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Part Time Utilization Review Rn Jobs in Los Angeles, CA

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Part Time Utilization Review Rn information

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$23

$45

$74

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

As of Aug 3, 2026, the average hourly pay for part time utilization review rn in Los Angeles, CA is $45.56, according to ZipRecruiter salary data. Most workers in this role earn between $36.01 and $52.31 per hour, depending on experience, location, and employer.

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.

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 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 the most commonly searched types of Utilization Review Rn jobs in Los Angeles, CA? The most popular types of Utilization Review Rn jobs in Los Angeles, CA are:
Part Time Utilization Review Rn jobs near you
Infographic showing various Part Time Utilization Review Rn job openings in Los Angeles, CA as of July 2026, with employment types broken down into 1% As Needed, 64% Full Time, 32% Part Time, and 3% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $94,763 per year, or $45.6 per hour.

ED Case Management Utilization RN, Per Diem Night 10/hr Shift

Kaiser Permanente

Bellflower, CA • On-site

$77.69/hr

Part-time

Re-posted 28 days ago

Job description

Job Summary:

Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays.  Makes recommendations to the physicians for alternate levels of care when the patient does not meet the medical necessity for Inpatient hospitalization. Interacts with the family, patient and other disciplines to coordinate a safe and acceptable discharge plan. Functions as an indirect caregiver, patient advocate and manages patients in the most cost effective way without compromising quality. Transfers stable non-members to planned Health care facilities. Responsible for complying with AB 1203, Post Stabilization notification. Complies with other duties as described. Must be able to work collaboratively with the Multidisciplinary team, multitask and in a fast pace environment.


Essential Responsibilities:

  • Plans, develops, assesses and evaluates care provided to members.
  • Collaborates with physicians, other members of the multidisciplinary health care team and patient/family in the development, implementation and documentation of appropriate, individualized plans of care to ensure continuity, quality and appropriate resource use.
  • Recommends alternative levels of care and ensures compliance with federal, state and local requirements.
  • Assesses high risk patients in need of post-hospital care planning.
  • Develops and coordinates the implementation of a discharge plan to meet patients identified needs; communicates the plan to physicians, patient, family/caregivers, staff and appropriate community agencies.
  • Reviews, monitors, evaluates and coordinates the patients hospital stay to assure that all appropriate and essential services are delivered timely and efficiently.
  • Participates in the Bed Huddles and carries out recommendations congruent with the patients needs.
  • Coordinates the interdisciplinary approach to providing continuity of care, including Utilization management, Transfer coordination, Discharge planning, and obtaining all authorizations/approvals as needed for outside services for patients/families.
  • Conducts daily clinical reviews for utilization/quality management activities based on guidelines/standards for patients in a variety of settings, including outpatient, emergency room, inpatient and non-KFH facilities.
  • Acts as a liaison between in-patient facility and referral facilities/agencies and provides case management to patients referred.
  • Refers patients to community resources to meet post hospital needs.
  • Coordinates transfer of patients to appropriate facilities; maintains and provides required documentation.
  • Adheres to internal and external regulatory and accreditation requirements and compliance guidelines including but not limited to: TJC, DHS, HCFA, CMS, DMHC, NCQA and DOL.
  • Educates members of the healthcare team concerning their roles and responsibilities in the discharge planning process and appropriate use of resources.
  • Provides patients with education to assist with their discharge and help them cope with psychological problems related to acute and chronic illness.
  • Per established protocols, reports any incidence of unusual occurrences related to quality, risk and/or patient safety which are identified during case review or other activities.
  • Reviews, analyses and identifies utilization patterns and trends, problems or inappropriate utilization of resources and participates in the collection and analysis of data for special studies, projects, planning, or for routine utilization monitoring activities.
  • Coordinates, participates and or facilitates care planning rounds and patient family conferences as needed.
  • Participates in committees, teams or other work projects/duties as assigned.

Basic Qualifications:
Experience
  • Two (2) years combined RN experience in an acute care setting or case management required.
Education
  • Completion of an accredited RN training program that allows graduates to take RN license exam.
License, Certification, Registration

  • Registered Nurse License (California)
     

  • Basic Life Support
     
Additional Requirements:
  • Demonstrated ability to utilize/apply the general and specialized principles, practices, techniques and methods of Utilization review/management, discharge planning or case management.
  • Working knowledge of regulatory requirements and accreditation standards (TJC, Medicare, Medi-Cal, etc.).
  • Demonstrated ability to utilize written and verbal communication, interpersonal, critical thinking and problem-solving skills.
  • Demonstrated ability in planning, organizing, conflict resolution and negotiating skills.
  • Computer literacy skills required.
Preferred Qualifications:
  • Bachelors degree in nursing or healthcare related field.
  • BSN/MSN Preferred, ED Experience and Case Management Experience Preferred

Notes:

  • Will be required to work every other weekend and holidays per Union Contract
     

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