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Part Time Utilization Management Jobs in Illinois

silvercross

Utilization Review Nurse

New Lenox, IL

$34.73 - $45.15/hr

Relevant hospital nursing; hospital case management; insurance case management or utilization ... Part-time employees which includes: Medical, Dental and Vision plans Life Insurance Flexible ...

Silver Cross Hospital

Utilization Review Nurse

New Lenox, IL · On-site

$34.73 - $45.15/hr

Relevant hospital nursing; hospital case management; insurance case management or utilization ... Part-time employees which includes: • Medical, Dental and Vision plans • Life Insurance • ...

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

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 Illinois? The most popular types of Utilization Management jobs in Illinois are:
What cities in Illinois are hiring for Part Time Utilization Management jobs? Cities in Illinois 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 Illinois as of July 2026, with employment types broken down into 1% As Needed, 81% Full Time, 15% Part Time, 1% Temporary, and 2% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution.

Utilization Review Nurse

silvercross

New Lenox, IL

$34.73 - $45.15/hr

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 2 hours ago

Job description

Silver Cross Hospital is an extraordinary place to work. We're known for our culture of excellence and deliveryof unrivaled experiencesfor our patients, their families, the communities we serve...and for each other. Come join us! It's the wayyouwant to be treated.

Position Summary: Performs medical record review for severity of illness and intensity of service; liaison function with external review agencies to ensure compliance with regulations affecting financial reimbursement; identifies variance from established pathways

Essential Duties and Responsibilities:

  • Collects information from clinical medical record for severity of illness and intensity of service and documents such in clinical database
  • Monitors all levels of care for appropriateness and communicates variance; evaluates plan of care to ensure it is based on accepted standards
  • Provides information to external review organizations, documents pertinent communications
  • Refers to designated physician advisor those patients not meeting criteria as well as quality of care concerns
  • Maintains knowledge and incorporates current standards into practice

Required Qualifications: Knowledge of clinical norms; excellent communication skills; critical thinking skills; organized and efficient time management skills

Education and Training:

  • Nurse, Registered (RN) licensure
  • BSN preferred. 2-5 years previous Utilization Review experience preferred.
  • Current CPR
  • Relevant hospital nursing; hospital case management; insurance case management or utilization management experience preferred

Work Shift Details:

Various, Day; weekend rotation; holiday rotation; occasional on site requirement for meetings and mandatory training

Department:

CONTINUUM OF CAREBenefits for You

At Silver Cross Hospital, we care about your health and well-being and that is why we work hard to provide quality and affordable benefit options for you and your eligible family members.

Silver Cross Hospital and Silver Cross Medical Groups offer a comprehensive benefit package available for Full-time and Part-time employees which includes:

Medical, Dental and Vision plans

Life Insurance

Flexible Spending Account

Other voluntary benefit plans

PTO and Sick time

401(k) plan with a match

Wellness program

Tuition Reimbursement

Registry employees who meet eligibility may participate in our 401(k) Savings plan with a potential match. However, registry employees are ineligible for Health and Welfare benefits.

The final pay rate offered may be more than the posted range based on several factors including but not limited to: licensure, certifications, work experience, education, knowledge, demonstrated abilities, internal equity, market data, and more.

The expected pay for this position is listed below:

$34.73 - $45.15

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