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Part Time Utilization Review Jobs in Riverside, CA

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Part Time Utilization Review information

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$22

$44

$71

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

As of May 31, 2026, the average hourly pay for part time utilization review in Riverside, CA is $44.11, according to ZipRecruiter salary data. Most workers in this role earn between $34.86 and $50.67 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Part Time Utilization Review Nurse, and why are they important?

To thrive as a Part Time Utilization Review Nurse, you need a current RN license, strong clinical assessment skills, and experience in case management or utilization review. Familiarity with healthcare management systems, InterQual or MCG guidelines, and insurance authorization processes is typically required. Excellent analytical thinking, attention to detail, and effective communication help in collaborating with healthcare providers and payers. These skills ensure appropriate resource use, regulatory compliance, and optimal patient outcomes in a part-time capacity.

What are some common challenges faced in a part-time utilization review role and how can I effectively manage them?

Part-time utilization review professionals often face challenges such as managing fluctuating caseloads within limited hours and staying up-to-date with rapidly changing healthcare regulations. Balancing efficiency and thoroughness is crucial, especially when reviewing complex cases or communicating with providers on tight timelines. Effective time management, strong organizational skills, and clear communication with your team are key to overcoming these challenges. Many employers provide flexible schedules and supportive technology platforms, which can help streamline your workflow and maintain high-quality reviews.

What is a Part Time Utilization Review job?

A Part Time Utilization Review job involves evaluating healthcare services provided to patients in order to ensure they are medically necessary and cost-effective. Professionals in this role review patient records, treatment plans, and insurance information to make recommendations about the appropriateness of care. Working part-time, they may collaborate with healthcare providers, insurance companies, and patients to optimize healthcare outcomes while managing costs. This position is often found in hospitals, insurance companies, or healthcare management organizations, and typically requires a background in nursing or healthcare administration.

What is the difference between Part Time Utilization Review vs Part Time Case Management?

AspectPart Time Utilization ReviewPart Time Case Management
CredentialsTypically requires healthcare-related certifications (e.g., RN, LPN, or medical reviewer credentials)Often requires social work, nursing, or healthcare certifications, with some overlap
Work EnvironmentHealthcare facilities, insurance companies, or third-party review organizationsHospitals, insurance companies, or community health agencies
Employer & Industry UsageUsed mainly in insurance and healthcare to evaluate medical necessityUsed 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 most commonly searched types of Utilization Review jobs in Riverside, CA? The most popular types of Utilization Review jobs in Riverside, CA are:
What are popular job titles related to Part Time Utilization Review jobs in Riverside, CA? For Part Time Utilization Review jobs in Riverside, CA, the most frequently searched job titles are:
What job categories do people searching Part Time Utilization Review jobs in Riverside, CA look for? The top searched job categories for Part Time Utilization Review jobs in Riverside, CA are:
What cities near Riverside, CA are hiring for Part Time Utilization Review jobs? Cities near Riverside, CA with the most Part Time Utilization Review job openings:
Part Time Utilization Review jobs near you
RN ER Case Manager - PT- 8hrs- Varied

RN ER Case Manager - PT- 8hrs- Varied

KPC GLOBAL MEDICAL CENTERS INC.

Santa Ana, CA • On-site

$42.89 - $64.33/hr

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 21 days ago

Job description

Collaborates with the patient and their families, the patient’s physicians, and all care providers in coordinating the care of the patient, utilizing skills of advocacy, communication and education. Identifies, facilitates and coordinates the appropriate services, resources, providers and facilities throughout the continuum of care.

Requirements:

  1. REGISTERED NURSE WTTH AT LEAST 5 YEARS ACUTE MEDICAL/SURGICAL NURSING EXPERIENCE AND 2 YEARS CASE MANAGEMENT EXPERIENCE
  2. R.N. MINIMUM OF 3 YEARS RECENT ACUTE CARE EXPERIENCE
  3. BASIC COMPUTER SKILLS
  4. KNOWLEDGE OF CASE MANAGEMENT COMPONETS: UTILIZATION REVIEW AND DISCHARGE PLANNING
  5. CA RN LICENSE & BLS CARD from American Heart Assoc.

Benefits:

  • Medical, dental and vision coverage is provided for all full time and part time employees*
  • Medical is 100% employer paid including dependents*
  • Employee Assistance Program
  • Basic Life and AD&D
  • 401k plan with company match
  • Generous PTO plan*
  • Pet Insurance Discount Program*
  • Employee Discount Program*
    *Per diem staff ineligible*
KPC Health logo

About KPC Health

Sourced by ZipRecruiter

KPC Health has an integrated approach to serving the people of Riverside, San Bernardino and Orange County. Our acute care medical centers provide high quality, comprehensive and affordable healthcare for the entire family. For us, healthcare is not just about caring for our patients, but also about investing in the people throughout our communities. We are one team with one mission and that mission is for all our patients, and their families to Enjoy Life in Great Health.

Industry

Health care and social assistance

Company size

201 - 500 Employees

Headquarters location

Santa Ana, CA, US

Year founded

2004

Social media

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