ZipRecruiter

Log In

3

Part Time Remote Utilization Review Nurse Jobs in Washington

DataAnnotation

LVN

Alexandria, VA · Remote

$40 - $60/hr

MDs, PAs, and Nurses. Benefits ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...

DataAnnotation

Health Plan Liaison

Washington, DC · 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 ...

Maventri

Senior Bookkeeper (Remote)

Ashburn, VA · Remote

$25 - $30/hr

Generate and review financial statements (P&L, Balance Sheet, Cash Flow) * Ensure accounts are ... Hourly rate commensurate with experience * Part-time, remote position Ideal Candidate This role is ...

next page

Showing results 1-20

People also search for

All JobsPart Time Remote Utilization Review Nurse JobsPart Time Remote Utilization Review Nurse Jobs in Washington

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 Washington? The most popular types of Remote Utilization Review Nurse jobs in Washington are:
What are popular job titles related to Part Time Remote Utilization Review Nurse jobs in Washington? For Part Time Remote Utilization Review Nurse jobs in Washington, the most frequently searched job titles are:
What job categories do people searching Part Time Remote Utilization Review Nurse jobs in Washington look for? The top searched job categories for Part Time Remote Utilization Review Nurse jobs in Washington are:
What cities in Washington are hiring for Part Time Remote Utilization Review Nurse jobs? Cities in Washington with the most Part Time Remote Utilization Review Nurse job openings:
Part Time Remote Utilization Review Nurse jobs near you
Licensed Practical Nurse

Licensed Practical Nurse

DataAnnotation

Alexandria, VA • Remote

$40 - $60/hr

Part-time

Posted 2 days ago

Job description

Join the DataAnnotation team and contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and setting your own schedule.

We are looking for a Medical Expert (part-time work from home) to help advance AI development. As a member of DataAnnotation’s Medical team, you’ll be part of a growing community of over 100,000 professionals who are driving real-world impact in AI development.

Our platform offers an engaging blend of flexibility and challenge: you’ll work closely with state-of the art AI models to take on health and medical tasks that include solving challenging problems and synthesizing insights through data analysis and visualization. Your work directly contributes to refining intelligent systems that learn, adapt, and evolve. Some team members fit this work alongside a full-time role, while others treat it as their primary focus, choosing projects and schedules that align with their availability and goals.

To get started, once you sign up for an account, you'll take a short assessment (this serves as our version of an interview). If you pass that assessment, you’ll receive an email confirmation, and paid work will become available to you through our platform.

We are interested in a wide range of expertise, so relevant backgrounds include: MDs, PAs, and Nurses.

Benefits:

  • This a full-time or part-time REMOTE position
  • You’ll be able to choose which projects you want to work on
  • You can work on your own schedule
  • Projects are paid hourly starting at $50–$60 USD per hour, with bonuses on high-quality and high-volume work

Responsibilities:

  • Give AI chatbots diverse and complex healthcare-related problems and evaluate their outputs
  • Evaluate the quality produced by AI models for correctness and performance
  • Ensure the medical accuracy of model performance

Qualifications:

  • Fluency in English (native or bilingual level)
  • A current or in-progress medical degree

Note: Payment is made via PayPal. We will never ask for any money from you. PayPal will handle any currency conversions from USD. This job is only available to those in the US, Canada, UK, Ireland, Australia, and New Zealand. Those located outside of these countries will not see work or assessments available on our site at this time.

#med