Utilization Review RN
Portland, OR · On-site
We may not have openings for each of these categories today, but the organization offers on-call, part time and full-time opportunities for day shift. The RN Coordinator-Utilization Review supports ...
Portland, OR · On-site
We may not have openings for each of these categories today, but the organization offers on-call, part time and full-time opportunities for day shift. The RN Coordinator-Utilization Review supports ...
Portland, OR · On-site
We may not have openings for each of these categories today, but the organization offers on-call, part time and full-time opportunities for day shift. The RN Coordinator-Utilization Review supports ...
Portland, OR · On-site
We may not have openings for each of these categories today, but the organization offers on-call, part time and full-time opportunities for day shift. The RN Coordinator-Utilization Review supports ...
Portland, OR · On-site
We may not have openings for each of these categories today, but the organization offers on-call, part time and full-time opportunities for day shift. The RN Coordinator-Utilization Review supports ...
Utilization Review Registered Nurse Job Summary Join our team and be a part of our mission to ... part-time employees. Depending on eligibility, a variety of benefits include health insurance ...
Utilization Review Registered Nurse Job Summary Join our team and be a part of our mission to ... part-time employees. Depending on eligibility, a variety of benefits include health insurance ...
Watertown, SD · On-site
$28.09 - $44.81/hr
Utilization Review Registered Nurse Job Summary Join our team and be a part of our mission to ... part-time employees. Depending on eligibility, a variety of benefits include health insurance ...
Watertown, SD · On-site
$28.09 - $44.81/hr
Utilization Review Registered Nurse Job Summary Join our team and be a part of our mission to ... part-time employees. Depending on eligibility, a variety of benefits include health insurance ...
Meeker, CO · On-site
$33.50 - $49/hr
The Part-Time Utilization Review Nurse is a Registered Nurse (RN) responsible for conducting utilization reviews to determine the medical necessity and appropriateness of patient admissions ...
Meeker, CO · On-site
$33.50 - $49/hr
The Part-Time Utilization Review Nurse is a Registered Nurse (RN) responsible for conducting utilization reviews to determine the medical necessity and appropriateness of patient admissions ...
Meeker, CO · On-site
$33.50 - $49/hr
The Part-Time Utilization Review Nurse is a Registered Nurse (RN) responsible for conducting utilization reviews to determine the medical necessity and appropriateness of patient admissions ...
Meeker, CO · On-site
$33.50 - $49/hr
The Part-Time Utilization Review Nurse is a Registered Nurse (RN) responsible for conducting utilization reviews to determine the medical necessity and appropriateness of patient admissions ...
$43.47 - $53/hr
The RN is responsible for concurrent utilization review, medical necessity determination, denial ... Community First Medical Center offers benefits to all its full-time and part-time employees
$43.47 - $53/hr
The RN is responsible for concurrent utilization review, medical necessity determination, denial ... Community First Medical Center offers benefits to all its full-time and part-time employees
Chicago, IL · On-site
$53/hr
The RN is responsible for concurrent utilization review, medical necessity determination, denial ... Community First Medical Center offers benefits to all its full-time and part-time employees
Chicago, IL · On-site
$53/hr
The RN is responsible for concurrent utilization review, medical necessity determination, denial ... Community First Medical Center offers benefits to all its full-time and part-time employees
Chicago, IL · On-site
$43.47 - $53/hr
The RN is responsible for concurrent utilization review, medical necessity determination, denial ... Community First Medical Center offers benefits to all its full-time and part-time employees
Quick apply
Chicago, IL · On-site
$43.47 - $53/hr
The RN is responsible for concurrent utilization review, medical necessity determination, denial ... Community First Medical Center offers benefits to all its full-time and part-time employees
Assists the utilization review process taking on various tasks including data collection of demographic, claim and medical information; non-medical analysis; and outcomes reporting. Performs routine ...
Assists the utilization review process taking on various tasks including data collection of demographic, claim and medical information; non-medical analysis; and outcomes reporting. Performs routine ...
Assists the utilization review process taking on various tasks including data collection of demographic, claim and medical information; non-medical analysis; and outcomes reporting. Performs routine ...
Assists the utilization review process taking on various tasks including data collection of demographic, claim and medical information; non-medical analysis; and outcomes reporting. Performs routine ...
Assists the utilization review process taking on various tasks including data collection of demographic, claim and medical information; non-medical analysis; and outcomes reporting. Performs routine ...
Quick apply
Assists the utilization review process taking on various tasks including data collection of demographic, claim and medical information; non-medical analysis; and outcomes reporting. Performs routine ...
Fishersville, VA · On-site
$35.43 - $54.21/hr
The Utilization Review RN Case Manager applies knowledge of medical necessity criteria and regulatory requirements in determining the appropriate patient status for any person destined for a bed on ...
Fishersville, VA · On-site
$35.43 - $54.21/hr
The Utilization Review RN Case Manager applies knowledge of medical necessity criteria and regulatory requirements in determining the appropriate patient status for any person destined for a bed on ...
The Utilization Review RN Case Manager applies knowledge of medical necessity criteria and regulatory requirements in determining the appropriate patient status for any person destined for a bed on ...
The Utilization Review RN Case Manager applies knowledge of medical necessity criteria and regulatory requirements in determining the appropriate patient status for any person destined for a bed on ...
Complex, high-risk, or ambiguous cases requiring clinical judgment are referred to a RN Utilization Review for review and determination. Essential Duties and Responsibilities These duties and ...
Complex, high-risk, or ambiguous cases requiring clinical judgment are referred to a RN Utilization Review for review and determination. Essential Duties and Responsibilities These duties and ...
Complex, high-risk, or ambiguous cases requiring clinical judgment are referred to a RN Utilization Review for review and determination. Essential Duties and Responsibilities These duties and ...
Complex, high-risk, or ambiguous cases requiring clinical judgment are referred to a RN Utilization Review for review and determination. Essential Duties and Responsibilities These duties and ...
Position Summary The Part Time Senior Utilization Review Specialist is an experienced registered nurse responsible for concurrent and retrospective review of hospital services to support appropriate ...
Quick apply
Position Summary The Part Time Senior Utilization Review Specialist is an experienced registered nurse responsible for concurrent and retrospective review of hospital services to support appropriate ...
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides ...
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides ...
Actual compensation may differ depending on assigned hours and position status (e.g., part-time ... review or discharge planning experience. Other Credentials: Registered Nurse - NJ Knowledge and ...
Actual compensation may differ depending on assigned hours and position status (e.g., part-time ... review or discharge planning experience. Other Credentials: Registered Nurse - NJ Knowledge and ...
Torrance, CA · On-site
$56.39 - $87.25/hr
The Utilization Review Case Manager (UR CM) validates the patient's placement to be at the most ... Collaborates with RN Case Managers and the Physician Advisors to facilitate the peer to peer ...
Torrance, CA · On-site
$56.39 - $87.25/hr
The Utilization Review Case Manager (UR CM) validates the patient's placement to be at the most ... Collaborates with RN Case Managers and the Physician Advisors to facilitate the peer to peer ...
$21.39 - $25.72
2% of jobs
$25.72 - $30.05
9% of jobs
$33.01 is the 25th percentile. Wages below this are outliers.
$30.05 - $34.38
21% of jobs
The median wage is $37.88 / hr.
$34.38 - $38.70
23% of jobs
$38.70 - $43.03
13% of jobs
$46.39 is the 75th percentile. Wages above this are outliers.
$43.03 - $47.36
10% of jobs
$47.36 - $51.68
8% of jobs
$51.68 - $56.01
5% of jobs
$56.01 - $60.34
5% of jobs
$60.34 - $64.66
2% of jobs
$64.66 - $68.99
2% of jobs
$21
$42
$68
| Aspect | Part Time Utilization Review Rn | Part Time Case Manager Rn |
|---|---|---|
| Certifications | RN license, Utilization Review certification (if required) | RN license, Case Management certification (e.g., CCM) |
| Work Environment | Insurance companies, healthcare organizations, utilization review departments | Hospitals, insurance companies, community health agencies |
| Primary Responsibilities | Review medical necessity, approve or deny services based on criteria | Coordinate patient care, discharge planning, and resource management |
| Industry Usage | Commonly used in insurance and healthcare utilization departments | Used in patient care coordination and discharge planning |
While both roles require RN licensure, the Part Time Utilization Review Rn focuses on evaluating medical necessity and approving services, whereas the Part Time Case Manager Rn emphasizes coordinating patient care and discharge planning. Understanding these differences helps professionals choose the role that best fits their skills and career goals.
Cities with the most Part Time Utilization Review Rn job openings:
The most popular types of Utilization Review Rn jobs are:
States with the most job openings for Part Time Utilization Review Rn jobs include:
For Part Time Utilization Review Rn jobs, the most frequently searched job titles are:

Portland, OR • On-site
Full-time, Part-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 11 hours ago
6.6
Based on 47 frontline employees who took The Breakroom Quiz
Description
Utilization Review RN at Providence Health Plaza. Utilization Management covers 7 days/week, including holidays.
This posting is not for a specific job vacancy. It serves to establish a place for current or future interested applicants to apply for Utilization Review RN at Providence Oregon Regional Shared Services (Providence Health Plaza) in Portland, OR. We may not have openings for each of these categories today, but the organization offers on-call, part time and full-time opportunities for day shift.
The RN Coordinator-Utilization Review supports the care of the patient through assessment, planning, implementation and evaluation of appropriate services and resources to maximize optimum outcomes. This position works collaboratively with the multiple disciplines, both internal and external to the organization, in effecting quality and cost-effective management of the patient care along the continuum.
Providence caregivers are not simply valued – they're invaluable. Join our team at Providence Oregon Regional Shared Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Required Qualifications:
Why Join Providence?
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
About Providence
At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
About the Team
Providence has been serving the Pacific Northwest since 1856 when Mother Joseph of the Sacred Heart and four other Sisters of Providence arrived in Vancouver, Washington Territory. As the largest healthcare system and largest private employer in Oregon, Providence is located in areas ranging from the Columbia Gorge to the wine country to sunny southern Oregon to charming coastal communities to the urban setting of Portland.
Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care.
Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.
Requsition ID: 439934
Company: Providence Jobs
Job Category: Health Information Management
Job Function: Revenue Cycle
Job Schedule: Part time
Job Shift: Multiple shifts available
Career Track: Nursing
Department: 5016 RS UTILIZATION MGMT
Address: OR Portland 4400 NE Halsey St
Work Location: Providence Health Plaza (HR) Bldg 1-Portland
Workplace Type: Hybrid
Pay Range: $50.14 - $77.83
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
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Health care and social assistance
10,000+ Employees
Denver, CO, US