Job Details Utilization Management | Miamisburg | Part-time | Varied Shift Responsibilities ... Role focuses on review of inpatient and observation admissions to ensure correct assignment of ...
Job Details Utilization Management | Miamisburg | Part-time | Varied Shift Responsibilities ... Role focuses on review of inpatient and observation admissions to ensure correct assignment of ...
Utilization Review Specialist - HIM / RHIT
Bend, OR · On-site
$27.74 - $41.61/hr
In addition, the Utilization Review Specialist is responsible for collaborating with the UM RN and other members of the interdisciplinary team (i.e. Physicians, Case Managers, Social Workers, etc ...
Utilization Review Specialist - HIM / RHIT
Bend, OR · On-site
$27.74 - $41.61/hr
In addition, the Utilization Review Specialist is responsible for collaborating with the UM RN and other members of the interdisciplinary team (i.e. Physicians, Case Managers, Social Workers, etc ...
Job Details Utilization Management | Miamisburg | Part-time | Varied Shift Responsibilities ... Role focuses on review of inpatient and observation admissions to ensure correct assignment of ...
Job Details Utilization Management | Miamisburg | Part-time | Varied Shift Responsibilities ... Role focuses on review of inpatient and observation admissions to ensure correct assignment of ...
Utilization Management | Miamisburg | Part-time | Varied Shift * Registered professional nurse with education, knowledge and experience. * Role focuses on review of inpatient and observation ...
Utilization Management | Miamisburg | Part-time | Varied Shift * Registered professional nurse with education, knowledge and experience. * Role focuses on review of inpatient and observation ...
Utilization Management | Miamisburg | Part-time | Varied Shift * Registered professional nurse with education, knowledge and experience. * Role focuses on review of inpatient and observation ...
Utilization Management | Miamisburg | Part-time | Varied Shift * Registered professional nurse with education, knowledge and experience. * Role focuses on review of inpatient and observation ...
Job Details Utilization Management | Miamisburg | Part-time | Varied Shift Responsibilities ... Role focuses on review of inpatient and observation admissions to ensure correct assignment of ...
Job Details Utilization Management | Miamisburg | Part-time | Varied Shift Responsibilities ... Role focuses on review of inpatient and observation admissions to ensure correct assignment of ...
Utilization Review Manager - Remote - Faulkner
Boston, MA · Remote
$41.36 - $100/hr
Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business ... Competent in Utilization Review, appeals, the peer-to-peer process, and Case Management. * Use ...
Utilization Review Manager - Remote - Faulkner
Boston, MA · Remote
$41.36 - $100/hr
Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business ... Competent in Utilization Review, appeals, the peer-to-peer process, and Case Management. * Use ...
Utilization Review Specialist - VNA
Pittsfield, MA · On-site
$40.54/hr
Experience with quality assurance or utilization review preferred. * Knowledge of current ... BSN nursing strongly preferred. * Certification in Current version of Home Health coding required.
Utilization Review Specialist - VNA
Pittsfield, MA · On-site
$40.54/hr
Experience with quality assurance or utilization review preferred. * Knowledge of current ... BSN nursing strongly preferred. * Certification in Current version of Home Health coding required.
... , you play a vital role in ensuring fair, accurate, and timely review of healthcare service and ... You will collaborate closely with Medical Directors, Utilization Management, and Case Management ...
... , you play a vital role in ensuring fair, accurate, and timely review of healthcare service and ... You will collaborate closely with Medical Directors, Utilization Management, and Case Management ...
Experience with quality assurance or utilization review preferred. * Knowledge of current ... BSN nursing strongly preferred. * Certification in Current version of Home Health coding required.
Experience with quality assurance or utilization review preferred. * Knowledge of current ... BSN nursing strongly preferred. * Certification in Current version of Home Health coding required.
Peer Review Nurse
Madera, CA · On-site
$46 - $61.91/hr
Will facilitate the peer review process and attend peer review meetings. Part Time Position with ... and utilization review. Requires proficiency in data abstraction, EHR systems, and critical ...
Peer Review Nurse
Madera, CA · On-site
$46 - $61.91/hr
Will facilitate the peer review process and attend peer review meetings. Part Time Position with ... and utilization review. Requires proficiency in data abstraction, EHR systems, and critical ...
Peer Review Nurse
Madera, CA · On-site
$46 - $61.91/hr
Will facilitate the peer review process and attend peer review meetings. Part Time Position with ... and utilization review. Requires proficiency in data abstraction, EHR systems, and critical ...
Peer Review Nurse
Madera, CA · On-site
$46 - $61.91/hr
Will facilitate the peer review process and attend peer review meetings. Part Time Position with ... and utilization review. Requires proficiency in data abstraction, EHR systems, and critical ...
St. Mary's Medical Center is seeking a Full Time Utilization Review Specialist for our Care ... Graduate of an approved school of nursing; holds and maintains current Registered Nursing License ...
St. Mary's Medical Center is seeking a Full Time Utilization Review Specialist for our Care ... Graduate of an approved school of nursing; holds and maintains current Registered Nursing License ...
St. Mary's Medical Center is seeking a Full Time Utilization Review Specialist for our Care ... Graduate of an approved school of nursing; holds and maintains current Registered Nursing License ...
St. Mary's Medical Center is seeking a Full Time Utilization Review Specialist for our Care ... Graduate of an approved school of nursing; holds and maintains current Registered Nursing License ...
Peer Review Nurse
Madera, CA · On-site
Will facilitate the peer review process and attend peer review meetings. Part Time Position with ... and utilization review. Requires proficiency in data abstraction, EHR systems, and critical ...
Quick apply
Peer Review Nurse
Madera, CA · On-site
Will facilitate the peer review process and attend peer review meetings. Part Time Position with ... and utilization review. Requires proficiency in data abstraction, EHR systems, and critical ...
HSA with qualifying HDHP plans with company match * 401k plan with company match (Part-time ... A Case Manager/Utilization Review Nurse, in collaboration with patients/families, physicians and ...
Quick apply
HSA with qualifying HDHP plans with company match * 401k plan with company match (Part-time ... A Case Manager/Utilization Review Nurse, in collaboration with patients/families, physicians and ...
FTE: Part-Time (.6 FTE) ⏰ Schedule: Wednesday - Thursday - 7:00 PM - 7:00 AM Plays a critical ... Minimum of three (3) years of experience in utilization review, utilization management, or case ...
FTE: Part-Time (.6 FTE) ⏰ Schedule: Wednesday - Thursday - 7:00 PM - 7:00 AM Plays a critical ... Minimum of three (3) years of experience in utilization review, utilization management, or case ...
Gainesville, FL FTE: Part-Time (.6 FTE) ⏰ Schedule: Wednesday - Thursday - 7:00 PM - 7:00 AM ... Minimum of three (3) years of experience in utilization review, utilization management, or case ...
Gainesville, FL FTE: Part-Time (.6 FTE) ⏰ Schedule: Wednesday - Thursday - 7:00 PM - 7:00 AM ... Minimum of three (3) years of experience in utilization review, utilization management, or case ...
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides ...
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides ...
This requirement will be lifted for LBH candidates employed as a Utilization Review Nurse, Clinical Care Coordinator, Patient Care Integrator or RN Case Manager.
This requirement will be lifted for LBH candidates employed as a Utilization Review Nurse, Clinical Care Coordinator, Patient Care Integrator or RN Case Manager.
Utilization Review Nurse Parttime information
See salary details
$21.39 - $25.72
2% of jobs
$25.72 - $30.05
9% of jobs
$33.01 is the 25th percentile. Wages below this are outliers.
$30.05 - $34.38
21% of jobs
The median wage is $37.88 / hr.
$34.38 - $38.70
23% of jobs
$38.70 - $43.03
13% of jobs
$46.39 is the 75th percentile. Wages above this are outliers.
$43.03 - $47.36
10% of jobs
$47.36 - $51.68
8% of jobs
$51.68 - $56.01
5% of jobs
$56.01 - $60.34
5% of jobs
$60.34 - $64.66
2% of jobs
$64.66 - $68.99
2% of jobs
$21
$42
$68
How much do utilization review nurse parttime jobs pay per hour?
As of Jul 17, 2026, the average hourly pay for utilization review nurse parttime 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 cities are hiring for Utilization Review Nurse Parttime jobs? Cities with the most Utilization Review Nurse Parttime job openings:
What states have the most Utilization Review Nurse Parttime jobs? States with the most job openings for Utilization Review Nurse Parttime jobs include:
What job categories do people searching Utilization Review Nurse Parttime jobs look for? The top searched job categories for Utilization Review Nurse Parttime jobs are:
Part-time
Posted 4 days ago
Kettering Health rating
7.3
Based on 188 frontline employees who took The Breakroom Quiz
302nd of 886 rated healthcare providers
Job description
Job Details
Utilization Management | Miamisburg | Part-time | Varied Shift
Responsibilities & Requirements- Registered professional nurse with education, knowledge and experience.
- Role focuses on review of inpatient and observation admissions to ensure correct assignment of Admit status.
- Communicates concurrently and resolves medical necessity discrepancies with physicians and other hospital leadership as needed.
- Responsible for completing clinical review on all assigned patients and communicates these reviews to payers.
- Identifies potential or actual denials for admission or ongoing stay both during the patient's hospital stay and post discharge.
- Review and decide the validity of medical necessity payer denials. Submits payer denial appeals.
- Participates in design of work flows and procedure to reduce incidence of denials.
- Current unrestricted Ohio RN licensure, BSN required.
- Experience with computers required.
- 5 years clinical experience with 2 years case management
- Case Management certification
- Works independently
- Familiar with MCG Care guidelines
- Ability to adapt quickly to changing priorities and regulations
- Experience with Microsoft applications and EPIC software
! WEEKEND ONLY!
OverviewKettering Health is a not-for-profit system of 14 medical centers and more than 120 outpatient facilities serving southwest Ohio. Our mission is to live God's love by promoting and restoring health. Our commitment to our patients is to help individuals be their best. With that context, safety is our top priority. We provide an integrated system of healthcare experts committed to providing exceptional care.
Employment Type: PART_TIMEWhat Kettering Health employees say
Pay
Benefits
Hours and flexibility
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