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Part Time Utilization Review Nurse Jobs in Springfield, MO

Citizens Memorial

Registered Nurse

Bolivar, MO · On-site

... utilization of motivational interviewing to help initiate healthful behavior change, and ... The position is: Part Time, Days Monday and Tuesday required, 8:00a.m- 4:30p.m, Additional hours ...

Citizens Memorial

Registered Nurse

Bolivar, MO · On-site

... utilization of motivational interviewing to help initiate healthful behavior change, and ... The position is: Part Time, Days Monday and Tuesday required, 8:00a.m- 4:30p.m, Additional hours ...

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. • ...

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

New

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 ...

Jordan Valley Health

Part-Time/PRN Pharmacist

Springfield, MO · On-site

$54.75 - $65.75/hr

Pharmacist will work collaboratively and cooperatively with the pharmacy, nursing, administration ... Guides, oversees, assesses, and reviews the work of assigned clinical staff pharmacists and other ...

Jordan Valley Health

Part-Time/PRN Pharmacist

Springfield, MO · On-site

$54.75 - $65.75/hr

Pharmacist will work collaboratively and cooperatively with the pharmacy, nursing, administration ... Guides, oversees, assesses, and reviews the work of assigned clinical staff pharmacists and other ...

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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 Aug 13, 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 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 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 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.

How to get into utilization review as a nurse?

To become a utilization review nurse, you typically need to be a registered nurse (RN) with clinical experience and obtain knowledge of insurance policies and healthcare regulations. Certification in case management or utilization review, such as the Certified Case Manager (CCM) credential, can improve job prospects. Strong communication skills and familiarity with electronic health records (EHR) systems are also important for success in this role.

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 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.
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:
What are popular job titles related to Part Time Utilization Review Nurse jobs in Springfield, MO? For Part Time Utilization Review Nurse jobs in Springfield, MO, the most frequently searched job titles are:
What job categories do people searching Part Time Utilization Review Nurse jobs in Springfield, MO look for? The top searched job categories for Part Time Utilization Review Nurse jobs in Springfield, MO are:
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, 78% Full Time, 19% Part Time, and 2% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $79,999 per year, or $38.5 per hour.

Registered Nurse

Citizens Memorial

Bolivar, MO • On-site

Part-time

Medical, Retirement, PTO

Re-posted 9 hours ago

Citizens Memorial Hospital rating

6.4

Company rating: 6.4 out of 10

Based on 56 frontline employees who took The Breakroom Quiz

751st of 1,059 rated hospitals

Job description

Citizens Memorial Hospital (CMH) is recruiting a Transitional Care Management Registered Nurse to support patients post-discharge in their transition from an acute care setting to self-management of their condition at home for patient safety. CMH is made up of 34 primary and specialty clinics, 6 Long-Term Care facilities and 1 residential care facility. Offering acute care, emergency services, ambulatory care, pharmacies, walk-in clinics, surgeries, addiction recovery, therapies and more, CMH has its community covered!
About the area: Located in the heart of the Ozarks, our main campus in Bolivar has a hometown feel and affordable housing options of rentals or apartments. Enjoy a movie, a round of golf or a college game with family or friends and grab a coffee or meal from an array of shops and restaurants! Springfield is only 40 minutes away with Battlefield Mall, Big Shots golf, Wonders of Wildlife, Urban Air and many other family attractions and restaurants to visit. Only an hour away is Branson, which includes many shows to see, Silver Dollar City and shopping!
About the department: Medical Home strives to improve patient outcomes by facilitating care provided within the Patient Centered Medical Home and providing support through transitions in care.
Responsibilities include: Patient education of their condition, strategies for successfully managing their health for improved outcomes, utilization of motivational interviewing to help initiate healthful behavior change, and coordinating linkage to the appropriate outpatient care modalities for ongoing care management as indicated.
A typical day includes:
  • Establishing direct relationships with patients by phone
  • Working with patients and care team to meet patient needs for expected recovery outpatient and safety assurance
  • Performing medication reconciliation and clinical assessment through verbal interview
  • Providing education and support to both patients and their family or caregivers
  • Identifying resource needs and referring as needed
  • Providing follow-up for patients as clinically indicated

Job Requirements:
  • Education: Completion of an accredited program (Registered Nurse)
  • Experience: At least one year of related clinical experience is required, preferably related to hospital nursing (e.g. ICU, Med-Surg, ED, psych)
  • Skills: organization, able to work in a fast-paced environment, multitasking, patient care, strong written and verbal communication.
  • Licensure/Certification: Active Missouri License as a Registered Nurse.
  • Physical: ability to work at a computer 90% of the day and stand for the remaining 10%
  • Experience and/or interest in behavioral health, palliative care, patient education, and/or disease management (e.g. DM, CHF, COPD) is applicable and beneficial for this patient support role.

The position is: Part Time, Days
Monday and Tuesday required, 8:00a.m- 4:30p.m, Additional hours flexible, no weekends, holidays, nights, or on-call.
Benefits include:
  • Competitive wages
  • Annual merit increases
  • No cost health insurance option for employee
  • Full suite of insurance benefits available for employee and family
  • Early access to pay with on-demand PayActiv Program
  • Employee Assistance Program
  • Paid time off
  • Increased Company Matched Retirement Plan
  • Company paid long term disability plan

Connect with us! See yourself at CMH and join in the fun: https://www.facebook.com/CMHRecruiting
For more information about this opportunity, please contact Kaylie Sappington at 417-328-6624 or by email at kaylie.sappington@citizensmemorial.com.

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