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Part Time Remote Utilization Review Nurse Jobs in Michigan

Imh

RN Care Manager - PRN

Almont, MI · Remote

$41.20 - $62.17/hr

Demonstrated experience in case management, utilization review, value-based care, and/or discharge ... If applying for a remote or hybrid role, this includes remote work expectations related to ...

Harris

Remote Care Management - CMA

Three Rivers, MI · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Part-time team members will typically need to dedicate an average of 20-30 hours per week to care ... Chart Review: 8 min Outreach Attempts: 6 min Actual Call: 11 min Care Coordination: 9 min Total ...

Harris

Remote Care Management - CMA

Wyoming, MI · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Part-time team members will typically need to dedicate an average of 20-30 hours per week to care ... Chart Review: 8 min Outreach Attempts: 6 min Actual Call: 11 min Care Coordination: 9 min Total ...

Harris

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Part-time team members will typically need to dedicate an average of 20-30 hours per week to care ... Chart Review: 8 min Outreach Attempts: 6 min Actual Call: 11 min Care Coordination: 9 min Total ...

Harris

$10/hr

EXAMPLE: Chart Review 8 min Outreach Attempts: 6 min Actual Call:11 min Care Coordination:9 min ... Graduates from accredited Schools of Nursing (LPN, LVN, RN, BSN, etc.) * Current COMPACT license to ...

SalvoHealth

Medical Assistant, Remote

Detroit, MI · Remote

$18 - $22/hr

... nurses, psychologists, and therapists who have developed our evidence-based protocols, for a ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...

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Part Time Remote Utilization Review Nurse information

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 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.

How does a part time remote utilization review nurse 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 are the key skills and qualifications needed to thrive as a part time remote utilization review nurse?

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.

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:

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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 August 2026, with employment types broken down into 100% Part Time. Highlights an 100% Remote job distribution.

Dietitian- Part Time -Remote, MI

Sanford Health

Iron Mountain, MI • On-site, Remote

Part-time

Re-posted yesterday

Sanford Health rating

6.8

Company rating: 6.8 out of 10

Based on 549 frontline employees who took The Breakroom Quiz

495th of 887 rated healthcare providers

Job description

Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America's heartland.
Work Shift:
Day (United States of America)
Scheduled Weekly Hours:
20
Compensation:
Salary Range: $26.00 - $41.50$5,000 sign on bonus with a 1 year commitment!
Union Position:
No
Department Details
Michigan Registered Dietitian license strongly preferred, CDR required.
Small Critical Access hospital with challenging patient population. Can provide diverse clinical situations at times. Good team to work with over the phone, very responsive.
Summary
Plans, develops, and provides diet interventions, medical nutrition therapy, nutrition care and preventive counseling to individuals and groups in all areas of primary and specialty patient/resident care, acute care, skilled nursing, out-patient, and/or community settings.
Job Description
Provides medical nutrition therapy services and monitors nutritional care of clients/patients/residents of all ages including neonatal, pediatric, adolescent, adult and geriatric as assigned. This includes determination of nutritional status through nutritional assessment, individualized care plans, provider order recommendations and implementation of nutrition therapy (including verbal orders, diet modification, nutrition support, oral nutrition supplements), education and counseling for disease and nutrition risk management, and evaluation of outcomes of medical nutrition therapy interventions. Additionally includes optimization of self-management education and skills in the care of clients/patients/residents with chronic conditions. Ability to recognize, evaluates, and provide for nutritional needs based on cultural, ethnic, and religious beliefs. Evaluates treatments or procedures for effectiveness using an evidence-based approach. Works on nutrition care protocols for the assigned area and acts as leader for the health care team in the implementation of the nutrition therapies. Educates on diet according to disease state, medical condition and health risk.
Incorporates new trends and techniques as necessary to design care plan and update standards of care educational material. Assists in tailoring clinical education and associated materials for use with clients/patients/residents, families and caregivers. Performs quality control and maintains a high standard in relation to infection control mechanisms for safety. Aware and conscious of individual's insurance coverage and reimbursement circumstances, and participates in clinical performance improvement activities, including research that tests new treatments or procedures for clinical evidence of outcomes.
Qualifications
Minimum of a bachelor's degree in dietetics or food and nutrition through an Accreditation Council for Education in Nutrition and Dietetics (ACEND) accredited program. *(After January 1, 2024, the ACEND requires anyone taking the registration exam to become a dietitian have a master's degree. Prior to January 1, 2024, individuals qualifying to take the registration exam need to have the minimum of a bachelor's of science degree in dietetics.)
Clinical nutrition experience through an approved coordinated undergraduate program or successful completion of post graduate internship required.
Currently holds Registered Dietitian (RD) license within the applicable state(s).
Registered by the Commission on Dietetic Registration (CDR) required.
For applicable states, proof of a temporary/limited permit nutritionist license will be considered for registry eligible individuals in the event they are waiting to test for their CDR. Individuals will be allowed two exam attempts within three months of hire into their position.
Sanford is an EEO/AA Employer M/F/Disability/Vet.
If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-949-5678 or send an email to talent@sanfordhealth.org.

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About Sanford Health

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Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.

Industry

Health care and social assistance and hospitals

Company size

10,000+ Employees

Headquarters location

Sioux Falls, SD, US

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