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Part Time Utilization Management Jobs in New York

St. Joseph's Health

Physician Advisor

Paterson, NJ

... Management, and hospital leadership to ensure appropriate utilization of healthcare resources ... Benefits Eligibility : (Full-time and Part-time Employees-over 20 hours a week) * Competitive ...

St. Joseph's Health

Physician Advisor

Paterson, NJ · On-site

Educate providers on utilization management, regulatory requirements, and best practices ... Benefits Eligibility : (Full-time and Part-time Employees-over 20 hours a week) * Competitive ...

Hackensack Meridian Health

Physician

Ocean Grove, NJ · On-site

$260K/yr

Masterfully oversee Utilization Management (UM), Clinical Documentation Integrity (CDI), and denial ... In addition to our compensation for full-time and part-time (20+ hours/week) positions, HMH offers ...

Prime Healthcare

Clinician - Psych

Boonton Township, NJ · On-site

$60/hr

Develops interventions based on youth needs and practices utilization management. EDUCATION ... Benefits may vary based on employment status, i.e. full-time, part-time, per diem or temporary. A ...

MJHS

Pre-Authorization Physical Therapist

Manhattan, NY · On-site

$118K - $125K/yr

The pre-authorization physical therapist will focus on PT/OT/ST, CHHA, and Part B therapy service ... Working knowledge of Medicare and Medicaid regulations and utilization management processes is ...

Baba

Healthcare Advocate

New York, NY · Remote

You may choose part-time or full-time engagement. NOTE: Minimum 20 hours of availability per week ... utilization management, or clinical social work, preferably supporting older adults or Medicare ...

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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 New York? The most popular types of Utilization Management jobs in New York are:
What cities in New York are hiring for Part Time Utilization Management jobs? Cities in New York 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 New York 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.

Utilization Management Registered Nurse

St. Joseph's Health

Paterson, NJ • On-site

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted yesterday

St. Joseph's Health (New Jersey) rating

7.7

Company rating: 7.7 out of 10

Based on 47 frontline employees who took The Breakroom Quiz

161st of 887 rated healthcare providers

Job description


The Utilization Management Registered Nurse (UM RN) is responsible for evaluating the medical necessity, appropriateness, and efficiency of healthcare services in accordance with established criteria, regulatory requirements, and organizational role. The UM RN ensures optimal patient care delivery while supporting compliance, quality outcomes, and effective resource utilization. The role is responsible for the assessment of medical necessity, both for admission to the hospital as well as continued stay. This function ensures that services are not only appropriate but ensures that an authorization is obtained from the payer, if required, and that the documentation supports the care delivered in such a way that minimizes risks of denials.
Qualifications
Work requires the knowledge of theories, principles, and concepts normally acquired through completion of a Bachelor of Science in Nursing and least at least 3 years of previous nursing experience. Preferred 3+ years of Utilization Review or Case Management experience. Case Management Society of America Certification CCM preferred. Licensure required as a Registered Nurse by the State of New Jersey.
About Us
St. Joseph's Health is recognized for the expertise and compassion of its highly skilled and responsive staff. The combined efforts of the organization's outstanding physicians, superb nurses, and dedicated clinical and professional staff have made us one of the most highly respected healthcare organizations in the state, the largest employer in Passaic County, and one of the nation's "100 Best Places to Work in Health Care".
Benefits Eligibility: (Full-time and Part-time Employees-over 20 hours a week)
  • Competitive salary*
  • Robust benefits with health, dental, Rx and vision plans
  • 403b retirement plan options with company match**
  • Health & Wellness*
  • Non-Profit Health System - eligible for Federal Student Loan Forgiveness
  • PTO, and paid holidays
  • Tuition reimbursement
  • Employee Assistance Program
  • LTD : Long Term Disability
  • Life Insurance Options
  • Onsite Day care Program

*Available for Per Diem Employees and Part-time Employees working under 20 hours per week.
**403b Company Match not applicable for Per Diem Employees and Part-time Employees working under 20 hours per week.
Pay transparency: St. Joseph's Health provides a salary range to comply with New Jersey Law. The rate of pay for each position will be determined based on a variety of factors including the candidate's relevant experience, qualifications, skills, etc." The salary range does not include incentives, differential pay or other forms of compensation.
About the Team
St. Joseph's University Medical Center is an academic tertiary care medical center and state designated trauma center, located on the Paterson campus, regularly accepts referrals of difficult or unusual cases from other hospitals and physicians and performs both complex and routine procedures.
The Medical Center offers a full complement of specialty and subspecialty services including ambulatory, behavioral health, cardiovascular, emergency/trauma, internal medicine, neuroscience, oncology, orthopedic/spine, rehabilitation, surgical specialty, women's health, imaging and pediatrics.
The nursing team at St. Joseph's University Medical Center, which includes St. Joseph's Children's Hospital, has held the Magnet Award for Nursing Excellence, the profession's highest honor, since 1999. They are also recipients of the prestigious 2010 Magnet Prize™ - one of only 8 Magnet-designated hospitals to ever receive The Magnet Prize, and the only one worldwide to receive the 2010 award.

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