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Part Time Utilization Management Jobs in Ohio (NOW HIRING)

Case Manager (RN) Dept: Integrated Care Management Program Shift: Part Time -0830-1700 / 48 Hours ... analysis, utilization management, transition planning and process, resource allocation, team ...

Case Manager (RN) Dept: Integrated Care Management Program Shift: Part Time -0830-1700 / 48 Hours ... analysis, utilization management, transition planning and process, resource allocation, team ...

Part-time, full-time, and associate therapist positions are available. Full time positions include ... utilization management of clinical care. Demonstrate knowledge of other regulatory standards.

Part-time, full-time, and associate therapist positions are available. Full time positions include ... utilization management of clinical care. Demonstrate knowledge of other regulatory standards.

Properly manages any dental, medical or surgical emergencies * Interprets radiographs and conducts ... Time Utilization * Adaptability IMPORTANT COMPETENCIES * Collaboration * Continuous Improvement ...

Employment Type: Part time Shift: Description: RN Case Manager - Part-time, weekend coverage for St ... This is done with the intentions of cost effective utilization of hospital resources, minimizing ...

Possess strong organizational and time-management skills * Possess sensitivity to appropriately ... Time Utilization VERY IMPORTANT COMPETENCIES * Continuous Improvement * Quality of Work ...

Possess strong organizational and time-management skills * Possess sensitivity to appropriately ... Time Utilization VERY IMPORTANT COMPETENCIES * Continuous Improvement * Quality of Work ...

... part-time work. ESSENTIAL FUNCTIONS: * Coordinate and manage behavioral health payer audits, denials, and utilization review activities * Prepare and submit audit responses, appeals, and supporting ...

Employment Type: Part time Shift: Day Shift Description: RN Case Manager - St. Ann's Position ... This is done with the intentions of cost effective utilization of hospital resources, minimizing ...

Employment Type: Part time Shift: Description: RN Case Manager - Weekend cover for Mount Carmel ... This is done with the intentions of cost effective utilization of hospital resources, minimizing ...

Employment Type: Part time Shift: Description: RN Case Manager - Part-time, weekend coverage for St ... This is done with the intentions of cost effective utilization of hospital resources, minimizing ...

Employment Type: Part time Shift: Description: RN Case Manager - Part-time, weekend coverage for St ... This is done with the intentions of cost effective utilization of hospital resources, minimizing ...

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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, 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 Ohio? The most popular types of Utilization Management jobs in Ohio are:
What cities in Ohio are hiring for Part Time Utilization Management jobs? Cities in Ohio with the most Part Time Utilization Management job openings:
Infographic showing various Part Time Utilization Management job openings in Ohio as of July 2026, with employment types broken down into 1% As Needed, 80% Full Time, 16% Part Time, 1% Temporary, and 2% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution.
CASE MANAGER - Part Time

CASE MANAGER - Part Time

Premier Health

Dayton, OH โ€ข On-site

Part-time

Re-posted 6 days ago


Job description

General Summery
Position: Case Manager (RN)
Dept: Integrated Care Management Program
Shift: Part Time -0830-1700 / 48 Hours per Pay
The Case Manager is a registered nurse responsible for individualized patient assessment and care coordination, and transition planning to promote maximal outcomes in relation to appropriate length of stay, effective use of resources and established guidelines of care. Additional responsibilities include facilitation of interdisciplinary team collaboration, liaison between the patient, physician, payor, family/significant others in regards to care coordination and transitional care needs. This position requires expertise in acute care nursing, healthcare reimbursement requirements, clinical outcome data analysis, utilization management, transition planning and process, resource allocation, team management and communication skills. Promotes care coordination and effective utilization of resources through the assessment of patient care needs during the hospitalization and across the health care continuum. Success is measured against achievement of targeted goals and outcomes as generated by defined expectations through care team collaboration.
Education: BSN required.
Licensure: Registered Nurse with valid Ohio license.
Certification: Certification in area of clinical specialty preferred.
Experience: Minimum of three years of relevant clinical experience in area of patient population within last five years. Expertise in healthcare reimbursement, transition planning and case management preferred. Experience with a clinical documentation management program preferred, knowledge of performance improvement process preferred.
Skills/Other: Exemplary interpersonal skills as demonstrated by the ability to develop and maintain rapport with physicians and Integrated Care Team members. Negotiation skills, conflict resolution skills and assertive communication skills required. Knowledge of InterQual ISD-A and Milliman Guidelines and third party insurance requirements preferred. Experience in gathering information, monitoring indicators and feedback mechanisms required. Basic computer skills required.