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Part Time Remote Utilization Review Jobs in Washington

YO AI Labs

AI Consulting Expert - Remote

Washington, DC · 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 ...

Maventri

Senior Bookkeeper

Ashburn, VA · On-site +1

$25 - $30/hr

Generate and review financial statements (P&L, Balance Sheet, Cash Flow) * Ensure accounts are ... Hourly rate commensurate with experience * Part-time, remote position Ideal Candidate This role is ...

Maventri, Inc

Senior Bookkeeper

Ashburn, VA · On-site +1

$25 - $30/hr

Generate and review financial statements (P&L, Balance Sheet, Cash Flow) * Ensure accounts are ... Hourly rate commensurate with experience * Part-time, remote position Ideal Candidate This role is ...

Centerbrite Health

BCBA

Fairfax, VA · On-site +1

$90K - $110K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Own documentation quality , utilization reviews, and oversight of treatment plans * Supervise RBTs ... Remote and in-clinic Job Types: Full-time

Harris

Remote Care Management - CMA

Washington, DC · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Part-time team members will typically need to dedicate an average of 20-30 hours per week to care ... Chart Review: 8 min Outreach Attempts: 6 min Actual Call: 11 min Care Coordination: 9 min Total ...

Sierra7

Be Seen First

Part-Time Medical Coding Opportunities (Remote)

Mclean, VA · Remote

$19.25 - $25.50/hr

Join Our Team - Remote Part-Time Medical Coding Opportunities! Sierra7 is seeking experienced ... Review and code medical records while maintaining a minimum 95% coding quality score . * Ensure ...

BetterHelp

Psychiatrist - Remote

Washington, DC · Remote

$119 - $242/hr

Flexible commitment: Part-time, 1099 contract position What You'll Do * Conduct video consultations ... utilization of add-on codes (such as 90833) when clinically appropriate and properly documented

Beacon Talent

Remote Psychiatrist

Cheltenham, MD · Remote

$150 - $200/hr

Location: Remote (United States) Type: 1099 Independent Contractor, Part-Time or Full-Time ... Document within our behavioral health EMR to the standard required for payer review * Escalate ...

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Beacon Talent

Remote Psychiatrist

Upper Marlboro, MD · Remote

$150 - $200/hr

Location: Remote (United States) Type: 1099 Independent Contractor, Part-Time or Full-Time ... Document within our behavioral health EMR to the standard required for payer review * Escalate ...

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Showing results 21-40

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

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 Washington?

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

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

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

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

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

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

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

Part Time Remote Utilization Review jobs near you

FedRAMP Subject Matter Expert (Part time & Remote)

TestPros

Sterling, VA • On-site, Remote

$50 - $95/hr

Part-time

Re-posted 3 days ago

Job description

TestPros delivers innovative independent IT assessment solutions to critical challenges facing the nation and the world. We support the U.S. Federal Government and Commercial clients within the continental USA. TestPros is dedicated to making lives better, safer and more secure.
We are seeking a skilled FedRAMP Subject Matter Experts to support our commercial clients in preparing for Third-Party Assessment Organization (3PAO) audits. The ideal candidate will have a deep understanding of FedRAMP requirements, NIST standards, and experience in guiding organizations through the FedRAMP authorization process.
Start: Future projects late 2026 or 2027 (not an immediate job opening)
Type: Part-time consulting
Overview
Key Responsibilities:
  • Consultation and Guidance:
    • Advise clients on FedRAMP requirements and compliance strategies.
    • Conduct gap assessments and develop remediation plans.
    • Assist in implementing security controls per FedRAMP and NIST SP 800-53 standards.
  • Documentation and Preparation:
    • Help clients develop and refine required documentation (SSP, Policies, Procedures).
    • Prepare clients for 3PAO assessments with mock audits and readiness reviews.
  • Technical Assistance:
    • Provide recommendations for security controls in cloud environments.
    • Ensure technical solutions align with security policies and standards.
  • Pre-Sales Support:
    • Participate in pre-sales calls with potential clients.
    • Provide technical expertise and collaborate with account managers on proposals.
  • Collaboration and Project Management:
    • Work with account managers to ensure client satisfaction and successful project outcomes.
    • Manage project plans, ensuring timely completion of milestones and deliverables.
Qualifications:
  • Bachelor's degree in IT, Cybersecurity, or related field.
  • Relevant certifications (CISSP, CISM, CISA, PMP).
  • Minimum of 5 years in IT security, focusing on cloud security and compliance.
  • In-depth knowledge of FedRAMP, NIST SP 800-53, and cloud security principles.
  • Excellent communication, project management, and analytical skill

Rate: $50-95/hr (1099 or Corp. To Corp.). This range represents a good-faith estimate and is not a guarantee; final compensation is determined by factors such as experience, qualifications, and government contract labor rate requirements and may fall outside the stated range.
Equal Opportunity Employer
TestPros is an equal-opportunity employer and does not discriminate in employment based on race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or any other non-merit factor.
Offer Considerations
TestPros considers several factors when extending an offer, including but not limited to, Federal Government contract labor categories and contract wage rates, relevant prior work experience, specific skills and competencies, geographic location, education, and certifications.
Federal Compliance
As a federal contractor, TestPros is subject to all federal and state mandates and/or other customer requirements.

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