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Part Time Remote Utilization Review Jobs in Alabama

Harris

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 ...

Mesa Associates, Inc.

Owner's Engineer

Madison, AL · On-site +1

$74K - $98K/yr

This is a part-time, long-term position. Job Responsibilities: * Review engineering deliverables ... For fully remote workers, quarterly visits to the Knoxville office may be required depending on ...

Mesa Associates Inc.

Owner's Engineer

Madison, AL · On-site +1

$74K - $98K/yr

This is a part-time, long-term position. Job Responsibilities: * Review engineering deliverables ... For fully remote workers, quarterly visits to the Knoxville office may be required depending on ...

Urrly

Telehealth Nurse Practitioner

Huntsville, AL · Remote

$600 - $720/day

Location/Type: Alabama Remote (No travel) * Pay: $600-$720/day (1099 contractor, based on ... Review medical history, medications, preventive needs * Document visits using ICD-10 and CPT II ...

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All JobsUtilization Review JobsPart Time Remote Utilization Review JobsPart Time Remote Utilization Review Jobs in Alabama

Part Time Remote Utilization Review 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 a current RN license, strong clinical judgment, and in-depth knowledge of medical necessity criteria and healthcare regulations. Familiarity with utilization management software, electronic health records (EHRs), and systems such as InterQual or MCG is typically required. Excellent communication, critical thinking, and self-motivation are vital soft skills for coordinating care and making independent decisions remotely. These skills ensure accurate case evaluations, regulatory compliance, and effective collaboration with healthcare teams while working from a remote setting.

What is the difference between Part Time Remote Utilization Review vs Part Time Remote Claims Reviewer?

AspectPart Time Remote Utilization ReviewPart Time Remote Claims Reviewer
CredentialsTypically requires healthcare licenses (e.g., RN, MD) and utilization review certificationsUsually requires insurance or claims processing experience, with some industry-specific certifications
Work EnvironmentRemote, healthcare-focused, reviewing medical necessity and appropriateness of careRemote, insurance or healthcare claims processing, verifying coverage and claims accuracy
Employer & Industry UsageHospitals, insurance companies, healthcare organizationsInsurance companies, third-party administrators, healthcare payers

Part Time Remote Utilization Review and Part Time Remote Claims Reviewer both operate remotely but focus on different aspects of healthcare administration. Utilization reviewers assess medical necessity, while claims reviewers verify insurance claims. Understanding these differences helps job seekers find roles aligned with their skills and credentials.

What is a Part Time Remote Utilization Review position?

A Part Time Remote Utilization Review position involves evaluating medical records and healthcare services to ensure they are necessary and appropriate, typically for insurance companies or healthcare providers. This job is performed remotely, allowing professionals to work from home or another location outside of a traditional office setting. Part-time roles generally require fewer hours than full-time positions, making them suitable for those seeking flexible schedules. Professionals in this role often have backgrounds in nursing or healthcare and use their expertise to review patient care for quality and cost-effectiveness.

What are the typical challenges faced by part-time remote utilization review professionals, and how can they be managed?

Part-time remote utilization review professionals often face challenges such as balancing a variable workload, ensuring timely communication with healthcare providers, and staying current with changing insurance guidelines. Since much of the work is done independently, strong time management and self-motivation are essential to meet review deadlines. Regularly scheduled check-ins with the team and utilizing digital collaboration tools can help maintain connectivity and support. Staying organized and proactive in seeking clarification when needed can mitigate common challenges and lead to a successful experience in this role.
What are the most commonly searched types of Remote Utilization Review jobs in Alabama? The most popular types of Remote Utilization Review jobs in Alabama are:
What are popular job titles related to Part Time Remote Utilization Review jobs in Alabama? For Part Time Remote Utilization Review jobs in Alabama, the most frequently searched job titles are:
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What cities in Alabama are hiring for Part Time Remote Utilization Review jobs? Cities in Alabama with the most Part Time Remote Utilization Review job openings:
Part Time Remote Utilization Review jobs near you
Medical Assistant (Part-Time -Remote )

Medical Assistant (Part-Time -Remote )

PharmD Live

Birmingham, AL • Remote

$16 - $18/hr

Part-time

Posted 17 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

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