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Part Time Utilization Review Rn Jobs in Philadelphia, PA

CADIA

Registered Nurse (RN)

Wilmington, DE · On-site

Please review the scheduling details for each option and indicate your preference when applying. 1. ... Ideal for nurses seeking consistent full-time or part-time hours in a rewarding long-term care ...

HumanGood

Registered Nurse (RN) Part-Time

Jenkintown, PA · On-site

$37 - $44/hr

Join our dynamic team as a Registered Nurse (RN) and be part of a compassionate and dedicated ... Part-Time Positions Available 2nd Shift (Evenings) * 3:00 PM - 11:30 PM * 5-6 shifts per pay period

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All JobsUtilization Review Rn JobsPart Time Utilization Review Rn JobsPart Time Utilization Review Rn Jobs in Philadelphia, PA

Part Time Utilization Review Rn information

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$21

$42

$69

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

As of Aug 13, 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 August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 17% Part Time, 1% Temporary, and 4% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $88,746 per year, or $42.7 per hour.

Care Management Registered Nurse

Capital Health

Trenton, NJ • On-site

$50.47/hr

Part-time

Retirement

Re-posted 2 days ago

Capital Health rating

7.0

Company rating: 7.0 out of 10

Based on 101 frontline employees who took The Breakroom Quiz

417th of 887 rated healthcare providers

Job description

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a dynamic health care resource accredited by the DNV that includes two hospitals, an outpatient center, satellite ED, and an expansive network of primary and specialty care. Capital Health Medical Group is made up of more than 600 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.
Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates.
The listed pay range or pay rate reflects compensation for a full-time equivalent (1.0 FTE) position. Actual compensation may differ depending on assigned hours and position status (e.g., part-time).
Pay Range:
$50.47 - $50.47
Position Overview
  • SUMMARY (Basic Purpose of the Job)
    Conducts a timely and accurate assessment of the patient's clinical, social, functional and continuing care needs through direct observation, data analysis and interviews in order to evaluate the need for intervention. Determines the appropriate level of care, anticipates discharge needs and initiates the discharge planning process. Contributes to the development of a goal directed, age appropriate plan of care through multidisciplinary team processes.
    MINIMUM REQUIREMENTS
    Education: Associate's degree required. BSN, CCM preferred.
    Experience: Hospital or healthcare experience in case management field including utilization review, discharge planning, outcomes management, assessment care planning and care coordination, related experience or training preferred.
    Other Credentials: Registered Nurse - NJ
    4 hours of Stroke related Continuing Education contact hours annually if assigned to: Critical Care, Intermediate Care Unit, Emergency Department, Neuro Units, Cardiology Inpatient at Hopewell, Peds ED, PACU, Interventional Radiology, CNI, Observation
    CPR Requirements: BLS
    Knowledge and Skills: Word processing and spreadsheet software. Ability to use electronic mail, and other Case Management software and patient information software. Reasoning ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram or schedule form. Excellent communication, conflict management, organizational and planning skills
    Special Training:Clinical training in a medical/clinical environment; knowledge of spreadsheet and word processing software, case management and patient information systems. Familiar with hospital and post -acute resources for discharge planning. Knowledge of social determinants of health and how to access resources to reduce health disparities.
    Mental, Behavioral and Emotional Abilities:Must be comfortable working with diverse age ranges and populations.
    Usual Work Day:8 Hours
    Reporting Relationships
    Does this position formally supervise employees? No
    If set to YES, then this position has the authority (delegated) to hire, terminate, discipline, promote or effectively recommend such to manager.
    ESSENTIAL FUNCTIONS
  • Assesses patients on assigned units based on policy. Assessments to include review of the treatment plan, determination of the appropriate level of care, assessment of discharge needs and initiation of the discharge plan process. Collaborates with the social worker regarding patients complex social and discharge needs.
  • Develops and implements a discharge plan proactively through collaboration with physicians, patients, families, multidisciplinary team members and other external caregivers as applicable, to facilitate a seamless transition from one level of care to another across the health care continuum.
  • Attends daily rounds on assigned unit with team members to ensure that the multidisciplinary plan of care is consistent with the patient's clinical course, continuing care needs and covered services as evidenced by documentation of care needs and interventions.
  • Reassesses continually the plan of care and discharge needs of the patient and collaborates with the members of the multidisciplinary team to modify the plans as needed based on the patient's changing needs as evidenced by weekly documentation in the progress notes.
  • Maintains a working knowledge of behavioral responses to illnesses and other areas (community resources, payer requirements) to facilitate the patient's movement along the health care continuum.
  • Maintains appropriate documentation in the medical record and in computer systems as required by policy or departmental practice.
  • Makes all appropriate referrals needed to implement the discharge plan, which include LTACH, post acute facilities and home care on a timely basis. Follows up to ensure that the services needed by patients/families are in place prior to discharge.
  • Identifies, develops and implements strategies to reduce length of stay and resource consumption.
  • Handles daily assessment of patient hospital course to proactively identify issues with completion and reporting of diagnostic testing, completion of treatment appropriate for the acute episode of care, facilitation of appropriate level of care and appropriate utilization of resources, discussing estimated LOS for diagnosis and communicating the discharge plan.
  • Works collaboratively with the multidisciplinary team when issues are identified, to facilitate appropriate interventions. Collects accurate data on the variances for analysis on daily reports.
  • Identifies accurately issues that have a negative impact on patient care and reports these issues timely to the responsible entity. Identifies accurately and advises appropriate manager/director when physician or patient issues require legal, ethical or administrative interventions. Participates in performance improvement activities in the management of patient care as demonstrated in monthly PI reports.
  • Performs other duties as assigned.
  • PHYSICAL DEMANDS AND WORK ENVIRONMENT
    Frequent physical demands include: Sitting , Standing , Carry objects , Wrist position deviation , Pinching/fine motor activities , Keyboard use/repetitive motion
    Occasional physical demands include: Walking , Climbing (e.g., stairs or ladders) , Push/Pull , Twisting , Bending , Reaching forward , Reaching overhead , Squat/kneel/crawl
    Continuous physical demands include:
    Lifting Floor to Waist 15 lbs. Lifting Waist Level and Above 10 lbs.
    Sensory Requirements include:
    Anticipated Occupational Exposure Risks Include the following: Bloodborne Pathogens , Chemical , Airborne Communicable Disease , Extreme Temperatures

This position is eligible for the following benefits:
  • Retirement Savings and Investment Plan
  • Disability Benefits - Short Term Disability (STD)
  • Sick Time Off
  • Employee Assistance Program

The pay range listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining base salary and/or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity. Bonus and/or incentive eligibility are determined by role and level.
The salary applies specifically to the position being advertised and does not include potential bonuses, incentive compensation, differential pay or other forms of compensation, compensation allowance, or benefits health or welfare. Actual total compensation may vary based on factors such as experience, skills, qualifications, and other relevant criteria.

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