Medical Director - Part Time
Phoenix, AZ · On-site +1
As the Part-Time Medical Director, you'll provide physician leadership for the organization ... Ensure clinical programs, utilization review activities, and medical management processes align ...
Medical Director - Part Time
Phoenix, AZ · On-site +1
As the Part-Time Medical Director, you'll provide physician leadership for the organization ... Ensure clinical programs, utilization review activities, and medical management processes align ...
Utilization Review Specialist
Tucson, AZ · On-site
Contacts external case managers and managed care organizations to obtain certification of insurance ... Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
Utilization Review Specialist
Tucson, AZ · On-site
Contacts external case managers and managed care organizations to obtain certification of insurance ... Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
Utilization Review Specialist
Tucson, AZ · On-site
Contacts external case managers and managed care organizations to obtain certification of insurance ... Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
Utilization Review Specialist
Tucson, AZ · On-site
Contacts external case managers and managed care organizations to obtain certification of insurance ... Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
Manager Care Coordination
Chandler, AZ · On-site
$49.78 - $74.05/hr
Ensures timely completion of patient assessments, discharge planning, utilization management ... Full-time employees can receive up to $18,000 over five years, while part-time employees can ...
Manager Care Coordination
Chandler, AZ · On-site
$49.78 - $74.05/hr
Ensures timely completion of patient assessments, discharge planning, utilization management ... Full-time employees can receive up to $18,000 over five years, while part-time employees can ...
Manager Care Coordination
Chandler, AZ · On-site
Ensures timely completion of patient assessments, discharge planning, utilization management ... Full-time employees can receive up to $18,000 over five years, while part-time employees can ...
Manager Care Coordination
Chandler, AZ · On-site
Ensures timely completion of patient assessments, discharge planning, utilization management ... Full-time employees can receive up to $18,000 over five years, while part-time employees can ...
Registered Nurse - Case Manager Inpatient - RN ED/OBS/ACH *Part Time*
Phoenix, AZ · On-site
$90K - $136K/yr
... utilization management, care coordination, resource utilization, and clinical documentation. The RN Case Manager will function within the Mayo Clinical Nursing Professional Practice Model, which ...
Registered Nurse - Case Manager Inpatient - RN ED/OBS/ACH *Part Time*
Phoenix, AZ · On-site
$90K - $136K/yr
... utilization management, care coordination, resource utilization, and clinical documentation. The RN Case Manager will function within the Mayo Clinical Nursing Professional Practice Model, which ...
... utilization management, care coordination, resource utilization, and clinical documentation. The RN Case Manager will function within the Mayo Clinical Nursing Professional Practice Model, which ...
... utilization management, care coordination, resource utilization, and clinical documentation. The RN Case Manager will function within the Mayo Clinical Nursing Professional Practice Model, which ...
... utilization management, care coordination, resource utilization, and clinical documentation. The RN Case Manager will function within the Mayo Clinical Nursing Professional Practice Model, which ...
... utilization management, care coordination, resource utilization, and clinical documentation. The RN Case Manager will function within the Mayo Clinical Nursing Professional Practice Model, which ...
... utilization management, care coordination, resource utilization, and clinical documentation. The RN Case Manager will function within the Mayo Clinical Nursing Professional Practice Model, which ...
... utilization management, care coordination, resource utilization, and clinical documentation. The RN Case Manager will function within the Mayo Clinical Nursing Professional Practice Model, which ...
... utilization management, care coordination, resource utilization, and clinical documentation. The RN Case Manager will function within the Mayo Clinical Nursing Professional Practice Model, which ...
... utilization management, care coordination, resource utilization, and clinical documentation. The RN Case Manager will function within the Mayo Clinical Nursing Professional Practice Model, which ...
Demonstrates compliance with facility-wide Utilization Management policies and procedures ... We also offer our employee assistance program to part time employees. * Your Impact Matters: Join a ...
Demonstrates compliance with facility-wide Utilization Management policies and procedures ... We also offer our employee assistance program to part time employees. * Your Impact Matters: Join a ...
Care Coordination Nurse
Gilbert, AZ · On-site
$39.18 - $58.28/hr
Full-time employees can receive up to $18,000 over five years, while part-time employees can ... Understand how utilization management and case management programs integrate * Ability to work as a ...
Care Coordination Nurse
Gilbert, AZ · On-site
$39.18 - $58.28/hr
Full-time employees can receive up to $18,000 over five years, while part-time employees can ... Understand how utilization management and case management programs integrate * Ability to work as a ...
Case Management Director
Glendale, AZ · On-site
... part-time employees and their families. • Generous paid time off that accrues over time. • ... including Utilization Review and Discharge Planning experience. • May be required to work ...
Case Management Director
Glendale, AZ · On-site
... part-time employees and their families. • Generous paid time off that accrues over time. • ... including Utilization Review and Discharge Planning experience. • May be required to work ...
Case Management Director
Yuma, AZ · On-site
... part-time employees and their families. • Generous paid time off that accrues over time. • ... including Utilization Review and Discharge Planning experience. • May be required to work ...
Case Management Director
Yuma, AZ · On-site
... part-time employees and their families. • Generous paid time off that accrues over time. • ... including Utilization Review and Discharge Planning experience. • May be required to work ...
Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... Three years of hospital-based Case Management experience, including Utilization Review and ...
Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... Three years of hospital-based Case Management experience, including Utilization Review and ...
Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... Three years of hospital-based Case Management experience, including Utilization Review and ...
Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... Three years of hospital-based Case Management experience, including Utilization Review and ...
Pharmacist Part Time
Prescott Valley, AZ · On-site
$57 - $68.50/hr
Effective organizational and time management skills. * Effective written and verbal communication ... Conducts drug utilization reviews and prepares drug review criteria for medical staff approval.
Pharmacist Part Time
Prescott Valley, AZ · On-site
$57 - $68.50/hr
Effective organizational and time management skills. * Effective written and verbal communication ... Conducts drug utilization reviews and prepares drug review criteria for medical staff approval.
PRN status position , working as needed 8 hour Day shifts in Care Management / Case Management at ... Employment Type: PART_TIME
PRN status position , working as needed 8 hour Day shifts in Care Management / Case Management at ... Employment Type: PART_TIME
Part-Time Optician (Research)
Chandler, AZ · On-site
$17 - $21.75/hr
This role reports to the Director of Clinical Research or Site Manager. Local travel to nearby ... practice utilization across sites. This provides assurance and confidence to sponsors that they ...
Part-Time Optician (Research)
Chandler, AZ · On-site
$17 - $21.75/hr
This role reports to the Director of Clinical Research or Site Manager. Local travel to nearby ... practice utilization across sites. This provides assurance and confidence to sponsors that they ...
Part-Time Optician (Research)
Chandler, AZ · On-site
$17 - $21.75/hr
This role reports to the Director of Clinical Research or Site Manager. Local travel to nearby ... practice utilization across sites. This provides assurance and confidence to sponsors that they ...
Part-Time Optician (Research)
Chandler, AZ · On-site
$17 - $21.75/hr
This role reports to the Director of Clinical Research or Site Manager. Local travel to nearby ... practice utilization across sites. This provides assurance and confidence to sponsors that they ...
Part Time Utilization Management information
What is a part time utilization management?
A part-time utilization management job involves reviewing and evaluating the medical necessity, appropriateness, and efficiency of healthcare services, procedures, and facilities on a part-time basis. These professionals help ensure that patients receive the right care at the right time while controlling healthcare costs and complying with insurance policies. Part-time roles may be suitable for nurses, social workers, or other healthcare professionals who want flexible hours while contributing to quality patient care and resource management.
What are the key skills and qualifications needed to thrive as a part time utilization management professional?
To thrive as a Part Time Utilization Management professional, you need a background in nursing or healthcare, critical thinking skills, and knowledge of medical necessity criteria, often supported by RN or LPN licensure. Familiarity with utilization review software, electronic health records (EHRs), and systems like InterQual or Milliman is typically required. Strong communication, attention to detail, and organizational skills help you effectively coordinate with providers and ensure accurate documentation. These abilities are essential for making informed coverage determinations, optimizing resource use, and maintaining compliance with healthcare regulations.
What is the difference between Part Time Utilization Management vs Part Time Care Coordinator?
| Aspect | Part Time Utilization Management | Part Time Care Coordinator |
|---|---|---|
| Primary Role | Reviewing and approving healthcare services to ensure appropriate utilization | Coordinating patient care plans and services across providers |
| Certifications | Typically requires healthcare or insurance-related certifications | Often requires healthcare or case management certifications |
| Work Environment | Office-based, insurance companies, healthcare organizations | Healthcare facilities, clinics, or community health settings |
| Employer & Industry Usage | Insurance companies, managed care organizations | Hospitals, clinics, healthcare providers |
While both roles involve healthcare coordination, Part Time Utilization Management focuses on reviewing and authorizing services, whereas Part Time Care Coordinators actively manage patient care plans. Understanding these differences helps in choosing the right career path or job search focus.
What are the most commonly searched types of Utilization Management jobs in Arizona?
The most popular types of Utilization Management jobs in Arizona are:
Part-time
Medical, Dental, Vision, Retirement, PTO
Re-posted 17 days ago
Key responsibilities
Provide physician leadership in developing, implementing, and evaluating evidence-based clinical guidelines, medical policies, and utilization management protocols.
Serve as the clinical authority for complex, high-risk, or escalated utilization review cases by providing medical expertise and final medical necessity determinations.
Participate in quality and performance initiatives by reviewing medical management outcomes, analyzing quality metrics, and engaging in organizational meetings.
Job description
Vālenz® Health is the platform to simplify healthcare - the destination for employers, payers, providers and members to reduce costs, improve quality, and elevate the healthcare experience. The Valenz mindset and culture of innovation combine to create a distinctly different approach to an inefficient, uninspired health system. With fully integrated solutions, Valenz engages early and often to execute across the entire patient journey - from care navigation and management to payment integrity, plan performance and provider verification. With a 99% client retention rate, we elevate expectations to a new level of efficiency, effectiveness and transparency where smarter, better, faster healthcare is possible.
About This Opportunity:
As the Part-Time Medical Director, you'll provide physician leadership for the organization's medical management and utilization review programs. You'll help ensure clinical decisions, medical policies, and review processes align with evidence-based medicine, regulatory requirements, and organizational standards.
In this role, you'll support quality improvement initiatives, complex medical necessity determinations, and the ongoing development of clinical programs while serving as a trusted clinical advisor to operational leadership and interdisciplinary teams.
Things You'll Do Here:
What You'll Bring to the Team:
Required Qualifications
Where You'll Work: This is a fully remote position, and we'll provide all the necessary equipment!
Why You'll Love Working Here
Valenz is proud to be recognized by Inc. 5000 as one of America's fastest-growing private companies. Our team is committed to delivering on our promise to engage early and often for smarter, better, faster healthcare.With this commitment, you'll find an engaged culture - one that stands strong, vigorous, and healthy in all we do.
Benefits
At Valenz, we celebrate, support, and thrive on inclusion, for the benefit of our associates, our partners, and our products. Valenz is committed to the principle of equal employment opportunity for all associates and to providing associates with a work environment free of discrimination and harassment. All employment decisions at Valenz are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion or belief, national, social, or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. We will not tolerate discrimination or harassment based on any of these characteristics.
About This Opportunity:
As the Part-Time Medical Director, you'll provide physician leadership for the organization's medical management and utilization review programs. You'll help ensure clinical decisions, medical policies, and review processes align with evidence-based medicine, regulatory requirements, and organizational standards.
In this role, you'll support quality improvement initiatives, complex medical necessity determinations, and the ongoing development of clinical programs while serving as a trusted clinical advisor to operational leadership and interdisciplinary teams.
Things You'll Do Here:
- Provide physician leadership in the development, implementation, and ongoing evaluation of evidence-based clinical guidelines, medical policies, and utilization management protocols to support high-quality, clinically appropriate decision-making.
- Ensure clinical programs, utilization review activities, and medical management processes align with current standards of care, evidence-based medicine, accreditation requirements, and applicable federal and state regulations.
- Serve as the clinical authority for complex, high-risk, or escalated utilization review cases by providing medical expertise, benefit interpretation, and final medical necessity determinations as appropriate.
- Promote consistency, accuracy, and defensibility in medical decision-making by applying sound clinical judgment and established medical necessity criteria across all review activities.
- Collaborate with Clinical Operations, Compliance, Legal, and executive leadership to develop, review, and revise clinical and administrative policies, medical necessity guidelines, and benefit interpretation criteria.
- Monitor changes in clinical practice guidelines, healthcare regulations, payer requirements, and industry best practices, recommending updates to organizational policies and review processes as necessary.
- Provide physician oversight for quality and performance initiatives by reviewing medical management outcomes, analyzing quality metrics, and participating in quarterly Quality Committee meetings and reporting.
- Participate in internal audits, accreditation activities, regulatory reviews, and quality improvement initiatives to ensure compliance with organizational standards and continuous operational excellence.
- Partner with operational leadership to ensure clinical standards are effectively integrated into utilization review workflows, promoting efficient, evidence-based, and member-focused medical management.
- Provide clinical consultation and recommendations regarding post-service medical necessity determinations, appeals, and other medically complex cases requiring physician review.
- Serve as a trusted clinical resource and advisor to physicians, nurses, utilization review staff, and cross-functional business partners by providing education, guidance, and consultation on medical policy and clinical best practices.
- Participate in interdisciplinary committees, physician advisory groups, and organizational meetings to provide clinical insight and support strategic initiatives.
- Foster collaborative relationships with internal and external stakeholders to promote quality outcomes, regulatory compliance, and continuous improvement across medical management programs.
- Perform other duties as assigned.
What You'll Bring to the Team:
Required Qualifications
- MD or DO degree with an active, unrestricted medical license
- Board certification in a recognized specialty
- Experience with utilization management, medical policy development, and clinical program oversight
- Familiarity with applicable regulations (e.g., CMS, URAC, and state-specific requirements)
- Strong interpersonal, organizational, and analytical skills
- Active, unrestricted Texas medical license (full licensure, not an administrative license)
- Must hold active medical licenses in states that require physician licensure to perform utilization reviews. Current priorities include Maryland, New Hampshire, West Virginia, and Texas. Additional state licenses are preferred as business needs evolve.
- 5+ years of clinical experience
- Managed care or health insurance industry experience
Where You'll Work: This is a fully remote position, and we'll provide all the necessary equipment!
- Work Environment: You'll need a quiet workspace that is free from distractions.
- Technology: Reliable internet connection-if you can use streaming services, you're good to go!
- Security: Adherence to company security protocols, including the use of VPNs, secure passwords, and company-approved devices/software.
- Location: You must be US based, in a location where you can work effectively and comply with company policies such as HIPAA.
Why You'll Love Working Here
Valenz is proud to be recognized by Inc. 5000 as one of America's fastest-growing private companies. Our team is committed to delivering on our promise to engage early and often for smarter, better, faster healthcare.With this commitment, you'll find an engaged culture - one that stands strong, vigorous, and healthy in all we do.
Benefits
- Generously subsidized company-sponsored Medical, Dental, and Vision insurance, with access to services through our own products, Healthcare Blue Book and KISx Card.
- Spending account options: HSA, FSA, and DCFSA
- 401K with company match and immediate vesting
- Flexible working environment
- Generous Paid Time Off to include vacation, sick leave, and paid holidays
- Employee Assistance Program that includes professional counseling, referrals, and additional services
- Paid maternity and paternity leave
- Pet insurance
- Employee discounts on phone plans, car rentals and computers
- Community giveback opportunities, including paid time off for philanthropic endeavors
At Valenz, we celebrate, support, and thrive on inclusion, for the benefit of our associates, our partners, and our products. Valenz is committed to the principle of equal employment opportunity for all associates and to providing associates with a work environment free of discrimination and harassment. All employment decisions at Valenz are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion or belief, national, social, or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. We will not tolerate discrimination or harassment based on any of these characteristics.