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Part Time Utilization Review Rn Jobs in Philadelphia, PA

Acadia Healthcare

RN Admissions Part Time

New Castle, DE · On-site

$39.53 - $43.66/hr

... for PRN and PT RN's in Admissions! Available Shifts and Hours: * Part Time - Weekends only ... utilization review processes to assure continuity for the most appropriate level of care for ...

ANCHomeHealthService

Be Seen First

Office QA Nurse RN| $50/hour

Philadelphia, PA · On-site

$50/hr

This is a part-time, in-office position with a flexible schedule of approximately 3 days per week ... Tracking compliance gaps, deficiencies, utilization review statistics, and other quality metrics ...

Acadia Healthcare

RN Admissions Part Time

New Castle, DE · On-site

$39.53 - $43.66/hr

... for PRN and PT RN's in Admissions! Available Shifts and Hours: * Part Time - Weekends only ... utilization review processes to assure continuity for the most appropriate level of care for ...

Acadia Healthcare

Registered Nurse

Philadelphia, PA

Available Shift and Schedules: Full-Time OR Part-Time Day, Evening and Night shifts available We ... Demonstrate knowledge and utilization of universal precautions in providing direct patient care.

HumanGood

Registered Nurse (RN) Part-Time

Jenkintown, PA · On-site

$37 - $44/hr

Part-Time Positions Available 1st Shift (Days) * 7:00 AM - 3:00 PM ( Mondays Only) * 2 shifts per ... For further information, please review the Know Your Rights notice from the Department of Labor.

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Part Time Utilization Review Rn information

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$42

$69

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

As of Jul 27, 2026, the average hourly pay for part time utilization review rn in Philadelphia, PA is $42.67, according to ZipRecruiter salary data. Most workers in this role earn between $33.70 and $48.99 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 Philadelphia, PA? The most popular types of Utilization Review Rn jobs in Philadelphia, PA are:
Part Time Utilization Review Rn jobs near you
Infographic showing various Part Time Utilization Review Rn job openings in Philadelphia, PA as of July 2026, with employment types broken down into 1% As Needed, 62% Full Time, 35% Part Time, and 2% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $81,171 per year, or $39 per hour.

Registered Nurse - Utilization Review, Per Diem

Trinityhealth

Langhorne, PA • On-site

Part-time

Posted 23 days ago

Job description

Employment Type:Part timeShift:Day ShiftDescription:

Job Title:Registered Nurse
Department:Utilization Review

Employment Type:Per Diem

Shift:8-hour shifts - Coverage for weekday and weekends
Location: St. Mary Medical Center - Langhorne, PA

Position Purpose

The UM Registered Nurse is responsible for the coordinating and facilitating all aspects of reimbursement as related to the clinical review and level of care. Management of all review and appeals utilizing a modified approach based on specific needs of the patient population. Facilitates achievement of efficient resource consumption, and acceptable clinical outcomes,through integration and implementation of utilization management.

Minimum Qualifications:

  • Bachelor's degree in nursing required.

  • Active PA RN License required.

  • Previous experience in Utilization review required.

  • CCM or Accredited Case Manager certification preferred.

  • Demonstrates ability to use problem solving, critical thinking, and priority setting skills.

  • Must be able to work independently and on a team.

  • Ability to perform diversified duties with time limitations with a high degree of accuracy

Position Highlights:

  • Work/Life balance with flexible schedules.

  • Free onsite parking.

  • Our mission and core values are what drive each member of Trinity Health to support each other, communicate openly and respectfully while embracing a culture that nurtures a healing, safe environment for all.

  • Referral Rewards Program

About us:

St. Mary Medical Centeris a beautiful 53-acrestate-of-the-artfacilitycomprisedof more than 700 physicians,nearly 3,000colleagues, and 1,100 volunteers committed to providing quality care delivered with compassion and respect.St. Mary attracts top doctors, introducescutting-edgetechnologiesand implements advanced procedures to meet the healthcare needs of the people it serves, including thenearly630,000residentsof Bucks County.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

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