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Part Time Utilization Review Rn Jobs in Ohio (NOW HIRING)

TriHealth

Care Management Coord RN

Oxford, OH · On-site

Oxford, OH 45056 Schedule: Part Time Day Incentives & Benefits: We offer competitive shift ... Performs utilization review for patients served. Requires weekend, holiday, and off site commitment ...

TriHealth, Inc.

Care Management Coord RN

Oxford, OH

Oxford, OH 45056 Schedule: Part Time Day Incentives & Benefits: We offer competitive shift ... Performs utilization review for patients served. Requires weekend, holiday, and off site commitment ...

TriHealth

Care Management Coord RN

Oxford, OH · On-site

Oxford, OH 45056 Schedule: Part Time Day Incentives & Benefits: We offer competitive shift ... Performs utilization review for patients served. Requires weekend, holiday, and off site commitment ...

TriHealth, Inc.

Care Management Coord RN

Oxford, OH

Oxford, OH 45056 Schedule: Part Time Day Incentives & Benefits: We offer competitive shift ... Performs utilization review for patients served. Requires weekend, holiday, and off site commitment ...

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All JobsUtilization Review Rn JobsPart Time Utilization Review Rn JobsPart Time Utilization Review Rn Jobs in Ohio

Part Time Utilization Review Rn information

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$40

$65

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

As of Aug 25, 2026, the average hourly pay for part time utilization review rn in Ohio is $40.20, according to ZipRecruiter salary data. Most workers in this role earn between $31.78 and $46.15 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 are the most commonly searched types of Utilization Review Rn jobs in Ohio?

The most popular types of Utilization Review Rn jobs in Ohio are:

What cities in Ohio are hiring for Part Time Utilization Review Rn jobs?

Cities in Ohio 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 Ohio as of August 2026, with employment types broken down into 1% As Needed, 86% Full Time, 10% Part Time, 2% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $83,610 per year, or $40.2 per hour.

RN Utilization Rvw Spclst - Utilization Management

Miamisburg, OH • On-site

Kettering Health

7.3

Company rating: 7.3 out of 10

Based on 190 frontline employees who took The Breakroom Quiz

304th of 893 rated healthcare providers

People enjoy working here

Good employer

Recommended by students

Learn more about Kettering Healthexternal

Part-time

Re-posted 13 days ago

Job description

Job Details

Utilization Management | Miamisburg | Part-time | Varied Shift

Responsibilities & Requirements
  • Registered professional nurse with education, knowledge and experience.
  • Role focuses on review of inpatient and observation admissions to ensure correct assignment of Admit status.  
  • Communicates concurrently and resolves medical necessity discrepancies with physicians and other hospital leadership as needed.
  • Responsible for completing clinical review on all assigned patients and communicates these reviews to payers.
  • Identifies potential or actual denials for admission or ongoing stay both during the patient's hospital stay and post discharge.
  • Review and decide the validity of medical necessity payer denials.  Submits payer denial appeals.
  • Participates in design of work flows and procedure to reduce incidence of denials.
  • Current unrestricted Ohio RN licensure, BSN required.
  • Experience with computers required.
Preferred Qualifications
  • 5 years clinical experience with 2 years case management
  • Case Management certification
  • Works independently
  • Familiar with MCG Care guidelines
  • Ability to adapt quickly to changing priorities and regulations
  • Experience with Microsoft applications and EPIC software

                                                                            ! WEEKEND ONLY!

Overview

Kettering Health is a not-for-profit system of 14 medical centers and more than 120 outpatient facilities serving southwest Ohio. Our mission is to live God's love by promoting and restoring health. Our commitment to our patients is to help individuals be their best. With that context, safety is our top priority. We provide an integrated system of healthcare experts committed to providing exceptional care.

Employment Type: PART_TIME

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