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Part Time Medical Utilization Review Physician Jobs

silvercross

Utilization Review Nurse

New Lenox, IL

$34.73 - $45.15/hr

Refers to designated physician advisor those patients not meeting criteria as well as quality of ... Part-time employees which includes: Medical, Dental and Vision plans Life Insurance Flexible ...

Stcharles

RN Utilization Review

Bend, OR

$48.30 - $72.45/hr

Utilization Management DATE LAST REVIEWED: November 2024 OUR VISION: Creating America's healthiest ... Collaborates with physicians, as appropriate (i.e. to address issues concerning medical necessity ...

St. Charles Health System

RN Utilization Review

Bend, OR · On-site

$48.30 - $72.45/hr

Utilization Management DATE LAST REVIEWED: November 2024 OUR VISION: Creating America's healthiest ... Collaborates with physicians, as appropriate (i.e. to address issues concerning medical necessity ...

Valenz

Medical Director - Part Time

Phoenix, AZ · Remote

As the Part-Time Medical Director, you'll provide physician leadership for the organization's medical management and utilization review programs. You'll help ensure clinical decisions, medical ...

Valenz Health

Medical Director - Part Time

Phoenix, AZ · On-site +1

As the Part-Time Medical Director, you'll provide physician leadership for the organization's medical management and utilization review programs. You'll help ensure clinical decisions, medical ...

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Part Time Medical Utilization Review Physician information

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How much do part time medical utilization review physician jobs pay per year?

As of Aug 7, 2026, the average yearly pay for part time medical utilization review physician in the United States is $233,521.00, according to ZipRecruiter salary data. Most workers in this role earn between $220,000.00 and $261,000.00 per year, depending on experience, location, and employer.

What are the typical responsibilities and workflow for a part time medical utilization review physician?

As a part-time Medical Utilization Review Physician, your primary responsibilities involve evaluating the medical necessity, appropriateness, and efficiency of healthcare services requested for patients. You will review clinical documentation, apply evidence-based guidelines, and collaborate with case managers and other healthcare providers to make determinations on pre-authorizations and appeals. The workflow is often remote or office-based, structured around scheduled case reviews, with flexibility to accommodate part-time hours. Effective communication, time management, and staying current with clinical guidelines are essential to succeed in this role.

What is a part time medical utilization review physician?

A Part Time Medical Utilization Review Physician is a licensed medical doctor who reviews medical records, treatment plans, and healthcare services to ensure they are medically necessary and meet established guidelines. This role is often performed remotely and on a part-time basis, allowing physicians to balance other clinical or personal commitments. Utilization review physicians help insurance companies, hospitals, or healthcare organizations make decisions about patient care, coverage, and resource allocation. They do not provide direct patient care but play a vital role in promoting quality and cost-effective healthcare.

What are the key skills and qualifications needed to thrive as a part time medical utilization review physician?

To thrive as a Part Time Medical Utilization Review Physician, you need a valid medical degree (MD or DO), active state licensure, board certification, and extensive clinical experience. Familiarity with utilization management software, electronic health records (EHR), and knowledge of insurance guidelines and medical necessity criteria (such as MCG or InterQual) are typically required. Strong analytical thinking, attention to detail, and effective written communication are vital soft skills for success in this role. These skills ensure accurate medical reviews, compliance with regulations, and efficient healthcare resource management.
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Part Time Medical Utilization Review Physician jobs near you
Infographic showing various Part Time Medical Utilization Review Physician job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $233,521 per year, or $112.3 per hour.

Utilization Review Assistant

Medical Center Hospital

Odessa, TX • On-site

Part-time

Re-posted 20 days ago

Medical Center Health System rating

8.4

Company rating: 8.4 out of 10

Based on 33 frontline employees who took The Breakroom Quiz

24th of 887 rated healthcare providers

Job description

Position Summary:
Assists UM Department with utilization review processes, including the collection and analysis of various computer-based data related to Utilization Review, Care Coordination, and Commercial Insurance.
Qualifications:
A. Education:
Must have a high school diploma or equivalent.
B. Training and Experience:
Must have a minimum of one-year work experience in an acute care medical facility.
C. Job Knowledge:
Familiar with medical terminology, utilization review, community resource a plus. Basic computer skills required. Be able to communicate effectively verbally and in writing.
Unusual Physical Demands and Working Conditions:
Should be familiar with healthcare operations. Experience with the collection and management of data preferred. Familiar with medical terminology, utilization review, and/or medical insurance preferred.
Ability to communicate effectively and professionally, both verbally and in writing.

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