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Part Time Optum Utilization Review Jobs in Chicago, IL

APPRISEMD LLC

Case Preparation Physician

Northbrook, IL · Remote

$28.25/hr

... for utilization review. MD (or equivalent) level training is required but current Board ... This position is remote (work from home) and is part-time, with a focus on weekend hours. Please ...

APPRISEMD LLC

Case Preparation Physician

Northbrook, IL · Remote

$28.25/hr

... for utilization review. MD (or equivalent) level training is required but current Board ... This position is remote (work from home) and is part-time, with a focus on weekend hours. Please ...

APPRISEMD LLC

Case Preparation Physician

Northbrook, IL · Remote

$28.25/hr

... for utilization review. MD (or equivalent) level training is required but current Board ... This position is remote (work from home) and is part-time, with a focus on weekend hours. Please ...

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All JobsOptum Utilization Review JobsPart Time Optum Utilization Review JobsPart Time Optum Utilization Review Jobs in Chicago, IL

Part Time Optum Utilization Review information

See Chicago, IL salary details

$22

$43

$71

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

As of Aug 23, 2026, the average hourly pay for part time optum utilization review in Chicago, IL is $43.56, according to ZipRecruiter salary data. Most workers in this role earn between $34.42 and $50.00 per hour, depending on experience, location, and employer.

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 Chicago, IL?

The most popular types of Optum Utilization Review jobs in Chicago, IL are:

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For Part Time Optum Utilization Review jobs in Chicago, IL, the most frequently searched job titles are:

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The top searched job categories for Part Time Optum Utilization Review jobs in Chicago, IL are:

What cities near Chicago, IL are hiring for Part Time Optum Utilization Review jobs?

Cities near Chicago, IL with the most Part Time Optum Utilization Review job openings:

Part Time Optum Utilization Review jobs near you
Infographic showing various Part Time Optum Utilization Review job openings in Chicago, IL as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 13% Part Time, 3% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $90,598 per year, or $43.6 per hour.

Case Manager - Utilization Review RN

Community First Medical Center

Chicago, IL • On-site

$53/hr

Full-time, Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 26 days ago

Community First Medical Center rating

3.9

Company rating: 3.9 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

1,049th of 1,062 rated hospitals

Job description

Under the general direction of the Director of Behavioral Health, the Case Manager - Utilization Review RN provides clinically based case management and utilization review services to support the delivery of high-quality, cost-effective patient care. The RN is responsible for concurrent utilization review, medical necessity determination, denial prevention, discharge planning, care coordination, and resource management across the continuum of care.
The Case Manager - Utilization Review RN collaborates with physicians, interdisciplinary team members, physician advisors, social workers, revenue cycle staff, and third-party payers to ensure appropriate utilization of hospital resources, regulatory compliance, optimal reimbursement, and safe patient transitions.
Community First Medical Center offers benefits to all its full-time and part-time employees:
  • United Healthcare Medical PPO/HMO/HSA Plans, premiums as low as $50.00/full time, $85.00/Part Time
  • Met Life Dental and Vision
  • Paid Time Off (PTO) with annual accruals up to 168 hrs./year
  • Six paid holidays
  • Company Paid Life insurance and Short-term Disability
  • 401(k) after 90 days
  • Continuing Education reimbursement and 2 days paid off separate from PTO
  • Free Parking Garage
  • Internal Growth Opportunities

Requirements
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.
QUALIFICATIONS
Education
  • Associate Degree in Nursing required.
  • Bachelor of Science in Nursing (BSN) preferred.

Experience
  • Minimum three (3) years of acute care nursing experience required.
  • Minimum two (2) years of Case Management and/or Utilization Review experience preferred.
  • Experience with discharge planning, utilization review, denial management, and payer authorization preferred.

Licensure
  • Current Illinois Registered Nurse license required.
  • ACM, CCM, or CMAC certification preferred.

KNOWLEDGE, SKILLS & ABILITIES
  • Knowledge of Medicare, Medicaid, and commercial insurance regulations.
  • Working knowledge of InterQual and/or MCG criteria.
  • Behavioral Health background knowledge
  • Access to Behavioral Health Networks
  • Understanding of utilization management and care coordination principles.
  • Knowledge of discharge planning and post-acute care resources.
  • Strong analytical and critical thinking skills.
  • Excellent verbal and written communication skills.
  • Ability to prioritize multiple complex patient cases.
  • Ability to build collaborative relationships with physicians and interdisciplinary teams.
  • Computer proficiency and electronic medical record experience.

PERFORMANCE EXPECTATIONS
Success in this role is measured by:
  • Appropriate admission status determination
  • Denial prevention and appeal success
  • Timely discharge planning
  • Reduction in avoidable days
  • Average Length of Stay management
  • Readmission reduction
  • Documentation compliance
  • Regulatory compliance
  • Patient throughput
  • Patient and physician satisfaction

Salary Description
43.47-$53.00

What Community First Medical Center employees say

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