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Part Time Utilization Review Rn Jobs in Germantown, MD

Vierra Communities

RN

Silver Spring, MD · On-site

$42 - $48/hr

Registered Nurse (RN) Full-time, Part-time & PRN Skilled Nursing Shift options & Shift ... Initiates, reviews and updates care plans as required. * Promotes teamwork, mutual respect, and ...

Encompass Health

Case Manager II

Aldie, VA · On-site

Participate in utilization review process: data collection, trend review, and resolution actions ... For Nursing, must possess minimum of an Associate Degree in Nursing, RN licensure with BSN ...

Encompass Health

Case Manager II

Aldie, VA · On-site

Participate in utilization review process: data collection, trend review, and resolution actions ... For Nursing, must possess minimum of an Associate Degree in Nursing, RN licensure with BSN ...

UHS

Registered Nurse RN

Washington, DC · On-site

$37.60 - $56.40/hr

Responsibilities Psych Registered Nurse (RN) Opportunity 7am-7:30pm and 7pm-7:30am Shifts Available-Full Time and Part Time The Psychiatric Institute of Washington provides comprehensive behavioral ...

UHS

Registered Nurse RN

Washington, DC · On-site

$37.60 - $56.40/hr

Responsibilities Psych Registered Nurse (RN) Opportunity 7am-7:30pm and 7pm-7:30am Shifts Available-Full Time and Part Time The Psychiatric Institute of Washington provides comprehensive behavioral ...

UHS

Registered Nurse RN

Washington, DC · On-site

$37.60 - $56.40/hr

Responsibilities Psych Registered Nurse (RN) Opportunity 7am-7:30pm and 7pm-7:30am Shifts Available-Full Time and Part Time The Psychiatric Institute of Washington provides comprehensive behavioral ...

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All JobsUtilization Review Rn JobsPart Time Utilization Review Rn JobsPart Time Utilization Review Rn Jobs in Germantown, MD

Part Time Utilization Review Rn information

See Germantown, MD salary details

$21

$42

$69

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 Germantown, MD is $42.73, according to ZipRecruiter salary data. Most workers in this role earn between $33.75 and $49.09 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 Germantown, MD?

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

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

Cities near Germantown, 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 Germantown, MD as of August 2026, with employment types broken down into 100% Part Time. Highlights an 100% In-person job distribution, with an average salary of $88,871 per year, or $42.7 per hour.

Registered Nurse (RN) Case Manager - PRN

Inova Primary Care

Leesburg, VA • On-site

Part-time

Medical, Dental, Vision, PTO

Posted 16 days ago

Inova Health System rating

7.5

Company rating: 7.5 out of 10

Based on 261 frontline employees who took The Breakroom Quiz

231st of 898 rated healthcare providers

Job description

Inova Loudoun Hospital is looking for a dedicated Registered Nurse Case Manager 1 to join the Case Management Team. This role will be PRN (3 night shifts per months)

Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation.

Featured Benefits:

  • Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program.
  • Retirement: Inova matches the first 5% of eligible contributions - starting on your first day.
  • Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans.
  • Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.
  • Work/Life Balance: offering paid time off, paid parental leave

Registered Nurse (RN) Case Manager 1 Job Responsibilities:

The RN Case Manager 1 provides discharge planning and continuity of care for assigned patients in acute and post-acute settings. Provides coordination of services and acts as key liaison between patients, families and interdisciplinary healthcare members. Uses utilization management techniques to determine the medical necessity, appropriateness and efficiency of the use of healthcare services, procedures and facilities. Responsible for the timely regulatory compliance and facilitation of precertification and payer authorization processes when indicated. Actively participates in clinical performance improvement activities.
Registered Nurse (RN) Case Manager 1 Job Responsibilities:
 

  • Collects delay and other data for specific performance and/or outcome indicators. Assists in the collection and reporting of resource and financial indicators including acute and post-acute case mix, LOS, cost per case, excess days, resource utilization, readmission rates, denials and appeals. Collects, analyzes and addresses variances from plans of care and care paths with physicians and/or other members of the healthcare team. Uses concurrent variance data to drive practice changes and positively impact outcomes. Documents key clinical path variances and outcomes which relate to areas of direct responsibility (e.g. discharge planning, chronic disease planning).
  • Uses pathway data in collaboration with other disciplines to ensure effective patient management concurrently. Ensures safe care to patients by adhering to policies, procedures and standards within budgetary specifications including time management, supply management, productivity and accuracy of practice. Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency. Supports department based goals which contribute to the success of the organization.
  • Provides discharge planning and continuity of care for assigned patients in the acute and post-acute setting. Initiates and facilitates referrals to clinics, home healthcare, hospice, SNF, acute rehab, LTAC, TCM, medical equipment and supplies as indicated. Collaborates with the interdisciplinary healthcare team, patients and families in the assessment and coordination of discharge planning needs, delivery of post-discharge planning needs, delivery of post-discharge services and transition of patients from hospitals to the discharge setting as well as ongoing care in the community. Documents relevant discharge planning information in medical records according to department standards and/or care management plans.
  • Collaborates/communicates with internal and external case managers. Understands pre-acute and post-acute resources. Provides coordination of services and acts as a key Liaison between patients, families and the interdisciplinary healthcare team members. Work closely with members of patients' healthcare teams to manage and coordinate all areas of patients' care. Works holistically to ensure that healthcare plans and discharge plans meet the physical, social and emotional needs of patients.
  • Provides educational resources and/or referrals to patients and patients' families to address identified needs such as social or financial. Acts as an advocate for patients to resolve barriers to care progression. Uses utilization management techniques to determine the medical necessity, appropriateness and efficiency of the use of healthcare services, procedures and facilities.
  • Discusses payer criteria and issues on a case by case basis with clinical staff and follows-up to resolve problems with payers as needed. Applies approved clinical criteria to monitor appropriateness of admissions, continued stays or post-acute setting appropriateness and documents findings based on department standards.
  • Identifies at risk populations by using approved screening tools and following established reporting procedures. Monitors LOS and ancillary resource use, depending on inpatient stay or outpatient program criteria, on an ongoing basis and takes actions to achieve continuous improvement efficiencies in both areas. Refers cases and issues appropriately to resolve barriers to care progression.
  • Participates in the assessment of patients' clinical and psychosocial needs through review of patient information, personal contact with patients/families and interdisciplinary healthcare team members. Communicates routinely with patients, families, interdisciplinary healthcare team members and other appropriate parties with regard to the status of patients' care plans and progress toward treatment goals, identification of concerns and/or problems, problem solving and assisting with conflict resolution when necessary. Works with the multidisciplinary team to address/resolve system problems impeding diagnostic or treatment progress. Seeks consultation from appropriate disciplines/departments as required to expedite care and facilitate discharge. Ensures that all elements critical to patients' care plans have been communicated to the patients/families and members of the healthcare team.
  • Performs other duties as assigned.


Minimum Qualifications:
 

  • Certification: Basic Life Support 
  • Licensure: Licensed or eligible for licensure in the Commonwealth of Virginia as a Registered Nurse or an active multi-state Registered Nurse license
  • Experience:  1 year of case management and/or clinical care experience
  • Education: Bachelor's Degree Nursing or Associate's Degree. If RN has an Associate's Degree, within 2 years of date of hire, they must meet with their nurse leader and conduct the following: 1.) Identify which accredited school they plan to attend 2.) Provide a written plan with anticipated BSN completion date 3.) Submit a review of transcripts from the school indicating the required pre-requisites and timeline for taking the courses 4.) Complete BSN within 5 years of start date.

Preferred Qualifications:

  • One (1) year of previous Inpatient (hospital) case management experience and case management discharge planning is highly preferred. 

We are Inova, Northern Virginia's leading nonprofit healthcare provider. Every day, our 26,000+ team members provide world-class healthcare to the communities we serve. Our people are the reason we're a national leader in healthcare safety, quality and patient experience. And from best-in-class facilities to professional development opportunities, we support them at every step. At Inova, we're constantly striving to be ever better - to shape a more compassionate future for healthcare. 

Inova Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, pregnancy (including childbirth, pregnancy-related conditions and lactation), race, religion, sex, sexual orientation, veteran status, genetic information, or any other characteristics protected by law.

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