... utilization of health services. Essential Duties and Responsibilities These duties and ... For further information, please review the Know Your Rights notice from the Department of Labor.
... utilization of health services. Essential Duties and Responsibilities These duties and ... For further information, please review the Know Your Rights notice from the Department of Labor.
AR/AP Accounting and Billing Analyst
Great Falls, VA · Remote
$21 - $22/hr
Remote (US-based) Compensation: $21?$22 per hour (based on experience) This is an hourly part-time ... Review and analyze AP invoices for accuracy, proper coding, and compliance. * Calculate applicable ...
AR/AP Accounting and Billing Analyst
Great Falls, VA · Remote
$21 - $22/hr
Remote (US-based) Compensation: $21?$22 per hour (based on experience) This is an hourly part-time ... Review and analyze AP invoices for accuracy, proper coding, and compliance. * Calculate applicable ...
... remote team, where collaboration is the heartbeat of success. Perks Include: • Work virtually ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...
... remote team, where collaboration is the heartbeat of success. Perks Include: • Work virtually ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...
... remote team, where collaboration is the heartbeat of success. Perks Include: • Work virtually ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...
... remote team, where collaboration is the heartbeat of success. Perks Include: • Work virtually ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...
... remote team, where collaboration is the heartbeat of success. Perks Include: • Work virtually ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...
... remote team, where collaboration is the heartbeat of success. Perks Include: • Work virtually ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...
... remote team, where collaboration is the heartbeat of success. Perks Include: • Work virtually ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...
... remote team, where collaboration is the heartbeat of success. Perks Include: • Work virtually ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...
... remote team, where collaboration is the heartbeat of success. Perks Include: • Work virtually ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...
... remote team, where collaboration is the heartbeat of success. Perks Include: • Work virtually ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...
... remote team, where collaboration is the heartbeat of success. Perks Include: • Work virtually ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...
... remote team, where collaboration is the heartbeat of success. Perks Include: • Work virtually ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...
We are currently seeking part-time and full-time telemedicine physicians who want to be part of the ... Review lab results with patient and provide treatment options. * Educate patients and create ...
Quick apply
We are currently seeking part-time and full-time telemedicine physicians who want to be part of the ... Review lab results with patient and provide treatment options. * Educate patients and create ...
We are currently seeking part-time and full-time telemedicine physicians who want to be part of the ... Review lab results with patient and provide treatment options. * Educate patients and create ...
Quick apply
We are currently seeking part-time and full-time telemedicine physicians who want to be part of the ... Review lab results with patient and provide treatment options. * Educate patients and create ...
We are currently seeking part-time and full-time telemedicine physicians who want to be part of the ... Review lab results with patient and provide treatment options. * Educate patients and create ...
Quick apply
We are currently seeking part-time and full-time telemedicine physicians who want to be part of the ... Review lab results with patient and provide treatment options. * Educate patients and create ...
Family Law Of Counsel Attorney
Fairfax, VA · Remote
$150/hr
You are reviewing a draft motion and notice language that is more inflammatory than necessary. You ... Proven ability to manage a part-time workload, meet deadlines, and work independently in a remote ...
Quick apply
Family Law Of Counsel Attorney
Fairfax, VA · Remote
$150/hr
You are reviewing a draft motion and notice language that is more inflammatory than necessary. You ... Proven ability to manage a part-time workload, meet deadlines, and work independently in a remote ...
This on-call, part-time position is available immediately and can be filled as a fully remote ... reviewer comments, and other support, as needed. * Provide advice to clients relating to their ...
This on-call, part-time position is available immediately and can be filled as a fully remote ... reviewer comments, and other support, as needed. * Provide advice to clients relating to their ...
This on-call, part-time position is available immediately and can be filled as a fully remote ... reviewer comments, and other support, as needed. * Provide advice to clients relating to their ...
This on-call, part-time position is available immediately and can be filled as a fully remote ... reviewer comments, and other support, as needed. * Provide advice to clients relating to their ...
Remote and Autonomous Systems Product Support Analyst, Senior-Washington,District of Columbia
Alexandria, VA · On-site +1
$158K/yr
Support Navy budget program review processes, including Baseline Assessment Memorandum ( BAM ) and ... Full-time and part-time employees working at least 20 hours a week on a regular basis are eligible ...
New
Remote and Autonomous Systems Product Support Analyst, Senior-Washington,District of Columbia
Alexandria, VA · On-site +1
$158K/yr
Support Navy budget program review processes, including Baseline Assessment Memorandum ( BAM ) and ... Full-time and part-time employees working at least 20 hours a week on a regular basis are eligible ...
New
Remote and Autonomous Systems Product Support Analyst, Senior-Washington,District of Columbia
Fairfax, VA · On-site +1
$158K/yr
Support Navy budget program review processes, including Baseline Assessment Memorandum ( BAM ) and ... Full-time and part-time employees working at least 20 hours a week on a regular basis are eligible ...
New
Remote and Autonomous Systems Product Support Analyst, Senior-Washington,District of Columbia
Fairfax, VA · On-site +1
$158K/yr
Support Navy budget program review processes, including Baseline Assessment Memorandum ( BAM ) and ... Full-time and part-time employees working at least 20 hours a week on a regular basis are eligible ...
New
Commercial Counsel
Virginia Beach, VA · 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 ...
Commercial Counsel
Virginia Beach, VA · 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 ...
Commercial Counsel
Norfolk, VA · 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 ...
Commercial Counsel
Norfolk, VA · 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 ...
Commercial Counsel
Chesapeake, VA · 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 ...
Commercial Counsel
Chesapeake, VA · 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 ...
Commercial Counsel
Richmond, VA · 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 ...
Commercial Counsel
Richmond, VA · 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 ...
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?
| Aspect | Part Time Remote Utilization Review | Part Time Remote Claims Reviewer |
|---|---|---|
| Credentials | Typically requires healthcare licenses (e.g., RN, MD) and utilization review certifications | Usually requires insurance or claims processing experience, with some industry-specific certifications |
| Work Environment | Remote, healthcare-focused, reviewing medical necessity and appropriateness of care | Remote, insurance or healthcare claims processing, verifying coverage and claims accuracy |
| Employer & Industry Usage | Hospitals, insurance companies, healthcare organizations | Insurance 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 Virginia? The most popular types of Remote Utilization Review jobs in Virginia are:
What are popular job titles related to Part Time Remote Utilization Review jobs in Virginia? For Part Time Remote Utilization Review jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Part Time Remote Utilization Review jobs in Virginia look for? The top searched job categories for Part Time Remote Utilization Review jobs in Virginia are:
What cities in Virginia are hiring for Part Time Remote Utilization Review jobs? Cities in Virginia with the most Part Time Remote Utilization Review job openings:
Part-time
Posted 19 days ago
Chesapeake Regional Healthcare rating
6.9
Based on 22 frontline employees who took The Breakroom Quiz
Job description
Summary
The Home & Supportive Care Registered Nurse (RN) provides excellent, clinically competent care and effectively interacts with patients/families and healthcare team members, while maintaining standards of professional nursing. As a member of the healthcare team, the RN is responsible for making decisions and performing services that are in the best interest of the patient, while positively contributing to the patient's experience. The Home & Supportive RN provides education and performs assessment, planning, implementation, monitoring, and evaluation of nursing care for acutely ill, chronically ill, terminally ill, and well patients with multiple managed conditions, to ensure cost effective and efficient utilization of health services.
Essential Duties and Responsibilities
These duties and responsibilities described below represent the general tasks performed on a daily basis; other tasks may be assigned.
• Provide clinical care management services to identified eligible patients; coordinating care and care transitions to obtain desired health outcomes.
o Foster collaboration, shared decision-making, and partnership among clinical and non-clinical care team members.
o Perform patient/family/caregiver outreach according to established protocols.
o Ensures patient eligibility for assigned Home & Supportive Care services and assists with discharge planning and coordination of admissions upon discharge to home, facility or other residence
• Identify, enroll, and manage patients in programs for Supportive Care Advanced Illness Management and Transitions of Care.
o Co-manage a diverse population living with one or multiple chronic conditions.
o Collaborate with patient, provider, and care team to develop and implement a plan of care to ensure medically appropriate, cost-effective care
o Identify, execute, and track needed referrals to care and community resources
o Provide resource management to improve care, patient experience and collaborate with Home & Supportive Care providers to effectively implement a patient-centered care plan.
• Provide comprehensive care for patients with chronic conditions through Connected Care @ Home remote patient monitoring and make impactful judgment calls using clinical data tools.
o Provide ongoing remote clinical monitoring to patients in partnership with their providers, making informed escalation and triage decisions.
o Collaborate with care team to provide remote clinical monitoring of physiological data based on outlined pathways and ensure seamless care coordination according to each patient's individual care plan.
o Engage with patients through text and voice/video calls, remotely reviewing patient/client data and health information.
• Showcase strong time management skills, enabling the ability to make impactful judgment calls on patient care while balancing all other responsibilities and time engagements.
• All Home & Supportive Care Registered Nurses may function as a nursing member of the Home & Supportive Care team, performing patient care encounters as assigned.
Supervisory Responsibilities
Reports to: Nurse Manager and Clinical Coordinator
Supervises: Licensed Practical Nurses (LPN) and Unlicensed Assistive Personnel (UAP)
Responsibilities: May delegate/assign duties to other members of the healthcare team
Education and Experience
Minimum Required Education: Associates Degree in Nursing
Preferred Education: Bachelor of Science in Nursing
Experience: 1 year inpatient, outpatient, or home-based nursing experience is preferred.
Certificates, Licenses, Registrations
Applicants must have current licensure or be eligible for licensure as a Registered Nurse in the State of North Carolina or compact state.
BLS within 90 days.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.
The Home & Supportive Care Registered Nurse (RN) provides excellent, clinically competent care and effectively interacts with patients/families and healthcare team members, while maintaining standards of professional nursing. As a member of the healthcare team, the RN is responsible for making decisions and performing services that are in the best interest of the patient, while positively contributing to the patient's experience. The Home & Supportive RN provides education and performs assessment, planning, implementation, monitoring, and evaluation of nursing care for acutely ill, chronically ill, terminally ill, and well patients with multiple managed conditions, to ensure cost effective and efficient utilization of health services.
Essential Duties and Responsibilities
These duties and responsibilities described below represent the general tasks performed on a daily basis; other tasks may be assigned.
• Provide clinical care management services to identified eligible patients; coordinating care and care transitions to obtain desired health outcomes.
o Foster collaboration, shared decision-making, and partnership among clinical and non-clinical care team members.
o Perform patient/family/caregiver outreach according to established protocols.
o Ensures patient eligibility for assigned Home & Supportive Care services and assists with discharge planning and coordination of admissions upon discharge to home, facility or other residence
• Identify, enroll, and manage patients in programs for Supportive Care Advanced Illness Management and Transitions of Care.
o Co-manage a diverse population living with one or multiple chronic conditions.
o Collaborate with patient, provider, and care team to develop and implement a plan of care to ensure medically appropriate, cost-effective care
o Identify, execute, and track needed referrals to care and community resources
o Provide resource management to improve care, patient experience and collaborate with Home & Supportive Care providers to effectively implement a patient-centered care plan.
• Provide comprehensive care for patients with chronic conditions through Connected Care @ Home remote patient monitoring and make impactful judgment calls using clinical data tools.
o Provide ongoing remote clinical monitoring to patients in partnership with their providers, making informed escalation and triage decisions.
o Collaborate with care team to provide remote clinical monitoring of physiological data based on outlined pathways and ensure seamless care coordination according to each patient's individual care plan.
o Engage with patients through text and voice/video calls, remotely reviewing patient/client data and health information.
• Showcase strong time management skills, enabling the ability to make impactful judgment calls on patient care while balancing all other responsibilities and time engagements.
• All Home & Supportive Care Registered Nurses may function as a nursing member of the Home & Supportive Care team, performing patient care encounters as assigned.
Supervisory Responsibilities
Reports to: Nurse Manager and Clinical Coordinator
Supervises: Licensed Practical Nurses (LPN) and Unlicensed Assistive Personnel (UAP)
Responsibilities: May delegate/assign duties to other members of the healthcare team
Education and Experience
Minimum Required Education: Associates Degree in Nursing
Preferred Education: Bachelor of Science in Nursing
Experience: 1 year inpatient, outpatient, or home-based nursing experience is preferred.
Certificates, Licenses, Registrations
Applicants must have current licensure or be eligible for licensure as a Registered Nurse in the State of North Carolina or compact state.
BLS within 90 days.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.
What Chesapeake Regional Healthcare employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About CHESAPEAKE REGIONAL HEALTHCARE
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Chesapeake, VA, US
Year founded
1976