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Part Time Utilization Review Jobs in Washington, DC

GMU Worker Job Category: Part-Time / Hourly Wage Job Type: Part-Time Location: Fairfax, VA ... utilization of differential diagnosis, appropriate interventions, consultations and referrals as ...

Position Title Career Specialist FLSA Non-Exempt FT/PT Part Time Hours Per Week 25 Work Schedule ... profile reviews. • Provide interview preparation, including mock interviews and job search ...

Showing results 41-60

Part Time Utilization Review information

See Washington, DC salary details

$24

$47

$78

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

As of Aug 19, 2026, the average hourly pay for part time utilization review in Washington, DC is $47.89, according to ZipRecruiter salary data. Most workers in this role earn between $37.84 and $55.00 per hour, depending on experience, location, and employer.

What is a part time utilization review?

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 are the key skills and qualifications needed to thrive as a part time utilization review nurse?

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 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 Washington, DC?

The most popular types of Utilization Review jobs in Washington, DC are:

Infographic showing various Part Time Utilization Review job openings in Washington, DC as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 13% Part Time, 4% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $99,608 per year, or $47.9 per hour.

$406K/yr

Part-time, Per diem

Re-posted 4 days ago


Job description

Job Requirements
Fast-paced PRN role providing coverage for vacations, FMLA, Sick and Safe Leave (SSL), and staffing gaps for part-time Wound Care RNs.
Under the supervision of the Clinical Manager, is responsible for the coordination of clinical activities of the Wound Care Center. Activities include, but are not limited to, utilization of skills in organization, planning, implementing, evaluating, and providing care as it relates to the specific needs of the patient. This includes assessing, planning, implementing and evaluating the care of patients in the Wound Healing Center. Responsible for meeting the established Wound Healing Center Standards of Nursing Practice in the management of all assigned patients. Assists physicians with the development and implementation of wound treatment plans and participates in performance improvement review activities. Acts within the guidelines of federal and state laws, JCAHO Standards and professional and ethical practice. Staff assigned to this position are not scheduled to work sufficient hours to qualify for FLSA Exempt status.
Work Experience
To qualify for the position the individual must be a Registered Nurse in the State of Maryland with a minimum of two (2) years' experience in med surg.
Wound Care and outpatient experience preferred.
Benefits
All your information will be kept confidential according to EEO guidelines.
Compensation:
  • Pay Range: $40.61-$60.96
  • 2026-2027 UMMS Benefits Guide 4_23.pdf
  • Other Compensation (if applicable):

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