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Part Time Remote Utilization Review Jobs (NOW HIRING)

Valenz Health

Medical Director - Part Time

Phoenix, AZ · On-site +1

Ensure clinical programs, utilization review activities, and medical management processes align ... This is a fully remote position, and we'll provide all the necessary equipment! * Work Environment:

Valenz

Medical Director - Part Time

Phoenix, AZ · Remote

Ensure clinical programs, utilization review activities, and medical management processes align ... This is a fully remote position, and we'll provide all the necessary equipment! * Work Environment:

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Part Time Remote Utilization Review information

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

As of Aug 20, 2026, the average hourly pay for part time remote utilization review in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.

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.

More about Part Time Remote Utilization Review jobs

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

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

What are the most commonly searched types of Remote Utilization Review jobs?

The most popular types of Remote Utilization Review jobs are:

What states have the most Part Time Remote Utilization Review jobs?

States with the most job openings for Part Time Remote Utilization Review jobs include:

What job categories do people searching Part Time Remote Utilization Review jobs look for?

The top searched job categories for Part Time Remote Utilization Review jobs are:

Part Time Remote Utilization Review jobs near you
Infographic showing various Part Time Remote Utilization Review job openings in the United States as of August 2026, with employment types broken down into 100% Part Time. Highlights an 100% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Medical Assistant (Part-Time -Remote )

PharmD Live

Birmingham, AL • Remote

$16 - $18/hr

Part-time

Re-posted 27 days ago

Job description

Medical Assistant - (Part-Time)

Schedule: Monday-Friday | 2:00 PM - 7:00 PM CST
Location: Remote
Employment Type: Part-Time
Compensation: $16-$18 per hour (based on experience)

Position Overview

We are seeking a detail-oriented and patient-focused Medical Assistant to support a telehealth and care management program in a structured, high-volume outreach environment.

This role blends traditional Medical Assistant responsibilities with phone-based patient engagement. The majority of the shift will involve outbound patient outreach, appointment scheduling, and documentation; however, candidates must also be comfortable performing core clinical support duties in a remote setting.

This is not an in-clinic position. The work is conducted remotely and requires strong communication skills, efficiency, and comfort working within defined performance metrics.

Core Responsibilities

Patient Outreach & Scheduling

  • Conduct high-volume outbound and inbound patient calls during scheduled shift
  • Schedule Annual Wellness Visits and care management appointments
  • Provide professional patient education regarding preventive services
  • Meet daily outreach and scheduling performance targets

Medical Assistant Support Duties

  • Perform medication reconciliation with patients
  • Update medical histories, allergies, and preventive care gaps
  • Collect and document patient-reported vitals when applicable
  • Prepare charts for provider review
  • Ensure accurate documentation within the EHR
  • Support care coordination and follow-up activities

Compliance & Documentation

  • Maintain HIPAA compliance at all times
  • Accurately document all patient interactions in the EHR
  • Escalate clinical concerns to supervising providers as appropriate

What This Role Requires

  • Comfort making 50-80 patient calls per shift
  • Strong phone presence and ability to engage Medicare-aged patients
  • Ability to work efficiently in a fast-paced, structured environment
  • Excellent multitasking and documentation skills
  • Professionalism and resilience when handling objections or voicemail-heavy outreach

Qualifications

  • Medical Assistant certification or equivalent healthcare experience required
  • Prior experience in a medical office, primary care, or care coordination setting
  • Prior call center experience strongly preferred
  • Familiarity with Epic, NextGen, or similar EHR systems preferred
  • Experience working with Medicare populations preferred

Ideal Candidate Profile

  • Self-motivated and disciplined in a remote setting
  • Comfortable with performance metrics and call volume expectations
  • Detail-oriented and clinically accurate
  • Reliable and punctual for scheduled shift
  • Able to balance patient empathy with efficiency

Apply