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 Management supporting medical necessity and denial prevention * Transition Management ... PART_TIME
Utilization Management supporting medical necessity and denial prevention * Transition Management ... PART_TIME
RN Care Manager (Case Management) - Part-Time - Days - Bayfront Hospital - St. Petersburg
Saint Petersburg, FL · On-site
St. Petersburg, Florida Schedule: Part-time, 26 hours per week, Mon-Fri days Position Summary ... Utilization Management supporting medical necessity and denial prevention * Transition Management ...
RN Care Manager (Case Management) - Part-Time - Days - Bayfront Hospital - St. Petersburg
Saint Petersburg, FL · On-site
St. Petersburg, Florida Schedule: Part-time, 26 hours per week, Mon-Fri days Position Summary ... Utilization Management supporting medical necessity and denial prevention * Transition Management ...
RN Care Manager (Case Management) - Part-Time - Days - Bayfront Hospital - St. Petersburg
Saint Petersburg, FL · On-site
St. Petersburg, Florida Schedule: Part-time, 26 hours per week, Mon-Fri days Position Summary ... Utilization Management supporting medical necessity and denial prevention * Transition Management ...
RN Care Manager (Case Management) - Part-Time - Days - Bayfront Hospital - St. Petersburg
Saint Petersburg, FL · On-site
St. Petersburg, Florida Schedule: Part-time, 26 hours per week, Mon-Fri days Position Summary ... Utilization Management supporting medical necessity and denial prevention * Transition Management ...
Utilization Management supporting medical necessity and denial prevention * Transition Management ... Employment Type: PART_TIME
Utilization Management supporting medical necessity and denial prevention * Transition Management ... Employment Type: PART_TIME
St. Petersburg, Florida Schedule: Part-time, 26 hours per week, Mon-Fri days Position Summary ... Utilization Management supporting medical necessity and denial prevention * Transition Management ...
St. Petersburg, Florida Schedule: Part-time, 26 hours per week, Mon-Fri days Position Summary ... Utilization Management supporting medical necessity and denial prevention * Transition Management ...
... part time inquiries* The Physician Advisor (PA) will drive quality performance across the organization by communicating with hospital physicians, utilization management, case management, CDI, the ...
Quick apply
... part time inquiries* The Physician Advisor (PA) will drive quality performance across the organization by communicating with hospital physicians, utilization management, case management, CDI, the ...
Status: Part time, 24 hours per week * Schedule: Saturday/Sunday/Monday 8:00 AM - 4:30 PM * Weekend ... Preferred ACM (Case Management) * Preferred CCM (Case Manager) Education: * Required Associates in ...
Status: Part time, 24 hours per week * Schedule: Saturday/Sunday/Monday 8:00 AM - 4:30 PM * Weekend ... Preferred ACM (Case Management) * Preferred CCM (Case Manager) Education: * Required Associates in ...
... utilization management supporting medical necessity, determine appropriate level of care, and resource utilization, and evaluates the need for services for continuity of care and denial prevention.
... utilization management supporting medical necessity, determine appropriate level of care, and resource utilization, and evaluates the need for services for continuity of care and denial prevention.
... utilization management supporting medical necessity, determine appropriate level of care, and resource utilization, and evaluates the need for services for continuity of care and denial prevention.
... utilization management supporting medical necessity, determine appropriate level of care, and resource utilization, and evaluates the need for services for continuity of care and denial prevention.
A great group in Jacksonville, FL is seeking an experienced part-time Medical Director (Board ... Basic job responsibilities include: medical leadership for utilization management, cost containment ...
A great group in Jacksonville, FL is seeking an experienced part-time Medical Director (Board ... Basic job responsibilities include: medical leadership for utilization management, cost containment ...
... and part time employees. Employee-centric * South Lake Hospital has been selected as one of the ... clinical utilization management and the transition to the next appropriate level of care.
... and part time employees. Employee-centric * South Lake Hospital has been selected as one of the ... clinical utilization management and the transition to the next appropriate level of care.
Behavioral Health Medical Director- Psychiatrist - Part-time
Miami, FL · On-site
$68K - $106K/yr
Behavioral Health Medical Director- Psychiatrist - Part-time Behavioral Health Medical Director ... Utilization Management experience. For candidates working in person or virtually in the below ...
Behavioral Health Medical Director- Psychiatrist - Part-time
Miami, FL · On-site
$68K - $106K/yr
Behavioral Health Medical Director- Psychiatrist - Part-time Behavioral Health Medical Director ... Utilization Management experience. For candidates working in person or virtually in the below ...
Care Manager I
Tallahassee, FL · On-site
Care Coordination F/T or P/T status: Full-time Schedule/Hours: Monday - Friday, 8:00 a.m. - 5:00 p ... Ability to gather, prepare, and present clinical and benefit information for Utilization Management ...
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Care Manager I
Tallahassee, FL · On-site
Care Coordination F/T or P/T status: Full-time Schedule/Hours: Monday - Friday, 8:00 a.m. - 5:00 p ... Ability to gather, prepare, and present clinical and benefit information for Utilization Management ...
... utilization management and preventative care services. Responsibilities Essential Functions • Takes the lead in ensuring the continuity and consistency of care, across the continuum (inpatient ...
... utilization management and preventative care services. Responsibilities Essential Functions • Takes the lead in ensuring the continuity and consistency of care, across the continuum (inpatient ...
... PT/OT staff, pharmacists, respiratory, dietary, and nursing. Maintains a focus on the patients ... appropriate utilization of resources/services and creating a safe, effective and efficient ...
... PT/OT staff, pharmacists, respiratory, dietary, and nursing. Maintains a focus on the patients ... appropriate utilization of resources/services and creating a safe, effective and efficient ...
... and part time employees. Employee-centric * South Lake Hospital has been selected as one of the ... utilization management and preventative care services. Responsibilities Essential Functions:
... and part time employees. Employee-centric * South Lake Hospital has been selected as one of the ... utilization management and preventative care services. Responsibilities Essential Functions:
Care Management Shift: Part Time Student Loan Contribution: Up to 20k Other incentives include ... continued hospital stay, and utilization of diagnostic services. * Collaborates with ...
Care Management Shift: Part Time Student Loan Contribution: Up to 20k Other incentives include ... continued hospital stay, and utilization of diagnostic services. * Collaborates with ...
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 ...
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 ...
Care Manager ER RN Part-Time
Naples, FL · On-site
Join us as a Registered Nurse (RN) - Care Management ER Part-Time position at Physicians Regional ... care management or utilization review preferred Knowledge, Skills and Abilities * Knowledge of ...
Care Manager ER RN Part-Time
Naples, FL · On-site
Join us as a Registered Nurse (RN) - Care Management ER Part-Time position at Physicians Regional ... care management or utilization review preferred Knowledge, Skills and Abilities * Knowledge of ...
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 Florida? The most popular types of Utilization Management jobs in Florida are:
What cities in Florida are hiring for Part Time Utilization Management jobs? Cities in Florida with the most Part Time Utilization Management job openings:
Part-time
Posted 23 days ago
Job description
Overview
Responsibilities
Qualifications
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