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Part Time Remote Utilization Review Jobs in Santa Rosa, CA

Fully Remote (supporting an onsite team in Glen Ellen, California) Job Type: Part-Time About the ... Participate in interdisciplinary case conferences, treatment planning, utilization review, and ...

RN Clinical Supervisor

Napa, CA · Remote

$60 - $70/hr

This part-time, flexible, primarily remote position provides clinical oversight of skilled nursing ... Review OASIS assessments, care plans, and documentation. 3. General Home Health Supervisory Duties ...

Part Time Remote Utilization Review information

See Santa Rosa, CA salary details

$23

$46

$75

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

As of Jun 24, 2026, the average hourly pay for part time remote utilization review in Santa Rosa, CA is $46.23, according to ZipRecruiter salary data. Most workers in this role earn between $36.54 and $53.08 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 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 popular job titles related to Part Time Remote Utilization Review jobs in Santa Rosa, CA? For Part Time Remote Utilization Review jobs in Santa Rosa, CA, the most frequently searched job titles are:
What job categories do people searching Part Time Remote Utilization Review jobs in Santa Rosa, CA look for? The top searched job categories for Part Time Remote Utilization Review jobs in Santa Rosa, CA are:
What cities near Santa Rosa, CA are hiring for Part Time Remote Utilization Review jobs? Cities near Santa Rosa, CA with the most Part Time Remote Utilization Review job openings:

Medical Director

Avento Health

Glen Ellen, CA • Remote

Part-time

Posted 24 days ago


Job description

Medical Director - Addiction Medicine / MAT / Dual Diagnosis

Location: Fully Remote (supporting an onsite team in Glen Ellen, California)

Job Type: Part-Time


About the Opportunity

Avento Health, a healthcare recruiting agency, is conducting a confidential search on behalf of an established behavioral health and addiction treatment organization in Sonoma County for a part-time Medical Director. This is a fully remote leadership opportunity for a physician who wants to shape clinical strategy, strengthen addiction medicine services, and help expand a more integrated dual diagnosis care model.


This role is designed for a physician leader who enjoys program development, protocol design, interdisciplinary collaboration, and clinical oversight. The Medical Director will serve as the remote physician leader for the program, guiding and supporting the onsite clinical team, including the onsite APP. This position does not include routine patient-facing duties or a regular direct treatment caseload.


Position Summary

The Medical Director will provide overall medical leadership across addiction treatment and behavioral health services. The role will focus on clinical oversight, MAT program development, policy and protocol design, quality improvement, staff support, and collaboration with executive and operational leadership. This physician will play a central role in helping the organization strengthen clinical infrastructure, improve consistency, and expand its dual diagnosis capabilities.


Key Responsibilities

  • Serve as the remote Medical Director for the program and provide leadership to the onsite clinical team.
  • Provide supervision, guidance, and clinical oversight to the onsite APP and other medical staff as applicable.
  • Lead the development, implementation, and ongoing oversight of the MAT program.
  • Design and refine clinical protocols, standing orders, treatment policies, and medical workflows.
  • Support the organization’s transition from a primarily SUD-focused model to a stronger dual diagnosis program.
  • Partner with executive, operational, and clinical leaders to strengthen medical direction and clinical quality.
  • Provide consultation on case review, admissions guidance, medication strategy, and complex clinical scenarios.
  • Promote evidence-based practices in addiction medicine, co-occurring disorders treatment, and recovery-oriented care.
  • Participate in interdisciplinary case conferences, treatment planning, utilization review, and clinical problem-solving.
  • Support quality assurance, chart review, incident review, risk management, and performance improvement initiatives.
  • Ensure compliance with licensing, regulatory, accreditation, and documentation standards.
  • Contribute to staff education related to addiction medicine, MAT, psychopharmacology, and dual diagnosis treatment.


What Success Looks Like

  • A strong MAT program is built and supported by clear protocols and effective clinical oversight.
  • The onsite team has consistent physician leadership, reliable support, and improved clinical structure.
  • Dual diagnosis capabilities are strengthened through more integrated workflows and better interdisciplinary collaboration.
  • Medical decision-making, documentation, and treatment standards become more consistent and scalable.
  • The organization has a trusted physician leader helping guide growth, quality, and long-term clinical direction.


Qualifications

  • MD or DO with an active and unrestricted California medical license.
  • Board certified or board eligible in Addiction Medicine, Psychiatry, Family Medicine, Internal Medicine, or a related specialty.
  • Strong experience in substance use disorder treatment, addiction medicine, behavioral health, or co-occurring disorders.
  • Experience developing, leading, or expanding MAT services.
  • Experience creating or improving clinical protocols, policies, and quality standards.
  • Leadership experience in a treatment center, behavioral health setting, hospital, clinic, or related care environment.
  • Experience collaborating effectively with counselors, therapists, nurses, APPs, and operations leaders.
  • Strong understanding of dual diagnosis models, psychopharmacology, and medically informed treatment planning.
  • Excellent judgment, communication skills, and leadership presence.


Preferred Qualifications

  • Addiction Medicine board certification and/or fellowship training.
  • Psychiatry background or meaningful experience treating co-occurring psychiatric conditions.
  • Prior experience as a Medical Director or Associate Medical Director.
  • Experience in residential treatment, outpatient treatment, detox, or integrated behavioral health settings.
  • Experience supervising APPs and supporting interdisciplinary care teams.
  • DEA registration and ability to prescribe MAT medications in accordance with current federal and state requirements.


Why Physicians Are Interested in This Role

  • Fully remote leadership role with meaningful influence over program growth and clinical direction.
  • Opportunity to lead and support an onsite team without maintaining routine patient-facing responsibilities.
  • Ability to build MAT services and strengthen dual diagnosis treatment infrastructure.
  • Collaborative environment with strong potential to improve systems, quality, and outcomes.
  • Mission-driven setting with visible impact on patient care and program development.


Compensation and Schedule

Competitive compensation package commensurate with experience, training, and scope of responsibilities. Schedule details will be discussed during the interview process.


Application Process

Interested candidates should apply directly through this posting for confidential consideration. Avento Health is managing this search on behalf of the hiring organization.


By submitting an application, you consent to receive communications from Avento Health by call, email, and text message regarding this opportunity. Message and data rates may apply. Message frequency may vary. Reply STOP to opt out of SMS communications at any time.


Avento Health is an Equal Opportunity recruiting partner. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender, gender identity, sexual orientation, national origin, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.