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Part Time Utilization Review Rn Jobs in New York

Medix

Clinical Review RN

Jericho, NY · On-site

$50 - $53/hr

Clinical Review RN (IDR/Appeals) Experience: Open to various clinical backgrounds/experience. Appeals experience not required. Must have 2+ years of clinical experience post graduation, must has ...

CareOne

MDS Specialist RN

Whippany, NJ · On-site

$83K - $120K/yr

Utilization Review & Triple-Check Coordination: Lead the weekly Utilization Review (UR) and Triple ... We are proud to Offer the following benefits to Part-time (22.5+ hours/week) and Full-time ...

CareOne

MDS Specialist RN

Morristown, NJ · On-site

$83K - $120K/yr

Utilization Review & Triple-Check Coordination: Lead the weekly Utilization Review (UR) and Triple ... We are proud to Offer the following benefits to Part-time (22.5+ hours/week) and Full-time ...

Springpoint Living

Registered Nurse (RN)

Monroe, NJ · On-site

$43 - $48/hr

We are seeking a part-time RN to support our Mercer and Middlesex communities. Our RNs are ... Reviews client records for appropriate documentation at admission, recertification, and discharge.

ABBOTT HOUSE

Part-Time Registered Nurse

Irvington, NY · On-site

Responsible for organizing, reviewing and itemizing billings. * Assure medical supplies are stocked ... Computer - The Part-Time Registered Nurse must be able to use a computer and able to learn software ...

Arms Acres

Registered Nurse RN - Part Time

Bronx, NY · On-site

$38 - $43/hr

Arms Acres in Bronx, NY is currently seeking a Part Time Registered Nurse to join our outpatient ... Develops and updates treatment plans to address nursing diagnosis and reviews with the ...

Springpoint Living

Registered Nurse (RN)

Red Bank, NJ · On-site

$43 - $45/hr

We are seeking part-time Registered Nurses to join our team. At Springpoint, our RNs are ... For further information, please review the Know Your Rights notice from the Department of Labor.

Springpoint Living

Registered Nurse (RN)

Monroe, NJ · On-site

$39.25 - $44.23/hr

We are seeking Part-Time RNs to join our team. At Springpoint, our RNs are responsible for ... For further information, please review the Know Your Rights notice from the Department of Labor.

Cobble Hill LifeCare

Registered Nurse (RN)

Brooklyn, NY · On-site

$55 - $70/hr

FT/PT 3-11 & FT/PT 11-7 What We Offer: * Referral bonuses * Fully paid orientation * Health ... review the data and sign off on assessments done by the LPN. Learn more about life at Cobble Hill:

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All JobsUtilization Review Rn JobsPart Time Utilization Review Rn JobsPart Time Utilization Review Rn Jobs in New York

Part Time Utilization Review Rn information

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$23

$46

$75

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 York is $46.26, according to ZipRecruiter salary data. Most workers in this role earn between $36.54 and $53.12 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 cities in New York are hiring for Part Time Utilization Review Rn jobs? Cities in New York 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 York as of July 2026, with employment types broken down into 1% As Needed, 64% Full Time, 34% Part Time, and 1% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $96,216 per year, or $46.3 per hour.
Clinical Review RN

Clinical Review RN

Medix

Jericho, NY • On-site

$50 - $53/hr

Part-time

Posted 20 hours ago

Job description

Job Title: Clinical Review RN (IDR/Appeals)
Experience: Open to various clinical backgrounds/experience. Appeals experience not required. Must have 2+ years of clinical experience post graduation, must has critical thinking and problem solving skills.
***Must have BSN and New York State RN license***
Location: Remote (can sit anywhere in the US as long as you can work EST hours)
Hours of Operation: M-F 7a-5:30p *flexible start between 7am-9am (40hrs/wk)
Start date: ASAP
Pay: $50-53/hr DOE
GENERAL RESPONSIBILITIES:
This individual will complete the full spectrum of activities related to State and Federal Independent Dispute Resolution (IDR) case determinations. They will conduct clinical level review, Prior Authorization, and disputed benefits review, supporting Medical Review Analysts, and Physician Consultants to ensure an appropriate and accurate process.
DUTIES:
1. Conduct reviews up to and including the appeal level. This includes chart screen, compiling regulatory guidance, researching insurer requirements, complete electronic worksheets and preparing final determinations.
2. Act as a resource for the administrative and clinical staff in training, problem solving, and clarifying determinations. Will provide technical assistance and conduct/participate in staff huddles.
3. Training and mentoring new RNs as the project expands.
4. Claims assessment and adjudication.
5. Participate in collaborative training.
6. Other activities as may be deemed necessary.
QUALIFICATIONS:
1. Knowledge and experience with electronic medical records.
2. Ability to oversee, problem solve, and work collaboratively with peers, medical, analytical, and administrative support staff.
3. Excellent written and verbal skills.
4. Ability to work independently with little supervision.
5. Ability and desire to be flexible, innovative, and creative.
6. Ability to meet deadlines in a time sensitive environment.
EDUCATION AND EXPERIENCE:
1. Licensed, Registered Nurse in NYS, required.
2. BSN required OR bachelor's degree + ASN is acceptable
3. Minimum of two years' experience in a clinical setting, required
* We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
* As a job position within our Care Management division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, access and handling of patient medical records, providing medical care inside a patient's residential address, driving, prescription and other drug access and administration, and working with vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.
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About Medix Staffing Solutions

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Since 2001, we’ve been dedicated to helping you achieve your goals. Medix was created to become a leading provider of workforce solutions for clients and candidates across the healthcare and life sciences industries. Today, we are that leader. Headquartered in Chicago, we have 23 offices across the United States, and staff talent around the world. Medix is committed to fulfilling our core purpose as an organization: to positively impact the lives of our talent, clients, and teammates through employment, philanthropy, and opportunity. The combination of purpose and values has nurtured our thriving culture that encourages our internal team to excel at work and in everyday life.

Industry

Recruiting and staffing services

Company size

1,001 - 5,000 Employees

Headquarters location

Chicago, IL, US

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