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Part Time Utilization Management Jobs in California

Sutter Health

Care Manager II, Acute

Modesto, CA · On-site

$82.48 - $115.46/hr

... management/utilization management SKILLS AND KNOWLEDGE: A broad knowledge base of health care ... Days Schedule: Part Time Shift Hours: 8 Days of the Week: Variable Weekend Requirements: Every ...

ScionHealth

Case Manager II - PT Days

San Leandro, CA · On-site

$64.55 - $81.87/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Enhances the quality of patient management and satisfaction, to promote continuity of care and cost effectiveness through the integration of functions of case management, utilization review and ...

Sharp HealthCare

PT Spec I- Part-time- Santee

Santee, CA · On-site

$46.11 - $59.50/hr

Completes all tasks and documentation needs (i.e. utilization management, plan of care, medical necessity reviews) based on department and regulatory requirements. * Professional and Departmental ...

Sharp Healthcare

PT Spec I- Part-time- Santee

Santee, CA · On-site

$46.11 - $59.50/hr

Completes all tasks and documentation needs (i.e. utilization management, plan of care, medical necessity reviews) based on department and regulatory requirements. * Professional and Departmental ...

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Showing results 21-40

All JobsUtilization Management JobsPart Time Utilization Management JobsPart Time Utilization Management Jobs in California

Part Time Utilization Management information

What is the difference between Part Time Utilization Management vs Part Time Care Coordinator?

AspectPart Time Utilization ManagementPart Time Care Coordinator
Primary RoleReviewing and approving healthcare services to ensure appropriate utilizationCoordinating patient care plans and services across providers
CertificationsTypically requires healthcare or insurance-related certificationsOften requires healthcare or case management certifications
Work EnvironmentOffice-based, insurance companies, healthcare organizationsHealthcare facilities, clinics, or community health settings
Employer & Industry UsageInsurance companies, managed care organizationsHospitals, 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?

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.

Is part time utilization management a stressful job?

Part time utilization management can be stressful due to the need to review and approve healthcare services efficiently while meeting deadlines. The role often requires strong organizational skills, attention to detail, and the ability to handle high volumes of cases, which can contribute to work-related stress.

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 most commonly searched types of Utilization Management jobs in California?

The most popular types of Utilization Management jobs in California are:

What cities in California are hiring for Part Time Utilization Management jobs?

Cities in California with the most Part Time Utilization Management job openings:

Part Time Utilization Management jobs near you
Infographic showing various Part Time Utilization Management job openings in California as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 14% Part Time, 2% Temporary, and 2% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution.

Care Manager II, Acute

Sutter Health

Modesto, CA • On-site

$82.48 - $115.46/hr

Part-time

Re-posted 27 days ago

Sutter Health rating

8.2

Company rating: 8.2 out of 10

Based on 327 frontline employees who took The Breakroom Quiz

55th of 887 rated healthcare providers

Job description

We are so glad you are interested in joining Sutter Health!
Organization:
SMCS-Valley Administration
Position Overview:
Responsible for Care Coordination and Care Transitions Planning throughout the acute care patient experience. This position works in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN to assure the timely progression and transition of patients to the appropriate level of care to prevent unnecessary admissions or readmissions. The Care Management process encompasses communication and facilitates care across the continuum through effective resource coordination. The goals of this role are to include the achievement of optimal health, access to care, and appropriate utilization of resources balanced with the patients' self -determination while coordinating in a timely and integrated fashion. He/She collaborates with patients, families, physicians, the interdisciplinary team, nursing management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers and community resources. If assigned to the Emergency Department, the Care Management process is to address complex clinical and social situations efficiently in order to avoid unnecessary admissions.
Job Description:
EDUCATION:
Graduate of an accredited school of nursing
CERTIFICATION & LICENSURE:
RN-Registered Nurse of California Upon Hire
TYPICAL EXPERIENCE:
2 years of experience in acute care case management or health plan case management/utilization management
SKILLS AND KNOWLEDGE:
A broad knowledge base of health care delivery and case management within a managed care environment.
Comprehensive knowledge of Utilization Review, levels of care, and observation status.
Awareness of healthcare reimbursement systems: HMO, PPO, PPS, CMS, value-based reimbursement models, and alternative payment systems preferred.
Working knowledge of laws, regulations, and professional standards affecting case management practice in an integrated delivery system: including but not limited to: CMS, Title 22, CHA Consent Manual, CDPH and TJC.
A broad knowledge base of post-acute levels of care and associated regulatory compliance requirements.
General understanding of coding and DRG assignment process preferred.
Must be able to effectively communicate with, and promote cooperation and collaboration between individuals including patients/families/caretakers, physicians, nurses and other ancillary partners.
Ability to work independently and exercise sound judgment in interactions with physicians, payers, and patients and their families.
Demonstrates commitment to service excellence in all patients, family and employee interactions and in performing all job responsibilities.
Functions in a manner to promote quality patient care and assure a positive patient experience.
Strong verbal and written communication skills and negotiation skills
Must have excellent time management skills to develop organized work processes in a high-volume environment with rapidly changing priorities.
Intermediate computer and technology skills.
Ability to promote teamwork and to effectively function in teams.
Ability to interact effectively with key internal and external constituents using collaboration, and customer service skills that promote excellence in the patient experience.
Job Shift:
Days
Schedule:
Part Time
Shift Hours:
8
Days of the Week:
Variable
Weekend Requirements:
Every Weekend
Benefits:
Yes
Unions:
No
Position Status:
Non-Exempt
Weekly Hours:
24
Employee Status:
Regular
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $82.48 to $115.46 / hour
The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.

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