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Part Time Utilization Review Rn Jobs in Louisville, KY

Baptist Health

Registered Nurse Telemetry

Elizabethtown, KY · On-site

$1.8K - $2.5K/wk

... Part-Time 7p - 7a 15% Shift Differential The Registered Nurse has the responsibility and accountability for direct comprehensive nursing care for the patient from admission to discharge. * Reviews ...

Baptist Health

Registered Nurse Telemetry

Elizabethtown, KY · On-site

$1.8K - $2.5K/wk

... Part-Time 7p - 7a 15% Shift Differential The Registered Nurse has the responsibility and accountability for direct comprehensive nursing care for the patient from admission to discharge. * Reviews ...

Baptist Health

Registered Nurse Telemetry

Elizabethtown, KY · On-site

$1.8K - $2.5K/wk

... Part-Time 7a - 7p The Registered Nurse has the responsibility and accountability for direct comprehensive nursing care for the patient from admission to discharge. * Reviews and documents care ...

Baptist Health

Registered Nurse Telemetry

Elizabethtown, KY · On-site

$1.8K - $2.5K/wk

... Part-Time 7a - 7p The Registered Nurse has the responsibility and accountability for direct comprehensive nursing care for the patient from admission to discharge. * Reviews and documents care ...

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All JobsUtilization Review Rn JobsPart Time Utilization Review Rn JobsPart Time Utilization Review Rn Jobs in Louisville, KY

Part Time Utilization Review Rn information

See Louisville, KY salary details

$20

$40

$66

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

As of Aug 5, 2026, the average hourly pay for part time utilization review rn in Louisville, KY is $40.63, according to ZipRecruiter salary data. Most workers in this role earn between $32.12 and $46.63 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 Louisville, KY? The most popular types of Utilization Review Rn jobs in Louisville, KY are:
Part Time Utilization Review Rn jobs near you
Infographic showing various Part Time Utilization Review Rn job openings in Louisville, KY as of July 2026, with employment types broken down into 1% As Needed, 61% Full Time, 35% Part Time, 1% Temporary, and 2% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $84,502 per year, or $40.6 per hour.

Tele-Triage Registered Nurse - RN

Starting Point Nursing Services

Louisville, KY • Remote

$33 - $35/hr

Part-time

Posted 2 days ago

New

Job description

Our Company

Starting Point Nursing Services

Overview

Part Time Tele-Triage (Fully Remote) Registered Nurse Position:

*Must have compact state RN licensure from the state in which you currently reside

*Remote Triage & Home Health RN experience highly preferred

*Potential Start Date:  9/14/26

New Available PART TIME Schedules:

*Wednesday, 6p-10p CST (7p-11p EST) and Thursday, Friday & Saturday from 2p-10p CST (3p-11p EST)

This Registered Nurse provides On-Call and Triage for the assigned population in accordance with triage protocols. This position remotely develops/implements care plans for persons served in the area of responsibility. The Tele-Triage RN assesses health status, identifies problems and needs of person(s) served in their assigned caseload, develops nursing care plans in collaboration with operations RN's. You will complete chart reviews and monthly host home reviews and perform On-Bound calling to assigned populations/locations. This RN performs data analysis in multiple systems.

Responsibilities
  • Monitor assigned phone lines during service hours to ensure timely response for caller needs
  • Triage all symptom-based calls and give recommendations according to the approved triage protocol
  • Triage patients by assessing severity of symptoms and referral to appropriate setting or level of care
  • Document in real time all care related recommendations and ensure local operations are notified of triage supports and outcomes
  • Initiate contact with acute care setting to coordinate services for clients receiving care in the ED/Hospital and coordinate the discharge planning; Notify operations of triage recommendations
  • Coordinate any medication orders with the assigned pharmacy and update MAR/QuickMar for appropriate administration
  • Work assigned prior authorizations to ensure timely documentation and submit to assigned pharmacy for billing
  • Complete/conduct assessment and reassessment of persons served as assigned
  • Develop/update care plans and determine persons served needs and secure physicians orders as needed
  • Communicate with beneficiaries primarily phone, text, online (web) chat, or email
  • Ensure compliance with state/local/payer requirements through review of documentation
  • Provide coaching and education related to the health and well-being of persons served
  • Participate in performance improvement activities and maintain ongoing clinical knowledge through internal/external training programs
  • Document above actions in Nurse's Notes or Service Delivery Log
  • Maintain time sheet log for weekly submission for productivity management to assigned supervisor
  • Notify each practice, physician, and/or managed care client of all encounters with patients, parents, or managed care clients regardless of follow-up needs before office opening
  • Notify designated leadership of operational concerns
  • Actively participate in applicable meetings and committees as requested (e.g., IDT, HRC, Safety/Quality committee, and annual person served directed/active treatment plan meetings)
Qualifications
  • Degree/certification from an accredited school of nursing
  • Current licensure as a Registered Nurse (RN) in the state of practice, which is current and remains in good standing. Must have a compact state RN license.
  • Clinical experience in providing services and supports to individuals with intellectual and developmental disabilities, home health and Hospice patients or related disorders
  • Two year Home Health nursing experience
About our Line of BusinessStarting Point Nursing Services, an affiliate of BrightSpring Health Services, is staffed 100% by a team of remote registered nurses trained to support the post-acute continuum with clinical advice and interventions. Our 24/7 On-Call and Triage team responds to physician practices, home health agencies, intellectual disability providers, and assisted living providers. Our services are tailored to our partners, including remote physical/chart assessments, predictive care modeling, clinical programming interventions for high-risk populations, emergent care coordination, and case management. For more information, please visit www.startingpointnursing.com. Follow us on LinkedIn.Salary RangeUSD $33.00 - $35.00 / HourEmployment Type: PART_TIME

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