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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 ...

Document Review Attorney

Santa Rosa, CA ยท Remote

$40 - $60/hr

... remote work and setting your own schedule. We are looking for a Document Review Attorney (part-time work from home) to help advance AI development. As a member of DataAnnotation's Law team, you'll be ...

Review and improve AI Assistant answers to questions about macro trends, corporate finance, and ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...

Equity Research Analyst

Santa Rosa, CA ยท Remote

$40 - $60/hr

Review and improve AI Assistant answers to questions about macro trends, corporate finance, and ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...

Review and improve AI Assistant answers to questions about macro trends, corporate finance, and ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...

Corporate Finance Analyst

Santa Rosa, CA ยท Remote

$40 - $60/hr

Review and improve AI Assistant answers to questions about macro trends, corporate finance, and ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...

M&A Associate

Santa Rosa, CA ยท Remote

$40 - $60/hr

Review and improve AI Assistant answers to questions about macro trends, corporate finance, and ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...

Treasury Analyst

Santa Rosa, CA ยท Remote

$40 - $60/hr

Review and improve AI Assistant answers to questions about macro trends, corporate finance, and ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...

Sales & Trading Analyst

Santa Rosa, CA ยท Remote

$40 - $60/hr

Review and improve AI Assistant answers to questions about macro trends, corporate finance, and ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...

Financial Planner

Santa Rosa, CA ยท Remote

$40 - $60/hr

Review and improve AI Assistant answers to questions about macro trends, corporate finance, and ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...

Review and improve AI Assistant answers to questions about macro trends, corporate finance, and ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...

Review and improve AI Assistant answers to questions about macro trends, corporate finance, and ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...

Review and improve AI Assistant answers to questions about macro trends, corporate finance, and ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...

Senior Financial Analyst

Santa Rosa, CA ยท Remote

$40 - $60/hr

Review and improve AI Assistant answers to questions about macro trends, corporate finance, and ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...

FP&A Manager

Santa Rosa, CA ยท Remote

$40 - $60/hr

Review and improve AI Assistant answers to questions about macro trends, corporate finance, and ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...

RN Clinical Supervisor

Napa, CA ยท 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 ...

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Showing results 1-20

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 May 31, 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 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 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:
Infographic showing various Part Time Remote Utilization Review job openings in Santa Rosa, CA as of May 2026, with employment types broken down into 100% Part Time. Highlights an 100% Remote job distribution, with an average salary of $96,155 per year, or $46.2 per hour.

Special Ed Case Manager (Fully Remote)

Executive Functions

Petaluma, CA โ€ข Remote

$55 - $75/hr

Part-time

Medical, Retirement

Posted 4 days ago


Job description

We're Hiring: Special Ed Case Manager ( PART-TIME, Remote - California Only)

Only apply if you live in California and hold a current SPED credential.


ABOUT US


Executive Functions, Inc., dba EF Specialists (EFS), is the most comprehensive executive function coaching company in California. We are proudly NPA-certified, partnering with school districts to design highly individualized student programs while also supporting families through private services.


We're serious about what we do-but we also believe great work happens when you enjoy the people you work with. Check us out at www.efspecialists.com


WHO ARE WE LOOKING FOR?

Someone who is...

  • A natural relationship builder-you can connect with parents, students, educators, and attorneys with ease
  • Organized to your core (you love a good system and don't let details slip)
  • A strong communicator who can be both empathetic and direct when needed
  • Solution-oriented-you don't just spot problems, you fix them
  • Comfortable juggling multiple roles without dropping the ball
  • Proactive and accountable-you own your work and follow through
  • Passionate about supporting students with diverse learning needs

Bonus points if you can balance professionalism with a sense of humor-we appreciate both.


JOB SUMMARY

Under general supervision, the Special Ed Case Manager plays a critical, multi-faceted role across Special Ed Case Manager, Special Ed Liaison, and EF Specialist functions.


This is not a "one-lane" job-you'll be at the center of communication and coordination between school districts, legal teams, families, and our internal specialists. Your ability to manage details, expectations, and relationships will directly impact student success and company performance.


This is not a "one-lane" job-you'll be at the center of communication and coordination between school districts, legal teams, families, and our internal specialists. Your ability to manage details, expectations, and relationships will directly impact student success and company performance.


WHAT YOU'LL DO

Special Ed Case Manager

  • Provides Case Management services for specialized cases
  • Coordinate services across the full care team
  • Support reporting, assessments, and ongoing evaluation of student needs
  • Can attend IEP meetings for our students

Special Ed Liason

  • Serve as the primary connection between EFS and school districts/SDP clients
  • Lead initial meetings with potential clients and partners
  • Clearly communicate our services, processes, and value
  • Oversee active cases and ensure high-quality service delivery
  • Facilitate strong, collaborative relationships between families and specialists
  • Lead Family Team meetings and align expectations across all parties
  • Navigate challenges with empathy, clarity, and strategic thinking

EF Specialist

  • Provide 1:1 remote executive function coaching
  • Help students build skills in organization, time management, and self-advocacy
  • Develop individualized plans and guide students through consistent progress
  • Partner with families to troubleshoot academic and communication challenges

SCHEDULE & EXPECTATIONS

  • Hourly, part-time: 5-20 hours/week (flexible, with some fluctuation)
  • Follows the academic calendar (busy during fall/spring; lighter during breaks)
  • Availability during the school year is essential
  • Time off should align with typical school breaks (summer, winter, spring)


BENEFITS of working with EFS:

  • Flexible, part-time remote work
  • Work with students across the globe
  • 401(k) with employer match (after 6 months)
  • Client Retention Bonus Plan
  • Healthcare reimbursement (90 days; 15+ hrs/week)
  • Technology reimbursement (based on hours)
  • Meaningful, impactful work-you'll see the difference you make


EDUCATION, CERTIFICATION, AND TRAINING QUALIFICATIONS:

Required:

  • Master's degree in Education (or equivalent)
  • Active Special Education credential (required)
  • Minimum 2 years of case management experience in a SPED setting

Preferred:

  • 3+ years of teaching, administrative, and/or coaching experience

Compensation (DOE):

  • Direct Service rate: $55-75 per hour
  • Administrative rate: $40-$45 per hour

How to Apply

  1. Review the application and expectations, and submit the requested information.
  2. Submit your resume, credentials, and a cover letter that highlights relevant education, experience, availability, and why you would be a great fit.


We look forward to learning more about you and your passion for helping students thrive.