Status: Part time, 24 hours per week * Schedule: Saturday/Sunday/Monday 8:00 AM - 4:30 PM * Weekend ... Required RN (Registered Nurse) * Preferred ACM (Case Management) * Preferred CCM (Case Manager ...
Status: Part time, 24 hours per week * Schedule: Saturday/Sunday/Monday 8:00 AM - 4:30 PM * Weekend ... Required RN (Registered Nurse) * Preferred ACM (Case Management) * Preferred CCM (Case Manager ...
FTE: Part-Time (.6) ????️ Schedule: Weekend Only (12-hour shifts) Evaluates patient medical ... Three (3) years of utilization review, case management, or third-party payer experience.
FTE: Part-Time (.6) ????️ Schedule: Weekend Only (12-hour shifts) Evaluates patient medical ... Three (3) years of utilization review, case management, or third-party payer experience.
Care Manager ER RN Part-Time
Naples, FL · On-site
Join us as a Registered Nurse (RN) - Care Management ER Part-Time position at Physicians Regional ... or utilization review preferred Knowledge, Skills and Abilities * Knowledge of admission criteria ...
Care Manager ER RN Part-Time
Naples, FL · On-site
Join us as a Registered Nurse (RN) - Care Management ER Part-Time position at Physicians Regional ... or utilization review preferred Knowledge, Skills and Abilities * Knowledge of admission criteria ...
Nurse Reviewer - Orlando, FL
Orlando, FL · Remote
$40/hr
The RN will work closely with the Team Lead, Physician Peer Reviewer and contract team. Reviews ... Utilization/Medical record review and chart abstraction * Current standards of medical practice
Nurse Reviewer - Orlando, FL
Orlando, FL · Remote
$40/hr
The RN will work closely with the Team Lead, Physician Peer Reviewer and contract team. Reviews ... Utilization/Medical record review and chart abstraction * Current standards of medical practice
Nurse Reviewer - Tampa, FL
Tampa, FL · Remote
$40/hr
The RN will work closely with the Team Lead, Physician Peer Reviewer and contract team. Reviews ... Utilization/Medical record review and chart abstraction * Current standards of medical practice
Nurse Reviewer - Tampa, FL
Tampa, FL · Remote
$40/hr
The RN will work closely with the Team Lead, Physician Peer Reviewer and contract team. Reviews ... Utilization/Medical record review and chart abstraction * Current standards of medical practice
Nurse Reviewer - Sarasota, FL
Sarasota, FL · Remote
$40/hr
The RN will work closely with the Team Lead, Physician Peer Reviewer and contract team. Reviews ... Utilization/Medical record review and chart abstraction * Current standards of medical practice
Nurse Reviewer - Sarasota, FL
Sarasota, FL · Remote
$40/hr
The RN will work closely with the Team Lead, Physician Peer Reviewer and contract team. Reviews ... Utilization/Medical record review and chart abstraction * Current standards of medical practice
... utilization review and management, and discharge planning. Essential Functions Care Coordination ... Graduate of an accredited program required for RN. BSN preferred; or MSW/BSW with licensure as ...
... utilization review and management, and discharge planning. Essential Functions Care Coordination ... Graduate of an accredited program required for RN. BSN preferred; or MSW/BSW with licensure as ...
Inpatient Utilization Management Specialist
$16.50 - $18.50/hr
Coordinate with nursing staff as needed to determine insurance coverage for medications ordered ... Provide all clinical data requested by insurance companies for pre-authorizations and all reviews.
Inpatient Utilization Management Specialist
$16.50 - $18.50/hr
Coordinate with nursing staff as needed to determine insurance coverage for medications ordered ... Provide all clinical data requested by insurance companies for pre-authorizations and all reviews.
Inpatient Utilization Management Specialist
Punta Gorda, FL · On-site
$16.50 - $18.50/hr
Coordinate with nursing staff as needed to determine insurance coverage for medications ordered ... Provide all clinical data requested by insurance companies for pre-authorizations and all reviews.
Inpatient Utilization Management Specialist
Punta Gorda, FL · On-site
$16.50 - $18.50/hr
Coordinate with nursing staff as needed to determine insurance coverage for medications ordered ... Provide all clinical data requested by insurance companies for pre-authorizations and all reviews.
Care Manager RN Part-Time
Naples, FL · On-site
Conducts daily reviews of medical records to assess the appropriateness of admission, continued ... utilization of diagnostic services. * Collaborates with interdisciplinary teams (IDT) to ensure ...
Care Manager RN Part-Time
Naples, FL · On-site
Conducts daily reviews of medical records to assess the appropriateness of admission, continued ... utilization of diagnostic services. * Collaborates with interdisciplinary teams (IDT) to ensure ...
RN Part-Time
Fort Myers, FL · On-site
$40 - $45/hr
Registered Nurse (RN) - Part-Time Facility: Gateway Post Acute Location: Porterville, CA Employment ... Complete and review nursing documentation, incident reports, and audits * Make rounds with ...
RN Part-Time
Fort Myers, FL · On-site
$40 - $45/hr
Registered Nurse (RN) - Part-Time Facility: Gateway Post Acute Location: Porterville, CA Employment ... Complete and review nursing documentation, incident reports, and audits * Make rounds with ...
Registered Nurse (RN)
Saint Augustine, FL · On-site
Every Other Weekend Rotation Part-time positions also available (2x12r shifts) for Day and Night ... Applicants are encouraged to review these requirements before applying. REGISTERED NURSE ESSENTIAL ...
Registered Nurse (RN)
Saint Augustine, FL · On-site
Every Other Weekend Rotation Part-time positions also available (2x12r shifts) for Day and Night ... Applicants are encouraged to review these requirements before applying. REGISTERED NURSE ESSENTIAL ...
Rehab Clin Case Manager PRN
Sarasota, FL · On-site
... in Nursing (BSN) is preferred. - Require a minimum of one (1) year of Utilization Review (UR) or ... Mandatory Education Preferred Education Required License and Certs FL RN: FL Registered Nurse ...
Rehab Clin Case Manager PRN
Sarasota, FL · On-site
... in Nursing (BSN) is preferred. - Require a minimum of one (1) year of Utilization Review (UR) or ... Mandatory Education Preferred Education Required License and Certs FL RN: FL Registered Nurse ...
Rehab Clin Case Manager PRN
Sarasota, FL · On-site
... in Nursing (BSN) is preferred. - Require a minimum of one (1) year of Utilization Review (UR) or ... UNAVAILABLEEmployment Type: PART_TIME
Rehab Clin Case Manager PRN
Sarasota, FL · On-site
... in Nursing (BSN) is preferred. - Require a minimum of one (1) year of Utilization Review (UR) or ... UNAVAILABLEEmployment Type: PART_TIME
Provide clinical information to Utilization Review teams to assist with determining appropriate levels of care. Qualifications * Active Advanced Practice Registered Nurse (ARNP) license in Florida
Provide clinical information to Utilization Review teams to assist with determining appropriate levels of care. Qualifications * Active Advanced Practice Registered Nurse (ARNP) license in Florida
Registered Nurse - Clinical Services - Part Time
Lakeland, FL · On-site
$38.06 - $45.79/hr
The RN will deliver high quality care based on therapeutic caring relationships that are ... utilization, and leadership. Position Responsibilities People At The Heart Of All We Do * Fosters ...
Registered Nurse - Clinical Services - Part Time
Lakeland, FL · On-site
$38.06 - $45.79/hr
The RN will deliver high quality care based on therapeutic caring relationships that are ... utilization, and leadership. Position Responsibilities People At The Heart Of All We Do * Fosters ...
We are seeking to hire a Registered Nurse - RN . * Part-Time for Days Evening (3pm to 11pm) and ... Periodically review the resident's discharge plan and participates in its updating as required.
We are seeking to hire a Registered Nurse - RN . * Part-Time for Days Evening (3pm to 11pm) and ... Periodically review the resident's discharge plan and participates in its updating as required.
Provide clinical information to Utilization Review teams to assist with determining appropriate levels of care. Qualifications * Active Advanced Practice Registered Nurse (ARNP) license in Florida
Provide clinical information to Utilization Review teams to assist with determining appropriate levels of care. Qualifications * Active Advanced Practice Registered Nurse (ARNP) license in Florida
Conducts daily reviews of medical records to assess the appropriateness of admission, continued ... utilization of diagnostic services. * Collaborates with interdisciplinary teams (IDT) to ensure ...
Conducts daily reviews of medical records to assess the appropriateness of admission, continued ... utilization of diagnostic services. * Collaborates with interdisciplinary teams (IDT) to ensure ...
RN Case Manager - Per Diem
Jupiter, FL · On-site
The RN Case Manager interacts via phone and face to face with the physicians, nurses, discharge ... Coordinates and completes utilization review activities to ensure compliance with State, Federal ...
RN Case Manager - Per Diem
Jupiter, FL · On-site
The RN Case Manager interacts via phone and face to face with the physicians, nurses, discharge ... Coordinates and completes utilization review activities to ensure compliance with State, Federal ...
Part Time Utilization Review Rn information
See Florida salary details
$15.99 - $19.22
2% of jobs
$19.22 - $22.45
9% of jobs
$24.67 is the 25th percentile. Wages below this are outliers.
$22.45 - $25.69
21% of jobs
The median wage is $28.31 / hr.
$25.69 - $28.92
23% of jobs
$28.92 - $32.16
13% of jobs
$34.67 is the 75th percentile. Wages above this are outliers.
$32.16 - $35.39
10% of jobs
$35.39 - $38.62
8% of jobs
$38.62 - $41.86
5% of jobs
$41.86 - $45.09
5% of jobs
$45.09 - $48.32
2% of jobs
$48.32 - $51.56
2% of jobs
$15
$31
$51
How much do part time utilization review rn jobs pay per hour?
What is the difference between Part Time Utilization Review Rn vs Part Time Case Manager Rn?
| 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.
What are some typical challenges faced by Part Time Utilization Review RNs, and how can they be managed?
What does a Part Time Utilization Review RN do?
What are the key skills and qualifications needed to thrive as a Part Time Utilization Review RN, and why are they important?
Part-time
Medical, Dental, Vision, Retirement, PTO
Posted 7 hours ago
BayCare Health System rating
7.5
Based on 384 frontline employees who took The Breakroom Quiz
227th of 873 rated healthcare providers
Job description
The Utilization Review Specialist Senior responsibilities include:
- Functions as the primary liaison between the funding agents and all other related parties to ensure appropriate level of care through comprehensive concurrent review for medical necessity of outpatient observation and inpatient stays and the utilization of ancillary services
- Perform other duties as assigned by the supervisor including but not limited to processing concurrent denials.
- Preferred experience includes Critical Care or Emergency Nursing RN.
Position details:
- Location: Hybrid - Morton Plant Hospital/Clearwater, FL
- Status: Part time, 24 hours per week
- Schedule: Saturday/Sunday/Monday 8:00 AM - 4:30 PM
- Weekend Requirement: Every
- On Call: No
Certifications and Licensures:
- Required RN (Registered Nurse)
- Preferred ACM (Case Management)
- Preferred CCM (Case Manager)
Education:
- Required Associates in Nursing or
- Required Bachelors in Nursing
- Preferred Masters in Nursing or Business
Experience:
- Required 2 years in Utilization Review or
- Required 2 years in Case Management or
- Required 3 years Registered Nurse
- Preferred experience in Critical Care or Emergency Service
Benefits:
- Benefits (Health, Dental, Vision)
- Paid time off
- Tuition reimbursement
- 401k match and additional yearly contribution
- Yearly performance appraisals and team award bonus
- Community discounts and more
Equal Opportunity Employer Veterans/Disabled
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About Baycare Health System
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Pinellas Park, FL, US
Year founded
1997