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Part Time Insurance Utilization Review Jobs in Detroit, MI

Corewell Health

RN Care Coordinator

Grosse Pointe, MI · On-site

Part time- 20 hours a week Scope of Work: Under general direction, integrates cost, quality and ... Identifies patients that need care management services (i.e. utilization review; care coordination ...

Corewell Health

RN Care Coordinator

Trenton, MI · On-site

Part time- 20 hours a week Scope of Work: Under general direction, integrates cost, quality and ... Identifies patients that need care management services (i.e. utilization review; care coordination ...

Spectrum Health

RN Care Coordinator

Grosse Pointe, MI · On-site

Part time- 20 hours a week Scope of Work: Under general direction, integrates cost, quality and ... Identifies patients that need care management services (i.e. utilization review; care coordination ...

Spectrum Health

RN Care Coordinator

Trenton, MI · On-site

Part time- 20 hours a week Scope of Work: Under general direction, integrates cost, quality and ... Identifies patients that need care management services (i.e. utilization review; care coordination ...

Corewell Health

RN Care Coordinator Rehab inpatient

Taylor, MI · On-site

$34.50 - $41.75/hr

Identifies patients that need care management services (i.e. utilization review; care coordination ... Optional identity theft protection, home and auto insurance * Traditional and Roth retirement ...

Spectrum Health

RN Care Coordinator Rehab inpatient

Taylor, MI · On-site

$34.50 - $41.75/hr

Identifies patients that need care management services (i.e. utilization review; care coordination ... Optional identity theft protection, home and auto insurance * Traditional and Roth retirement ...

Trinity Health

Case Management

Livonia, MI · On-site

Employment Type: Part time Shift: Day Shift Description: An Opportunity to Join our Remarkable Care ... in utilization review/management/discharge planning or case management. • Current knowledge of ...

Trinity Health

Case Manager

Livonia, MI · On-site

$18.75 - $24/hr

Employment Type: Part time Shift: Rotating Shift Description: An Opportunity to Join our Remarkable ... in utilization review/management/discharge planning or case management. • Current knowledge of ...

Trinityhealth

Case Manager

Livonia, MI

$18.75 - $24/hr

Employment Type: Part time Shift: Rotating Shift Description: An Opportunity to Join our Remarkable ... Knowledge of federal, state and local regulation affecting utilization review programs and payments.

Trinity Health

Case Manager

Livonia, MI

$18.75 - $24/hr

Employment Type: Part time Shift: Rotating Shift Description: An Opportunity to Join our Remarkable ... Knowledge of federal, state and local regulation affecting utilization review programs and payments.

SKLD

MDS RN Float - Part Time

West Bloomfield, MI · On-site

$34.50 - $41.75/hr

Requirements Part Time RN MDS Float - 3 days a week Facility: MediLodge of West Bloomfield We ... Facility contact for insurance updates * Facilitate the weekly utilization review of patients on ...

Trinity Health

NP/PA Surgery - Urology

Ann Arbor, MI · On-site

$106K - $137K/yr

Employment Type: Part time Shift: Rotating Shift Description: POSITION PURPOSE The Urology NP/PA ... and utilization review processes. In partnership with the supervising physician, the NP/PA ...

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All JobsInsurance Utilization Review JobsPart Time Insurance Utilization Review JobsPart Time Insurance Utilization Review Jobs in Detroit, MI

Part Time Insurance Utilization Review information

See Detroit, MI salary details

$21

$41

$68

How much do part time insurance utilization review jobs pay per hour?

As of Aug 1, 2026, the average hourly pay for part time insurance utilization review in Detroit, MI is $41.86, according to ZipRecruiter salary data. Most workers in this role earn between $33.08 and $48.08 per hour, depending on experience, location, and employer.

What is the difference between Part Time Insurance Utilization Review vs Part Time Claims Reviewer?

AspectPart Time Insurance Utilization ReviewPart Time Claims Reviewer
CredentialsTypically requires insurance or healthcare-related certificationsOften requires insurance or claims processing certifications
Work EnvironmentHealthcare settings, insurance companies, or third-party administratorsInsurance companies, claims processing centers, or third-party administrators
Job FocusEvaluating medical necessity and appropriateness of servicesReviewing 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.

What are the most commonly searched types of Insurance Utilization Review jobs in Detroit, MI? The most popular types of Insurance Utilization Review jobs in Detroit, MI are:
Part Time Insurance Utilization Review jobs near you

Utilization Management Coordinator

Spectrum Health

Southfield, MI • On-site

Part-time

Medical, Vision, Retirement

Posted 7 days ago

Job description

Scope of Work
This role includes accountability for utilization review (UR) and may include admission, concurrent, and retrospective reviews. Coordinates activities involved in the certification, recertification, and concurrent appeals process, conducting referrals for 2nd level review, as needed. Ensures timely communication with payers based on adequate and complete documentation received by the physician/provider and utilization reviews. Initiates concurrent appeals to address patient class/status downgrades or clinical denials related to medical necessity.
Qualifications
  • Required Associate's Degree Associates or technical degree.
  • Preferred Bachelor's Degree in nursing or related field.
  • 2 years of relevant experience 2 years of experience in clinical/hospital setting. Required
  • Hospital utilization review/utilization management experience. Preferred
  • Clinical appeals experience. Preferred
  • LIC-Registered Nurse (RN) - STATE_MI State of Michigan Upon Hire required
    Physical Demands
    • Pallet to Waist (6" from floor) > 5 lbs: Seldom up to 50 lbs
    • Waist to Waist > 5 lbs: Seldom up to 50 lbs
    • Waist to Chest (below shoulder) > 5 lbs: Seldom up to 10 lbs
    • Waist to Overhead > 5 lbs: Seldom up to 5 lbs
    • Bilateral Carry > 5 lbs: Seldom up to 25 lbs
    • Unilateral Carry > 5 lbs: Seldom up to 10 lbs
    • Pushing Force > 5 lbs: Occasionally up to 25 lbs
    • Pulling Force > 5 lbs: Occasionally up to 20 lbs
    • Sitting: Occasionally
    • Standing: Frequently
    • Walking: Frequently
    • Forward Bend - Standing: Occasionally
    • Forward Bend - Sitting: Occasionally
    • Trunk Rotation - Standing: Occasionally
    • Trunk Rotation - Sitting: Occasionally
    • Squat: Seldom
    • Stair Climbing: Seldom
    • Crawling / Kneeling: Seldom
    • Reach - Above Shoulder: Occasionally
    • Reach - at Shoulder or Below: Occasionally
    • Handling: Occasionally
    • Forceful Grip > 5 lbs: Occasionally
    • Forceful Pinch > 2 lbs: Occasionally
    • Finger/Hand Dexterity: Frequently
    • Visual Acuity
      [None = No; Seldom = Yes]: Seldom
    • Color Vision (Ishihara) Test
      [None = No; Seldom = Yes]: Seldom

    How Corewell Health cares for you
    • Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.
    • On-demand pay program powered by Payactiv
    • Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
    • Optional identity theft protection, home and auto insurance
    • Traditional and Roth retirement options with service contribution and match savings
    • Eligibility for benefits is determined by employment type and status

    Primary Location

    SITE - Corewell Health Southfield Center - 26901 Beaumont Blvd

    Department Name

    Utilization Management - Diversified East WB Mkt

    Employment Type

    Part time

    Shift

    Day (United States of America)

    Weekly Scheduled Hours

    20

    Hours of Work

    8AM-4:30PM

    Days Worked

    2-3 days per work week

    Weekend Frequency

    N/A

    CURRENT COREWELL HEALTH TEAM MEMBERS - Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.

    Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.

    Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

    An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.

    You may request assistance in completing the application process by calling 616.486.7447.

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