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Part Time Utilization Review Rn Jobs in Albuquerque, NM

Description Registered Nurse - RN Full-Time / Part-Time $45.00-$55 depending on experience ($1,500 Sign on Bonus) Weekend hours (Saturday, Sunday) $55-$58 Come work for CNS Cares, LLC. (CNS) and make ...

Description Registered Nurse - RN Full-Time / Part-Time ($1,500 Sign on Bonus) Weekend hours (Every other Saturday) $55-$58 Come work for CNS Cares, LLC. (CNS) and make a difference! As a direct care ...

Description Registered Nurse - RN Full-Time / Part-Time $45.00-$55 depending on experience ($1,500 Sign on Bonus) Weekend hours (Saturday, Sunday) $55-$58 Come work for CNS Cares, LLC. (CNS) and make ...

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Part Time Utilization Review Rn information

See Albuquerque, NM salary details

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$66

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 Albuquerque, NM is $40.98, according to ZipRecruiter salary data. Most workers in this role earn between $32.40 and $47.07 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 Albuquerque, NM?

The most popular types of Utilization Review Rn jobs in Albuquerque, NM are:

Infographic showing various Part Time Utilization Review Rn job openings in Albuquerque, NM as of August 2026, with employment types broken down into 5% Full Time, and 95% Part Time. Highlights an 95% In-person, and 5% Remote job distribution, with an average salary of $85,238 per year, or $41 per hour.

Nurse Practitioner - Albuquerque (32349)

IME RESOURCES LLC

Albuquerque, NM

Part-time

Re-posted 10 days ago


Job description

NURSE PRACTITIONER

Job Summary:

Give back to our nation's Veterans! Practitioners will be in a clinic setting to provide one-time Physical Health Assessments to active-duty military personnel & Compensation and Pension evaluations to Veterans, which includes reviewing the PHA form, Functional Capacity Certificate, and any medical records the Service Member brings to the event. Practitioners will also interview Service Members to provide additional details as to the status of current and past medical issues, and a very brief focused exam based on the claim may be required. Practitioners provide focused assessments, review diagnostics, and provide documentation on the 2766 in Service Member's medical record.

Job Duties:

  • Provides C&P (Compensation & Pension) services to claimants including but not limited to taking health histories, performing assessments, diagnostic testing.
  • Utilizes application of assessment and evaluation in formulating medical diagnoses and opinions.
  • Prepares timely, legible, and complete documentation of all claimant care as provided by law, regulation, and established policy.
  • Demonstrates an awareness of and sensitivity to claimant rights.
  • Applies safety principles as identified by established policy.
  • Participates in continuing education to continually improve skills and abilities and stay abreast of current technologies/practices.
  • Ensures compliance with legal issues including but not limited to claimant confidentiality and risk management; ensures compliance with federal, state, and local regulations.
  • Participates in quality improvement and utilization review activities.
  • Exhibits a high degree of courtesy, tact, and poise when interacting with claimants, families, and other healthcare professionals.
  • Adjusts to fluctuating peaks in claimant flow, acuity, and other operational demands while maintaining quality, timeliness, and customer service.
  • Performs other related duties as assigned by management.

MINIMUM QUALIFICATIONS:

  • Graduate from an accredited school of nursing.
  • Current RN and NP license certification.
  • Two years related experience preferred

Physician Assistant Qualifications If Applicable:

  • Completion of a four-year Physician Assistant baccalaureate program and a year of clinical training, or completion of of a two-year accredited Physician Assistant program plus two years of clinical training following completion of PA program.
  • State accreditation based on certifying exam
  • NCCPA