Benefits Eligibility : (Full-time and Part-time Employees-over 20 hours a week) * Competitive ... Preferred 3+ years of Utilization Review or Case Management experience. Case Management Society of ...
Benefits Eligibility : (Full-time and Part-time Employees-over 20 hours a week) * Competitive ... Preferred 3+ years of Utilization Review or Case Management experience. Case Management Society of ...
Preferred 3+ years of Utilization Review or Case Management experience. Case Management Society of ... Benefits Eligibility : (Full-time and Part-time Employees-over 20 hours a week) * Competitive ...
Preferred 3+ years of Utilization Review or Case Management experience. Case Management Society of ... Benefits Eligibility : (Full-time and Part-time Employees-over 20 hours a week) * Competitive ...
Dental Hygienist Reviewer / Contract
Brooklyn, NY · On-site
$55/hr
Competitive pay of $55/hour. * Part-time, contract position with flexible scheduling. * Valuable experience in quality improvement and utilization review. * Meaningful work improving dental care ...
Quick apply
Dental Hygienist Reviewer / Contract
Brooklyn, NY · On-site
$55/hr
Competitive pay of $55/hour. * Part-time, contract position with flexible scheduling. * Valuable experience in quality improvement and utilization review. * Meaningful work improving dental care ...
Dental Hygienist Reviewer / Contract
Manhattan, NY · On-site
$55/hr
Work Schedule: Part-time, Contract position with flexible scheduling * Professional Growth: Gain valuable experience in quality improvement and utilization review * Impactful Work: Contribute to ...
Quick apply
Dental Hygienist Reviewer / Contract
Manhattan, NY · On-site
$55/hr
Work Schedule: Part-time, Contract position with flexible scheduling * Professional Growth: Gain valuable experience in quality improvement and utilization review * Impactful Work: Contribute to ...
Dental Hygienist Reviewer / Contract
New York, NY · On-site
$55/hr
Work Schedule: Part-time, Contract position with flexible scheduling * Professional Growth: Gain valuable experience in quality improvement and utilization review * Impactful Work: Contribute to ...
Dental Hygienist Reviewer / Contract
New York, NY · On-site
$55/hr
Work Schedule: Part-time, Contract position with flexible scheduling * Professional Growth: Gain valuable experience in quality improvement and utilization review * Impactful Work: Contribute to ...
Dental Hygienist Reviewer
Manhattan, NY · On-site
$55/hr
Work Schedule: Part-time, Contract position with flexible scheduling * Professional Growth: Gain valuable experience in quality improvement and utilization review * Impactful Work: Contribute to ...
Dental Hygienist Reviewer
Manhattan, NY · On-site
$55/hr
Work Schedule: Part-time, Contract position with flexible scheduling * Professional Growth: Gain valuable experience in quality improvement and utilization review * Impactful Work: Contribute to ...
Dental Hygienist Reviewer
Manhattan, NY · On-site
$55/hr
Work Schedule: Part-time, Contract position with flexible scheduling * Professional Growth: Gain valuable experience in quality improvement and utilization review * Impactful Work: Contribute to ...
Dental Hygienist Reviewer
Manhattan, NY · On-site
$55/hr
Work Schedule: Part-time, Contract position with flexible scheduling * Professional Growth: Gain valuable experience in quality improvement and utilization review * Impactful Work: Contribute to ...
Nursing Job Title: Part Time Nurse, RN Status: Part Time (25hrs) $58.00 per hour Position Start ... Ability to monitor and evaluate effectiveness of service, participate in utilization review process ...
Nursing Job Title: Part Time Nurse, RN Status: Part Time (25hrs) $58.00 per hour Position Start ... Ability to monitor and evaluate effectiveness of service, participate in utilization review process ...
MDS Specialist RN
Morristown, NJ · On-site
$83K - $120K/yr
Utilization Review & Triple-Check Coordination: Lead the weekly Utilization Review (UR) and Triple ... We are proud to Offer the following benefits to Part-time (22.5+ hours/week) and Full-time ...
MDS Specialist RN
Morristown, NJ · On-site
$83K - $120K/yr
Utilization Review & Triple-Check Coordination: Lead the weekly Utilization Review (UR) and Triple ... We are proud to Offer the following benefits to Part-time (22.5+ hours/week) and Full-time ...
MDS Specialist RN
Whippany, NJ · On-site
$83K - $120K/yr
Utilization Review & Triple-Check Coordination: Lead the weekly Utilization Review (UR) and Triple ... We are proud to Offer the following benefits to Part-time (22.5+ hours/week) and Full-time ...
MDS Specialist RN
Whippany, NJ · On-site
$83K - $120K/yr
Utilization Review & Triple-Check Coordination: Lead the weekly Utilization Review (UR) and Triple ... We are proud to Offer the following benefits to Part-time (22.5+ hours/week) and Full-time ...
MDS Specialist RN
$83K - $120K/yr
Utilization Review & Triple-Check Coordination: Lead the weekly Utilization Review (UR) and Triple ... We are proud to Offer the following benefits to Part-time (22.5+ hours/week) and Full-time ...
MDS Specialist RN
$83K - $120K/yr
Utilization Review & Triple-Check Coordination: Lead the weekly Utilization Review (UR) and Triple ... We are proud to Offer the following benefits to Part-time (22.5+ hours/week) and Full-time ...
MDS Specialist RN
Whippany, NJ · On-site
$83K - $120K/yr
Utilization Review & Triple-Check Coordination: Lead the weekly Utilization Review (UR) and Triple ... We are proud to Offer the following benefits to Part-time (22.5+ hours/week) and Full-time ...
MDS Specialist RN
Whippany, NJ · On-site
$83K - $120K/yr
Utilization Review & Triple-Check Coordination: Lead the weekly Utilization Review (UR) and Triple ... We are proud to Offer the following benefits to Part-time (22.5+ hours/week) and Full-time ...
MDS Specialist RN
Whippany, NJ · On-site
$83K - $120K/yr
Utilization Review & Triple-Check Coordination: Lead the weekly Utilization Review (UR) and Triple ... We are proud to Offer the following benefits to Part-time (22.5+ hours/week) and Full-time ...
MDS Specialist RN
Whippany, NJ · On-site
$83K - $120K/yr
Utilization Review & Triple-Check Coordination: Lead the weekly Utilization Review (UR) and Triple ... We are proud to Offer the following benefits to Part-time (22.5+ hours/week) and Full-time ...
MDS Specialist RN
Morristown, NJ · On-site
$83K - $120K/yr
Utilization Review & Triple-Check Coordination: Lead the weekly Utilization Review (UR) and Triple ... We are proud to Offer the following benefits to Part-time (22.5+ hours/week) and Full-time ...
MDS Specialist RN
Morristown, NJ · On-site
$83K - $120K/yr
Utilization Review & Triple-Check Coordination: Lead the weekly Utilization Review (UR) and Triple ... We are proud to Offer the following benefits to Part-time (22.5+ hours/week) and Full-time ...
BCBA (Part-time) (Remote)
Newark, NJ · Remote
$90 - $110/hr
Own documentation quality , utilization reviews, and oversight of treatment plans * Supervise RBTs ... Part-time
Quick apply
BCBA (Part-time) (Remote)
Newark, NJ · Remote
$90 - $110/hr
Own documentation quality , utilization reviews, and oversight of treatment plans * Supervise RBTs ... Part-time
Physician / Surgery - Orthopedics / New York / Permanent / Associate Medical Director - Orthopedic S
New York, NY · Remote
... utilization review criteria while located in a state or territory of the United States.Reviews ... Predictable work scheduleFull and part time opportunitiesSalaried position with benefitsSupportive ...
Physician / Surgery - Orthopedics / New York / Permanent / Associate Medical Director - Orthopedic S
New York, NY · Remote
... utilization review criteria while located in a state or territory of the United States.Reviews ... Predictable work scheduleFull and part time opportunitiesSalaried position with benefitsSupportive ...
Physician / Oncology / New York / Permanent / Associate Medical Director - Oncology - 100% Remote
New York, NY · Remote
... utilization review criteria while located in a state or territory of the United States.Reviews ... Predictable work scheduleFull and part time opportunitiesSalaried position with benefitsSupportive ...
Physician / Oncology / New York / Permanent / Associate Medical Director - Oncology - 100% Remote
New York, NY · Remote
... utilization review criteria while located in a state or territory of the United States.Reviews ... Predictable work scheduleFull and part time opportunitiesSalaried position with benefitsSupportive ...
Physician / Neurology / New York / Permanent / Associate Medical Director - Neurology - 100% Remote
New York, NY · Remote
... utilization review criteria while located in a state or territory of the United States.Reviews ... Predictable work scheduleFull and part time opportunitiesSalaried position with benefitsSupportive ...
Physician / Neurology / New York / Permanent / Associate Medical Director - Neurology - 100% Remote
New York, NY · Remote
... utilization review criteria while located in a state or territory of the United States.Reviews ... Predictable work scheduleFull and part time opportunitiesSalaried position with benefitsSupportive ...
Physician / Gastroenterology / New York / Permanent / Associate Medical Director - Gastro - 100% Rem
New York, NY · Remote
... utilization review criteria while located in a state or territory of the United States.Reviews ... Predictable work scheduleFull and part time opportunitiesSalaried position with benefitsSupportive ...
Physician / Gastroenterology / New York / Permanent / Associate Medical Director - Gastro - 100% Rem
New York, NY · Remote
... utilization review criteria while located in a state or territory of the United States.Reviews ... Predictable work scheduleFull and part time opportunitiesSalaried position with benefitsSupportive ...
Physician / Other / New York / Permanent / Associate Medical Director - Maternal Fetal - 100% Remote
New York, NY · Remote
... utilization review criteria while located in a state or territory of the United States.Reviews ... Predictable work scheduleFull and part time opportunitiesSalaried position with benefitsSupportive ...
Physician / Other / New York / Permanent / Associate Medical Director - Maternal Fetal - 100% Remote
New York, NY · Remote
... utilization review criteria while located in a state or territory of the United States.Reviews ... Predictable work scheduleFull and part time opportunitiesSalaried position with benefitsSupportive ...
Part Time Utilization Review information
See New York salary details
$23.41 - $28.14
2% of jobs
$28.14 - $32.87
9% of jobs
$36.11 is the 25th percentile. Wages below this are outliers.
$32.87 - $37.61
21% of jobs
The median wage is $41.44 / hr.
$37.61 - $42.34
23% of jobs
$42.34 - $47.08
13% of jobs
$50.76 is the 75th percentile. Wages above this are outliers.
$47.08 - $51.81
10% of jobs
$51.81 - $56.54
8% of jobs
$56.54 - $61.28
5% of jobs
$61.28 - $66.01
5% of jobs
$66.01 - $70.74
2% of jobs
$70.74 - $75.48
2% of jobs
$23
$46
$75
How much do part time utilization review jobs pay per hour?
What is a part time utilization review?
What are some common challenges faced in a part time utilization review role and how can I effectively manage them?
What is the difference between Part Time Utilization Review vs Part Time Case Management?
| Aspect | Part Time Utilization Review | Part Time Case Management |
|---|---|---|
| Credentials | Typically requires healthcare-related certifications (e.g., RN, LPN, or medical reviewer credentials) | Often requires social work, nursing, or healthcare certifications, with some overlap |
| Work Environment | Healthcare facilities, insurance companies, or third-party review organizations | Hospitals, insurance companies, or community health agencies |
| Employer & Industry Usage | Used mainly in insurance and healthcare to evaluate medical necessity | Used in healthcare to coordinate patient care and services |
Part Time Utilization Review focuses on assessing the medical necessity of services, while Part Time Case Management involves coordinating patient care and services. Both roles require healthcare credentials and are common in insurance and healthcare settings, but they serve different functions within patient care and resource management.
What are the key skills and qualifications needed to thrive as a part time utilization review nurse?
- Registered Nurse Utilization Review
- Full Time Optum Health Utilization Review
- Evening Optum Health Utilization Review
- Temporary Utilization Review Nurse
- Utilization Review Physician
- Flex Schedule Remote Utilization Review Nurse
- Per Diem Utilization Review Nurse
- Senior Behavioral Health Utilization Review
- Flexible Cvs Utilization Management Nurse
- No Experience Hedis Review Nurse
- Utilization Review Clinician Salary
- Seasonal Remote Utilization Review
- Chart Utilization Review
- Overnight Remote Utilization Review
- Manager Aetna Utilization Review
- Work From Home Utilization Review
- Remote Hca Utilization Review
- Utilization Review Coordinator Remote
- Pt Ot Utilization Review
- Commission Authorization Utilization Review Bcba

Part-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 4 days ago
St. Joseph's Health (New Jersey) rating
7.7
Based on 47 frontline employees who took The Breakroom Quiz
158th of 887 rated healthcare providers
Job description
The Utilization Management Registered Nurse (UM RN) is responsible for evaluating the medical necessity, appropriateness, and efficiency of healthcare services in accordance with established criteria, regulatory requirements, and organizational role. The UM RN ensures optimal patient care delivery while supporting compliance, quality outcomes, and effective resource utilization. The role is responsible for the assessment of medical necessity, both for admission to the hospital as well as continued stay. This function ensures that services are not only appropriate but ensures that an authorization is obtained from the payer, if required, and that the documentation supports the care delivered in such a way that minimizes risks of denials.
St. Joseph's Health is recognized for the expertise and compassion of its highly skilled and responsive staff. The combined efforts of the organization's outstanding physicians, superb nurses, and dedicated clinical and professional staff have made us one of the most highly respected healthcare organizations in the state, the largest employer in Passaic County, and one of the nation's "100 Best Places to Work in Health Care".
Benefits Eligibility: (Full-time and Part-time Employees-over 20 hours a week)
- Competitive salary*
- Robust benefits with health, dental, Rx and vision plans
- 403b retirement plan options with company match**
- Health & Wellness*
- Non-Profit Health System - eligible for Federal Student Loan Forgiveness
- PTO, and paid holidays
- Tuition reimbursement
- Employee Assistance Program
- LTD : Long Term Disability
- Life Insurance Options
- Onsite Day care Program
*Available for Per Diem Employees and Part-time Employees working under 20 hours per week.
**403b Company Match not applicable for Per Diem Employees and Part-time Employees working under 20 hours per week.
Pay transparency: St. Joseph's Health provides a salary range to comply with New Jersey Law. The rate of pay for each position will be determined based on a variety of factors including the candidate's relevant experience, qualifications, skills, etc." The salary range does not include incentives, differential pay or other forms of compensation.
St. Joseph's University Medical Center is an academic tertiary care medical center and state designated trauma center, located on the Paterson campus, regularly accepts referrals of difficult or unusual cases from other hospitals and physicians and performs both complex and routine procedures.
The Medical Center offers a full complement of specialty and subspecialty services including ambulatory, behavioral health, cardiovascular, emergency/trauma, internal medicine, neuroscience, oncology, orthopedic/spine, rehabilitation, surgical specialty, women's health, imaging and pediatrics.
The nursing team at St. Joseph's University Medical Center, which includes St. Joseph's Children's Hospital, has held the Magnet Award for Nursing Excellence, the profession's highest honor, since 1999. They are also recipients of the prestigious 2010 Magnet Prize - one of only 8 Magnet-designated hospitals to ever receive The Magnet Prize, and the only one worldwide to receive the 2010 award.
Work requires the knowledge of theories, principles, and concepts normally acquired through completion of a Bachelor of Science in Nursing and least at least 3 years of previous nursing experience. Preferred 3+ years of Utilization Review or Case Management experience. Case Management Society of America Certification CCM preferred. Licensure required as a Registered Nurse by the State of New Jersey.
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