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Part Time Utilization Review Rn Jobs in Columbus, OH

LMHS

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 ...

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Part Time Utilization Review Rn information

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$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?

AspectPart Time Utilization Review RnPart Time Case Manager Rn
CertificationsRN license, Utilization Review certification (if required)RN license, Case Management certification (e.g., CCM)
Work EnvironmentInsurance companies, healthcare organizations, utilization review departmentsHospitals, insurance companies, community health agencies
Primary ResponsibilitiesReview medical necessity, approve or deny services based on criteriaCoordinate patient care, discharge planning, and resource management
Industry UsageCommonly used in insurance and healthcare utilization departmentsUsed 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:
Part Time Utilization Review Rn jobs near you
Infographic showing various Part Time Utilization Review Rn job openings in Columbus, OH as of May 2026, with employment types broken down into 97% Full Time, 2% Part Time, and 1% Contract. Highlights an 98% Physical, and 2% Remote job distribution, with an average salary of $82,172 per year, or $39.5 per hour.
RN Case Manager - Case Management

RN Case Manager - Case Management

IntelyCare

Newark, OH

Other

Posted 17 days ago

Job description

RN Case Manager

The case manager is responsible for individualized management of hospital and healthcare services necessary and appropriate to the provision of high quality, cost effective patient care. He or she works with acutely ill and/or high risk clients ranging in age from newborn to the geriatric population. The Case Manager develops collaborative, outcome-oriented plans of care for each patient, acts as a patient advocate and provides mechanisms and support to empower patients to make responsible healthcare decisions while guiding appropriate utilization of resources and services to achieve expected outcomes.

Responsibilities

  • Determines appropriate level of care on admission using hospital approved medical necessity criteria
  • Performs patient and care giver assessments to identify pertinent problems/needs
  • Organizes assessment data into an individual plan of care, with anticipated outcomes
  • Determines continued stay status
  • Participates in multidisciplinary rounds
  • Participates in patient education
  • Tracks and manages potential avoidable hospital days
  • Provides clinical information to external providers and managed care organizations
  • Assists in discharge planning
  • Assists in appeals and denials management

Requirements

  • Graduate of an accredited school of nursing and licensed in the state of Ohio
  • 2 years of clinical experience in an acute care setting
  • Critical care/emergency department experience highly desired
  • Knowledge of evidenced-based practice and disease management protocols
  • Utilization review and or discharge planning experience preferred
  • Excellent verbal and written communication skills
  • Excellent computer skills.
  • LMH is accredited by DNV and TJC, and as such, may require specific annual education related to specialty certifications and standards.

Licking Memorial Health Systems is an equal opportunity employer and maintains compliance with all state, federal, and local regulations. Licking Memorial Health Systems does not discriminate against applicants because of race, color, religion, sex, sexual orientation, age, ancestry, national origin, veteran status, pregnancy, disability, marital status, or other characteristics protected by law.

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About IntelyCare

Sourced by ZipRecruiter

At IntelyCare, we're empowering healthcare heroes to transform the way they work. IntelyCare simplifies the scheduling and staffing process to match qualified nursing professionals like you with shifts at our nursing facilities. Available shift options include per-diem, contract, short-term, long-term, temporary to permanent and in some cases, travel. With IntelyCare, you'll get the pay, freedom, and flexibility you deserve--all from one intelligent and easy-to-use mobile app.

Industry

Recruiting and staffing services

Company size

10,000+ Employees

Headquarters location

Quincy, MA, US

Year founded

2014

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