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Part Time Remote Utilization Review Nurse Jobs in Alabama

DataAnnotation

Community Health Worker

Montgomery, AL · Remote

$50/hr

... Utilization Management. Benefits Full-time or part-time remote position Choose which projects you want to work on Flexible schedule Projects are paid hourly starting at $50+ per hour Bonuses ...

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Part Time Remote Utilization Review Nurse information

What are the key skills and qualifications needed to thrive as a Part Time Remote Utilization Review Nurse, and why are they important?

To thrive as a Part Time Remote Utilization Review Nurse, you need an active RN license, strong clinical judgment, and experience in case management or utilization review. Familiarity with medical coding systems (like ICD-10 and CPT), healthcare management software, and payer guidelines is often required. Excellent written communication, attention to detail, and the ability to work independently are essential soft skills for remote success. These competencies ensure accurate review of medical records, compliance with regulations, and effective coordination with healthcare teams while working remotely.

How do part-time remote Utilization Review Nurses typically collaborate with physicians and other healthcare professionals?

Part-time remote Utilization Review Nurses often communicate with physicians, case managers, and insurance representatives through secure digital platforms, emails, and scheduled virtual meetings. They review patient records and coordinate care authorizations, frequently clarifying clinical information or policy requirements with providers. Balancing asynchronous communication and timely responses is essential, as collaboration impacts both patient outcomes and reimbursement processes. Building strong professional relationships and maintaining clear documentation are key to effective teamwork in this remote setting.

What does a Part Time Remote Utilization Review Nurse do?

A Part Time Remote Utilization Review Nurse evaluates medical records and treatment plans to ensure that healthcare services are medically necessary and comply with insurance guidelines. Working remotely, they review patient cases, communicate with healthcare providers, and make recommendations on the appropriateness of care. Their role helps manage healthcare costs and ensures patients receive appropriate care while adhering to regulatory and insurance standards.

What is the difference between Part Time Remote Utilization Review Nurse vs Part Time Remote Case Manager?

AspectPart Time Remote Utilization Review NursePart Time Remote Case Manager
CredentialsRN license, certifications in utilization review (e.g., CUC, URAC)RN or social work license, case management certification (e.g., CCM)
Work EnvironmentRemote, reviewing medical records and authorizationsRemote, coordinating care and discharge planning
Employer & IndustryInsurance companies, healthcare providers, third-party administratorsInsurance companies, healthcare organizations, managed care firms

The Part Time Remote Utilization Review Nurse primarily evaluates medical necessity for insurance approvals, focusing on documentation review. In contrast, the Part Time Remote Case Manager manages patient care plans, coordinating services and discharge planning. Both roles are remote, require healthcare credentials, and are common in the insurance and healthcare industries, but they differ in daily responsibilities and focus areas.

What are the most commonly searched types of Remote Utilization Review Nurse jobs in Alabama? The most popular types of Remote Utilization Review Nurse jobs in Alabama are:
What are popular job titles related to Part Time Remote Utilization Review Nurse jobs in Alabama? For Part Time Remote Utilization Review Nurse jobs in Alabama, the most frequently searched job titles are:
What job categories do people searching Part Time Remote Utilization Review Nurse jobs in Alabama look for? The top searched job categories for Part Time Remote Utilization Review Nurse jobs in Alabama are:
What cities in Alabama are hiring for Part Time Remote Utilization Review Nurse jobs? Cities in Alabama with the most Part Time Remote Utilization Review Nurse job openings:
Part Time Remote Utilization Review Nurse jobs near you
Infographic showing various Part Time Remote Utilization Review Nurse job openings in Alabama as of May 2026, with employment types broken down into 2% As Needed, 78% Full Time, 10% Part Time, and 10% Contract. Highlights an 86% Physical, 3% Hybrid, and 11% Remote job distribution.
Medical Assistant (Part-Time -Remote )

Medical Assistant (Part-Time -Remote )

PharmD Live

Birmingham, AL • Remote

$16 - $18/hr

Part-time

Posted 2 days ago

Job description

Medical Assistant - (Part-Time)

Schedule: Monday-Friday | 2:00 PM - 7:00 PM CST
Location: Remote
Employment Type: Part-Time
Compensation: $16-$18 per hour (based on experience)

Position Overview

We are seeking a detail-oriented and patient-focused Medical Assistant to support a telehealth and care management program in a structured, high-volume outreach environment.

This role blends traditional Medical Assistant responsibilities with phone-based patient engagement. The majority of the shift will involve outbound patient outreach, appointment scheduling, and documentation; however, candidates must also be comfortable performing core clinical support duties in a remote setting.

This is not an in-clinic position. The work is conducted remotely and requires strong communication skills, efficiency, and comfort working within defined performance metrics.

Core Responsibilities

Patient Outreach & Scheduling

  • Conduct high-volume outbound and inbound patient calls during scheduled shift
  • Schedule Annual Wellness Visits and care management appointments
  • Provide professional patient education regarding preventive services
  • Meet daily outreach and scheduling performance targets

Medical Assistant Support Duties

  • Perform medication reconciliation with patients
  • Update medical histories, allergies, and preventive care gaps
  • Collect and document patient-reported vitals when applicable
  • Prepare charts for provider review
  • Ensure accurate documentation within the EHR
  • Support care coordination and follow-up activities

Compliance & Documentation

  • Maintain HIPAA compliance at all times
  • Accurately document all patient interactions in the EHR
  • Escalate clinical concerns to supervising providers as appropriate

What This Role Requires

  • Comfort making 50-80 patient calls per shift
  • Strong phone presence and ability to engage Medicare-aged patients
  • Ability to work efficiently in a fast-paced, structured environment
  • Excellent multitasking and documentation skills
  • Professionalism and resilience when handling objections or voicemail-heavy outreach

Qualifications

  • Medical Assistant certification or equivalent healthcare experience required
  • Prior experience in a medical office, primary care, or care coordination setting
  • Prior call center experience strongly preferred
  • Familiarity with Epic, NextGen, or similar EHR systems preferred
  • Experience working with Medicare populations preferred

Ideal Candidate Profile

  • Self-motivated and disciplined in a remote setting
  • Comfortable with performance metrics and call volume expectations
  • Detail-oriented and clinically accurate
  • Reliable and punctual for scheduled shift
  • Able to balance patient empathy with efficiency

Apply