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Part Time Utilization Management Jobs in Virginia

Medical Director - Full or part time * Flexible - work around your current schedule (Mon-Friday ... utilization management, provider contracting, claims processing, and quality management services.

This role will be Part-Time Day shift, 24 hours per week, Monday - Friday day shift schedule with ... Uses utilization management techniques to determine the medical necessity, appropriateness and ...

This role will be Part-Time Day shift, 24 hours per week, Monday - Friday day shift schedule with ... Uses utilization management techniques to determine the medical necessity, appropriateness and ...

This role will be Part-Time Day shift, 24 hours per week, Monday - Friday day shift schedule with ... Uses utilization management techniques to determine the medical necessity, appropriateness and ...

Uses utilization management techniques to determine the medical necessity, appropriateness and ... Part-Time weekends schedule begins We are Inova, Northern Virginia's leading nonprofit healthcare ...

This role will be Part-Time Weekends (Every Saturday & Sunday), 2- 10 hour shifts per week Inova is ... Uses utilization management techniques to determine the medical necessity, appropriateness and ...

This role will be Part-Time Weekends (Every Saturday & Sunday), 2- 10 hour shifts per week Inova is ... Uses utilization management techniques to determine the medical necessity, appropriateness and ...

Inpatient Case Manager Registered Nurse Sentara Careplex Hospital - Hampton, VA Part-time & Day ... management. Promotes effective utilization and monitoring of health services, collaborates and ...

$10K/mo

Inpatient Case Manager Registered Nurse Sentara Careplex Hospital - Hampton, VA Part-time & Day ... management. Promotes effective utilization and monitoring of health services, collaborates and ...

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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 Virginia? The most popular types of Utilization Management jobs in Virginia are:
What cities in Virginia are hiring for Part Time Utilization Management jobs? Cities in Virginia with the most Part Time Utilization Management job openings:
Infographic showing various Part Time Utilization Management job openings in Virginia as of June 2026, with employment types broken down into 94% Full Time, and 6% Part Time. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution.