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Part Time Utilization Review Rn Jobs in Baltimore, MD

Oakwood Care Center

Registered Nurse

Middle River, MD · On-site

$40 - $45.74/hr

We offer full time and part time Day (7a-3p), Evening (3p-11p), and Night (11p-7a) shifts ... Annual performance reviews and competitive bi-annual pay reviews * Support for personal well-being ...

Oakwood Care Center

Registered Nurse

Middle River, MD · On-site

$40 - $45.74/hr

We offer full time and part time Day (7a-3p), Evening (3p-11p), and Night (11p-7a) shifts ... Annual performance reviews and competitive bi-annual pay reviews * Support for personal well-being ...

Lorien Health Services

Registered Nurse

Elkridge, MD · On-site

$31 - $44/hr

Overview Registered Nurse (RN) - Part-Time Evening| Lorien Elkridge Lorien Health Services is hiring Part-Time and PRN- Registered Nurses (RNs) to join our award-winning team at Lorien Elkridge!

Ginger Cove

RN - Part-Time - Night Shift

Annapolis, MD · On-site

$37.27 - $43.40/hr

Registered Nurse (RN) - Part-Time Nights | $5,000 Sign-On Bonus | Night Shift Differential Enjoy a consistent part-time schedule while making a meaningful difference in the lives of older adults.

Ginger Cove

RN - Part-Time - Night Shift

Annapolis, MD · On-site

$37.27 - $43.40/hr

Registered Nurse (RN) - Part-Time Nights $5,000 Sign-On Bonus Night Shift Differential Enjoy a consistent part-time schedule while making a meaningful difference in the lives of older adults. Ginger ...

Lorien Health Services

Registered Nurse

Elkridge, MD · On-site

$31 - $44/hr

Registered Nurse (RN) - Part-Time Evening| Lorien Elkridge Lorien Health Services is hiring Part-Time and PRN- Registered Nurses (RNs) to join our award-winning team at Lorien Elkridge! Experience ...

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Part Time Utilization Review Rn information

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$42

$68

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

As of Sep 7, 2026, the average hourly pay for part time utilization review rn in Baltimore, MD is $42.01, according to ZipRecruiter salary data. Most workers in this role earn between $33.22 and $48.27 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 Baltimore, MD?

The most popular types of Utilization Review Rn jobs in Baltimore, MD are:

What cities near Baltimore, MD are hiring for Part Time Utilization Review Rn jobs?

Cities near Baltimore, MD 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 Baltimore, MD as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 13% Part Time, 4% Contract, and 1% Nights. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $87,387 per year, or $42 per hour.

RN Inpatient Case Manager Part-Time ( Emergency Dept )

MedStar Health

Olney, MD • On-site

$89K - $162K/yr

Part-time

Re-posted 7 days ago

Medstar Health rating

7.8

Company rating: 7.8 out of 10

Based on 241 frontline employees who took The Breakroom Quiz

136th of 898 rated healthcare providers

Job description

About the Job
***Work days are set for Wednesdays and Thursdays each week, experienced utilization review candidates highly preferred for this dual discharge planner/UR role***
General Summary of Position
Serves as a member of the Case Management Team and applies RN clinical expertise and medical appropriateness to care coordination and discharge planning. Facilitates the delivery of quality cost effective patient-centered care from pre-admission through post-discharge timeframe. Ensures the care is designed to meet individualized patient outcomes. Monitors the care and services delivered to selected patient populations during the acute hospital stay promotes effective case management and utilization of resources and works to achieve optimal clinical and resource outcomes for the acute and post-hospital phases of care.
Primary Duties and Responsibilities
  • Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and accreditation regulations.
  • Collaborates with the multidisciplinary health care team to develop and coordinate the plan of care.
  • Communicates with patient family and/or significant other health care team external case manager community resources and facility to address appropriate issues and patient/family goals.
  • Demonstrates the ability to develop a plan of care that addresses needs across the continuum; have an intervention for problems identified; develop long- and short-term goals with specific time frames for resolution; identify specific services to be provided in the care plan; include the family/care-giver in the plan of care; and show life planning contingencies such as power of attorney and/or advance directives.
  • Evaluates and documents the patient's response to the plan of care and achievement of outcomes. Makes recommendations for modifications to the plan of care as indicated. Adheres to all policies and procedures regarding documentation and confidentiality of information.
  • Maintains knowledge of regulatory agencies' requirements necessary criteria for admission to various care settings and Medicare's/Medicaid's reimbursement methods for different levels of care.
  • Manages a caseload of patients. Identifies essential resources needed to implement the plan of care.
  • Manages own professional growth in the area of managed care care management other health care financial trends clinical practice and research.
  • Manages patient care according to multidisciplinary plan of care and/or managed care contracts by directing decision making and identifying and managing barriers that impact on patient care outcomes.
  • Participates in Performance and Service Improvement teams. Assists in program evaluation through customer service surveys LOS data analysis charge/discharge data comparison to state averages and best practice/benchmark data.
  • Performs a comprehensive assessment in collaboration with interdisciplinary team to identify patient-specific problems and needs related to diagnosis treatment including psychosocial and financial concerns as well as medical.

Minimal Qualifications
Education
  • Associate's degree in Nursing (ADN) required
  • Bachelor's degree in Nursing (BSN) preferred

Experience
  • 2-3 years of clinical experience required
  • 1-2 years case management experience preferred

Licenses and Certifications
  • RN - Registered Nurse - State Licensure and/or Compact State Licensure in the District of Columbia or Maryland depending on work location required
  • CCM - Certified Case Manager preferred

Knowledge Skills and Abilities
  • Ability to use computer to enter and retrieve data.
  • Working knowledge of Microsoft Word Excel and PowerPoint applications.
  • Effective verbal and written communication skills.
  • Must be able to run and analyze departmental productivity reports.
  • Excellent interpersonal skills required.

This position has a hiring range of
USD $89,065.00 - USD $162,801.00 /Yr.

What Medstar Health employees say

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Benefits

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Workplace

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About Medstar Health

Sourced by ZipRecruiter

MedStar Health is dedicated to providing the highest quality care for people in Maryland and the Washington, D.C., region, while advancing the practice of medicine through education, innovation, and research. Our team of 32,000 includes physicians, nurses, residents, fellows, and many other clinical and non-clinical associates working in a variety of settings across our health system, including 10 hospitals and more than 300 community-based locations, the largest home health provider in the region, and highly respected institutes dedicated to research and innovation. As the medical education and clinical partner of Georgetown University for more than 20 years, MedStar Health is dedicated not only to teaching the next generation of doctors, but also to the continuing education, professional development, and personal fulfillment of our whole team. Together, we use the best of our minds and the best of our hearts to serve our patients, those who care for them, and our communities. It's how we treat people.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Columbia, MD, US

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