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Part Time Care Review Processor Jobs in Memphis, TN

Acadia Healthcare

RN - Admissions Acute

Memphis, TN · On-site

Clinical professional is responsible for facilitating admissions, clinical intake assessments, and utilization review processes to assure continuity for the most appropriate level of care for ...

Care ATC Inc

Medical Assistant (Part-Time)

Covington, TN · On-site

$15.75 - $20.25/hr

Deliver Relationship-Based Patient Care in a Collaborative Health Center Environment Why CareATC is ... hiring process, please contact us at recruiting@careatc.com to request accommodations.When ...

Care ATC Inc

Medical Assistant (Part-Time)

Covington, TN · On-site

$15.75 - $20.25/hr

Deliver Relationship-Based Patient Care in a Collaborative Health Center Environment Why CareATC is ... hiring process, please contact us at recruiting@careatc.com to request accommodations. When ...

Childrens Healthcare of Atlanta

PRN Pharmacist

Hughes, AR

$53.75 - $64.75/hr

Ability to work effectively with multiple groups of healthcare professionals and communicate effectively with patients and parents/caregivers Job Responsibilities * Reviews, processes, and dispenses ...

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All JobsCare Review Processor JobsPart Time Care Review Processor JobsPart Time Care Review Processor Jobs in Memphis, TN

Part Time Care Review Processor information

See Memphis, TN salary details

$8

$16

$25

How much do part time care review processor jobs pay per hour?

As of Aug 24, 2026, the average hourly pay for part time care review processor in Memphis, TN is $16.26, according to ZipRecruiter salary data. Most workers in this role earn between $13.08 and $18.70 per hour, depending on experience, location, and employer.

What is the difference between Part Time Care Review Processor vs Part Time Claims Processor?

AspectPart Time Care Review ProcessorPart Time Claims Processor
Required CredentialsHigh school diploma, training in healthcare or insuranceHigh school diploma, basic insurance knowledge
Work EnvironmentHealthcare facilities, insurance companiesInsurance offices, healthcare organizations
Industry UsageHealthcare, insurance reviewInsurance claims processing
Common Search/ComparisonYesYes

The Part Time Care Review Processor focuses on evaluating healthcare claims for coverage and compliance, often working closely with healthcare providers. In contrast, the Part Time Claims Processor handles the processing and verification of insurance claims, primarily dealing with billing and reimbursement. Both roles require similar credentials and work in related environments, but their primary responsibilities differ, with the Care Review Processor emphasizing healthcare review and the Claims Processor focusing on claims management.

What are popular job titles related to Part Time Care Review Processor jobs in Memphis, TN?

For Part Time Care Review Processor jobs in Memphis, TN, the most frequently searched job titles are:

What job categories do people searching Part Time Care Review Processor jobs in Memphis, TN look for?

The top searched job categories for Part Time Care Review Processor jobs in Memphis, TN are:

Part Time Care Review Processor jobs near you
Infographic showing various Part Time Care Review Processor job openings in Memphis, TN as of July 2026, with employment types broken down into 2% As Needed, 73% Full Time, 19% Part Time, and 6% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $33,829 per year, or $16.3 per hour.

Part Time Utilization Specialist

Memphis, TN • On-site

Crestwyn Behavioral Health
Offices of Mental Health Practitioners • 11 - 50 employees
Learn more about Crestwyn Behavioral Healthexternal

Part-time

Re-posted 4 days ago

Job description

Overview

PURPOSE STATEMENT: 

Proactively monitor utilization of services for patients to optimize reimbursement for the facility.  

Responsibilities

ESSENTIAL FUNCTIONS: 

  • Act as liaison between managed care organizations and the facility professional clinical staff. 
  • Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care organizations (MCOs) and coordinate the flow of communication concerning reimbursement requirements. 
  • Monitor patient length of stay and extensions and inform clinical and medical staff on issues that may impact length of stay.  
  • Gather and develop statistical and narrative information to report on utilization, non-certified days (including identified causes and appeal information), discharges and quality of services, as required by the facility leadership or corporate office. 
  • Conduct quality reviews for medical necessity and services provided.   
  • Facilitate peer review calls between facility and external organizations.  
  • Initiate and complete the formal appeal process for denied admissions or continued stay.  
  • Assist the admissions department with pre-certifications of care.  
  • Provide ongoing support and training for staff on documentation or charting requirements, continued stay criteria and medical necessity updates. 

OTHER FUNCTIONS:  

  • Perform other functions and tasks as assigned. 
Qualifications

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: 

  • Required Education: High school diploma or equivalent. 
  • Preferred Education: Associate's, Bachelor's, or Master's degree in Social Work, Behavioral or Mental Health, Nursing, or a related health field. 
  • Experience: Clinical experience is required, or two or more years' experience working with the facility's population. Previous experience in utilization management is preferred 

LICENSES/DESIGNATIONS/CERTIFICATIONS:  

  • Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services. 
  • CPR and de-escalation and restraint certification required (training available upon hire and offered by facility.   
  • First aid may be required based on state or facility requirements. 

 

ADDITIONAL REGULATORY REQUIREMENTS: 

While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances  (e.g. emergencies, changes in workload, rush jobs or technological developments) dictate. 

We are committed to providing equal  employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws.

Employment Type: PART_TIME

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