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

CHI Living Communities

RN

Toledo, OH · On-site

Toledo, OH 43623 Job Type : Full-Time/Part-Time: 3 p.m. - 11 p.m. Description In the rich ... Delivery of quality nursing care is assured through utilization of the nursing process. The goal of ...

CHI Living Communities

RN

Toledo, OH

Toledo, OH 43623 Job Type: Full-Time/Part-Time: 3 p.m. - 11 p.m. Description In the rich Franciscan ... Delivery of quality nursing care is assured through utilization of the nursing process. The goal of ...

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$65

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

As of May 28, 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 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 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 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 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 May 2026, with employment types broken down into 88% Full Time, 11% Part Time, and 1% Contract. Highlights an 100% Physical job distribution, with an average salary of $83,610 per year, or $40.2 per hour.
RN Discharge Planner/UR

RN Discharge Planner/UR

Salem Regional Medical Center

Salem, OH • On-site

Part-time

Medical, Dental, Vision, Life, Retirement

Posted 17 days ago

Salem Regional Medical Center rating

5.4

Company rating: 5.4 out of 10

Based on 11 frontline employees who took The Breakroom Quiz

893rd of 989 rated hospitals

Job description

SRMC Has an Exciting Opportunity for Qualified Candidates!
Position: Part Time Utilization Review/RN Case Manager
Department: Case Management
Shift: Days
PURPOSE
The UR/RN Case Manager serves as a role model for professional nursing and assists with ensuring that the needs of the patient are met. This may include educating physicians, nursing staff, or collaborating with other interdisciplinary team members. This role must have good communication and problem-solving skills. Duties will include conducting medical certification review for medical necessity for acute care facility and services. They will use nationally recognized, evidence-based guidelines approved by medical staff to recommend a level of care to the physician and serve as a resource to the medical staff on issues related to admission qualifications, resource utilization, national and local coverage determinations, and documentation improvement activities. The RN Case Manager will assist with discharge planning and address any needs a patient may have on discharge.
QUALIFICATIONS
  • Graduate of an approved professional school of nursing and currently licensed as a Registered Nurse in the State of Ohio.
  • At least three-five years of nursing experience.
  • Working knowledge of general computer skills.
  • Expert knowledge of MCG or InterQual Level of Care Criteria and knowledge of local and national coverage determinations
  • Hospital Case Management Experience preferred
  • Eligibility to remain in position requires a 90% proficiency rating based on chart audits.

BENEFITS
• Competitive wages
• Medical/prescription insurance
• Dental insurance
• Vision insurance
• Accident and critical insurance
• Employer paid life insurance
• 403 (b) retirement with employer matching
• Tuition reimbursement
• Continuing education reimbursement
• Cafeteria discounts
• Employee Assistance Program
• Shift differential

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