2

Part Time Medical Utilization Review Physician Jobs

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 ...

Showing results 21-40

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 Aug 13, 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.
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:
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 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $233,521 per year, or $112.3 per hour.

Utilization Review RN

Providence Health and Services

Happy Valley, OR • On-site

Full-time, Part-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.


Providence Health & Services rating

7.6

Company rating: 7.6 out of 10

Based on 842 frontline employees who took The Breakroom Quiz

188th of 887 rated healthcare providers


Job description

Description

Utilization Review RN at Providence Health Plaza. Utilization Management covers 7 days/week, including holidays.

This posting is not for a specific job vacancy. It serves to establish a place for current or future interested applicants to apply for Utilization Review RN at Providence Oregon Regional Shared Services (Providence Health Plaza) in Portland, OR. We may not have openings for each of these categories today, but the organization offers on-call, part time and full-time opportunities for day shift.

The RN Coordinator-Utilization Review supports the care of the patient through assessment, planning, implementation and evaluation of appropriate services and resources to maximize optimum outcomes. This position works collaboratively with the multiple disciplines, both internal and external to the organization, in effecting quality and cost-effective management of the patient care along the continuum.

Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Oregon Regional Shared Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Required Qualifications:

  • Bachelor's Degree Nursing, OR Associates Degree and 2 or more years of related experience in lieu of a Bachelor's Degree
  • Upon hire: Oregon Registered Nurse License
  • Five (5) years Clinical experience in an acute adult medical/surgical care setting, OR Five (5) years Current Utilization Review or Case Management experience.
  • Demonstrated clinical expertise and experience related to a wide variety of patient populations and care delivery models.

Why Join Providence?

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

About Providence

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.

Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

About the Team

Providence has been serving the Pacific Northwest since 1856 when Mother Joseph of the Sacred Heart and four other Sisters of Providence arrived in Vancouver, Washington Territory. As the largest healthcare system and largest private employer in Oregon, Providence is located in areas ranging from the Columbia Gorge to the wine country to sunny southern Oregon to charming coastal communities to the urban setting of Portland.

Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care.

Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

Requsition ID: 439934

Company: Providence Jobs

Job Category: Health Information Management

Job Function: Revenue Cycle

Job Schedule: Part time

Job Shift: Multiple shifts available

Career Track: Nursing

Department: 5016 RS UTILIZATION MGMT

Address: OR Portland 4400 NE Halsey St

Work Location: Providence Health Plaza (HR) Bldg 1-Portland

Workplace Type: Hybrid

Pay Range: $50.14 - $77.83

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

PandoLogic. Category:Healthcare, Keywords:Utilization Review Coordinator, Location:Clackamas, OR-97015

What Providence Health & Services employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom