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Part Time Utilization Review Rn Jobs in New York

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 ...

CareOne

MDS Specialist RN

Morristown, NJ

$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 ...

CareOne

MDS Specialist RN

Whippany, NJ

$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

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

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 ...

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 ...

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

As of Aug 26, 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 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 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 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.

How to get into part time utilization review RN?

To become a part-time utilization review RN, candidates typically need a valid nursing license and experience in case management or utilization review. Relevant certifications such as the Certified Professional in Healthcare Quality (CPHQ) can enhance prospects, and familiarity with electronic health records (EHR) systems is often required. Applying to healthcare organizations or insurance companies that offer flexible schedules can help secure part-time roles.

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 August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 15% Part Time, 3% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $96,216 per year, or $46.3 per hour.

Utilization Management Registered Nurse

Paterson, NJ • On-site

St. Joseph's Health

7.7

Company rating: 7.7 out of 10

Based on 47 frontline employees who took The Breakroom Quiz

160th of 893 rated healthcare providers

People enjoy working here

Good employer

Recommended by students

Learn more about St. Joseph's Healthexternal

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 20 days ago

Job description


The Utilization Management Registered Nurse (UM RN) is responsible for evaluating the medical necessity, appropriateness, and efficiency of healthcare services in accordance with established criteria, regulatory requirements, and organizational role. The UM RN ensures optimal patient care delivery while supporting compliance, quality outcomes, and effective resource utilization. The role is responsible for the assessment of medical necessity, both for admission to the hospital as well as continued stay. This function ensures that services are not only appropriate but ensures that an authorization is obtained from the payer, if required, and that the documentation supports the care delivered in such a way that minimizes risks of denials.
Qualifications
Work requires the knowledge of theories, principles, and concepts normally acquired through completion of a Bachelor of Science in Nursing and least at least 3 years of previous nursing experience. Preferred 3+ years of Utilization Review or Case Management experience. Case Management Society of America Certification CCM preferred. Licensure required as a Registered Nurse by the State of New Jersey.
About Us
St. Joseph's Health is recognized for the expertise and compassion of its highly skilled and responsive staff. The combined efforts of the organization's outstanding physicians, superb nurses, and dedicated clinical and professional staff have made us one of the most highly respected healthcare organizations in the state, the largest employer in Passaic County, and one of the nation's "100 Best Places to Work in Health Care".
Benefits Eligibility: (Full-time and Part-time Employees-over 20 hours a week)
  • Competitive salary*
  • Robust benefits with health, dental, Rx and vision plans
  • 403b retirement plan options with company match**
  • Health & Wellness*
  • Non-Profit Health System - eligible for Federal Student Loan Forgiveness
  • PTO, and paid holidays
  • Tuition reimbursement
  • Employee Assistance Program
  • LTD : Long Term Disability
  • Life Insurance Options
  • Onsite Day care Program

*Available for Per Diem Employees and Part-time Employees working under 20 hours per week.
**403b Company Match not applicable for Per Diem Employees and Part-time Employees working under 20 hours per week.
Pay transparency: St. Joseph's Health provides a salary range to comply with New Jersey Law. The rate of pay for each position will be determined based on a variety of factors including the candidate's relevant experience, qualifications, skills, etc." The salary range does not include incentives, differential pay or other forms of compensation.
About the Team
St. Joseph's University Medical Center is an academic tertiary care medical center and state designated trauma center, located on the Paterson campus, regularly accepts referrals of difficult or unusual cases from other hospitals and physicians and performs both complex and routine procedures.
The Medical Center offers a full complement of specialty and subspecialty services including ambulatory, behavioral health, cardiovascular, emergency/trauma, internal medicine, neuroscience, oncology, orthopedic/spine, rehabilitation, surgical specialty, women's health, imaging and pediatrics.
The nursing team at St. Joseph's University Medical Center, which includes St. Joseph's Children's Hospital, has held the Magnet Award for Nursing Excellence, the profession's highest honor, since 1999. They are also recipients of the prestigious 2010 Magnet Prize™ - one of only 8 Magnet-designated hospitals to ever receive The Magnet Prize, and the only one worldwide to receive the 2010 award.

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