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Part Time Utilization Review Rn Jobs in Columbus, OH

Trinity Health

RN Case Manager

Westerville, OH · On-site

Employment Type: Part time Shift: Description: RN Case Manager - Part-time, weekend coverage for St ... This is done with the intentions of cost effective utilization of hospital resources, minimizing ...

Trinity Health

RN Case Manager

Westerville, OH · On-site

Employment Type: Part time Shift: Description: RN Case Manager - Part-time, weekend coverage for St ... This is done with the intentions of cost effective utilization of hospital resources, minimizing ...

Trinityhealth

RN Case Manager

Westerville, OH · On-site

Employment Type: Part time Shift: Description: RN Case Manager - Part-time, weekend coverage for St ... This is done with the intentions of cost effective utilization of hospital resources, minimizing ...

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All JobsUtilization Review Rn JobsPart Time Utilization Review Rn JobsPart Time Utilization Review Rn Jobs in Columbus, OH

Part Time Utilization Review Rn information

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$39

$64

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

As of Sep 14, 2026, the average hourly pay for part time utilization review rn in Columbus, OH is $39.51, according to ZipRecruiter salary data. Most workers in this role earn between $31.20 and $45.38 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 Columbus, OH?

The most popular types of Utilization Review Rn jobs in Columbus, OH are:

What cities near Columbus, OH are hiring for Part Time Utilization Review Rn jobs?

Cities near Columbus, OH 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 Columbus, OH as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 14% Part Time, 4% Contract, and 1% Nights. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $84,947 per year, or $40.8 per hour.

RN Case Manager - Case Management (Casual)

Newark, OH • On-site

LMHS
See more jobs at LMHSexternal

Part-time

Re-posted 13 days ago

Job description

RN Case Manager
Licking Memorial Health Systems (LMHS) is a leading, non-profit healthcare organization, passionately dedicated to improving the health and well-being of our community. With a history dating back to 1898, LMHS remains a cornerstone of healthcare excellence, catering to the evolving needs of Licking County. Our cutting-edge facility provides a comprehensive spectrum of patient care services, from life-saving emergency medicine to the comforting embrace of home healthcare, with a unique range of specialized medical services, including cancer, heart health, maternity, and mental wellness.
When you join the LMHS team, you become a vital part of your local community Hospital. Working at LMHS is not just a job, it is a unique opportunity to directly impact the health and well-being of your friends, family, and neighbors. You will be providing care in a place in which you are personally connected, where the impact of your work extends beyond the Hospital doors and into the heart of our community. Our commitment to diversity, equity, and inclusion ensures that every member of our community is served with respect and compassion. Join us in our mission - dedicated to patient safety, utilizing state-of-the-art technology, and with a passionate team of highly trained and compassionate individuals who strive to improve the health of the community.
Position Summary:
The case manager is responsible for the comprehensive coordination of patient care and services across the continuum of care to promote high-quality, cost-effective, patient-centered outcomes. Working with patients ranging from newborn through geriatric populations, this role integrates clinical case management, utilization management, discharge planning, psychosocial assessment, counseling, and advocacy services. The Case Manager collaborates with patients, families, physicians, interdisciplinary team members, payers, and community agencies to address medical, psychosocial, and resource needs; facilitate appropriate utilization of healthcare services; support informed healthcare decision-making; and ensure safe, timely transitions of care.
Responsibilities:
    • Determines appropriate level of care on admission using hospital approved medical necessity criteria

    • Performs patient and care giver assessments to identify pertinent problems/needs

    • Organizes assessment data into an individual plan of care, with anticipated outcomes

    • Determines continued stay status

    • Participates in multidisciplinary rounds

    • Participates in patient education

    • Tracks and manages potential avoidable hospital days

    • Provides clinical information to external providers and managed care organization

    • Assists in discharge planning

    • Assists in appeals and denials management

    • Conduct comprehensive clinical and psychosocial assessments of patients and caregivers to identify medical, emotional, social, financial, and discharge planning needs.
    • identify barriers to care, facilitate problem-solving, and connect patients and families with appropriate community resources.

Requirements
    • Graduate of an accredited school of nursing and licensed in the state of Ohio
    • 2 years of clinical experience in an acute care setting
    • Critical care/emergency department experience highly desired
    • Knowledge of evidenced-based practice and disease management protocols
    • Utilization review and or discharge planning experience preferred
    • Excellent verbal and written communication skills
    • Excellent computer skills
    • LMH is accredited by DNV and TJC, and as such, may require specific annual education related to specialty certifications and standards.

Licking Memorial Health Systems is an equal opportunity employer and maintains compliance with all state, federal, and local regulations. Licking Memorial Health Systems does not discriminate against applicants because of race, color, religion, sex, sexual orientation, age, ancestry, national origin, veteran status, pregnancy, disability, marital status, or other characteristics protected by law.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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