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Part Time Remote Utilization Review Nurse Jobs in Michigan

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Peer Review Coordinator

Lansing, MI · Remote

$20/hr

We are looking for a Peer Review Coordinator to join our team to train AI models. You will measure ... Benefits Full-time or part-time remote position Choose which projects you want to work on Flexible ...

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Community Health Worker

Lansing, MI · 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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Clinical Pharmacist

Lansing, MI · 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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Health Plan Liaison

Lansing, MI · 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 popular job titles related to Part Time Remote Utilization Review Nurse jobs in Michigan? For Part Time Remote Utilization Review Nurse jobs in Michigan, the most frequently searched job titles are:
What job categories do people searching Part Time Remote Utilization Review Nurse jobs in Michigan look for? The top searched job categories for Part Time Remote Utilization Review Nurse jobs in Michigan are:
What cities in Michigan are hiring for Part Time Remote Utilization Review Nurse jobs? Cities in Michigan 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 Michigan as of May 2026, with employment types broken down into 100% Part Time. Highlights an 100% Remote job distribution.
Peer Review Coordinator

Peer Review Coordinator

DataAnnotation

Lansing, MI • Remote

$20/hr

Full-time, Part-time, Contractor

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

Job description

We are looking for a Peer Review Coordinator to join our team to train AI models. You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of each model. In this role, you will need to be an expert in healthcare.

We are interested in a wide range of expertise, so relevant backgrounds include Revenue Cycle Management & Patient Finance, Pharmacy Operations (Pharm Tech), Laboratory Services and Operations (Lab Tech), and Clinical Support & Ambulatory Operations. Benefits Full-time or part-time remote position Choose which projects you want to work on Flexible schedule Projects are paid hourly starting at $20+ per hour Bonuses available for high-quality and high-volume work Responsibilities Provide AI chatbots with diverse and complex healthcare-related problems Evaluate AI outputs for logic, accuracy, and performance Ensure the medical accuracy and overall quality of model responses Qualifications Fluency in English (native or bilingual level) A current or in-progress medical or healthcare-related degree Notes: Payment is made via PayPal. We will never ask you for any money.

PayPal will handle any currency conversions from USD. Only applicants in the United States will be considered for this role. This is an independent contractor position.

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