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Part Time International Utilization Review Nurse Jobs

Madera Community Hospital

Peer Review Nurse

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 Community Hospital

Peer Review Nurse

Madera, CA

$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 ...

UHS

PT UTILIZATION REVIEW COORDINATOR

Jacksonville, FL · On-site

PT Utilization Review Coordinator, including weekends $26-$37 This position is responsible for ... Qualifications Registered Nurse, LPN or Master's level Social Worker with experience in Utilization ...

Madera Community Hospital

Peer Review Nurse

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 ...

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

As of Sep 6, 2026, the average hourly pay for part time international utilization review nurse in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.

What is a part time international utilization review nurse?

A Part Time International Utilization Review Nurse is a registered nurse who works part-time to evaluate the necessity, appropriateness, and efficiency of healthcare services provided to patients, often for international clients or healthcare systems. They review medical records, treatment plans, and hospital admissions to ensure patients receive appropriate care while managing healthcare costs. This role may involve working remotely or coordinating care across different countries and healthcare systems. Utilization review nurses collaborate with doctors, insurance companies, and other healthcare providers to make decisions about coverage and care.

How does a part time international utilization review nurse typically collaborate with overseas healthcare providers and insurance companies?

As a Part Time International Utilization Review Nurse, you will frequently communicate with healthcare providers and insurance representatives in different countries to review patient cases and ensure appropriate use of medical resources. This collaboration often involves virtual meetings, secure document sharing, and clear documentation to navigate varying healthcare regulations and time zones. You may also help educate providers on international insurance protocols and clarify medical necessity criteria, making strong communication and cultural sensitivity key assets in this role.

What are the key skills and qualifications needed to thrive as a part time international utilization review nurse, and why are they important?

To thrive as a Part Time International Utilization Review Nurse, you need a valid nursing license, clinical experience, and strong knowledge of medical necessity criteria and healthcare regulations. Familiarity with utilization management software, electronic health records (EHRs), and industry guidelines such as InterQual or MCG is typically required. Excellent analytical skills, attention to detail, and effective cross-cultural communication are essential soft skills for this role. These skills ensure accurate care reviews, compliance with international standards, and effective collaboration with global healthcare teams.

What is the difference between Part Time International Utilization Review Nurse vs Part Time Utilization Review Nurse?

AspectPart Time International Utilization Review NursePart Time Utilization Review Nurse
Work EnvironmentHospitals, insurance companies, or international healthcare organizationsDomestic healthcare facilities, insurance companies, or outpatient clinics
Required CredentialsRN license, certification in utilization review, and possibly international healthcare experienceRN license, certification in utilization review, and familiarity with domestic healthcare policies
Industry UsageGlobal healthcare and insurance sectorsPrimarily domestic healthcare and insurance sectors

The main difference between the Part Time International Utilization Review Nurse and the Part Time Utilization Review Nurse lies in their work scope and environment. The international role involves reviewing cases across different countries, requiring international healthcare knowledge, while the domestic role focuses on local healthcare policies. Both positions require RN licensure and utilization review certification, but the international role often demands additional international healthcare experience.

What cities are hiring for Part Time International Utilization Review Nurse jobs?

Cities with the most Part Time International Utilization Review Nurse job openings:

What are the most commonly searched types of International Utilization Review Nurse jobs?

The most popular types of International Utilization Review Nurse jobs are:

What states have the most Part Time International Utilization Review Nurse jobs?

States with the most job openings for Part Time International Utilization Review Nurse jobs include:

Part Time International Utilization Review Nurse jobs near you

Physician Reviewer (Part -Time) - Utilization Management

Oscar Health

New York, NY • Remote

$140 - $145/hr

Full-time, Part-time

Medical, Dental, Vision, Life, Retirement

Posted 4 days ago

Oscar Health rating

6.9

Company rating: 6.9 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

264th of 315 rated insurance

Job description

Hi, we're Oscar. We're hiring a Physician Reviewer to join our Utilization Management Team.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role:

You will determine the medical appropriateness of inpatient, outpatient, and pharmacy services by reviewing clinical information and applying evidence-based guidelines.

Hours: 8am - 5pm in your local time zone.  A minimum commitment of 20-25 hours per week is required. 

Call rotation - 16 weekend hours per month

You will report into the Associate Medical Director, Utilization Management.

Work Location: This is a remote position, open to candidates who reside in the United States. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote

Pay Transparency: The base pay for this role is: $140-$145 per hour.  

Responsibilities:

  • Provide timely medical reviews that meet Oscar's stringent quality parameters.
  • Provide clinical determinations based on evidence-based criteria and Oscar internal guidelines and policies, while utilizing clinical acumen.
  • Clearly and accurately document all communication and decision-making in Oscar workflow tools, ensuring a member could easily reference and understand your decision (Flesch-Kincaid grade level).
  • Use correct templates for documenting decisions during case review.
  • Meet the appropriate turn-around times for clinical reviews.
  • Receive and review escalated reviews.
  • Conduct timely peer-to-peer discussions with treating providers to clarify clinical information and to explain review outcome decisions, including feedback on alternate treatment based on medical necessity criteria and evidence-based research.
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Requirements:

  • Board certification as an MD or DO
  • Licensed in one of these states: FL, NC, AZ OR possess an active Interstate Medical Licensure Compact (IMLC).
  • 6+ years of clinical practice

Bonus points:

  • Licensure in multiple Oscar states
  • 1+ years of utilization review experience in a managed care plan (health care industry)
  • BC in Cardiology, Radiation/Oncology, or Neurology
  • Experience with care management within the health insurance industry.
  • Willing and able to obtain additional state licensure as needed, with Oscar's support

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here. 

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

Pay Transparency:  Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.

California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

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