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.
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.
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 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 ...
Registered Nurse - Case Manager Inpatient, Supplemental - RN
$43.56 - $65.39/hr
... appropriate utilization management, care coordination, resource utilization, and clinical ... Part Time Hours/Pay Period 0.0004 Schedule Details Days; 10-hour shifts Hours: 7:00am.-5:30pm. 2 ...
Registered Nurse - Case Manager Inpatient, Supplemental - RN
$43.56 - $65.39/hr
... appropriate utilization management, care coordination, resource utilization, and clinical ... Part Time Hours/Pay Period 0.0004 Schedule Details Days; 10-hour shifts Hours: 7:00am.-5:30pm. 2 ...
Full-time employees can receive up to $18,000 over five years, while part-time employees can ... Minimum of 3 years of clinical care coordination experience, (Utilization Management, Denial ...
Full-time employees can receive up to $18,000 over five years, while part-time employees can ... Minimum of 3 years of clinical care coordination experience, (Utilization Management, Denial ...
Manager Care Coordination
$49.78 - $74.05/hr
Full-time employees can receive up to $18,000 over five years, while part-time employees can ... Minimum of 3 years of clinical care coordination experience, (Utilization Management, Denial ...
Manager Care Coordination
$49.78 - $74.05/hr
Full-time employees can receive up to $18,000 over five years, while part-time employees can ... Minimum of 3 years of clinical care coordination experience, (Utilization Management, Denial ...
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 ...
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 ...
Nurse Care Coordination
$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 ...
Nurse Care Coordination
$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
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 ...
Dispatcher - Part Time
Phoenix, AZ · On-site
This part-time Dispatcher role provides flexible coverage to support transportation operations ... management of shipping and transportation documentation * Monitor and optimize fleet utilization to ...
Quick apply
Dispatcher - Part Time
Phoenix, AZ · On-site
This part-time Dispatcher role provides flexible coverage to support transportation operations ... management of shipping and transportation documentation * Monitor and optimize fleet utilization to ...
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.
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 ...
Quick apply
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 ...
Utilization of Diagnostic Tests * Mid-level Provider Oversite * Chronic Sinusitis Collaboration ... Oversee and manage both food and environmental allergy testing for patients by utilizing both ...
Utilization of Diagnostic Tests * Mid-level Provider Oversite * Chronic Sinusitis Collaboration ... Oversee and manage both food and environmental allergy testing for patients by utilizing both ...
Nurse Practitioner - PT (Nights & Weekends)
Kingman, AZ · On-site
$75 - $125/hr
Support appropriate utilization of healthcare resources * Ensure timely and accurate documentation ... Managing physical health problems through the provision of education. * Communicate gaps in care to ...
Quick apply
Nurse Practitioner - PT (Nights & Weekends)
Kingman, AZ · On-site
$75 - $125/hr
Support appropriate utilization of healthcare resources * Ensure timely and accurate documentation ... Managing physical health problems through the provision of education. * Communicate gaps in care to ...
Nurse Practitioner - PT (Nights & Weekends)
Prescott, AZ · On-site
$75 - $125/hr
Support appropriate utilization of healthcare resources * Ensure timely and accurate documentation ... Managing physical health problems through the provision of education. * Communicate gaps in care to ...
Quick apply
Nurse Practitioner - PT (Nights & Weekends)
Prescott, AZ · On-site
$75 - $125/hr
Support appropriate utilization of healthcare resources * Ensure timely and accurate documentation ... Managing physical health problems through the provision of education. * Communicate gaps in care to ...
Part Time Utilization Management information
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 key skills and qualifications needed to thrive as a Part Time Utilization Management professional, and why are they important?
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 a part-time utilization management job?
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 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, Life, Retirement, PTO
Posted 11 days ago
LifePoint Health rating
5.9
Based on 258 frontline employees who took The Breakroom Quiz
748th of 872 rated healthcare providers
Job description
Job Description
Your experience matters
El Dorado Springs Behavioral Health is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Utilization Review Specialistjoining our team, you're embracing a vital mission dedicated to making communities healthier ®. Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve.
How you'll contribute
A Utilization Review Specialist who excels in this role:
About our Team
Driven by a mission to help individuals regain stability and wellness, our multidisciplinary team works collaboratively to provide compassionate care while fostering a supportive, safety-focused workplace culture for our staff and patients alike.
What we're looking for
Applicants must have a Bachelor's degree (required). Master's degree is preferred. Additional requirements include:
Schedule: PRN (as needed)
This position does not have a set weekly schedule. You'll be called in to work when extra help is needed-such as covering for someone, handling busy periods, or filling gaps in the schedule. Hours can vary from week to week, and there's no guaranteed hours.
Why join us
We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers:
More about El Dorado Springs
El Dorado Springs features a state-of-the-art facility with over 100 private and semi-private rooms, providing a secure and therapeutic setting focused on comfort, dignity, and healing. Patients receive 24/7 medically supervised care, evidence-based therapy, medication management, and comprehensive discharge and aftercare planning.
Accredited by The Joint Commission and certified by CMS, El Dorado Springs Behavioral Health is committed to delivering relationship-centered, evidence-based care that improves outcomes and supports long-term recovery.
The hospital offers a full continuum of care, including inpatient psychiatric stabilization, medically assisted detox (MAT), Partial Hospitalization Program (PHP), and Intensive Outpatient Program (IOP). These programs are designed to support individuals experiencing acute mental health symptoms, substance use disorders, or co-occurring conditions in a safe, structured environment.
EEOC Statement
El Dorado Springs Behavioral Health is an Equal Opportunity Employer. El Dorado Springs Behavioral Health is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment."
About Us
Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.
About the Team
We employ and provide care to people from all walks of life. We are committed to promoting healing, providing hope, preserving dignity and producing value with an inclusive workforce in which diversity is leveraged, respected, and reflective of the patients, family members, customers and team members we serve.
Your experience matters
El Dorado Springs Behavioral Health is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Utilization Review Specialistjoining our team, you're embracing a vital mission dedicated to making communities healthier ®. Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve.
How you'll contribute
A Utilization Review Specialist who excels in this role:
- Facilitates clinical reviews for all patient admissions and continued stays.
- Analyzes patient records to determine the appropriateness of admission, treatment, and length of stay, and interfaces with managed care organizations, external reviewers, and other payers.
- Advocates on behalf of patients with substance abuse, dual diagnosis, psychiatric, or emotional disorders to managed care providers to ensure access to necessary treatment.
- Contacts external case managers and managed care organizations to obtain certification of insurance benefits throughout the patient's stay and assists the treatment team in understanding requirements for continued stay and discharge planning.
- Demonstrates knowledge of clinical criteria and managed care requirements for inpatient and outpatient authorization, and advocates for coverage of necessary services.
- Completes pre-certifications and re-certifications for inpatient and outpatient services; reports denials and authorization information to the appropriate resource.
- Actively communicates with the interdisciplinary team to obtain pertinent information and provide updates on authorizations.
- Participates in treatment team meetings to ensure staff understand coverage and to gather information for communication with external agencies.
- Collaborates with the Director of Nursing (DON) to ensure documentation requirements are met.
- Ensures appeals are completed thoroughly and in a timely manner.
- Interfaces with managed care organizations, external reviewers, and other payers.
- Communicates with physicians to schedule peer-to-peer reviews.
- Accurately reports denials.
About our Team
Driven by a mission to help individuals regain stability and wellness, our multidisciplinary team works collaboratively to provide compassionate care while fostering a supportive, safety-focused workplace culture for our staff and patients alike.
What we're looking for
Applicants must have a Bachelor's degree (required). Master's degree is preferred. Additional requirements include:
- Previous utilization review experience in a psychiatric healthcare facility preferred.
- Current unencumbered clinical license is strongly preferred.
- CPR certification and Crisis Prevention Training (CPI) preferred. May be required to work flexible hours and overtime
Schedule: PRN (as needed)
This position does not have a set weekly schedule. You'll be called in to work when extra help is needed-such as covering for someone, handling busy periods, or filling gaps in the schedule. Hours can vary from week to week, and there's no guaranteed hours.
Why join us
We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers:
- Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
- Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
- Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
- Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
- Professional Development: Ongoing learning and career advancement opportunities.
More about El Dorado Springs
El Dorado Springs features a state-of-the-art facility with over 100 private and semi-private rooms, providing a secure and therapeutic setting focused on comfort, dignity, and healing. Patients receive 24/7 medically supervised care, evidence-based therapy, medication management, and comprehensive discharge and aftercare planning.
Accredited by The Joint Commission and certified by CMS, El Dorado Springs Behavioral Health is committed to delivering relationship-centered, evidence-based care that improves outcomes and supports long-term recovery.
The hospital offers a full continuum of care, including inpatient psychiatric stabilization, medically assisted detox (MAT), Partial Hospitalization Program (PHP), and Intensive Outpatient Program (IOP). These programs are designed to support individuals experiencing acute mental health symptoms, substance use disorders, or co-occurring conditions in a safe, structured environment.
EEOC Statement
El Dorado Springs Behavioral Health is an Equal Opportunity Employer. El Dorado Springs Behavioral Health is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment."
About Us
Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.
About the Team
We employ and provide care to people from all walks of life. We are committed to promoting healing, providing hope, preserving dignity and producing value with an inclusive workforce in which diversity is leveraged, respected, and reflective of the patients, family members, customers and team members we serve.
What LifePoint Health employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About LifePoint Health
Sourced by ZipRecruiter
Lifepoint Health serves patients, clinicians, communities and partners across the healthcare continuum. Our diversified healthcare delivery network extends from coast to coast, consisting of community hospitals, rehabilitation and behavioral health hospitals, and additional sites of care.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Brentwood, TN, US
Year founded
1999