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Part Time Optum Utilization Review information

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$42

$68

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

As of Jul 20, 2026, the average hourly pay for part time optum utilization review in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 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.

More about Part Time Optum Utilization Review jobs
What cities are hiring for Part Time Optum Utilization Review jobs? Cities with the most Part Time Optum Utilization Review job openings:
What are the most commonly searched types of Optum Utilization Review jobs? The most popular types of Optum Utilization Review jobs are:
What states have the most Part Time Optum Utilization Review jobs? States with the most job openings for Part Time Optum Utilization Review jobs include:
What job categories do people searching Part Time Optum Utilization Review jobs look for? The top searched job categories for Part Time Optum Utilization Review jobs are:
Part Time Optum Utilization Review jobs near you
Infographic showing various Part Time Optum Utilization Review job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 82% Full Time, 11% Part Time, and 6% Summer. Highlights an 92% Physical, and 8% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.
RN Utilization Review - Patient & Family Services - Per Diem

RN Utilization Review - Patient & Family Services - Per Diem

solutionhealth

Nashua, NH • On-site

Part-time

Medical, Dental, Vision, Life, Retirement

Re-posted 2 days ago

Job description

Come work at the best place to give and receive care!

Job Description:

This Role is On-Site

Who We Are:

Southern NH Medical Centers strives to keep patients on a continuous track to discharge and receive the continuity of care that our patients and their families need. Our Patient and Family Services Department is the driving force to assure communication, respect, and safety follows our patients throughout the admission phase, all the way through the discharge process. This department includes a dedicated team of Case Managers, Social Workers, and Interpreters that ensure that all care is equal, and our patient's dignity is maintained above all else.

About the Job:

The Utilization Review/Denial Specialist works with the care team to evaluate medical acuity for the appropriate level of care orders and documentation to facilitate insurance coverage, and proactively prevent denials. This specialist ensures level of care charges are applied accurately and meet compliance with CMS and commercial insurance guidelines as well as reviewing appeal options for medical necessity insurance denials

What You'll Do:

  • Assess acute medical necessity utilizing appropriate criteria.
  • Collect and trend Utilization Review data metrics.
  • Review appeal options for commercial insurance, RAC, and QIO medical necessity denials.
  • Understand and apply CMSRegulations to meet compliance

Who You Are:

  • Current NH Nursing License as a Registered Nurse.
    • ASN accepted; BSN required within 10 years of hire.
  • A minimum of 5-years' of experience as a Registered Nurse.
  • Experience in use of Interqual, Milliman or other Healthcare acute criteria preferred.

Why You'll Love Us:

  • Health, dental, prescription, and vision coverage for full-time & part-time employees
  • Short-term, long-term disability, life & pet insurance
  • Student Loan Forgiveness & Discounts
  • 403(b) Retirement savings plans
  • Continuous earned time accrual

& So much more!

Work Shift:

Per diem weekends and holiday. Other days available if staff have availability.

SolutionHealth is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law.

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