... Utilization Review using Interqual and Milliman Care Guidelines, Discharge Planning and Case ... Hours: Part-time / PRN as needed, preferably available to cover 2 shifts per week. Shifts would be ...
... Utilization Review using Interqual and Milliman Care Guidelines, Discharge Planning and Case ... Hours: Part-time / PRN as needed, preferably available to cover 2 shifts per week. Shifts would be ...
... Utilization Review using Interqual and Milliman Care Guidelines, Discharge Planning and Case ... Hours: Part-time / PRN as needed, preferably available to cover 2 shifts per week. Shifts would be ...
... Utilization Review using Interqual and Milliman Care Guidelines, Discharge Planning and Case ... Hours: Part-time / PRN as needed, preferably available to cover 2 shifts per week. Shifts would be ...
Atleast 3 years of experience with case management, care coordination, utilization review, patient ... Current RN license from Texas Board of Nursing required * Basic Life Support (BLS) certification ...
Atleast 3 years of experience with case management, care coordination, utilization review, patient ... Current RN license from Texas Board of Nursing required * Basic Life Support (BLS) certification ...
Atleast 3 years of experience with case management, care coordination, utilization review, patient ... Current RN license from Texas Board of Nursing required * Basic Life Support (BLS) certification ...
Atleast 3 years of experience with case management, care coordination, utilization review, patient ... Current RN license from Texas Board of Nursing required * Basic Life Support (BLS) certification ...
Be Seen First
Part-Time RN (PT) - QAPI Review & Compliance Monitoring
Richardson, TX · On-site
$45 - $60/hr
We are seeking an experienced and detail-oriented Part-Time RN to oversee Quality Assurance and ... Conduct routine clinical record reviews and chart audits. * Monitor compliance with Texas home ...
Quick apply
Be Seen First
Part-Time RN (PT) - QAPI Review & Compliance Monitoring
Richardson, TX · On-site
$45 - $60/hr
We are seeking an experienced and detail-oriented Part-Time RN to oversee Quality Assurance and ... Conduct routine clinical record reviews and chart audits. * Monitor compliance with Texas home ...
Parkland: 7th FLR BLK 100 Part Time with Benefits - Nights PRIMARY PURPOSE The RN is a licensed ... utilization of supplies and materials. * Performs appropriate patient assessments. Recognizes ...
Parkland: 7th FLR BLK 100 Part Time with Benefits - Nights PRIMARY PURPOSE The RN is a licensed ... utilization of supplies and materials. * Performs appropriate patient assessments. Recognizes ...
Clinical Documentation Specialist RN
$32 - $43/hr
Coding and utilization review experience preferred LICENSES AND CERTIFICATIONS Required * RN - Registered Nurse - Texas State Licensure - Texas Board of Nursing_PSV Compact Licensure - Must obtain ...
Clinical Documentation Specialist RN
$32 - $43/hr
Coding and utilization review experience preferred LICENSES AND CERTIFICATIONS Required * RN - Registered Nurse - Texas State Licensure - Texas Board of Nursing_PSV Compact Licensure - Must obtain ...
Part Time RN
Houston, TX · On-site
$50 - $65/hr
Small hospice company looking to hire a part time R.N.. This position is paid by per visit and not a salary position. R.N. will carry a case load of 9 to 10 patients and will be required to document ...
Quick apply
Part Time RN
Houston, TX · On-site
$50 - $65/hr
Small hospice company looking to hire a part time R.N.. This position is paid by per visit and not a salary position. R.N. will carry a case load of 9 to 10 patients and will be required to document ...
Part Time RN
Houston, TX · On-site
$50 - $65/hr
Small hospice company looking to hire a part time R.N.. This position is paid by per visit and not a salary position. R.N. will carry a case load of 9 to 10 patients and will be required to document ...
Quick apply
Part Time RN
Houston, TX · On-site
$50 - $65/hr
Small hospice company looking to hire a part time R.N.. This position is paid by per visit and not a salary position. R.N. will carry a case load of 9 to 10 patients and will be required to document ...
Clinical Documentation Specialist RN
Katy, TX · On-site
$32 - $43/hr
Coding and utilization review experience preferred LICENSES AND CERTIFICATIONS Required * RN - Registered Nurse - Texas State Licensure - Texas Board of Nursing_PSV Compact Licensure - Must obtain ...
Clinical Documentation Specialist RN
Katy, TX · On-site
$32 - $43/hr
Coding and utilization review experience preferred LICENSES AND CERTIFICATIONS Required * RN - Registered Nurse - Texas State Licensure - Texas Board of Nursing_PSV Compact Licensure - Must obtain ...
Overview Join our team as a day shift, part-time, Acute Care Registered Nurse (RN) Case Manager in ... utilization. * The RN Case Manager reports to the Director of Case Management or designee.
Overview Join our team as a day shift, part-time, Acute Care Registered Nurse (RN) Case Manager in ... utilization. * The RN Case Manager reports to the Director of Case Management or designee.
Registered Nurse (RN)
Conroe, TX · On-site
Job Type Part-time Description Under the supervision of the Director of Nursing, the Registered ... Prepare and review medical records and nurses' notes; assess residents' physical and emotional ...
Registered Nurse (RN)
Conroe, TX · On-site
Job Type Part-time Description Under the supervision of the Director of Nursing, the Registered ... Prepare and review medical records and nurses' notes; assess residents' physical and emotional ...
Registered Nurse (RN)
Levelland, TX · On-site
Job Type Part-time Description Now Offering: * Next Day Pay * Flexible Schedule * Holiday Pay ... Prepare and review medical records and nurses' notes; assess residents' physical and emotional ...
Registered Nurse (RN)
Levelland, TX · On-site
Job Type Part-time Description Now Offering: * Next Day Pay * Flexible Schedule * Holiday Pay ... Prepare and review medical records and nurses' notes; assess residents' physical and emotional ...
At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse (RN) who ... resource utilization, and continued stay. Reviews level of care denials to identify trends and ...
At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse (RN) who ... resource utilization, and continued stay. Reviews level of care denials to identify trends and ...
MUST have managed a team of RN, LVN, HHA, PT, OT, PTA, SLP, and COTAs * Supervises ongoing case ... Reviews electronically submitted documentation and provides feedback to clinicians regarding ...
MUST have managed a team of RN, LVN, HHA, PT, OT, PTA, SLP, and COTAs * Supervises ongoing case ... Reviews electronically submitted documentation and provides feedback to clinicians regarding ...
MUST have managed a team of RN, LVN, HHA, PT, OT, PTA, SLP, and COTAs * Supervises ongoing case ... Reviews electronically submitted documentation and provides feedback to clinicians regarding ...
MUST have managed a team of RN, LVN, HHA, PT, OT, PTA, SLP, and COTAs * Supervises ongoing case ... Reviews electronically submitted documentation and provides feedback to clinicians regarding ...
Full-Time/Part-Time Part-Time Shift Days Position Registered Nurse Exempt/Non-Exempt Exempt Location Midland About the Organization Rock House is a leading company in residential services for ...
Full-Time/Part-Time Part-Time Shift Days Position Registered Nurse Exempt/Non-Exempt Exempt Location Midland About the Organization Rock House is a leading company in residential services for ...
Registered Nurse - RN
Borger, TX · On-site
$50/hr
Registered Nurse - RN Private Duty Caregiver Part-Time: Sunday 6am-6pm $50.00 per hour Come work for CNS Cares and make a difference! As a direct care professional in home healthcare, you will get ...
Registered Nurse - RN
Borger, TX · On-site
$50/hr
Registered Nurse - RN Private Duty Caregiver Part-Time: Sunday 6am-6pm $50.00 per hour Come work for CNS Cares and make a difference! As a direct care professional in home healthcare, you will get ...
Longview Rehabilitation Hospital , Longview, Texas Registered Nurse (RN), Rehab Job Type: Part-time YOUR EXPERIENCE MATTERS Longview rehab is operated jointly with Lifepoint Health. We are driven by ...
Longview Rehabilitation Hospital , Longview, Texas Registered Nurse (RN), Rehab Job Type: Part-time YOUR EXPERIENCE MATTERS Longview rehab is operated jointly with Lifepoint Health. We are driven by ...
Longview Rehabilitation Hospital , Longview, Texas Registered Nurse (RN), Rehab Job Type: Part-time YOUR EXPERIENCE MATTERS Longview rehab is operated jointly with Lifepoint Health. We are driven by ...
Longview Rehabilitation Hospital , Longview, Texas Registered Nurse (RN), Rehab Job Type: Part-time YOUR EXPERIENCE MATTERS Longview rehab is operated jointly with Lifepoint Health. We are driven by ...
Part Time Utilization Review Rn information
See Texas salary details
$19.93 - $23.96
2% of jobs
$23.96 - $27.99
9% of jobs
$30.75 is the 25th percentile. Wages below this are outliers.
$27.99 - $32.03
21% of jobs
The median wage is $35.29 / hr.
$32.03 - $36.06
23% of jobs
$36.06 - $40.09
13% of jobs
$43.22 is the 75th percentile. Wages above this are outliers.
$40.09 - $44.12
10% of jobs
$44.12 - $48.15
8% of jobs
$48.15 - $52.18
5% of jobs
$52.18 - $56.21
5% of jobs
$56.21 - $60.24
2% of jobs
$60.24 - $64.28
2% of jobs
$19
$39
$64
How much do part time utilization review rn jobs pay per hour?
What is the difference between Part Time Utilization Review Rn vs Part Time Case Manager Rn?
| Aspect | Part Time Utilization Review Rn | Part Time Case Manager Rn |
|---|---|---|
| Certifications | RN license, Utilization Review certification (if required) | RN license, Case Management certification (e.g., CCM) |
| Work Environment | Insurance companies, healthcare organizations, utilization review departments | Hospitals, insurance companies, community health agencies |
| Primary Responsibilities | Review medical necessity, approve or deny services based on criteria | Coordinate patient care, discharge planning, and resource management |
| Industry Usage | Commonly used in insurance and healthcare utilization departments | Used 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?
What does a Part Time Utilization Review RN do?
What are the key skills and qualifications needed to thrive as a Part Time Utilization Review RN, and why are they important?

Cook Children's Health Care System rating
7.7
Based on 74 frontline employees who took The Breakroom Quiz
158th of 886 rated healthcare providers
Job description
Location:
Medical Center - Fort WorthDepartment:
Case ManagementShift:
First Shift (United States of America)Standard Weekly Hours:
8Summary:
The RN Case Manager uses a collaborative process to plan, assess, implement, monitor and evaluate the options and services required to meet the healthcare needs of the patients using the functions of Utilization Review using Interqual and Milliman Care Guidelines, Discharge Planning and Case Management in order to facilitate: (1) quality of patient care; (2) cost effective utilization and outcome management; (3) communication between patients, families, and members of the health care team; (4) expedition of the movement of patients through appropriate levels of care; and (5) information gathering for Quality & Risk Management utilizing Joint Commission Accreditation of Healthcare standards and clinical indicators. The Case Manager will assist with the identification of appropriate providers and facilities throughout the continuum of care, to ensure that resources of both CCMC and the patient are used in a timely and cost-effective manner to meet the healthcare needs of the patient.
This position will fill-in and help cover all units including Surgery/Trauma, Oncology, Rehab/Transitional care, neuro, ICU, Respiratory, Med/Surge, Cardiology and Endocrinology.
Hours: Part-time / PRN as needed, preferably available to cover 2 shifts per week. Shifts would be 8:00 am-4:30 pm M-F, 8:00am -6:30 pm Sa-Su
Note: Selected candidate would need to be available to train full time for the first 6-8 wks with a total of 12 weeks training to cover all units.
Education and Experience:
Associate degree in nursing required, BSN preferred.
At least (3) three years of any combination of experiences working in/with case management, care coordination, utilization review, patient intake, discharge planning and troubleshooting fund resources, quality assurance, clinical pathways, continuous quality improvement, or state and federal health plans or commercial insurance plans in a clinical or managed care environment.
Strong case management skills preferred.
Must be computer literate, and have effective organizational, interpersonal, written, and oral communication skills.
Must be familiar with various community resources and charitable organizations.
Must be flexible and able to adapt to changing healthcare environments and work with all members of the healthcare team to achieve positive outcomes.
Must have experience using or navigating electronic medical records (e.g., EPIC, Meditech, Healthy Planet, etc.).
English/Spanish speaking is preferred.
Licensure, Registration, and/or Certification:
Current RN license from Texas Board of Nursing.
Basic Life Support (BLS) certification for Health Care Providers within 30 days of employment and must maintain this certification as per Medical Center Policy, MC 175*.
Case Manager Certification (CCM) preferred.
About Us:
Cook Children's Medical Center is the cornerstone of Cook Children's, and offers advanced technologies, research and treatments, surgery, rehabilitation and ancillary services all designed to meet children's needs.
Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer.
What Cook Children's Health Care System employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Cook Children's Health Care System
Sourced by ZipRecruiter
Cook Children's Health Care System, based in Fort Worth, Texas, operates in the healthcare industry with a primary focus on pediatric health services. Established in 1918, the system has been committed to improving the health of children through the prevention and treatment of childhood diseases. This integrated pediatric healthcare system includes a medical center, physician network, home health company, research institute, and a health plan. At the core of its operations is the mission to 'Improve the Health of Every Child' in its community, reflecting its commitment to providing quality care, research, education, and prevention and wellness services.
Industry
Health care and social assistance
Company size
5,001 - 10,000 Employees
Headquarters location
Fort Worth, TX, US
Year founded
1918