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