Conducts prior authorization reviews to determine financial responsibility Qualifications * 2 years Inpatient background with Hospital Nursing (Med-Surg, ER) * Well versed in Utilization Management ...
Conducts prior authorization reviews to determine financial responsibility Qualifications * 2 years Inpatient background with Hospital Nursing (Med-Surg, ER) * Well versed in Utilization Management ...
Care Review Nurse
Columbus, OH · On-site
Works with the Utilization Management team primarily responsible for inpatient medical necessity ... Review cases for in patients/in hospital: skilled care, acute rehab and long term acute care Nurses ...
Care Review Nurse
Columbus, OH · On-site
Works with the Utilization Management team primarily responsible for inpatient medical necessity ... Review cases for in patients/in hospital: skilled care, acute rehab and long term acute care Nurses ...
Qualifications Utilization Review in hospital setting . Prior author experience . Inpatient hospital experience . Nurses who are used to doing both production and review work . RN required . Millemen ...
Qualifications Utilization Review in hospital setting . Prior author experience . Inpatient hospital experience . Nurses who are used to doing both production and review work . RN required . Millemen ...
Medical Review Nurse -UM/Post Appeals (Michigan RN license req)
Columbus, OH · Remote
$29.05 - $67.97/hr
Resolves escalated complaints regarding utilization management and long-term services and supports ... Reviews medically appropriate clinical guidelines and other appropriate criteria with medical ...
Medical Review Nurse -UM/Post Appeals (Michigan RN license req)
Columbus, OH · Remote
$29.05 - $67.97/hr
Resolves escalated complaints regarding utilization management and long-term services and supports ... Reviews medically appropriate clinical guidelines and other appropriate criteria with medical ...
The Ohio Department of Medicaid (ODM) is seeking a Registered Nurse (RN) to be a part of our Surveillance/Utilization Review Section (SURS). SURS is charged with helping the agency review utilization ...
The Ohio Department of Medicaid (ODM) is seeking a Registered Nurse (RN) to be a part of our Surveillance/Utilization Review Section (SURS). SURS is charged with helping the agency review utilization ...
Medical Review Nurse -UM/Post Appeals (Michigan RN license req)
Columbus, OH · Remote
$29.05 - $67.97/hr
... utilization management and long-term services and supports (LTSS) issues. • Identifies and ... complex claim review including diagnosis-related group (DRG) validation, itemized bill review ...
Medical Review Nurse -UM/Post Appeals (Michigan RN license req)
Columbus, OH · Remote
$29.05 - $67.97/hr
... utilization management and long-term services and supports (LTSS) issues. • Identifies and ... complex claim review including diagnosis-related group (DRG) validation, itemized bill review ...
Medical Review Nurse -UM/Post Appeals (Michigan RN license req)
Columbus, OH · Remote
$29.05 - $67.97/hr
... utilization management and long-term services and supports (LTSS) issues. • Identifies and ... complex claim review including diagnosis-related group (DRG) validation, itemized bill review ...
Medical Review Nurse -UM/Post Appeals (Michigan RN license req)
Columbus, OH · Remote
$29.05 - $67.97/hr
... utilization management and long-term services and supports (LTSS) issues. • Identifies and ... complex claim review including diagnosis-related group (DRG) validation, itemized bill review ...
... (RN) to be a part of our Surveillance/Utilization Review Section (SURS). SURS is charged with ... We provide a variety of quality, competitive benefits to eligible full-time and part-time employees*
... (RN) to be a part of our Surveillance/Utilization Review Section (SURS). SURS is charged with ... We provide a variety of quality, competitive benefits to eligible full-time and part-time employees*
UR Manager
Columbus, OH · On-site
Job Duties Review medical records to determine appropriateness of admissions, procedures and ... affecting utilization management. PositionRequirements Bachelor's degree required. Active RN ...
UR Manager
Columbus, OH · On-site
Job Duties Review medical records to determine appropriateness of admissions, procedures and ... affecting utilization management. PositionRequirements Bachelor's degree required. Active RN ...
Current licensure as a registered nurse in the state of Ohio is required. * Valid Ohio driver ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:
Current licensure as a registered nurse in the state of Ohio is required. * Valid Ohio driver ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:
Utilization review, prior authorization, or managed care experience preferred. * Active OH RN Licensure * Experienced with either Interqual or Milliman Licenses/Certifications: Current RN, required.
Utilization review, prior authorization, or managed care experience preferred. * Active OH RN Licensure * Experienced with either Interqual or Milliman Licenses/Certifications: Current RN, required.
Prior case management, utilization review, and discharge planning experience preferred * Certified Case Manager (CCM) or Board Certification in Nursing Case Management (RN BC) preferred Specific Job ...
Prior case management, utilization review, and discharge planning experience preferred * Certified Case Manager (CCM) or Board Certification in Nursing Case Management (RN BC) preferred Specific Job ...
Prior case management, utilization review, and discharge planning experience preferred * Certified Case Manager (CCM) or Board Certification in Nursing Case Management (RN BC) preferred Specific Job ...
Prior case management, utilization review, and discharge planning experience preferred * Certified Case Manager (CCM) or Board Certification in Nursing Case Management (RN BC) preferred Specific Job ...
Registered Nurse - RN
Columbus, OH · On-site
$85K - $95K/yr
The Registered Nurse (RN) Care Manager plays a vital role in providing exceptional, patient ... Participate actively in team meetings, quality improvement projects, and utilization review ...
Quick apply
Registered Nurse - RN
Columbus, OH · On-site
$85K - $95K/yr
The Registered Nurse (RN) Care Manager plays a vital role in providing exceptional, patient ... Participate actively in team meetings, quality improvement projects, and utilization review ...
Registered Nurse - RN
Columbus, OH · On-site
$85K - $95K/yr
The Registered Nurse (RN) Care Manager plays a vital role in providing exceptional, patient ... Participate actively in team meetings, quality improvement projects, and utilization review ...
Quick apply
Registered Nurse - RN
Columbus, OH · On-site
$85K - $95K/yr
The Registered Nurse (RN) Care Manager plays a vital role in providing exceptional, patient ... Participate actively in team meetings, quality improvement projects, and utilization review ...
Registered Nurse - RN
Columbus, OH · On-site
$85K - $95K/yr
The Registered Nurse (RN) Care Manager plays a vital role in providing exceptional, patient ... Participate actively in team meetings, quality improvement projects, and utilization review ...
Quick apply
Registered Nurse - RN
Columbus, OH · On-site
$85K - $95K/yr
The Registered Nurse (RN) Care Manager plays a vital role in providing exceptional, patient ... Participate actively in team meetings, quality improvement projects, and utilization review ...
RN Home Health
Columbus, OH · On-site
$85K - $95K/yr
Registered Nurse (RN) Care Manager - Home Health Role Summary: The Registered Nurse (RN) Care ... Participate actively in team meetings, quality improvement projects, and utilization review ...
Quick apply
RN Home Health
Columbus, OH · On-site
$85K - $95K/yr
Registered Nurse (RN) Care Manager - Home Health Role Summary: The Registered Nurse (RN) Care ... Participate actively in team meetings, quality improvement projects, and utilization review ...
RN Home Health
Columbus, OH · On-site
$85K - $95K/yr
Registered Nurse (RN) Care Manager - Home Health Role Summary: The Registered Nurse (RN) Care ... Participate actively in team meetings, quality improvement projects, and utilization review ...
Quick apply
RN Home Health
Columbus, OH · On-site
$85K - $95K/yr
Registered Nurse (RN) Care Manager - Home Health Role Summary: The Registered Nurse (RN) Care ... Participate actively in team meetings, quality improvement projects, and utilization review ...
MDS Coordinator - LVN/RN
Gahanna, OH · On-site
$33 - $42.25/hr
... RN/LPN to join our amazing team! Job Duties * Maintain the current MDS status of each resident, in ... Coordinate and attend daily Casemix Meetings, weekly Utilization Review Meetings, and monthly ...
MDS Coordinator - LVN/RN
Gahanna, OH · On-site
$33 - $42.25/hr
... RN/LPN to join our amazing team! Job Duties * Maintain the current MDS status of each resident, in ... Coordinate and attend daily Casemix Meetings, weekly Utilization Review Meetings, and monthly ...
RN Case Manager - Case Management
Newark, OH · On-site
RN Case Manager Position Summary The case manager is responsible for individualized management of ... Utilization review and or discharge planning experience preferred * Excellent verbal and written ...
RN Case Manager - Case Management
Newark, OH · On-site
RN Case Manager Position Summary The case manager is responsible for individualized management of ... Utilization review and or discharge planning experience preferred * Excellent verbal and written ...
Part Time Utilization Review Rn information
See Columbus, OH salary details
$19.99 - $24.03
2% of jobs
$24.03 - $28.08
9% of jobs
$30.84 is the 25th percentile. Wages below this are outliers.
$28.08 - $32.12
21% of jobs
The median wage is $35.39 / hr.
$32.12 - $36.16
23% of jobs
$36.16 - $40.20
13% of jobs
$43.35 is the 75th percentile. Wages above this are outliers.
$40.20 - $44.25
10% of jobs
$44.25 - $48.29
8% of jobs
$48.29 - $52.33
5% of jobs
$52.33 - $56.37
5% of jobs
$56.37 - $60.42
2% of jobs
$60.42 - $64.46
2% of jobs
$19
$39
$64
How much do part time utilization review rn jobs pay per hour?
As of May 28, 2026, the average hourly pay for part time utilization review rn in Columbus, OH is $39.51, according to ZipRecruiter salary data. Most workers in this role earn between $31.20 and $45.38 per hour, depending on experience, location, and employer.
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 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 is the difference between Part Time Utilization Review Rn vs Part Time Case Manager Rn?
| Aspect | Part Time Utilization Review Rn | Part Time Case Manager Rn |
|---|---|---|
| Certifications | RN license, Utilization Review certification (if required) | RN license, Case Management certification (e.g., CCM) |
| Work Environment | Insurance companies, healthcare organizations, utilization review departments | Hospitals, insurance companies, community health agencies |
| Primary Responsibilities | Review medical necessity, approve or deny services based on criteria | Coordinate patient care, discharge planning, and resource management |
| Industry Usage | Commonly used in insurance and healthcare utilization departments | Used 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 the most commonly searched types of Utilization Review Rn jobs in Columbus, OH? The most popular types of Utilization Review Rn jobs in Columbus, OH are:
What cities near Columbus, OH are hiring for Part Time Utilization Review Rn jobs? Cities near Columbus, OH with the most Part Time Utilization Review Rn job openings:
Job description
Company Description
Why You Should Work For Us:
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Job Description
- Assesses services for members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and guidelines.
- Analyzes clinical service requests from members or providers against evidence based clinical guidelines.
- Conducts prior authorization reviews to determine financial responsibility
Qualifications
- 2 years Inpatient background with Hospital Nursing (Med-Surg, ER)
- Well versed in Utilization Management - Must be able to determine elective vs urgent request with Prior Authorization ReviewÂ
- Provider Claims, Appeals and Denials - certain services require prior authorization (PA) from the Utilization Management (UM) department
- 6 + months of Interqual experience
- 6+ months of Coding with ICD10 and CPT/ HCPCS
Additional Information
Interested in being considered?Â
If you are interested in applying to this position, please click the Green I'm Interested Button to email your resume and contact Jeff St Louis 407-478-0332x223.Â
About Healthcare Support
Sourced by ZipRecruiter
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Industry
Recruiting and staffing services
Company size
201 - 500 Employees
Headquarters location
Maitland, FL, US
Year founded
2003