This role will be a part-time position. The Utilization Review Advisor (Advisor) position conducts timely and compliant medical necessity reviews and assists with denials management (facilitating and ...
This role will be a part-time position. The Utilization Review Advisor (Advisor) position conducts timely and compliant medical necessity reviews and assists with denials management (facilitating and ...
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
FTE: Part-Time (.6) ????️ Schedule: Weekend Only (12-hour shifts) Evaluates patient medical ... Three (3) years of utilization review, case management, or third-party payer experience.
FTE: Part-Time (.6) ????️ Schedule: Weekend Only (12-hour shifts) Evaluates patient medical ... Three (3) years of utilization review, case management, or third-party payer experience.
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Employment Type: PART_TIME
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Employment Type: PART_TIME
Gainesville, FL FTE: Part-Time (.6 FTE) ⏰ Schedule: Wednesday - Thursday - 7:00 PM - 7:00 AM ... Minimum of three (3) years of experience in utilization review, utilization management, or case ...
Gainesville, FL FTE: Part-Time (.6 FTE) ⏰ Schedule: Wednesday - Thursday - 7:00 PM - 7:00 AM ... Minimum of three (3) years of experience in utilization review, utilization management, or case ...
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Employment Type: PART_TIME
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Employment Type: PART_TIME
Utilization Specialist LPN
Lafayette, LA · On-site
Overview Vermilion Behavioral Health Systems is seeking a part time with benefits UR Specialist (30 ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Utilization Specialist LPN
Lafayette, LA · On-site
Overview Vermilion Behavioral Health Systems is seeking a part time with benefits UR Specialist (30 ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Vermilion Behavioral Health Systems is seeking a part time with benefits UR Specialist (30-35 hours ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Vermilion Behavioral Health Systems is seeking a part time with benefits UR Specialist (30-35 hours ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Utilization Management Nurse (RN) - Part Time
Annapolis, MD · On-site
$34 - $55/hr
Reviews the medical record by applying utilization review criteria, to assess clinical, financial, and resource utilization; enters clinical review in EPIC; maintains close communication with ...
Utilization Management Nurse (RN) - Part Time
Annapolis, MD · On-site
$34 - $55/hr
Reviews the medical record by applying utilization review criteria, to assess clinical, financial, and resource utilization; enters clinical review in EPIC; maintains close communication with ...
... timely review of healthcare service and coverage denials. In this position, you will evaluate ... You will collaborate closely with Medical Directors, Utilization Management, and Case Management ...
... timely review of healthcare service and coverage denials. In this position, you will evaluate ... You will collaborate closely with Medical Directors, Utilization Management, and Case Management ...
... timely review of healthcare service and coverage denials. In this position, you will evaluate ... You will collaborate closely with Medical Directors, Utilization Management, and Case Management ...
... timely review of healthcare service and coverage denials. In this position, you will evaluate ... You will collaborate closely with Medical Directors, Utilization Management, and Case Management ...
Utilization Mgmt Rep- Per Diem (As Needed)
$20.80 - $31.20/hr
Department: 11215 Advocate Aurora Health Corporate - Utilization Management Status: Part time ... Communicate clinical needs, authorizations, and denials to the Utilization Review Nurses and ...
Utilization Mgmt Rep- Per Diem (As Needed)
$20.80 - $31.20/hr
Department: 11215 Advocate Aurora Health Corporate - Utilization Management Status: Part time ... Communicate clinical needs, authorizations, and denials to the Utilization Review Nurses and ...
HSA with qualifying HDHP plans with company match * 401k plan with company match (Part-time ... A Case Manager/Utilization Review Nurse, in collaboration with patients/families, physicians and ...
Quick apply
HSA with qualifying HDHP plans with company match * 401k plan with company match (Part-time ... A Case Manager/Utilization Review Nurse, in collaboration with patients/families, physicians and ...
As a key member of the hospital's Utilization Review Committee (URC), the Physician Advisor ... This position may be filled on a full-time or part-time basis, with a minimum commitment of 0.5 FTE
As a key member of the hospital's Utilization Review Committee (URC), the Physician Advisor ... This position may be filled on a full-time or part-time basis, with a minimum commitment of 0.5 FTE
Care Management Status: Part time Benefits Eligible: No Hou rs Per Week: 0 Schedule Details ... Communicate clinical needs, authorizations, and denials to the Utilization Review Nurses and ...
Care Management Status: Part time Benefits Eligible: No Hou rs Per Week: 0 Schedule Details ... Communicate clinical needs, authorizations, and denials to the Utilization Review Nurses and ...
Case Manager Temp PT FT Days 8am-4:30pm
Monterey Park, CA · On-site
$35.71 - $40.61/hr
The Case Manager P.T. participates in marketing of the program, obtaining input from the persons service and the ongoing program evaluation, quality improvement and utilization review systems.
Case Manager Temp PT FT Days 8am-4:30pm
Monterey Park, CA · On-site
$35.71 - $40.61/hr
The Case Manager P.T. participates in marketing of the program, obtaining input from the persons service and the ongoing program evaluation, quality improvement and utilization review systems.
Peer Review Nurse
Madera, CA · On-site
$46 - $61.91/hr
Will facilitate the peer review process and attend peer review meetings. Part Time Position with ... and utilization review. Requires proficiency in data abstraction, EHR systems, and critical ...
Peer Review Nurse
Madera, CA · On-site
$46 - $61.91/hr
Will facilitate the peer review process and attend peer review meetings. Part Time Position with ... and utilization review. Requires proficiency in data abstraction, EHR systems, and critical ...
Peer Review Nurse
Madera, CA · On-site
$46 - $61.91/hr
Will facilitate the peer review process and attend peer review meetings. Part Time Position with ... and utilization review. Requires proficiency in data abstraction, EHR systems, and critical ...
Peer Review Nurse
Madera, CA · On-site
$46 - $61.91/hr
Will facilitate the peer review process and attend peer review meetings. Part Time Position with ... and utilization review. Requires proficiency in data abstraction, EHR systems, and critical ...
At least one-year experience in the area of case management/utilization review, preferred Education:UNAVAILABLEEmployment Type: PART_TIME
At least one-year experience in the area of case management/utilization review, preferred Education:UNAVAILABLEEmployment Type: PART_TIME
Part Time Optum Utilization Review information
See salary details
$21.39 - $25.72
2% of jobs
$25.72 - $30.05
9% of jobs
$33.01 is the 25th percentile. Wages below this are outliers.
$30.05 - $34.38
21% of jobs
The median wage is $37.88 / hr.
$34.38 - $38.70
23% of jobs
$38.70 - $43.03
13% of jobs
$46.39 is the 75th percentile. Wages above this are outliers.
$43.03 - $47.36
10% of jobs
$47.36 - $51.68
8% of jobs
$51.68 - $56.01
5% of jobs
$56.01 - $60.34
5% of jobs
$60.34 - $64.66
2% of jobs
$64.66 - $68.99
2% of jobs
$21
$42
$68
How much do part time optum utilization review jobs pay per hour?
What is the difference between Part Time Optum Utilization Review vs Part Time Medical Coder?
| Aspect | Part Time Optum Utilization Review | Part Time Medical Coder |
|---|---|---|
| Credentials | Typically requires healthcare-related certifications, such as RN, LPN, or medical reviewer credentials | Requires coding certifications like CPC, CCS, or CCS-P |
| Work Environment | Remote or office-based, reviewing patient records and insurance claims | Remote or office-based, reviewing and coding medical records |
| Employer & Industry Usage | Used mainly in health insurance and managed care companies like Optum | Used 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.
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- Utilization Review Supervisor

Part-time
Medical, Dental, Vision, PTO
Posted 6 days ago
Inova Health System rating
7.6
Based on 246 frontline employees who took The Breakroom Quiz
188th of 877 rated healthcare providers
Job description
Inova Fairfax Medical Campus is looking for a dedicated physician advisor to join the Utilization Review Advisor team. This role will be a part-time position.
The Utilization Review Advisor (Advisor) position conducts timely and compliant medical necessity reviews and assists with denials management (facilitating and completing peer to peers, writing appeal letters) in support of the centralized system Utilization Review (UR) process for Inova hospital facilities. The Advisor serves an important role in ensuring compliant hospital status/billing for hospital patients. The Advisor interfaces directly with UR nurses and medical staff, providing concurrent communication and education regarding recommended changes in hospital status, pertinent regulatory requirements and guidance impacting the determination, as well as documentation integrity to support medical necessity of services being delivered.
Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation.
Featured Benefits:
Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program.
Retirement: Inova matches the first 5% of eligible contributions - starting on your first day.
Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans.
Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.
Work/Life Balance: offering paid time off, paid parental leave, flexible work schedules, and remote and hybrid career opportunities.
MD Physician Advisor Additional Requirements:
- Completion of an accredited residency training program
- Active and unrestricted state Virginia medical license
- Board certification in specialty required at time of hire
- Possess or acquire a working knowledge of CMS regulatory guidance and requirements as they pertain to UR and site of service decisions
- Possess a working knowledge of clinical documentation integrity, hospital billing and coding processes and guidelines, case mix index, and DRG assignments
- Familiarity with standard published leveling criteria such as MCG/Interqual and ability to apply professional judgment and patient specific variables as may be necessary or justifiable
- Familiarity with (Hospital) organization and case management operations
- Excellent customer service and interpersonal skills
- Able to effectively present information, both formal and informal
- Superb written and verbal communications skills
- Ability to set and manage priorities
- Demonstrate flexibility, teamwork, and a collaborative leadership style
- Strong technical/computer
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