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Part Time Remote Utilization Review Jobs in Kentucky

micro1 AI

Corporate Funds Legal Consultant

Louisville, KY · Remote

$90 - $130/hr

Remote We are seeking seasoned Funds Attorneys for a part-time role at the forefront of legal AI ... In this role, you will review, assess, and contribute to contract redlining workflows used to train ...

micro1 AI

Lawyer (Asset Management)

Lexington, KY · Remote

$90 - $130/hr

Remote We are seeking seasoned Funds Attorneys for a part-time role at the forefront of legal AI ... In this role, you will review, assess, and contribute to contract redlining workflows used to train ...

micro1 AI

Commercial Counsel

Lexington, KY · Remote

$90 - $130/hr

Remote Job Summary: We are seeking seasoned in-house transactional attorneys for a part-time role ... In this role, you will review, assess, and contribute to contract redlining workflows used to train ...

micro1 AI

Corporate Transactions Attorney

Lexington, KY · Remote

$90 - $130/hr

Remote We are seeking seasoned M&A attorneys for a part-time role at the forefront of legal AI ... In this role, you will review, assess, and contribute to contract redlining workflows used to train ...

micro1 AI

Corporate Transactions Attorney

Louisville, KY · Remote

$90 - $130/hr

Remote We are seeking seasoned M&A attorneys for a part-time role at the forefront of legal AI ... In this role, you will review, assess, and contribute to contract redlining workflows used to train ...

micro1 AI

Corporate M&A Associate

Louisville, KY · Remote

$90 - $130/hr

Remote We are seeking seasoned M&A attorneys for a part-time role at the forefront of legal AI ... In this role, you will review, assess, and contribute to contract redlining workflows used to train ...

micro1 AI

Corporate M&A Associate

Lexington, KY · Remote

$90 - $130/hr

Remote We are seeking seasoned M&A attorneys for a part-time role at the forefront of legal AI ... In this role, you will review, assess, and contribute to contract redlining workflows used to train ...

micro1 AI

Commercial Counsel

Louisville, KY · Remote

$90 - $130/hr

Remote Job Summary: We are seeking seasoned in-house transactional attorneys for a part-time role ... In this role, you will review, assess, and contribute to contract redlining workflows used to train ...

micro1 AI

Lawyer (Asset Management)

Louisville, KY · Remote

$90 - $130/hr

Remote We are seeking seasoned Funds Attorneys for a part-time role at the forefront of legal AI ... In this role, you will review, assess, and contribute to contract redlining workflows used to train ...

micro1 AI

Transaction Attorney

Lexington, KY · Remote

$90 - $130/hr

Remote We are seeking seasoned M&A attorneys for a part-time role at the forefront of legal AI ... In this role, you will review, assess, and contribute to contract redlining workflows used to train ...

micro1 AI

Corporate Funds Legal Consultant

Lexington, KY · Remote

$90 - $130/hr

Remote We are seeking seasoned Funds Attorneys for a part-time role at the forefront of legal AI ... In this role, you will review, assess, and contribute to contract redlining workflows used to train ...

micro1 AI

Transaction Attorney

Louisville, KY · Remote

$90 - $130/hr

Remote We are seeking seasoned M&A attorneys for a part-time role at the forefront of legal AI ... In this role, you will review, assess, and contribute to contract redlining workflows used to train ...

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Showing results 21-40

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

Part Time Remote Utilization Review information

What skills and qualifications are needed for a part time remote utilization review?

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?

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 challenges do part time remote utilization review professionals face, 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 Kentucky? The most popular types of Remote Utilization Review jobs in Kentucky are:
What are popular job titles related to Part Time Remote Utilization Review jobs in Kentucky? For Part Time Remote Utilization Review jobs in Kentucky, the most frequently searched job titles are:
What job categories do people searching Part Time Remote Utilization Review jobs in Kentucky look for? The top searched job categories for Part Time Remote Utilization Review jobs in Kentucky are:
What cities in Kentucky are hiring for Part Time Remote Utilization Review jobs? Cities in Kentucky with the most Part Time Remote Utilization Review job openings:
Part Time Remote Utilization Review jobs near you
Infographic showing various Part Time Remote Utilization Review job openings in Kentucky as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution.

Tele-Triage Registered Nurse - RN

BrightSpring

Louisville, KY • Remote

$35/hr

Part-time

Posted 4 days ago

Job description

Our Company
Starting Point Nursing Services
Overview
Part Time Tele-Triage (Fully Remote) Registered Nurse Position:

*Must have compact state RN licensure from the state in which you currently reside
*Remote Triage & Home Health RN experience highly preferred
*Potential Start Date: 9/14/26
New Available PART TIME Schedules:
*Wednesday, 6p-10p CST (7p-11p EST) and Thursday, Friday & Saturday from 2p-10p CST (3p-11p EST)
This Registered Nurse provides On-Call and Triage for the assigned population in accordance with triage protocols. This position remotely develops/implements care plans for persons served in the area of responsibility. The Tele-Triage RN assesses health status, identifies problems and needs of person(s) served in their assigned caseload, develops nursing care plans in collaboration with operations RN's. You will complete chart reviews and monthly host home reviews and perform On-Bound calling to assigned populations/locations. This RN performs data analysis in multiple systems.
Responsibilities
  • Monitor assigned phone lines during service hours to ensure timely response for caller needs
  • Triage all symptom-based calls and give recommendations according to the approved triage protocol
  • Triage patients by assessing severity of symptoms and referral to appropriate setting or level of care
  • Document in real time all care related recommendations and ensure local operations are notified of triage supports and outcomes
  • Initiate contact with acute care setting to coordinate services for clients receiving care in the ED/Hospital and coordinate the discharge planning; Notify operations of triage recommendations
  • Coordinate any medication orders with the assigned pharmacy and update MAR/QuickMar for appropriate administration
  • Work assigned prior authorizations to ensure timely documentation and submit to assigned pharmacy for billing
  • Complete/conduct assessment and reassessment of persons served as assigned
  • Develop/update care plans and determine persons served needs and secure physicians orders as needed
  • Communicate with beneficiaries primarily phone, text, online (web) chat, or email
  • Ensure compliance with state/local/payer requirements through review of documentation
  • Provide coaching and education related to the health and well-being of persons served
  • Participate in performance improvement activities and maintain ongoing clinical knowledge through internal/external training programs
  • Document above actions in Nurse's Notes or Service Delivery Log
  • Maintain time sheet log for weekly submission for productivity management to assigned supervisor
  • Notify each practice, physician, and/or managed care client of all encounters with patients, parents, or managed care clients regardless of follow-up needs before office opening
  • Notify designated leadership of operational concerns
  • Actively participate in applicable meetings and committees as requested (e.g., IDT, HRC, Safety/Quality committee, and annual person served directed/active treatment plan meetings)

Qualifications
  • Degree/certification from an accredited school of nursing
  • Current licensure as a Registered Nurse (RN) in the state of practice, which is current and remains in good standing. Must have a compact state RN license.
  • Clinical experience in providing services and supports to individuals with intellectual and developmental disabilities, home health and Hospice patients or related disorders
  • Two year Home Health nursing experience

About our Line of Business
Starting Point Nursing Services, an affiliate of BrightSpring Health Services, is staffed 100% by a team of remote registered nurses trained to support the post-acute continuum with clinical advice and interventions. Our 24/7 On-Call and Triage team responds to physician practices, home health agencies, intellectual disability providers, and assisted living providers. Our services are tailored to our partners, including remote physical/chart assessments, predictive care modeling, clinical programming interventions for high-risk populations, emergent care coordination, and case management. For more information, please visit www.startingpointnursing.com. Follow us on LinkedIn.
Salary Range
USD $33.00 - $35.00 / Hour