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Part Time Utilization Review Rn Jobs (NOW HIRING)

At Houston Methodist, the Utilization Review Nurse (URN) PRN position is a licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent medical record review for medical ...

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Part Time Utilization Review Rn information

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

As of Jun 17, 2026, the average hourly pay for part time utilization review rn in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 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 cities are hiring for Part Time Utilization Review Rn jobs? Cities with the most Part Time Utilization Review Rn job openings:
What are the most commonly searched types of Utilization Review Rn jobs? The most popular types of Utilization Review Rn jobs are:
What states have the most Part Time Utilization Review Rn jobs? States with the most job openings for Part Time Utilization Review Rn jobs include:
Registered Nurse - Utilization Review, Per Diem

Registered Nurse - Utilization Review, Per Diem

Trinity Health

Langhorne, PA

Part-time

Posted 13 days ago


Trinity Health rating

6.5

Company rating: 6.5 out of 10

Based on 349 frontline employees who took The Breakroom Quiz

592nd of 872 rated healthcare providers


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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About Trinity Health

Sourced by ZipRecruiter

Trinity Health Ann Arbor is a 537 -bed teaching hospital located on 340 acre campus. Recognized by IBM Watson as a Top 100 Hospital and #1 Teaching Hospital, Trinity Health Ann Arbor has been a leading health care provider for more than 100 years. Trinity Health has received numerous local and national awards in recognition of our leadership, quality outcomes, and clinical excellence.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Livonia, MI, US