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Part Time Utilization Review Rn Jobs in New Mexico

Presbyterian Healthcare Services

We are seeking an experienced RN Case Manager to support high-quality, patient-centered care ... utilization review or case management experience desirable. * National Case Management ...

Phsorg

We are seeking an experienced RN Case Manager to support high-quality, patient-centered care ... utilization review or case management experience desirable. * National Case Management ...

Areté Living

Registered Nurse |RN - Part-time/PRN

NM · On-site

Registered Nurse | RN Type: Part-Time/On-Call Shift: 16 hours/week, On-Call, Day shift, To be ... Review patient care plans for appropriate resident goals, problems, approaches, and revisions based ...

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Part Time Utilization Review Rn information

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$40

$66

How much do part time utilization review rn jobs pay per hour?

As of Jul 11, 2026, the average hourly pay for part time utilization review rn in New Mexico is $40.97, according to ZipRecruiter salary data. Most workers in this role earn between $32.40 and $47.07 per hour, depending on experience, location, and employer.

What is the difference between Part Time Utilization Review Rn vs Part Time Case Manager Rn?

AspectPart Time Utilization Review RnPart Time Case Manager Rn
CertificationsRN license, Utilization Review certification (if required)RN license, Case Management certification (e.g., CCM)
Work EnvironmentInsurance companies, healthcare organizations, utilization review departmentsHospitals, insurance companies, community health agencies
Primary ResponsibilitiesReview medical necessity, approve or deny services based on criteriaCoordinate patient care, discharge planning, and resource management
Industry UsageCommonly used in insurance and healthcare utilization departmentsUsed 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?

Part Time Utilization Review RNs often face challenges such as balancing productivity expectations with the complexity of reviewing medical records and ensuring compliance with ever-changing regulations. Working part time can also mean adapting quickly to updates in protocols or software with less training time. Staying organized, maintaining strong communication with the care team, and proactively seeking clarification about criteria changes can help manage these challenges. Additionally, leveraging ongoing education and collaborating with full-time colleagues can ease transitions and support effective performance.

What does a Part Time Utilization Review RN do?

A Part Time Utilization Review RN is a registered nurse who works part-time to assess the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They review patient records, collaborate with healthcare providers, and ensure that care meets established guidelines and insurance requirements. Their goal is to promote quality care while managing healthcare costs and ensuring compliance with regulations.

What are the key skills and qualifications needed to thrive as a Part Time Utilization Review RN, and why are they important?

To thrive as a Part Time Utilization Review RN, you need a current RN license, strong clinical judgment, and experience in case management or utilization review. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of insurance guidelines and coding systems like ICD-10 is essential. Attention to detail, critical thinking, and effective communication are vital soft skills for collaborating with healthcare providers and payers. These skills ensure accurate assessments, compliance, and efficient resource use, directly impacting patient outcomes and cost management.
What are the most commonly searched types of Utilization Review Rn jobs in New Mexico? The most popular types of Utilization Review Rn jobs in New Mexico are:
What cities in New Mexico are hiring for Part Time Utilization Review Rn jobs? Cities in New Mexico with the most Part Time Utilization Review Rn job openings:
Part Time Utilization Review Rn jobs near you
Infographic showing various Part Time Utilization Review Rn job openings in New Mexico as of July 2026, with employment types broken down into 1% As Needed, 63% Full Time, 34% Part Time, and 2% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $85,227 per year, or $41 per hour.
RN Inpatient Case Manager - Part-time

RN Inpatient Case Manager - Part-time

Presbyterian Healthcare Services

Part-time

Posted 3 days ago

Presbyterian Healthcare Services rating

7.2

Company rating: 7.2 out of 10

Based on 160 frontline employees who took The Breakroom Quiz

327th of 881 rated healthcare providers

Job description

Location Address:

1100 Central Ave SE Albuquerque, NM 87106-4930

Compensation Pay Range:

Minimum Offer $0.00 Maximum Offer $0.00

Summary:

Make a meaningful impact at Presbyterian Hospital. We are seeking an experienced RN Case Manager to support high-quality, patient-centered care
Job Description Summary
Make a meaningful impact at Presbyterian Hospital. We are seeking an experienced RN Case Manager to support high-quality, patient-centered care through clinically based case management. This role integrates utilization management, care coordination, and transition planning to ensure patients receive the right care at the right time.

How you grow, learn and thrive matters here.
Educational and career development options, including tuition and certification reimbursement, scholarship opportunities
Staff Safety (a wearable badge that allows nurses to quickly and discreetly call for help when safety is a concern)
Differentials for night/weekend shifts, higher education, certifications and various lead roles (for eligible positions)
Malpractice liability insurance
Loan forgiveness through the New Mexico Higher Education Department
EPIC electronic charting system

Type of Opportunity: Part time FTE: 0.10 Job Exempt: No Work Shift: Days (United States of America)

Responsibilities:

As an RN Case Manager, you will manage a designated caseload, collaborating with an interdisciplinary team to optimize length of stay, coordinate discharge planning, and support safe transitions across the continuum of care. You will partner with physicians, patients, families, payers, and post-acute providers to improve outcomes, enhance patient satisfaction, and reduce barriers to discharge.

Sign-on bonus & relocation available for qualified candidates.

Type of Opportunity: Part-time
Work Schedule: Days - 8 hour and 10 hour shifts available

Weekend requirement of 2 days per month

Presbyterian Hospital - on-site

  • Manage Patient Caseloads Across the Continuum of Care- Conduct comprehensive assessments, identify barriers to discharge, and ensure patients receive the right care at the right time from admission through transition.

  • Coordinate Utilization Management and Status Determination- Apply approved clinical criteria to monitor admissions and continued stay, collaborate with providers on medical necessity documentation, and escalate cases as appropriate.

  • Lead Discharge Planning and Care Transitions- Develop and coordinate individualized discharge plans, arrange post-acute services, and ensure timely, safe transitions to prevent delays and reduce readmissions.

  • Collaborate with Interdisciplinary Teams- Partner with physicians, nursing, social work, and ancillary services through daily rounds, care conferences, and complex case discussions to optimize length of stay and patient outcomes.

  • Drive Quality, Communication, and Documentation Excellence- Maintain accurate, timely documentation; communicate effectively with patients, families, and payers; and contribute to performance improvement and professional development initiatives.

Qualifications:

RN IMM Case Management I

  • Associates Degree in nursing required.

  • *BSN within 5 years of hire date.

  • Current State of New Mexico Registered Nurse licensure required.

  • 2 years clinical nursing experience in relevant clinical practice area with utilization review or case management experience desirable.

  • National Case Management certification preferred

RN IMM Case Management II

  • Registered Nurse with Bachelors of Science in nursing (BSN) degree or Registered Nurse with Associates degree in nursing (ADN) plus five years utilization review or case management experience required.

  • BSN to be obtained within 5 years of hire date.

  • Current State of New Mexico Registered Nurse licensure required.

  • 2 years adult bedside experience required.

  • National Case Management certification preferred

RN IMM Case Management III

  • Bachelors degree in nursing plus 5 years utilization review or case management experience required; or Masters degree in Nursing.

  • Current State of New Mexico Registered Nurse licensure required.

  • 2 years adult bedside experience required.

  • National Case Management certification preferred.

RN IMM Case Management IV

  • Masters degree in nursing plus 5 years utilization review or case management experience required; or Bachelors degree in nursing plus 10 years utilization review or case management experience required.

  • Current State of New Mexico Registered Nurse licensure required.

  • 2 years adult bedside experience required.

  • National Case Management certification preferred

We're all about well-being, starting with yours.
Presbyterian employees have access to a fun, engaging and unique wellness program, including free on-site and community-based gyms, nutrition coaching and classes, mindfulness and meditation resources, wellness challenges and more.
Learn more about our employee benefits.
About Presbyterian Healthcare Services

Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses.

Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.


AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.
Compensation Disclaimer
The compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs.

We're Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services

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About Presbyterian Healthcare Services

Sourced by ZipRecruiter

Presbyterian Healthcare Services exists to improve the health of patients, members and the communities we serve. We are a locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1,600 providers and nearly 4,700 nurses.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Albuquerque, NM, US

Year founded

1908

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