ZipRecruiter

Log In

3

Part Time Remote Utilization Review Jobs in New York

Centerbrite

BCBA (Part-time) (Remote)

Newark, NJ · Remote

$90 - $110/hr

BCBA (Board Certified Behavior Analyst) - Part-time $100110/hr Flexible Schedule Hybrid (Remote ... Own documentation quality , utilization reviews, and oversight of treatment plans * Supervise RBTs ...

YO AI Labs

AI Consulting Expert - Remote

New York, NY · Remote

$100 - $200/hr

Contractor (Part-Time) Location: Remote Job Overview We are seeking experienced AI Consulting ... In this role, you will evaluate, review, and refine AI-generated business content, helping enhance ...

next page

Showing results 1-20

All JobsUtilization Review JobsPart Time Remote Utilization Review JobsPart Time Remote Utilization Review Jobs in New York

Part Time Remote Utilization Review information

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 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 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 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 are the most commonly searched types of Remote Utilization Review jobs in New York?

The most popular types of Remote Utilization Review jobs in New York are:

What are popular job titles related to Part Time Remote Utilization Review jobs in New York?

For Part Time Remote Utilization Review jobs in New York, the most frequently searched job titles are:

What job categories do people searching Part Time Remote Utilization Review jobs in New York look for?

The top searched job categories for Part Time Remote Utilization Review jobs in New York are:

What cities in New York are hiring for Part Time Remote Utilization Review jobs?

Cities in New York with the most Part Time Remote Utilization Review job openings:

Part Time Remote Utilization Review jobs near you

BCBA (Part-time) (Remote)

Centerbrite

Newark, NJ • Remote

$90 - $110/hr

Full-time, Part-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 15 days ago

Job description

BCBA (Board Certified Behavior Analyst) - Part-time

$100110/hr Flexible Schedule Hybrid (Remote + In-person)

A rare opportunity to join a growing ABA practice as an early team member, with a real voice in shaping how we care for children and families - and the culture we build together.

The role is flexible from the start: come in part-time and grow into full-time if and when it works for you. You'll work closely with experienced clinical advisors, backed by a leadership team that's built and run ABA organizations before - real mentorship and support, not autonomy without a net.

What you'll do:

  • Carry and manage a client caseload, serving as the clinical standard-bearer for the organization
  • Own documentation quality, utilization reviews, and oversight of treatment plans
  • Supervise RBTs across active cases, ensuring treatment fidelity and consistent skill-building

What's different here:

  • Mentorship: work directly alongside our Clinical Team you'll be supported, not thrown in the deep end
  • Flexibility: start at 1020 hours/week and grow into full-time if and when it works for you
  • Reasonable workload: proper caseload sizing and RBT ratios from day one no heroics required
  • Mission: serve families who've been let down by fragmented, impersonal care

Compensation & Growth:

  • Base compensation ranges from $90-110 per hour, plus quarterly performance bonuses

What you bring:

  • Active BCBA certification in good standing (Required)
  • NJ BCBA licensure (Required)
  • Experience in a clinic setting (a plus)

    Benefits:

    • Health, dental, and vision from day one
    • 401(k) with matching
    • PTO that you'll actually use
    • Referral bonuses when you bring great people in
    • CEU support staying current matters here
    • Parental leave
    • MondayFriday daytime hours, no weekends

    Work Location (Hybrid)

    Job Types: Part-time