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Part Time Remote Utilization Review Jobs in Santa Rosa, CA

Tax Intern (January 2027)

Santa Rosa, CA · On-site +1

$29 - $33/hr

Ability to start on January 7, 2027 and work part time in one of our BPM offices: Irvine, Las Vegas ... Champion sustainable workplace practices by supporting remote-first operations, promoting paperless ...

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 Aug 10, 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 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 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:
Infographic showing various Part Time Remote Utilization Review job openings in Santa Rosa, CA as of July 2026, with employment types broken down into 1% As Needed, 79% Full Time, 17% Part Time, 1% Temporary, and 2% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $96,155 per year, or $46.2 per hour.

Program Coach & Special Education Case Manager (30 Hrs)

Executive Functions

Petaluma, CA • Remote

Part-time

Medical, Retirement

This job post has expired today. Applications are no longer accepted.


Job description

Program Coach & Special Education Case Manager

Part-Time Salaried (30 Hours/Week) | Fully Remote

Executive Functions, Inc. (dba EF Specialists)

Master's degree in Special Education (or a closely related field).

  • Preferred Schedule: Sunday-Thursday (Monday-Friday schedules will also be considered).
  • Core Coaching Hours: 1:00 PM-7:00 PM Pacific Time, with some evenings extending until 8:00 PM Pacific.
  • Consistent Availability: Families rely on recurring weekly appointments, so dependable availability during these hours is essential.
  • Home Office: You'll maintain a private, distraction-free workspace with reliable high-speed internet and the technology needed to provide outstanding virtual coaching.


Who We Are

At EF Specialists, we help middle school, high school, and college students develop the executive function skills they need to thrive in school-and beyond. Through individualized coaching, family collaboration, and evidence-based strategies, we empower students with ADHD, learning differences, autism, and other executive functioning challenges to become more confident, independent learners.

We're growing and looking for an exceptional Program Coach & Special Education Case Manager to become a key member of our coaching team. This is a high-impact role where you'll coach students, partner with families, consult on educational plans, and help shape the future of our growing organization.

If you're passionate about helping students reach their potential and enjoy wearing multiple hats in a fast-paced, mission-driven company, we'd love to meet you.


The Role

You'll receive training directly from our Founder & CEO and become an integral part of delivering our signature Semester Coaching Program.

Your responsibilities will include:

  • 1:1 Executive Function Coaching - Coach middle school, high school, and college students in planning, organization, time management, self-advocacy, emotional regulation, and follow-through.
  • Family Team Meetings - Partner with parents and caregivers to review progress, align on goals, and create practical strategies that support student success at home and school.
  • Group Coaching & Accountability Sessions - Facilitate weekly planning and accountability groups that help students prioritize, stay organized, and build consistent routines.
  • IEP & 504 Consultations - Guide families through accommodations, educational planning, and school collaboration.
  • Complex Case Management - Manage a caseload of students with diverse learning, executive functioning, and behavioral profiles while collaborating with families, schools, and outside providers.
  • Discovery Calls - Meet with prospective families to understand their needs, explain our services, and recommend appropriate support.
  • Coach Development - Assist with interviewing, onboarding, mentoring, and supporting members of our coaching team.
  • Business & Administrative Projects
    (depending on hours) - Support referral outreach, operational improvements, and strategic initiatives that help the company grow.
  • Additional Responsibilities - Contribute to special projects and other duties as assigned by the Founder & CEO.


We're Looking for Someone Who...

  • Holds a Master's degree in Special Education (or a closely related field).
  • Has experience working with middle school, high school, and/or college students with ADHD, learning differences, autism, and executive function challenges.
  • Brings confidence, warmth, professionalism, and a genuine sense of humor that helps build strong relationships with students.
  • Believes students with diverse learning needs can thrive with the right coaching and support.
  • Is comfortable working with complex, resistant, or struggling students while remaining patient, creative, and solution-focused.
  • Demonstrates exceptional executive function skills personally-you stay organized, prioritize effectively, meet deadlines, and proactively communicate without needing reminders.
  • Is an outstanding communicator who builds trust with students, parents, schools, and colleagues.
  • Is comfortable leading one-on-one coaching sessions, group classes, family meetings, IEP and 504 consultations, and discovery calls.
  • Is responsive, dependable, and committed to delivering an exceptional client experience.
  • Welcomes feedback, enjoys continuous learning, and thrives in a collaborative environment.
  • Takes ownership, works independently, and contributes wherever needed.
  • Enjoys working in a growing entrepreneurial company where flexibility, initiative, and problem-solving are highly valued.


Schedule & Work Environment

  • Preferred Schedule: Sunday-Thursday (Monday-Friday schedules will also be considered).
  • Core Coaching Hours: 1:00 PM-7:00 PM Pacific Time, with some evenings extending until 8:00 PM Pacific.
  • Consistent Availability: Families rely on recurring weekly appointments, so dependable availability during these hours is essential.
  • Remote Position: Candidates located anywhere in the United States are encouraged to apply, provided they can consistently work Pacific Time hours.
  • Home Office: You'll maintain a private, distraction-free workspace with reliable high-speed internet and the technology needed to provide outstanding virtual coaching.


Compensation & Benefits

  • Part-time salaried position (30 hours/week)
  • $65,000 plus Benefits
  • Performance-based bonus opportunities
  • 401(k) with generous employer match
  • Healthcare reimbursement
  • Technology reimbursement
  • Comprehensive training and ongoing professional development
  • Opportunity for growth within a rapidly expanding organization


Our Mission

We believe every student can learn.

With the right coaching, students with executive function challenges can build the skills, confidence, and independence that transform not only their academic success-but their lives.

We're looking for an exceptional educator who shares that belief and is excited to make a meaningful impact every day.


Ready to Join Us?

If you read this and thought, "That's me," we'd love to hear from you. Please include a cover letter on why you would be a great fit for this role.


Learn more about EF Specialists: https://www.efspecialists.com/