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Part Time Optum Utilization Review Jobs in Connecticut

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Part Time Optum Utilization Review information

What is the difference between Part Time Optum Utilization Review vs Part Time Medical Coder?

AspectPart Time Optum Utilization ReviewPart Time Medical Coder
CredentialsTypically requires healthcare-related certifications, such as RN, LPN, or medical reviewer credentialsRequires coding certifications like CPC, CCS, or CCS-P
Work EnvironmentRemote or office-based, reviewing patient records and insurance claimsRemote or office-based, reviewing and coding medical records
Employer & Industry UsageUsed mainly in health insurance and managed care companies like OptumUsed across healthcare providers, billing companies, and insurance payers

While both roles involve healthcare documentation, Part Time Optum Utilization Review focuses on evaluating medical necessity and insurance claims, whereas Part Time Medical Coder concentrates on accurately translating medical records into standardized codes. Both require healthcare knowledge but serve different functions within the healthcare industry.

What are the most commonly searched types of Optum Utilization Review jobs in Connecticut?

The most popular types of Optum Utilization Review jobs in Connecticut are:

What job categories do people searching Part Time Optum Utilization Review jobs in Connecticut look for?

The top searched job categories for Part Time Optum Utilization Review jobs in Connecticut are:

What cities in Connecticut are hiring for Part Time Optum Utilization Review jobs?

Cities in Connecticut with the most Part Time Optum Utilization Review job openings:

Infographic showing various Part Time Optum Utilization Review job openings in Connecticut as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 14% Part Time, 2% Temporary, 2% Contract, and 1% Nights. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution.

OASIS Workflow Coord Weekend / Central Certified Admin

Hartford HealthCare at Home

Southington, CT • On-site

Part-time

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


Key responsibilities

  • Review OASIS assessments for accuracy, completeness, and regulatory compliance, providing recommendations to ensure quality and reliability.

  • Guide staff on clinical, documentation, and utilization decisions to improve OASIS accuracy and care quality, recommending cost-effective corrections.

  • Review visit utilization for appropriate patient care, collaborate with clinicians on adjustments, and report utilization concerns and financial risks to leadership.


Job description

Work where every moment matters.
Every day, over 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network years an Oasis Workflow Coordinator
Hartford HealthCare at Home, the largest provider of homecare services in Connecticut, has been fulfilling our mission for more than 115 years. Our Person-Centered Care Model allows our colleagues to learn and grow within our organization, all while providing integrated support to the patient. As part of Hartford HealthCare, we leverage cutting edge technology to provide quality care in our client's home. Most importantly, our colleagues are appreciated for the real differences they make in both the lives of their clients and their clients' families.
Reporting to the Director of Clinical Services, this role ensures the accuracy, compliance, and quality of Outcome and Assessment Information Set (OASIS) assessments by reviewing for regulatory and policy adherence. The individual in this role provides clinical staff with guidance on documentation, utilization, and patient care decisions to support optimal clinical and operational outcomes. They review visit utilization for care appropriateness and collaborate with clinicians on necessary modifications, reporting any potential over or underutilization to leadership. The role requires timely completion of workflows in Homecare Homebase (HCHB) and flexibility to meet agency needs.
Collaboration with teams is key to identifying trends and developing action plans to address them. Participation in quality and performance improvement initiatives is expected, along with supporting the agency's compliance with data submission requirements for regulatory and payor standards.
JOB RESPONSIBILITIES
Reviews OASIS assessments for accuracy, completeness, and regulatory compliance, providing recommendations to ensure quality and reliability.
Guides staff on clinical, documentation, and utilization decisions to improve OASIS accuracy and care quality, recommending cost-effective corrections that support clinical and operational goals.
Reviews visit utilization for appropriate patient care, collaborates and consults clinicians on needed adjustments, and reports utilization concerns and financial risks to the clinical manager. Ensures timely completion of HCHB workflows and maintains a flexible schedule to support agency needs.
Collaborates to identify documentation trends, supports improvement planning, participates in quality initiatives, and helps ensure compliance and accurate data submissions across all settings.
Qualifications:
Degree from an accredited educational program leading to licensure as a Registered Nurse (RN), Physical Therapist (PT), Occupational Therapist (OT), or Speech-Language Pathologist (SLP). Required
Bachelor's degree in nursing, master's degree in PT, OT, SLP preferred
2 years as certified home health clinical management or OASIS reviewer
Homecare Homebase experience required
OASIS Certification and/or Quality/Compliance Certification
3 years as certified home health clinical management or OASIS reviewer preferred
We take great care of careers
With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge - helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving colleagues-- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this is your moment.

Hartford HealthCare at Home logo

About Hartford HealthCare at Home

Sourced by ZipRecruiter

Hartford HealthCare at Home, based in Wethersfield, Connecticut, US, is a premier provider in the healthcare industry, specifically in home-based care services. Their official website can be accessed at hartfordhealthcareathome.org. They offer a wide range of services including nursing, physical therapy, occupational therapy, speech therapy, social work, and home health aid. The company was established with the mission to enhance the capability of people to achieve optimal health and wellbeing through its home care services. They maintain a patient-centric approach and belief in making a real difference in people's lives. As an integral part of Hartford HealthCare, they share the vision to be “most trusted for personalized coordinated care”.

Industry

Health care and social assistance

Company size

201 - 500 Employees

Headquarters location

Wethersfield, CT, US