ZipRecruiter

Log In

2

Part Time Medical Utilization Review Physician Jobs

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 ...

previous pagenext page

Showing results 21-40

All Jobspart time JobsHealthcare JobsNursing JobsNurse Case Manager JobsPart Time Medical Utilization Review Physician Jobs

Part Time Medical Utilization Review Physician information

See salary details

$41.5K

$233.5K

$315.5K

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

As of Sep 3, 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 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 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 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.
More about Part Time Medical Utilization Review Physician jobs

What cities are hiring for Part Time Medical Utilization Review Physician jobs?

Cities with the most Part Time Medical Utilization Review Physician job openings:

What are the most commonly searched types of Medical Utilization Review Physician jobs?

The most popular types of Medical Utilization Review Physician jobs are:

What states have the most Part Time Medical Utilization Review Physician jobs?

States with the most job openings for Part Time Medical Utilization Review Physician jobs include:

What job categories do people searching Part Time Medical Utilization Review Physician jobs look for?

The top searched job categories for Part Time Medical Utilization Review Physician jobs are:

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 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $233,521 per year, or $112.3 per hour.

Utilization Review Specialist (FLEXI)

Chesapeake Regional Healthcare

Chesapeake, VA • On-site

Part-time

Medical

Re-posted 26 days ago

Chesapeake Regional Healthcare rating

6.9

Company rating: 6.9 out of 10

Based on 22 frontline employees who took The Breakroom Quiz

Job description

Summary
The Utilization Review Specialist supports the organization's utilization management program by conducting routine admission, concurrent, and retrospective reviews utilizing established screening criteria and organizational guidelines. This position collects, reviews, and documents clinical information to support medical necessity determinations and appropriate resource utilization. Complex, high-risk, or ambiguous cases requiring clinical judgment are referred to a RN Utilization Review for review and determination.
Essential Duties and Responsibilities
These duties and responsibilities described below represent the general tasks performed on a daily basis; other tasks may be assigned.
  • Conduct routine utilization reviews using approved screening criteria, established workflows, and departmental guidelines.
  • Collect and organize clinical documentation necessary to support utilization review activities.
  • Review patient records to identify required information for admission, continued stay, and discharge planning processes.
  • Apply established criteria to routine cases and document findings in designated systems.
  • Monitor assigned cases for required documentation and timely review completion.
  • Communicate with providers, clinical staff, payers, and care team members to obtain necessary information.
  • Identify cases that do not clearly meet established criteria and escalate them to an RN Utilization Review.
  • Present complex, high-acuity, disputed, or clinically ambiguous cases to an RN Utilization Review Specialist for evaluation and determination.
  • Assist with obtaining payer authorizations and tracking authorization status as directed.
  • Maintain accurate utilization management records, reports, and audit documentation.
  • Support denial prevention efforts through timely documentation and communication.
  • Participate in quality improvement initiatives related to utilization management processes.
  • Maintain knowledge of applicable payer requirements, regulatory standards, and organizational policies.
  • Assist with data collection and reporting related to utilization management metrics.
  • Perform other utilization management support duties within the scope of licensure and training.

Supervisory Responsibilities
Reports to: RN Clinical Doc Manager
Supervises: N/A
Responsibilities: N/A
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and Experience
Minimum Required Education
Graduate of an approved healthcare program leading to licensure as a healthcare professional i.e. Licensed Practical Nurse (LPN) or other clinically licensed healthcare professionals as approved by the organization.
Experience
Two (2) years of clinical healthcare experience required. Experience in utilization review, utilization management, case management, care coordination, discharge planning, or other related clinical healthcare functions may be considered.
Certificates, Licenses, Registrations
  • Current unrestricted license as a Licensed Practical Nurse required at minimum in the Commonwealth of Virginia or compact state. Candidates possessing a higher level of clinical licensure are also eligible for consideration.
  • Certification in utilization management or case management preferred.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

What Chesapeake Regional Healthcare employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply