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Part Time Utilization Management Jobs in Ohio (NOW HIRING)

Premier Health

CASE MANAGER - Part Time

Dayton, OH · On-site

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 ...

Premier Health

CASE MANAGER - Part Time

Dayton, OH · On-site

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 ...

Premier Health

THERAPIST-BSW/LSW-YCATS

Dayton, OH · On-site

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.

Premier Health

THERAPIST-BSW/LSW-YCATS

Dayton, OH · On-site

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.

Tri-C

Supervising Veterinarian (Part Time)

Parma, OH · On-site

$60/hr

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

Trinity Health

RN Case Manager

Westerville, OH · On-site

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 ...

Tri-C

Librarian, Metro (Part-Time)

Cleveland, OH · On-site

$36.06/hr

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

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

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 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:
Part Time Utilization Management jobs near you
Infographic showing various Part Time Utilization Management job openings in Ohio as of July 2026, with employment types broken down into 85% Full Time, 12% Part Time, 1% Temporary, and 2% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution.

RN Utilization Rvw Spclst - Utilization Management

Kettering Health

Miamisburg, OH

Part-time

Posted 22 days ago

Kettering Health rating

7.3

Company rating: 7.3 out of 10

Based on 188 frontline employees who took The Breakroom Quiz

304th of 887 rated healthcare providers

Job description

Job Details

Utilization Management | Miamisburg | Part-time | Varied Shift

Responsibilities & Requirements
  • Registered professional nurse with education, knowledge and experience.
  • Role focuses on review of inpatient and observation admissions to ensure correct assignment of Admit status.  
  • Communicates concurrently and resolves medical necessity discrepancies with physicians and other hospital leadership as needed.
  • Responsible for completing clinical review on all assigned patients and communicates these reviews to payers.
  • Identifies potential or actual denials for admission or ongoing stay both during the patient's hospital stay and post discharge.
  • Review and decide the validity of medical necessity payer denials.  Submits payer denial appeals.
  • Participates in design of work flows and procedure to reduce incidence of denials.
  • Current unrestricted Ohio RN licensure, BSN required.
  • Experience with computers required.
Preferred Qualifications
  • 5 years clinical experience with 2 years case management
  • Case Management certification
  • Works independently
  • Familiar with MCG Care guidelines
  • Ability to adapt quickly to changing priorities and regulations
  • Experience with Microsoft applications and EPIC software

                                                                            ! WEEKEND ONLY!

Overview

Kettering Health is a not-for-profit system of 14 medical centers and more than 120 outpatient facilities serving southwest Ohio. Our mission is to live God's love by promoting and restoring health. Our commitment to our patients is to help individuals be their best. With that context, safety is our top priority. We provide an integrated system of healthcare experts committed to providing exceptional care.

Employment Type: PART_TIME

What Kettering Health employees say

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Hours and flexibility

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