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Part Time Remote Utilization Review Nurse Jobs (NOW HIRING)

Deliver remote, evidence-based therapy to adult clients (18+), practicing modalities like CBT, DBT ... Application Review: We'll promptly review your application to ensure you meet the minimum ...

Deliver remote, evidence-based therapy to adult clients (18+), practicing modalities like CBT, DBT ... Application Review: We'll promptly review your application to ensure you meet the minimum ...

Deliver remote, evidence-based therapy to adult clients (18+), practicing modalities like CBT, DBT ... Application Review: We'll promptly review your application to ensure you meet the minimum ...

Deliver remote, evidence-based therapy to adult clients (18+), practicing modalities like CBT, DBT ... Application Review: We'll promptly review your application to ensure you meet the minimum ...

Deliver remote, evidence-based therapy to adult clients (18+), practicing modalities like CBT, DBT ... Application Review: We'll promptly review your application to ensure you meet the minimum ...

Deliver remote, evidence-based therapy to adult clients (18+), practicing modalities like CBT, DBT ... Application Review: We'll promptly review your application to ensure you meet the minimum ...

Deliver remote, evidence-based therapy to adult clients (18+), practicing modalities like CBT, DBT ... Application Review: We'll promptly review your application to ensure you meet the minimum ...

Deliver remote, evidence-based therapy to adult clients (18+), practicing modalities like CBT, DBT ... Application Review: We'll promptly review your application to ensure you meet the minimum ...

Deliver remote, evidence-based therapy to adult clients (18+), practicing modalities like CBT, DBT ... Application Review: We'll promptly review your application to ensure you meet the minimum ...

Deliver remote, evidence-based therapy to adult clients (18+), practicing modalities like CBT, DBT ... Application Review: We'll promptly review your application to ensure you meet the minimum ...

Remote National Medical Director

Afton, TX · On-site +1

$236.50K - $449.30K/yr

Performs medical review activities pertaining to utilization review, quality assurance, and medical ... or part-time status. Total compensation may also include additional forms of incentives. Benefits ...

Remote Medical Director, Appeals

Jefferson City, MO · On-site +1

$236.50K - $449.30K/yr

Performs medical review activities pertaining to utilization review, quality assurance, and medical ... or part-time status. Total compensation may also include additional forms of incentives. Benefits ...

Remote Medical Director, Appeals

Kansas City, MO · On-site +1

$236.50K - $449.30K/yr

Performs medical review activities pertaining to utilization review, quality assurance, and medical ... or part-time status. Total compensation may also include additional forms of incentives. Benefits ...

Remote Medical Director, Appeals

Florissant, MO · On-site +1

$236.50K - $449.30K/yr

Performs medical review activities pertaining to utilization review, quality assurance, and medical ... or part-time status. Total compensation may also include additional forms of incentives. Benefits ...

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Part Time Remote Utilization Review Nurse information

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$42

$68

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

As of May 30, 2026, the average hourly pay for part time remote utilization review nurse in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.

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.

More about Part Time Remote Utilization Review Nurse jobs
What cities are hiring for Part Time Remote Utilization Review Nurse jobs? Cities with the most Part Time Remote Utilization Review Nurse job openings:
What are the most commonly searched types of Remote Utilization Review Nurse jobs? The most popular types of Remote Utilization Review Nurse jobs are:
What states have the most Part Time Remote Utilization Review Nurse jobs? States with the most job openings for Part Time Remote Utilization Review Nurse jobs include:
Infographic showing various Part Time Remote Utilization Review Nurse job openings in the United States as of May 2026, with employment types broken down into 4% As Needed, 88% Full Time, 4% Part Time, and 4% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.
Medical Assistant (Part-Time -Remote )

Medical Assistant (Part-Time -Remote )

PharmD Live

Birmingham, AL • On-site, Remote

$16 - $18/hr

Part-time

Posted 4 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