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Part Time Utilization Review Rn Jobs in Dallas, TX

TEXASCONNECT INC

Utilization Management LVN (Hybrid)

Dallas, TX · On-site

$27.25 - $36.50/hr

Part-time, working every other weekend. This position requires availability to work alternating ... In addition, the UM LVN delegates to UM RN initial reviews and determines the medical necessity of ...

HAMMOND HOME HEALTH

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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 ...

DHPT

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Certified Registered Nurse Anesthetist (CRNA) - Part Time

Prosper, TX · On-site

$325K - $450K/yr

Seeking CRNA (Part Time or Full Time) About the Company Established, and busy Gastroenterology ... review, and physiology evaluation to determine appropriate anesthesia plans. * Administer ...

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All JobsUtilization Review Rn JobsPart Time Utilization Review Rn JobsPart Time Utilization Review Rn Jobs in Dallas, TX

Part Time Utilization Review Rn information

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$41

$68

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

As of Aug 22, 2026, the average hourly pay for part time utilization review rn in Dallas, TX is $41.83, according to ZipRecruiter salary data. Most workers in this role earn between $33.08 and $48.03 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 Dallas, TX?

The most popular types of Utilization Review Rn jobs in Dallas, TX are:

What cities near Dallas, TX are hiring for Part Time Utilization Review Rn jobs?

Cities near Dallas, TX 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 Dallas, TX as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 13% Part Time, 3% Contract, and 1% Nights. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $87,000 per year, or $41.8 per hour.

Utilization Management RN (Hybrid)

TEXASCONNECT INC

Dallas, TX • On-site

Part-time

Re-posted 10 days ago

Job description

This position will be hybrid in the Dallas, Texas area.

Part-time, working every other weekend.

This position requires availability to work alternating weekends and holidays as part of the regular schedule.

The Utilization Management (UM) RN performs utilization review activities, including, but not limited to, precertification, ensures appropriate level of care and status (Inpatient, Outpatient, and Observation) throughout admission and performs initial reviews, concurrent reviews, and retrospective reviews according to guidelines. Determines the medical necessity of requests by performing first level reviews. The UM nurse ensures a process that is efficient for providing care, ensuring timely and appropriate levels of care for the incoming patients. UM RN is responsible for preparing cases for Physician Advisor for 2nd level review. UM RN delegates accordingly to LVN and works in conjunction with a multi-disciplinary team to manage the care of patients in an ethical and fiduciary responsible manner. This position is hybrid with remote and in-office assignment.

SPECIFIC SKILLS NEEDED
  • Knowledge of payer requirements
  • Excellent verbal and written communication skills
  • Ability to follow chain of command
  • Highly developed ability to multitask and maintain focus
  • Proactive, cando approach and desire to build positive working relationships through collaborative problemsolving
  • Selfmotivated and results oriented. Must be able to demonstrate sound decision making, flexibility and prioritization skills with minimal supervision.
  • Strong organizational skills
  • Basic computer skills: Word, Excel, PowerPoint, Outlook. Able to utilize multiple electronic systems.
  • Type 50 WPM
  • Ability to apply appropriate UM criteria
    • EDUCATION/EXPERIENCE/TRAININGRequired:
  • Current licensure as an RN in the state of California or willingness to obtain.
  • A minimum of 2 years of bedside nursing experience in an acute care setting.
  • A minimum of 2 years of case management experience.
    • Preferred:
  • Certified Case Manager or Accredited Case Manager
  • BSN
  • Experience with Milliman Care Guidelines (MCG)

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