ZipRecruiter

Log In

3

Part Time Remote Utilization Review Jobs in Raleigh, NC

DataAnnotation

Peer Review Coordinator

Raleigh, NC · Remote

$20/hr

We are looking for a Peer Review Coordinator to join our team to train AI models. You will measure ... Benefits Full-time or part-time remote position Choose which projects you want to work on Flexible ...

DataAnnotation

Community Health Worker

Raleigh, NC · Remote

$50/hr

... Utilization Management. Benefits Full-time or part-time remote position Choose which projects you want to work on Flexible schedule Projects are paid hourly starting at $50+ per hour Bonuses ...

DataAnnotation

Care Transition Nurse

Raleigh, NC · Remote

$50/hr

... Utilization Management. Benefits Full-time or part-time remote position Choose which projects you want to work on Flexible schedule Projects are paid hourly starting at $50+ per hour Bonuses ...

next page

Showing results 1-20

People also search for

All JobsPart Time Remote Utilization Review JobsPart Time Remote Utilization Review Jobs in Raleigh, NC

Part Time Remote Utilization Review information

See Raleigh, NC salary details

$20

$41

$67

How much do part time remote utilization review jobs pay per hour?

As of May 30, 2026, the average hourly pay for part time remote utilization review in Raleigh, NC is $41.10, according to ZipRecruiter salary data. Most workers in this role earn between $32.50 and $47.21 per hour, depending on experience, location, and employer.

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 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 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 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 Raleigh, NC? The most popular types of Remote Utilization Review jobs in Raleigh, NC are:
What are popular job titles related to Part Time Remote Utilization Review jobs in Raleigh, NC? For Part Time Remote Utilization Review jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Part Time Remote Utilization Review jobs in Raleigh, NC look for? The top searched job categories for Part Time Remote Utilization Review jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Part Time Remote Utilization Review jobs? Cities near Raleigh, NC with the most Part Time Remote Utilization Review job openings:
Part Time Remote Utilization Review jobs near you
Infographic showing various Part Time Remote Utilization Review job openings in Raleigh, NC as of May 2026, with employment types broken down into 100% Part Time. Highlights an 100% Remote job distribution, with an average salary of $85,491 per year, or $41.1 per hour.
Peer Review Coordinator

Peer Review Coordinator

DataAnnotation

Raleigh, NC • Remote

$20/hr

Full-time, Part-time, Contractor

Posted 18 days ago

Job description

We are looking for a Peer Review Coordinator to join our team to train AI models. You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of each model. In this role, you will need to be an expert in healthcare.

We are interested in a wide range of expertise, so relevant backgrounds include Revenue Cycle Management & Patient Finance, Pharmacy Operations (Pharm Tech), Laboratory Services and Operations (Lab Tech), and Clinical Support & Ambulatory Operations. Benefits Full-time or part-time remote position Choose which projects you want to work on Flexible schedule Projects are paid hourly starting at $20+ per hour Bonuses available for high-quality and high-volume work Responsibilities Provide AI chatbots with diverse and complex healthcare-related problems Evaluate AI outputs for logic, accuracy, and performance Ensure the medical accuracy and overall quality of model responses Qualifications Fluency in English (native or bilingual level) A current or in-progress medical or healthcare-related degree Notes: Payment is made via PayPal. We will never ask you for any money.

PayPal will handle any currency conversions from USD. Only applicants in the United States will be considered for this role. This is an independent contractor position.

#J-18808-Ljbffr

Apply