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Part Time Utilization Review Rn Jobs in Washington

Lifehealth LLC

Medical Review RN

Washington, DC · On-site

$45/hr

Medical Review RN * Date: Start Date - TBD * Shift Time: 0800-1630 M-F * Location: Washington, DC Position Summary: LifeHealth Medical Review Nurse (MRN) is responsible for the initial chart review ...

LifeHealth

Medical Review RN

Washington, DC

Medical Review RN * Date: Start Date - TBD * Shift Time: 0800-1630 M-F * Location: Washington, DC Position Summary: LifeHealth Medical Review Nurse (MRN) is responsible for the initial chart review ...

Autumn Lake Healthcare

Registered Nurse (RN)

Clinton, MD · On-site

$37 - $45/hr

NOW HIRING : Part-Time Registered Nurse (RN) Qualifications & Experience Requirements for Registered Nurse (RN): * Previous Experience as a Registered Nurse (RN) preferred * Licensed Registered Nurse ...

Inova

Registered Nurse (RN) Case Manager

Fairfax, VA · On-site

This role will be Part-Time Day shift, 24 hours per week, Monday - Friday day shift schedule with ... Uses utilization management techniques to determine the medical necessity, appropriateness and ...

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Part Time Utilization Review Rn information

See Washington salary details

$24

$47

$78

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 Washington is $47.89, according to ZipRecruiter salary data. Most workers in this role earn between $37.84 and $55.00 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 are the most commonly searched types of Utilization Review Rn jobs in Washington? The most popular types of Utilization Review Rn jobs in Washington are:
What cities in Washington are hiring for Part Time Utilization Review Rn jobs? Cities in Washington 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 Washington as of July 2026, with employment types broken down into 1% As Needed, 62% Full Time, 36% Part Time, and 1% Contract. Highlights an 94% Physical, 4% Hybrid, and 2% Remote job distribution, with an average salary of $99,608 per year, or $47.9 per hour.
Medical Review RN

Medical Review RN

Lifehealth LLC

Washington, DC • On-site

$45/hr

Part-time

Re-posted 5 days ago

Job description

Description
LifeHealth LLC (LifeHealth), a professional services company specializing in worksite wellness services, clinical staffing, and healthcare readiness is looking for qualified Registered Nurses (RN) responsible for the initial chart review and chart case management for medical exam/screening programs to verify that all medical information and exam components are accurate. The
RN works directly with Physicians and Examinees to ensure all medical information is gathered and performs medical Quality Assurance on all charts in various process stages leading to a final
determination.
  • Position: Medical Review RN
  • Date: Start Date - TBD
  • Shift Time: 0800-1630 M-F
  • Location: Washington, DC

Position Summary:
LifeHealth Medical Review Nurse (MRN) is responsible for the initial chart review and chart case management for medical exam/screening programs to verify that all medical information and exam components are accurate. The RN works directly with Physicians and Examinees to ensure all medical information is gathered and performs medical Quality Assurance on all charts in various process stages leading to a final determination. This position is temporary short-term position for 6-8 weeks with possible extension.
Essential Duties and Responsibilities include, but are not limited to the following:
  • Performs medical review of incoming charts to determine if additional medical information is needed.
  • Collaborates with Physician(s) and other internal nursing staff members f or chart review.
  • Performs medical Quality Assurance (QA) on all charts in various process stages.
  • Interfaces with Client's Medical Department as well as the on-site provider.
  • Contacts Examinee via telephone or email to clarify information necessary to complete the chart.
  • Develops a very good understanding of the specific contract's guidelines and addendums as required.
  • Masters the various software programs specific to the functioning of the exam program.
  • Implements and follows up on requests for further evaluation from the Examinee when required.
  • Works closely with other departments to provide accurate and quality outcomes.
  • Thoroughly cognizant of metrics and organizes workload to meet them.
  • Consistently learns and applies codified state and federal regulations specific to particular contract(s).
  • Serve as backup to other nurses f or daily duties and assists with follow-up calls to facilities and Examinees as needed as well as other duties as assigned.
  • Opportunity to travel and assist on medical mobile events as either a site lead and/or RN as work or personal schedule permit.
  • May participate in interdepartmental project groups or task forces to integrate activities, communicate issues, obtain approvals, resolve problems, and maintain a specif ic level of knowledge pertaining to new
    developments, new task efforts, contract awards, and new policy requirements.
  • Supports marketing and sales objectives and efforts as requested.
  • Performs duties in a safe manner. Follows the corporate safety policy. Participates and supports safety meetings, training, and goals. Ensures safe operating conditions within an area of responsibility.
    Encourages co-workers to work safely. Identifies "close calls" and/or safety concerns to supervisory
    personnel. Maintains a clean and orderly work area.
  • Assists in the active implementation of company initiatives to ensure compliance with OSHA VPP, ISO, JCAHO, AAAHC, and other mandated regulations/standards.
  • May serve on the OSHA VPP, Safety, and Wellness Committees.

Qualifications/Knowledge Skills & Abilities:
  • 5-7 years of relevant experience.
  • Fully unencumbered nursing license to work in Washington DC required.
  • Proficiency with computer and common office equipment, as well as with MS Office products.
  • Must be able to multitask, be flexible, be organized, and have excellent oral and written communication skills as well as exceptional attention to detail.
  • Ability to work independently and prioritize a moderate workload with minimal supervision
  • Adaptability to schedule changes on an as-need basis
  • Must be eligible to work in the US
  • Must possess reliable transportation, have a clean driving record, and current automobile insurance.
  • Must be 18 years of age or older
  • Current CPR, BLS or ACLS

Disclaimer:
LifeHealth is an Equal Employment Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
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