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Part Time Utilization Management Jobs in Kentucky

AdventHealth

Consumer Access Specialist

Manchester, KY

$15.77 - $25.23/hr

Pet Benefits Schedule: Part time Shift: Day (United States of America) Address: 210 MARIE LANGDON ... Coordinates with utilization management staff for pre-authorization issues and ensures patients ...

AdventHealth

Consumer Access Specialist

Manchester, KY · On-site

$15.77 - $25.23/hr

Pet Benefits Schedule: Part time Shift: Day (United States of America) Address: 210 MARIE LANGDON ... Coordinates with utilization management staff for pre-authorization issues and ensures patients ...

UnitedHealth Group

RN

Henderson, KY · On-site

$41.35 - $62.03/hr

The coverage area for this position includes Henderson and Union counties. Full time or part time ... Adheres to and participates in the agency's utilization management model * Ability to function in ...

Baptist Health

House Manager

Elizabethtown, KY · On-site

Summary House Manager Part-Time Nightshift The House Manager is responsible for the Patient Care ... Facilitate timely throughput to maximize utilization of services. * Authorized to take any ...

Baptist Health

House Manager

Elizabethtown, KY · On-site

Summary House Manager Part-Time Nightshift The House Manager is responsible for the Patient Care ... Facilitate timely throughput to maximize utilization of services. * Authorized to take any ...

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

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 Kentucky? The most popular types of Utilization Management jobs in Kentucky are:
Part Time Utilization Management jobs near you
Infographic showing various Part Time Utilization Management job openings in Kentucky as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution.

Case Manager - PRN

Southern Kentucky Rehabilitation Hospital

Bowling Green, KY

$44/hr

Full-time, Part-time, Per diem

Life, Retirement

Posted 4 days ago

Job description

Overview

Hospital Name: Southern Kentucky Rehabilitation HospitalJoint venture/Partnership/Affiliation with Select MedicalPosition: Case ManagerLocation: Bowling Green, KYSchedule: Per DiemCompensation: $44.00 per Hour

Our Inpatient Rehabilitation Hospital is committed to providing exceptional and compassionate care to best address the medical, physical, emotional, and vocational challenges for individuals with brain injuries, spinal cord injuries, neurological disorders, orthopedic issues, amputation, and multiple traumas.

Why Join Us:

  • Start Strong: Extensive orientation program to ensure a smooth transition into our setting.
  • Opportunity for Advancement: Demonstrate your skills and dedication which could lead to potential full-time opportunities
  • Foster Well-being: We offer benefits which support the financial, work/life and emotional well-being of you and your family members.  Part time/Per Diem positions are eligible for 401k based on reaching 1,000 hours within their first anniversary or subsequent calendar year. 
  • Your Impact Matters: Join a team of over 44,000 committed to providing exceptional patient care
Responsibilities

The Case Manager is responsible for the coordination of health care decisions by using a systematic approach to assure treatment plans that improve quality and outcomes, coordination of care across the continuum; promotion of cost-effective care within the allotted time frame; assuring payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safe and appropriate discharge plans. The Case Manager assesses the psychosocial needs of the patient and provides intervention as part of the discharge planning process.

  • The primary job functions in Case Management include:
  • Clinical Interventions/Discharge Planning
  • Care Planning Management
  • Fiscal Management
  • Payer/Referral Management
Qualifications

Minimum Qualifications

  • Current Licensure per state guidelines in clinical or related discipline OR a Bachelor's or Master's in a health or human services discipline.

Preferred Qualifications

  • Previous experience in Case Management and Discharge Planning preferred.
  • CCM Certification Preferred.
Additional Data

Equal Opportunity Employer/including Disabled/Veterans

Employment Type: OTHER

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