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Part Time Remote Utilization Review Jobs in Ohio

Commercial Counsel

Cincinnati, OH · Remote

$80 - $105/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 ...

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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 Ohio? The most popular types of Remote Utilization Review jobs in Ohio are:
What job categories do people searching Part Time Remote Utilization Review jobs in Ohio look for? The top searched job categories for Part Time Remote Utilization Review jobs in Ohio are:
What cities in Ohio are hiring for Part Time Remote Utilization Review jobs? Cities in Ohio with the most Part Time Remote Utilization Review job openings:

Part-Time to Full-Time Executive Assistant

Check Off Your List

Columbus, OH • Remote

$22/hr

Part-time

Posted 23 days ago


Key responsibilities

  • Assist clients as directed and maintain client relations.

  • Coordinate complex scheduling, calendar management, and travel arrangements for clients.

  • Perform administrative and office support tasks such as typing, spreadsheet creation, and maintaining filing systems.


Job description

This is a remote position but we are seeking employees based in Florida, Georgia, Maine, Ohio, and Texas.


Check Off Your List (COYL) is hiring aremote part-time Executive Assistantto support our exponential growth.


COYL provides highly trained, remote professionals in bookkeeping, executive assistance, human resources, marketing, web design, and IT Support on a pay-what-you-need model so our clients can focus on what matters most - their business.


We work remotely, but we stay connected through Zoom meetings and Teams. Enjoy the best of both worlds - work from home without the isolation!


This is a remote position (seeking employees based in Florida, Georgia, Maine, Ohio, Texas) reporting to the Manager of the executive assistant team. This role will start at20+hours a weekand can quickly grow from there.


Objectives of the Role:

  • Assist clients as directed
  • Maintain client relations and refine internal processes that support COYL and clients
  • Manage communication between various clients' upper management and employees, liaising with internal and external executives on projects and tasks
  • Plan and orchestrate work to ensure the client's priorities are met, organizational goals are achieved, and best practices are upheld


Daily and Monthly Responsibilities (dependent on client needs):

  • For real estate/ business broker clients
    • Contract-to-Close Management:Supervise administrative aspects of home buyer and seller transactions from executed purchase agreement to closing.
    • Documentation & Compliance:Review contracts, disclosures, and addendums for accuracy and submit to the broker for file compliance.
    • Liaison Communication:Act as the primary contact between agents, clients, lender, title officer, and inspectors to ensure a smooth, timely closing process.
    • Deadline Tracking:Monitor and track all contingency deadlines, including inspection periods, loan approval dates, and appraisal contingencies.
    • Escrow & Title Support:Open escrow, manage earnest money deposits, and ensure all escrow documents are complete.
    • System Maintenance:Input client information into CRM and transaction management software (e.g., DocuSign, SkySlope, Dotloop)
    • Other tasks as needed
  • For all clients
    • Manage the professional and personal needs for various clients
    • Track detailed records in timekeeping system
    • Coordinate complex scheduling and extensive calendar management, as well as management of content and flow of information to our virtual clients' senior executives
    • Manage, coordinate, and arrange our virtual client's travel and travel-related activities, including hotel booking, transportation, and meals
    • Perform administrative and office support, such as typing, dictation, spreadsheet creation, faxing, and maintenance of filing system and contact database
    • Maintain professionalism and strict confidentiality with all materials, and exercise discretion when interfacing with various clients and our company
    • Organize client communications
    • Answer phones for clients and relay messages
    • Plan client events
    • Respond to all requests within a maximum of 4 business hours
    • Navigate priorities while multi-tasking
    • All other tasks as needed


Skills and Qualifications

  • 4 years of experience in an administrative role reporting directly to senior management
  • Experience in real estate support
  • Experience supporting brokers
  • Superb written and verbal communication skills
  • Strong time-management skills and the ability to organize and coordinate multiple projects
  • Proficiency in Microsoft Office and other office productivity tools, with aptitude to learn new software and systems
  • Flexible team player willing to do what it takes to get the job done; adaptable and enjoys a challenge
  • Ability to keep various companies' confidences
  • Promptness and a motivated self-starter
  • Confident and professional phone presence
  • Available to help with urgent requests


Preferred Qualifications

  • Experience developing internal processes and filing systems
  • Associates or above degree in administration; or equivalent experience
  • Knowledge of CRM such as Active Campaign, Zoho, pipedrive, etc.


Schedule:

  • Monday to Friday
  • Part-time with the potential to grow to full-time