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Part Time Remote Utilization Review Nurse Jobs in Riverside, CA

Partners Personnel

Technical Recruiter

San Jacinto, CA · Remote

$30/hr

We are seeking a Part-Time Technical Recruiter to provide temporary support for approximately 90 ... Source, review, and screen applicants to identify qualified candidates * Maintain an active ...

IQVIA

Clinical Trial Psych Rater

Moreno Valley, CA · Remote

Remote/Virtual Hours: Estimated 10-16 hours per month Role: Clinical Specialist About IQVIA IQVIA ... This position involves reviewing scales administered by raters to confirm standardized assessment ...

IQVIA

Clinical Trial Psych Rater

Colton, CA · Remote

Remote/Virtual Hours: Estimated 10-16 hours per month Role: Clinical Specialist About IQVIA IQVIA ... This position involves reviewing scales administered by raters to confirm standardized assessment ...

IQVIA

Clinical Trial Psych Rater

Riverside, CA · Remote

Remote/Virtual Hours: Estimated 10-16 hours per month Role: Clinical Specialist About IQVIA IQVIA ... This position involves reviewing scales administered by raters to confirm standardized assessment ...

Novel Prep

Speech & Debate Coach

Irvine, CA · Remote

$50 - $80/hr

This is a fully remote, part-time position with compensation based on assigned students and ... Conduct post-round ballot reviews and analyze judges' Reason for Decision (RFD) to help students ...

Orlando Health

Finance Business Manager

Anaheim, CA · Remote

$145K - $165K/yr

Review financial transactions and reporting for accuracy, completeness, and compliance. * Lead ... Ability to work independently while collaborating effectively with remote teams. * Comfortable ...

New

Orlando Health

Finance Performance Manager

Irvine, CA · Remote

$145K - $165K/yr

Review financial transactions and reporting for accuracy, completeness, and compliance. * Lead ... Ability to work independently while collaborating effectively with remote teams. * Comfortable ...

New

Orlando Health

Finance Strategy Manager

Riverside, CA · Remote

$145K - $165K/yr

Review financial transactions and reporting for accuracy, completeness, and compliance. * Lead ... Ability to work independently while collaborating effectively with remote teams. * Comfortable ...

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All JobsUtilization Review Nurse JobsPart Time Remote Utilization Review Nurse JobsPart Time Remote Utilization Review Nurse Jobs in Riverside, CA

Part Time Remote Utilization Review Nurse information

See Riverside, CA salary details

$22

$44

$71

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

As of Aug 29, 2026, the average hourly pay for part time remote utilization review nurse in Riverside, CA is $44.11, according to ZipRecruiter salary data. Most workers in this role earn between $34.86 and $50.67 per hour, depending on experience, location, and employer.

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 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.

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 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 Riverside, CA?

For Part Time Remote Utilization Review Nurse jobs in Riverside, CA, the most frequently searched job titles are:

What job categories do people searching Part Time Remote Utilization Review Nurse jobs in Riverside, CA look for?

The top searched job categories for Part Time Remote Utilization Review Nurse jobs in Riverside, CA are:

What cities near Riverside, CA are hiring for Part Time Remote Utilization Review Nurse jobs?

Cities near Riverside, CA 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 Riverside, CA as of August 2026, with employment types broken down into 100% Part Time. Highlights an 100% Remote job distribution, with an average salary of $91,752 per year, or $44.1 per hour.

Part Time Family Medical MD Director (Remote) - AMAZING PAY OPPT

Irvine, CA • Remote

Lifeline Clinical Laboratory
See more jobs at Lifeline Clinical Laboratoryexternal

Part-time

Posted 4 days ago

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Job description

Part Time Family Medical MD Director (Remote) - AMAZING PAY OPPORTUNITY

MUST BE CALIFORNIA-LICENSED MD in California


Job Description

We are seeking a seasoned, California-licensed MD Medical Director to provide remote clinical and administrative oversight for our clinics in the greater Los Angeles area.


As a Medical Director, you will oversee several clinics (2-3 clinics), which provide more flexibility and ability to maximize your income compare to a single-site role.

This is an ideal, part-time opportunity for a retired or close to experienced physician who is looking to apply their extensive medical expertise in a leadership capacity without the demands of a full-time, on-site role. The Medical Director will be a vital part of our leadership team, focused on upholding the highest standards of patient care and clinical excellence.

Key Responsibilities

  • Quality and Compliance: Remotely develop, implement, and monitor clinical protocols and quality assurance programs to ensure patient care meets or exceeds California state and federal regulations.
  • Administrative Oversight: Conduct virtual meetings and reviews to oversee medical operations, policy development, and staff training.
  • Risk Management: Provide remote guidance on best practices for a safe, efficient healthcare environment.
  • Virtual Collaboration: Act as a remote liaison between the clinical staff and administrative leadership, collaborating on strategic planning and continuous improvement initiatives via video conferencing and other digital tools.

Qualifications

  • Licensure: Must be a licensed M.D. or D.O. in good standing with the Medical Board of California.
  • Experience:
    • Minimum of 5-10 years of experience as a practicing physician in Internal Medicine.
  • Skills:
    • Deep understanding of healthcare regulations, compliance (HIPAA, CMS), and quality improvement methodologies.
    • Proficiency with electronic health records (EHR) and comfortable using video conferencing and other remote collaboration tools.
  • Personal Attributes:
    • A strong history of practice in California is highly valued.