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Part Time Remote Utilization Review Jobs in Alabama

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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:
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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
Senior Substation Physical Engineering Specialist

Senior Substation Physical Engineering Specialist

Mesa Associates Inc.

Madison, AL • On-site, Remote

Part-time

Medical, Retirement, PTO

Posted 20 days ago

Job description

PDS - 5 / Power Delivery Substation

This position is not eligible for recruiting or sourcing by outside parties.

Disclaimer: Be cautious and only respond to emails from our “mesainc.com” domain. We will never ask for sensitive information, such as bank account details, SSN, etc., via email. If you receive any communication asking for such information, it is not from Mesa. For any concerns, or to verify the authenticity of a message, please contact us through our official channels.

Mesa seeks a part-time Senior Substation Physical Engineering Specialist who will be responsible for checking and oversite of deliverables associated with substation physical design projects. Assigned tasks will include drawing checking activities for General Arrangements, Elevations and Sections, Control House Layouts, Grounding layouts, Conduit and Cable Schedules, Various Calculations, and Bill of Materials. The ideal candidate will also provide mentorship to other junior engineers and designers.

Job Responsibilities:

  • Check/review junior personnel's work for accuracy/adherence to client and national standards
  • Perform/review project scoping activities
  • Prepare engineering labor cost estimates
  • Mentor junior engineers and designers
  • Willingness to travel is a plus but not required
  • Interface with client engineers to provide satisfactory design products

 

Education/Licensure:

  • A Bachelor’s degree in engineering from and ABET accredited university is preferred
  • Professional Engineer license is a plus but not required

Experience:

  • We are seeking individuals with 20+ years of experience in substation design and engineering.
  • Experience working directly for a utility is a plus but not required.

Work Schedule:

  • Mesa provides a very flexible schedule to all of our associates. This part time position will offer even greater flexibility.
  • We prefer candidates that can dedicate an average of 20+ hours per week.
  • Being willing to work additional hours to meet deadlines may occasionally be requested but is not expected to occur more than a few weeks per year.
  • Willingness to work additional hours on occasion to meet client deadlines is desirable. 

    Location:

    • This position will report to our Knoxville, Tn office.
    • Reporting to the Knoxville office in a Hybrid schedule is preferred but not required.
    • Highly qualified candidates will be considered for fully remote work, but in the Southeast Region due to customer locality.
    • For fully remote workers, quarterly visits to the Knoxville office may be required depending on experience and performance.

    Benefits: 

    • Mesa provides a comprehensive benefits package that includes Health Insurance, 401k matching, PTO, Paid Holidays, fitness benefits, etc.

    Notice to External Search Firms: Mesa Associates, Inc. and its subsidiaries do not accept unsolicited resumes and will not be obligated to pay a placement fee for unsolicited resumes. Mesa Associates, Inc. Talent Acquisition engages with approved search firms directly for specific hiring needs.

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