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Part Time Remote Utilization Review Jobs in Wisconsin

Remote (in Maine) Schedule : Per diem, flexible shifts Are you a licensed clinician looking for ... Support operational needs, including staffing adjustments and quality assurance reviews.

Intern - Audit Services

Milwaukee, WI ยท On-site +1

$21.30/hr

This position offers flexibility for a hybrid work arrangement (remote/on-site) with time spent in ... Ability to work full time during the summer, part time during the school year End Date: 11/15/2026 ...

New

Intern - Audit Services

Milwaukee, WI ยท On-site +1

$21.30/hr

This position offers flexibility for a hybrid work arrangement (remote/on-site) with time spent in ... Ability to work full time during the summer, part time during the school year End Date: 11/15/2026 ...

New

Showing results 41-55

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 Wisconsin?

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

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

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

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

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

Associate Lecturer/Lecturer/Senior Lecturer - Department of Physics and Astronomy (Continuous Rec...

Wisconsin

Stevens Point, WI โ€ข On-site, Remote

Full-time, Part-time

Posted 14 days ago


Job description

Current Employees: If you are currently employed at any of the Universities of Wisconsin, log in to Workday to apply through the internal application process.Position Title:Associate Lecturer/Lecturer/Senior Lecturer - Department of Physics and Astronomy (Continuous Recruitment)Job Category:Academic StaffEmployment Type:Terminal (Fixed Term)Job Profile:LecturerJob Duties:

While there may not be an immediate need for a lecturer in this area, UW-Stevens Point (UWSP) accepts applications regardless, in order to create a pool for when there may be a need.Upon successful submission of your application, you will be considered for future part-time associate lecturer/lecturer/senior lecturer opportunities, and your application will be on file as a potential candidate who could possibly fill a position if or when the need arises.

An associate lecturer/lecturer/senior lecturer is hired on a per-course basis each semester, and teaching one semester does not guarantee being assigned the following semester. The teaching hours for an associate lecturer/lecturer/senior lecturer will vary with a teaching load ranging between 1-12 credits per semester.

While the announcement lists this position as on-site, partially remote and remote opportunities may be available.

Key Job Responsibilities:
  • Develops instructional design and curriculum relevant to a course of instruction
  • Serves as an initial point of contact for students as it relates to specific course or series content and expectations
  • Facilitates classroom, online and/or laboratory instruction for one or more courses, including assessment of student performance
Department:

The Department of Physics and Astronomy offers majors in Physics, Physics: Applied Electronics Option, and Physics: Applied Mechanics Option. Additionally, we offer a 3+2 Dual Degree program in Physics and Engineering through collaboration with UW-Milwaukee. The department includes 9 faculty members across 3 campuses. It is committed to diversity in its curriculum and prepares students for a diverse and inclusive world. Housed in the School of Mathematics, Computing, Physics & Astronomy, the department also offers many courses in astronomy, engineering, and physics for the general education program and for other majors across our locations in Stevens Point, Wausau, and Marshfield.

Compensation & Benefits:

The Associate Lecturer/Lecturer/Senior Lecturer is a part-time, salaried, exempt, academic year (9-month), instructional academic staff position.

Eligible Universitiesof Wisconsin employees receive an excellent benefits package. To learn more about the benefits package, review theUniversities of Wisconsin Employee Benefits Quick Guide for Short-Term Academic Staff.

Required Qualifications:
  • Master's degree in a field related to physics, astronomy, engineering, or education, plus or including a minimum of 18 graduate credit hours in physics and astronomy

  • Relevant work or teaching experience

  • Must be able to demonstrate strong interpersonal and communication skills

Preferred Qualifications:
  • Master's degree in physics or astronomy

  • Experience teaching diverse groups and/or college-level teaching experience

How to Apply:

TO ENSURE CONSIDERATION: Files must be complete to be considered. Submission in PDF format is preferred for all attachments (noted below). After applying, the position contact or hiring authority will only be in touch if there is a Lecturer position that needs to be filled.

This posting will close on June 30, 2027 (with a new, active posting in July). If you are not contacted by this time and you are still interested in employment with UWSP, please reapply.

Please include the following documents when applying:

  • Cover letter addressing qualifications and experience

  • Resume/Curriculum Vitae

  • Unofficial Transcripts or Official Transcripts

(Official Transcripts will be required of finalists but unofficial transcripts are acceptable in the application.)

After you submit your application, you will be unable to edit it. Please be sure to include all required materials before submitting your application.

Contact Information:

For questions pertaining to this position, please contact:

Name: Dr. Mark Holdhusen, Chair, Department of Physics and Astronomy

Email: physastr@uwsp.edu

Phone: 715-346-2120

If you have any questions regarding the application process, need special arrangements, or if you submitted your application with missing materials, please call or email:

UWSP Human Resources

Email: human.resources@uwsp.edu

Phone: 715-346-2606

Please note that successful applicants are responsible for ensuring their eligibility to work in the United States (i.e., a citizen or national of the United States, a lawful permanent resident, a foreign national authorized to work in the United States without the need of employer sponsorship) on or before the effective date of appointment.

Employment will require a criminal background check. It will also require you to supply three (3) professional references/one (1) of which being a current or former supervisor. (Preference to supply five (5) professional references/two (2) of which being current or former supervisors.) Your references will be required to answer questions regarding misconduct, sexual violence and sexual harassment.

Special Notes:

Through the discovery and dissemination of knowledge, UW-Stevens Point stimulates intellectual growth, provides a liberal education, and prepares students for a diverse sustainable world. The university is committed to creating a safe, inclusive learning community for all faculty and staff from a variety of backgrounds. Visit https://www.uwsp.edu/join-uw-stevens-point/ for more information about UW-Stevens Point. To learn about the Stevens Point (aka Point) area fun, jobs, housing, education, quality of life, and bragging rights, visit www.stevenspointarea.com.

Individuals with disabilities who need a reasonable accommodation during the application or interview process should contact Human Resources and Affirmative Action at 715-346-2606 or hr@uwsp.edu.

The safety and success of students, faculty, and staff at the University of Wisconsin-Stevens Point is paramount. The Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act requires the distribution of an annual security report to all current and prospective students, faculty, and staff. You may obtain the complete report at https://www3.uwsp.edu/protsv/Pages/Clery.aspx

The University of Wisconsin-Stevens Point will not reveal the identities of applicants who request confidentiality in writing, except the identity of the successful candidate will be released. See Wis. Stat. sec. 19.36(7).

An offer of employment will require a criminal background check and authorization to work within the United States as required by the Immigration Reform and Control Act of 1986.

UW is an Equal Opportunity Employer:


Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, disability, status as a protected veteran, or any other bases protected by applicable federal or State law and UW System policies. We are committed to building a workforce that represents a variety of backgrounds, perspectives, and skills, and encourage all qualified individuals to apply.