Sacramento, CA · On-site
$35.96 - $46.03/hr
The Utilization Review/Discharge Planner (UR/DP) performs chart review to determine the ... Must be able to communicate in a timely manner to insurance case management providers to assure ...
Sacramento, CA · On-site
$35.96 - $46.03/hr
The Utilization Review/Discharge Planner (UR/DP) performs chart review to determine the ... Must be able to communicate in a timely manner to insurance case management providers to assure ...
As a key member of the hospital's Utilization Review Committee (URC), the Physician Advisor ... This position may be filled on a full-time or part-time basis, with a minimum commitment of 0.5 FTE
As a key member of the hospital's Utilization Review Committee (URC), the Physician Advisor ... This position may be filled on a full-time or part-time basis, with a minimum commitment of 0.5 FTE
As a key member of the hospital's Utilization Review Committee (URC), the Physician Advisor ... This position may be filled on a full-time or part-time basis, with a minimum commitment of 0.5 FTE
As a key member of the hospital's Utilization Review Committee (URC), the Physician Advisor ... This position may be filled on a full-time or part-time basis, with a minimum commitment of 0.5 FTE
Preferred: Utilization review and/or coding experience. Department Specific Requirements: ED ... insurance companies. Initiates further action by following guidelines set forth in the Hospital ...
Preferred: Utilization review and/or coding experience. Department Specific Requirements: ED ... insurance companies. Initiates further action by following guidelines set forth in the Hospital ...
Preferred: Utilization review and/or coding experience. Department Specific Requirements: ED ... insurance companies. Initiates further action by following guidelines set forth in the Hospital ...
Preferred: Utilization review and/or coding experience. Department Specific Requirements: ED ... insurance companies. Initiates further action by following guidelines set forth in the Hospital ...
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 ...
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 ...
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 ...
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 ...
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 ...
Quick apply
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 ...
Alameda, CA · On-site
$39.75 - $50.75/hr
... Insurance utilization review meetings. MINIMUM QUALIFICATIONS : Education: Graduate of accredited school of nursing. Minimum Experience: Minimum one year clinical experience in a hospital, long term ...
Alameda, CA · On-site
$39.75 - $50.75/hr
... Insurance utilization review meetings. MINIMUM QUALIFICATIONS : Education: Graduate of accredited school of nursing. Minimum Experience: Minimum one year clinical experience in a hospital, long term ...
Santa Monica, CA · On-site
$30.13 - $39.75/hr
Collection of accurate demographic information, review and interpretation of insurance benefits ... Interacting with hospital departments such as Utilization Review and Patient Business Services to ...
Santa Monica, CA · On-site
$30.13 - $39.75/hr
Collection of accurate demographic information, review and interpretation of insurance benefits ... Interacting with hospital departments such as Utilization Review and Patient Business Services to ...
$74 - $82/hr
Employment Type: Part-Time, Non-Exempt Work Arrangement: Fully Remote Schedule: 20 hours per week ... Experience in dental claims review, utilization management, managed care, or payer environments.
$74 - $82/hr
Employment Type: Part-Time, Non-Exempt Work Arrangement: Fully Remote Schedule: 20 hours per week ... Experience in dental claims review, utilization management, managed care, or payer environments.
Experience and current knowledge of Quality Assurance, Utilization Review, Peer Review and programs ... and Insurance Administrator, Utilization Management staff and Quality Assurance Staff.
Quick apply
Experience and current knowledge of Quality Assurance, Utilization Review, Peer Review and programs ... and Insurance Administrator, Utilization Management staff and Quality Assurance Staff.
Irvine, CA · On-site
$20.25 - $26.25/hr
Performs all Utilization Review for all CCS inpatient admissions, and assists with discharge ... Insurance billing requirements. Medical terminology knowledge of ICD-9, CPT-4 and HCPCS coding.
Irvine, CA · On-site
$20.25 - $26.25/hr
Performs all Utilization Review for all CCS inpatient admissions, and assists with discharge ... Insurance billing requirements. Medical terminology knowledge of ICD-9, CPT-4 and HCPCS coding.
$20.50 - $26.50/hr
Performs all Utilization Review for all CCS inpatient admissions, and assists with discharge ... Insurance billing requirements. Medical terminology knowledge of ICD-9, CPT-4 and HCPCS coding.
$20.50 - $26.50/hr
Performs all Utilization Review for all CCS inpatient admissions, and assists with discharge ... Insurance billing requirements. Medical terminology knowledge of ICD-9, CPT-4 and HCPCS coding.
San Leandro, CA · On-site
$64.55 - $81.87/hr
Utilization Management * Conducts medical necessity review for appropriate utilization of services ... Knowledge of Medicare benefits and insurance processes and contracts. * Knowledge of accreditation ...
San Leandro, CA · On-site
$64.55 - $81.87/hr
Utilization Management * Conducts medical necessity review for appropriate utilization of services ... Knowledge of Medicare benefits and insurance processes and contracts. * Knowledge of accreditation ...
Antioch, CA · On-site
$230K - $240K/yr
Support quality improvement initiatives, utilization review activities, and ongoing patient care ... Flexible Full-Time or Part-Time opportunities available. Monday through Friday schedule. No call ...
Quick apply
Antioch, CA · On-site
$230K - $240K/yr
Support quality improvement initiatives, utilization review activities, and ongoing patient care ... Flexible Full-Time or Part-Time opportunities available. Monday through Friday schedule. No call ...
Sacramento, CA · On-site
$41 - $43.51/hr
Represents the agency at County utilization review; participates in off-site trainings and provides ... California driver's license & current vehicle insurance/registration * Reliable means of ...
Sacramento, CA · On-site
$41 - $43.51/hr
Represents the agency at County utilization review; participates in off-site trainings and provides ... California driver's license & current vehicle insurance/registration * Reliable means of ...
Antioch, CA · On-site
$138K - $177K/yr
Psychiatric Nurse Practitioner (Part-Time) POSITION SUMMARY The Psychiatric Nurse Practitioner ... Current DEA registration and CURES (Controlled Substance Utilization Review and Evaluation System ...
Antioch, CA · On-site
$138K - $177K/yr
Psychiatric Nurse Practitioner (Part-Time) POSITION SUMMARY The Psychiatric Nurse Practitioner ... Current DEA registration and CURES (Controlled Substance Utilization Review and Evaluation System ...
Sacramento, CA · Hybrid
$41 - $43.51/hr
Turning Point Community Programs is seeking a part-time Clinical Director II for our Sac Kaiser TBS ... Represents the agency at County utilization review; participates in off-site trainings and provides ...
Sacramento, CA · Hybrid
$41 - $43.51/hr
Turning Point Community Programs is seeking a part-time Clinical Director II for our Sac Kaiser TBS ... Represents the agency at County utilization review; participates in off-site trainings and provides ...
Sacramento, CA · Hybrid
$41 - $43.51/hr
Turning Point Community Programs is seeking a part-time Clinical Director II for our Sac Kaiser TBS ... Represents the agency at County utilization review; participates in off-site trainings and provides ...
Sacramento, CA · Hybrid
$41 - $43.51/hr
Turning Point Community Programs is seeking a part-time Clinical Director II for our Sac Kaiser TBS ... Represents the agency at County utilization review; participates in off-site trainings and provides ...
| Aspect | Part Time Insurance Utilization Review | Part Time Claims Reviewer |
|---|---|---|
| Credentials | Typically requires insurance or healthcare-related certifications | Often requires insurance or claims processing certifications |
| Work Environment | Healthcare settings, insurance companies, or third-party administrators | Insurance companies, claims processing centers, or third-party administrators |
| Job Focus | Evaluating medical necessity and appropriateness of services | Reviewing and processing insurance claims for accuracy and coverage |
Part Time Insurance Utilization Review and Part Time Claims Reviewer roles both involve insurance industry work, but focus on different aspects. Utilization review centers on assessing medical necessity, while claims reviewers handle processing and verifying claims. Understanding these differences helps job seekers find the right fit based on their skills and interests.
The most popular types of Insurance Utilization Review jobs in California are:
Cities in California with the most Part Time Insurance Utilization Review job openings:
$35.96 - $46.03/hr
Part-time
Posted 6 days ago
8.2
Based on 327 frontline employees who took The Breakroom Quiz
55th of 889 rated healthcare providers
We are so glad you are interested in joining Sutter Health!
Organization:
SCP-Sutter Center for PsychiatryPosition Overview:
The Utilization Review/Discharge Planner (UR/DP) performs chart review to determine the appropriateness of care to ensure effective quality and cost-efficient outcomes, coordinates all aspects of patient care involving all members of the health care team to develop an integrated discharge plan. Uses effective interpersonal skills in managing the complexity of interactions involved with the position. Must be able to communicate in a timely manner to insurance case management providers to assure continued and discharge utilization management appeals to patient care needs.Job Description:
EDUCATION
Equivalent experience will be accepted in lieu of the required degree or diploma.
HS Diploma or equivalent education/experience
Graduate of an accredited Psychiatric Technician Program/Vocational Nursing Program
CERTIFICATION & LICENSURE
LVN-Licensed Vocational Nurse
OR PSYT-Psychiatric Technician
PREFERRED EXPERIENCE AS TYPICALLY ACQUIRED IN:
Seasoned experience in psychiatric nursing, preferably in an inpatient setting is required.
Experience working with all age populations is required.
Demonstrates experience utilizing effective interpersonal communications, organizational and priority setting skills.
Demonstrates ability to plan, organize and support implementation of a patient focused program in a healthcare setting.
SKILLS AND KNOWLEDGE
The ability to work independently with a minimum of direction.
Critical thinking skills necessary to provide utilization review/discharge planning services appropriate to patients with complex medical, emotional and social needs.
Excellent interpersonal skills and time management skills.
Effective oral and written communication skills.
These Principal Accountabilities, Requirements and Qualifications are not exhaustive, but are merely the most descriptive of the current job. Management reserves the right to revise the job description or require that other tasks be performed when the circumstances of the job change (for example, emergencies, staff changes, workload, or technical development).
Job Shift:
DaysSchedule:
Per Diem/CasualShift Hours:
8Days of the Week:
Monday - Friday, VariableWeekend Requirements:
NoneBenefits:
NoUnions:
YesPosition Status:
Non-ExemptWeekly Hours:
0Employee Status:
Per Diem/CasualSutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $35.96 to $46.03 / hourThe compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.
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Hospitals
10,000+ Employees
Sacramento, CA, US
