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Part Time Utilization Management Jobs in Virginia

Encompass Health

Case Management Director

Aldie, VA

Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... Three years of hospital-based Case Management experience, including Utilization Review and ...

Carilion Clinic

RN Case Manager

Roanoke, VA · On-site

... and Part time options - Friday/Saturday/Sunday or Saturday/Sunday/Monday: Three 12 hour shifts ... and utilization management. Supervisory or leadership experience is preferred. Licensure ...

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

Part Time Utilization Management information

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 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.

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 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:

Part Time Utilization Management jobs near you
Infographic showing various Part Time Utilization Management job openings in Virginia as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 20% Part Time, and 2% Contract. Highlights an 84% Physical, 3% Hybrid, and 13% Remote job distribution.

Management Analyst

Veterans Benefits Administration (VBA)

Richmond, VA

$74K/yr

Full-time, Part-time

Posted 5 days ago

Key responsibilities

  • Support assessments of the operations of the VR&E Division.

  • Assist in the implementation of revised organizational structures and provide studies and evaluations of processes, budgets, employee utilization, resource allocation, and delegations of authority.

  • Perform detailed analysis of work functions and processes, and apply knowledge of laws, regulations, and policies affecting work operations.

Job description

This position serves as the Management Analyst for the VR&E Division, and has the major responsibility for supporting the assessments of the operations of the VR&E Division. The broad scope of duties includes assisting in the implementation of revised organizational structures and providing the necessary studies and evaluations of various processes, allocation of budgets, employee utilization, resource allocation and delegations of authority.Qualifications:
As a current Federal employee you must meet time-in-grade requirements by the closing date of this announcement.: 09/11/2026

If you are a current VBA employee and currently hold the grade level of this vacancy (or higher) AND the promotion potential of this position does not exceed the promotion potential of your current position, you may request a non-competitive reassignment or change-to-lower grade into this position. You MUST submit your most recent (non-award) SF-50 and the SF-50 placing you into your current position receive consideration.
TIME-IN-GRADE REQUIREMENT: As a current Federal, GS employee you must meet time-in-grade requirements by the closing date of this announcement.
  • For a GS-11 position you must have served 52 weeks at the GS-09.
The grade may have been in any occupation but must have been held in the Federal service. An SF-50 that shows your time-in-grade eligibility must be submitted with your application materials. If the most recent SF-50 has an effective date within the past year, it may not clearly demonstrate you possess one-year time-in-grade, as required by the announcement. In this instance, you must provide an additional SF-50 that clearly demonstrates one-year time-in-grade.
MINIMUM QUALIFICATION REQUIREMENTS: You may qualify based on your experience and/or education as described below:
  • Specialized Experience: Applicants must have One year of Specialized Experience which is equivalent to the GS-9 level. Specialized experience is defined as conducting detailed analysis of complete issues, work functions and work processes, AND knowledge of pertinent laws, regulations, polices which affect work processes and operation;
The applicant must demonstrate knowledge of the VRE business line and program operations.

OR
  • Education Substitution: You may substitute education for the required experience. To qualify based on education you must have A Ph.D. or equivalent doctoral degree or 3 full years of progressively higher level graduate education leading to such a degree or LL.M., if related; and obtained in an accredited college or university

OR
  • Equivalent combinations of Specialized Experience and Graduate level education. [To compute, divide your total months of qualifying experience by 12. Then divide your semester hours of graduate education by 18. Add the two percentages. The total percentage must equal at least 100% to qualify.]

Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.
Reference: Additional information on the qualification requirements for this position can be located on the OCHCO VA Qualifications Standards website found here.
Combining Education & Experience: If you do not fully meet the length of experience and education described for a specific grade level (e.g., have six months of experience and some coursework but not a degree), the two can be combined to total 100% of the requirement.
Click here for more information.
Volunteer Experience: Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.
Full vs. Part-Time Employment: Full-time employment is considered to be at least 35 hours per week. Part-time experience will be credited on a pro-rated basis. Applicants wishing to receive credit for such experience must indicate the nature of their duties and responsibilities in each position and the number of hours a week spent in such employment.
Physical Requirements: The position is primarily in an office setting. Some travel may be necessary on occasion for training, meetings, or customer interactions.
For more information on these qualification standards, please visit the United States Office of Personnel Management's website at http://://www.opm.gov/policy-data-oversight/classification-qualifications/general-schedule-qualification-standards/.Education:A transcript must be submitted with your application if you are basing all or part of your qualifications on education.
Education must be accredited by an accrediting institution recognized by the U.S. Department of Education to be credited towards qualifications. Provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education.All education claimed by applicants will be verified upon appointment. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript to receive credit.Employment Type: OTHER

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