Overview RN, Utilization Management | Utilization Management Ensure the right care at the right ... FTE: Part-Time (.6) ????️ Schedule: Weekend Only (12-hour shifts) Evaluates patient medical ...
Overview RN, Utilization Management | Utilization Management Ensure the right care at the right ... FTE: Part-Time (.6) ????️ Schedule: Weekend Only (12-hour shifts) Evaluates patient medical ...
Utilization Review Registered Nurse : On Site Position
Meeker, CO · On-site
$33.50 - $49/hr
The Part-Time Utilization Review Nurse is a Registered Nurse (RN) responsible for conducting ... Education and Experience: - Previous experience in managing staff and schedules required. - Active ...
Utilization Review Registered Nurse : On Site Position
Meeker, CO · On-site
$33.50 - $49/hr
The Part-Time Utilization Review Nurse is a Registered Nurse (RN) responsible for conducting ... Education and Experience: - Previous experience in managing staff and schedules required. - Active ...
Medical Director - Utilization Management (Part Time)
Monterey Park, CA · On-site +1
$250K - $325K/yr
Medical Director - Utilization Management (Part Time) Department: HS - UM Employment Type: Part Time Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Reporting To: Dr. Dinesh Kumar ...
Medical Director - Utilization Management (Part Time)
Monterey Park, CA · On-site +1
$250K - $325K/yr
Medical Director - Utilization Management (Part Time) Department: HS - UM Employment Type: Part Time Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Reporting To: Dr. Dinesh Kumar ...
Medical Director - Utilization Management (Part Time)
Monterey Park, CA · Remote
$250K - $325K/yr
About the Role The PartTime Medical Director - Utilization Management, Outpatient Services provides physician oversight for medical necessity, appropriateness, and utilization decisions across ...
Medical Director - Utilization Management (Part Time)
Monterey Park, CA · Remote
$250K - $325K/yr
About the Role The PartTime Medical Director - Utilization Management, Outpatient Services provides physician oversight for medical necessity, appropriateness, and utilization decisions across ...
Utilization Management RN
Pomona, CA · On-site
$45 - $55/hr
Utilization Management RN Location ... Pomona, CA Duration: 13 weeks Schedule: 08:00am - 04:30pm (Part time) Payrate : $45/hr - $55/hr on ...
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Utilization Management RN
Pomona, CA · On-site
$45 - $55/hr
Utilization Management RN Location ... Pomona, CA Duration: 13 weeks Schedule: 08:00am - 04:30pm (Part time) Payrate : $45/hr - $55/hr on ...
Description About the Role The Part‑Time Medical Director - Utilization Management, Outpatient Services provides physician oversight for medical necessity, appropriateness, and utilization ...
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Description About the Role The Part‑Time Medical Director - Utilization Management, Outpatient Services provides physician oversight for medical necessity, appropriateness, and utilization ...
The Utilization Management Registered Nurse (UM RN) is responsible for evaluating the medical ... Benefits Eligibility : (Full-time and Part-time Employees-over 20 hours a week) * Competitive ...
The Utilization Management Registered Nurse (UM RN) is responsible for evaluating the medical ... Benefits Eligibility : (Full-time and Part-time Employees-over 20 hours a week) * Competitive ...
The Utilization Management Registered Nurse (UM RN) is responsible for evaluating the medical ... Benefits Eligibility : (Full-time and Part-time Employees-over 20 hours a week) * Competitive ...
The Utilization Management Registered Nurse (UM RN) is responsible for evaluating the medical ... Benefits Eligibility : (Full-time and Part-time Employees-over 20 hours a week) * Competitive ...
Utilization Management RN Hourly (PRN) - Care Continuity - UH Truman Medical Centers (varied days...
... Type Part time Work Schedule 7:00AM - 3:30PM Hours Per Week 4 Utilization Management Nurse (PRN UM RN) Optimize Care. Improve Outcomes. Elevate the Patient Experience. Are you a skilled RN with a ...
Utilization Management RN Hourly (PRN) - Care Continuity - UH Truman Medical Centers (varied days...
... Type Part time Work Schedule 7:00AM - 3:30PM Hours Per Week 4 Utilization Management Nurse (PRN UM RN) Optimize Care. Improve Outcomes. Elevate the Patient Experience. Are you a skilled RN with a ...
Utilization Management Physician Advisor works with Senior Medical Officers, Regional Medical Officers, Extensivists, the Healthcare Services Team (Case managers, Social Workers, Utilization Managers ...
Utilization Management Physician Advisor works with Senior Medical Officers, Regional Medical Officers, Extensivists, the Healthcare Services Team (Case managers, Social Workers, Utilization Managers ...
Monitors and identifies patterns or trends in utilization management; monitors potential and actual denials and collaborates with care coordinator for any follow up necessary; documents actions taken ...
Monitors and identifies patterns or trends in utilization management; monitors potential and actual denials and collaborates with care coordinator for any follow up necessary; documents actions taken ...
Utilization Management Nurse (RN) - Part Time
Annapolis, MD · On-site
$34 - $55/hr
Monitors and identifies patterns or trends in utilization management; monitors potential and actual denials and collaborates with care coordinator for any follow up necessary; documents actions taken ...
Utilization Management Nurse (RN) - Part Time
Annapolis, MD · On-site
$34 - $55/hr
Monitors and identifies patterns or trends in utilization management; monitors potential and actual denials and collaborates with care coordinator for any follow up necessary; documents actions taken ...
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Act as liaison between managed care organizations and the facility professional clinical staff.
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Act as liaison between managed care organizations and the facility professional clinical staff.
This position may be filled on a full-time or part-time basis, with a minimum commitment of 0.5 FTE ... utilization management topics via yearly continuing medical education programs and self-study.
This position may be filled on a full-time or part-time basis, with a minimum commitment of 0.5 FTE ... utilization management topics via yearly continuing medical education programs and self-study.
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Act as liaison between managed care organizations and the facility professional clinical staff.
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Act as liaison between managed care organizations and the facility professional clinical staff.
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Act as liaison between managed care organizations and the facility professional clinical staff.
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Act as liaison between managed care organizations and the facility professional clinical staff.
Employment Type: Part time Shift: Day Shift Description: Must be licensed RN or Social Worker in CT Position Purpose The Utilization Management Specialist is responsible for acute care concurrent ...
Employment Type: Part time Shift: Day Shift Description: Must be licensed RN or Social Worker in CT Position Purpose The Utilization Management Specialist is responsible for acute care concurrent ...
BENEFITS for Full and Part-time employees who work 30 or more hours per week: We pay 100% of the ... UTILIZATION MANAGEMENT & CARE COORDINATION: 1. Conduct retrospective reviews of inpatient ...
BENEFITS for Full and Part-time employees who work 30 or more hours per week: We pay 100% of the ... UTILIZATION MANAGEMENT & CARE COORDINATION: 1. Conduct retrospective reviews of inpatient ...
Administrative Assistant/Utilization Management Specialist - Care Management (Acute Care) (Per-Di...
Glens Falls, NY · On-site
$18.91 - $28.37/hr
The Utilization Specialist will ensure the coordination of activities with the Utilization ... A summary of these offerings, which are available to active, full-time and part-time employees who ...
Administrative Assistant/Utilization Management Specialist - Care Management (Acute Care) (Per-Di...
Glens Falls, NY · On-site
$18.91 - $28.37/hr
The Utilization Specialist will ensure the coordination of activities with the Utilization ... A summary of these offerings, which are available to active, full-time and part-time employees who ...
REMOTE Utilization Review Nurse - Managed Care
Coos Bay, OR · Remote
$35.29 - $47.37/hr
We are currently hiring a Part-time REMOTE Utilization Review Nurse! If you are a licensed nurse ... Support and contribute to effective safety, quality, and risk management efforts by adhering to ...
REMOTE Utilization Review Nurse - Managed Care
Coos Bay, OR · Remote
$35.29 - $47.37/hr
We are currently hiring a Part-time REMOTE Utilization Review Nurse! If you are a licensed nurse ... Support and contribute to effective safety, quality, and risk management efforts by adhering to ...
Part Time Utilization Management Bcba information
See salary details
$47.5K - $56.7K
1% of jobs
$56.7K - $66K
5% of jobs
$73K is the 25th percentile. Wages below this are outliers.
$66K - $75.2K
24% of jobs
The median wage is $80.2K / yr.
$75.2K - $84.4K
35% of jobs
$89K is the 75th percentile. Wages above this are outliers.
$84.4K - $93.6K
18% of jobs
$93.6K - $102.9K
5% of jobs
$102.9K - $112.1K
1% of jobs
$112.1K - $121.3K
1% of jobs
$121.3K - $130.5K
3% of jobs
$130.5K - $139.8K
3% of jobs
$139.8K - $149K
2% of jobs
$47.5K
$89.1K
$149K
How much do part time utilization management bcba jobs pay per year?
What is the difference between Part Time Utilization Management Bcba vs Part Time Behavior Analyst?
| Aspect | Part Time Utilization Management Bcba | Part Time Behavior Analyst |
|---|---|---|
| Certifications | BCBA or BCaBA, plus utilization management training | BCBA or BCaBA |
| Work Environment | Healthcare, insurance, or managed care settings | Clinical, educational, or behavioral therapy settings |
| Job Focus | Reviewing service necessity, authorizations, and resource allocation | Developing and implementing behavior intervention plans |
| Employer Usage | Health plans, insurance companies, healthcare providers | Schools, clinics, private practices |
While both roles require BCBA credentials, the Part Time Utilization Management Bcba focuses on managing healthcare resources and authorizations, whereas the Part Time Behavior Analyst concentrates on direct behavioral assessment and intervention. Understanding these differences helps professionals choose the role that aligns with their skills and career goals.
Part-time
Posted 16 days ago
Job description
RN, Utilization Management | Utilization Management
Ensure the right care at the right time—driving quality outcomes through effective utilization and care coordination.
???? Work Style: Onsite
???? Location: Gainesville, FL
???? FTE: Part-Time (.6)
????️ Schedule: Weekend Only (12-hour shifts)
Evaluates patient medical records to determine the medical necessity and appropriateness of healthcare services in alignment with utilization management guidelines. Collaborates with healthcare providers to support compliance, optimize treatment plans, and promote efficient resource utilization.
Communicates authorization decisions clearly and monitors patient progress to support timely discharge planning. Analyzes utilization data to identify trends and opportunities for improvement.
Partners with interdisciplinary teams to enhance care coordination, ensure accurate documentation, and maintain compliance with regulatory and organizational standards.
Responsibilities
Key Responsibilities
- Evaluates patient medical records to ensure the necessity and appropriateness of healthcare services.
- Coordinates with healthcare providers to ensure compliance with utilization management guidelines.
- Supports the optimization of treatment plans to promote effective patient care and appropriate resource utilization.
- Communicates authorization decisions clearly and supports timely discharge planning.
- Analyzes utilization data to identify trends and opportunities to improve care coordination.
- Collaborates with interdisciplinary teams to ensure accurate documentation and regulatory compliance.
Qualifications
Education & Experience:
Registered Nurse (RN) with a current Florida license required.
- Three (3) years of critical care nursing experience, or
- Five (5) years of medical-surgical nursing experience, or
- Three (3) years of utilization review, case management, or third-party payer experience.
Qualifications
- Active Registered Nurse (RN) license with 3+ years of experience in utilization review or case management.
- Strong knowledge of healthcare utilization management guidelines and regulatory compliance.
- Experience evaluating medical necessity and optimizing treatment plans.
- Excellent communication skills with the ability to clearly convey authorization decisions.
- Ability to analyze utilization data and support effective care coordination.
- Strong organizational skills with the ability to manage multiple priorities simultaneously.
- Ability to work independently and collaboratively with multidisciplinary teams.
- Strong attention to detail and innovative problem-solving skills.
- Flexibility to adjust work hours and days based on departmental needs.
Motor Vehicle Operator Designation:
Employees in this position will not operate vehicles for an assigned business purpose.
Note: Please indicate the appropriate operator designation on the Request for Personnel (RFP) form at the time of submission.
Licensure/Certification/Registration:
- Registered Nurse (RN) with a current Florida license required.
About UF Health
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Gainesville, FL, US
Year founded
1958